Spondylolisthesis Exercises- The Most Important Stretches Part 1
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- čas přidán 23. 09. 2018
- Learn the most important spondylolisthesis exercise stretches for pain relief and better body mechanics with sports injury expert Dr. Michael C Remy, DABCO, CCSP. Learn more stretches, exercises, and design your own spondylolisthesis healing workout at: www.painfreeandfit.com
Your videos are the best! thank you so much for them
my hammys and glutes are affected by my spondy and sometimes extreme tight and pain
Dr. Remy, I've come across a study about "Low back pain due to spondylolisthesis may be benefited by mobilisation of the thoracic spine". Is it possible please that you either make a video about thoracic mobilisation/mobility exercises or point our to some other footage/resources with correct form, that we can use for that purpose?
There are several possible reasons for this, including a change in lumbar facet joint play motion affected by thoracic motion, soft tissue tension changes that connect both T and L spinal regions, global gravitational changes by thoracic spine changes, reflexive muscular activity, central nervous system pain modulation via afferent stimulation of the thoracic spine, etc. One of the more interesting relationships is the relationship between thoracic spine saggital plane translation (front to back sliding motion of the ribcage) and its affect on the arch (lordosis) of the lower back. I have touched on this in some previous videos on this channel and in the Fast Track Retrolisthesis Program at painfreeandfit.com, , but will put out a few more in the future. Thanks for the suggestion.
Hello Doc i have been watching your programa from CZcams About back pain 5 years ago I was diagnosed with bulging
herniated dise L 4. L5 and I did rehabilitation for 2
months i continua doing exercises and stretch it gets better and comes back again the sciatica pain copying no till
Early this year i did MR DC scanning and delivering that I have spondylitis i have started
feeling now sicklies and numbness now on my legs
May Question if don't make surgery it's going to
costs me damage because this is what the Dorctors are saying
Hi Ruth.
While I cannot give you specific advice about your case, as you are not my patient, I can tell you as a general rule in my experience, surgery for most disc herniations and grades 1 or 2 spondylolisthesis is not usually required, unless conservative care (chiropractic, physical therapy, and rehabilitation) fail to give relief. If nerve compromise is long lasting, there could be permanent damage, but if relief is found with exercises and symptoms return intermittently, the key may be to learn how to improve your neutral spine and RPI ability to avoid future aggravations. This of course would be based on a thorough assessment of your body mechanics, posture/movement tendencies as they relate to your pain, and spinal stability issues. I would discuss this with your doctor and always get a few opinions from other doctors before making a decision. I hope this gives you some direction.
Dr. Remy
hi dr! do you also recommend hamstring stretching for this condition?
Only if the hamstrings are tight. Normal flexibility for most people is 90 degrees of hip flexion with the knee kept straight.
@@DrMichaelCRemypainfreeandfit ok thanks for responding, ur channel has been helping a lot anyway, best wishes for new year
I have spondylolisthesis for 2 years now, does Dr.Remy recomend Chiropractor? Or does is make it worse?
Hi GK.
Most of my spondylo patients receive great benefits from chiropractic lumbar facet and sacroiliac low force manipulation and flexion distraction techniques. It is a rare case that chiro is not helpful for spondylolisthesis pain and function.
Dr. Remy
Good morning
I am suffering spondylolisthesis years ago cant walk morethen 5 minutes i went to different doctors for check up and mri they give me pain reliver only but nothing change stilll more pain.my friend told me to threat me phycio therapy we did lot of time.now im good i can walk but cant straight my back and hip.i want my back healed.
Hi Lyka.
I would recommend a complete spondylolisthesis rehab/fitness approach based on a detailed analysis of your body mechanics and spinal stability issues. The FAST TRACK Spondylolisthesis program at painfreeandfit.com is your best option if you cannot find an expert near you. Keep me posted on your progress.
Dr. Remy
Hi Dr Remy my wife has spondylolisthesis has pain on right side of back and numbness on left foot top middle at toe joins. Do you have any suggestions how to go about getting relief?
Hi Steven.
The first thing as always is a proper diagnosis which includes both anatomical and functional considerations. Treatment should be specific for the involved functional causes of her symptoms, which with conservative care such as chiropractic specific manipulation and tailored rehab exercises, usually provides significant relief (93% of spondylolisthesis cases in my practice). The other important step is to identify what mechanical causes are at the root of her symptoms, as there are plenty of symptom-free spondylolisthesis cases out there. Once she identifies the aggravating movement patterns, spinal stability faults, and learns her neutral spine position, she can condition her back to be able to get physically fit without aggravation. This is detailed in the FAST TRACK program for Spondylolisthesis at painfreeandfit.com, or you can work with an advanced rehab spondylo expert near you. I hope this info helps.
Dr. Remy
@@DrMichaelCRemypainfreeandfit
Thank you Dr. Remy! My wife is sixty eight years old and a year ago went in for operation for Hydrocephalus. We were dealing with the rehab for that. She does have that tilt to left when she walks and the left leg and foot that turns out when she walks and her balance is no where near where she should be. Do you think rehab can be done that will relieve and realign her frame?
I find it difficult to do the second exercise that stretches the front of the thigh. I can't seem to maintain the correct posture. Could this be done while laying flat on your side?
It can be done side lying, or standing using a stair step supporting the foot on the stretched side as the opposite knee bends to increase the stretch on the involved side. In either case, maintain the neutral spine with RPI tensions throughout the stretch, including getting in to the stretch position
No
Hi Doc , I am a dentist I recently flared up with my ischemic spondlythesis. I am not working anymore. Due to the pain of sitting and subluxation. How long do you suggest bed rest.? Do you find most patients like me heal with conservative treatment like physical therapy and chiropractor in what time frame?
Hi Michael.
I am assuming you have "isthmic spondylolisthesis"., however, you did not explain if it is due to a congenital elongated pars or a lytic (broken) pars. While I cannot diagnose you or offer specific advice as you are not my patient, I can give you some general considerations. It is rare that spondylolisthesis by itself is painful when sitting, unless your seated position includes an increased arching tendency in your lower back, or an over active erector spinae muscle recruitment that causes increased arching (hyperlordosis). Sitting pain is more classically related to disc pressure, which is often associated with spondylolisthesis as herniated/bulging/ or degenerative discs. Typically, prolonged bed rest (greater than 2-3 days) is the WORST approach for low back pain, as it promotes core deconditioning, stasis, soft tissue tightness and de-oxygenated soft tissues. Movement that is gentle, mechanically sound, and gradually progressive is usually the way to go, but that should be based on a thorough understanding of your biomechanics as they relate to your back pain. You need to be accurately diagnosed in terms of what soft tissue is your pain generator, and what posture/movement/stability and conditioning issues are driving the mechanical stress to that pain generating soft tissue. With appropriate treatment targeted to the specific injured tissue and a tailored rehab plan to correct the offending mechanics, you will have your greatest chances of lasting relief and return to activities. Soft tissue injuries and mechanical/conditioning issues are all different, so throw out generic time frames such as 6-8 weeks for fracture healing. Get a doctor who knows how to thoroughly assess and diagnose your case, not just from an imaging study or anatomical standpoint of what is the pain generator, but just as important, what movement/stability/posture/conditioning issues are truly behind your problem. If you don't have an advanced rehab specialist near you, I would suggest the FAST TRACK Spondylo and Degenerative Disc Programs at painfreeandfit.com if you would like a self-management approach to these rehab/mechanical issues. Another option is an online consult with myself for the appropriate rehab exercises. With proper diagnosis and rehab, I have never seen a case of spondylo in my 30 years of practice that did not respond favorably to treatment/ custom rehab, and be able to return to functional activities. Hopefully with the right guidance and care, you will get back to work and a physical lifestyle.
Dr. Remy
@@DrMichaelCRemypainfreeandfit can a grade 1 L5-S1 vertebrae slip of lumber region go back into place? And fully heal?
Too technical
Hi Bradley.
Thanks for your comment, but I have found that the best results (including those who can't get results otherwise) come from being very technical and specific in addressing one's body mechanics as they relate to the musculoskeletal stress that is causing pain. Generic exercises give partial results for most, and learning more about one's unique mechanics and corrections makes the biggest difference.
Dr. Remy