Lumbar Spondylolisthesis - Treatment

Because back pain is infrequent in lumbar spondylosis will seek another diagnosis for this. Medication is not indicated in the absence of complications. Surgical excision is performed for the incarceration sciatica unresponsive to 2 days of absolute bed rest.
Pharmacological treatment.NSAIDs are based therapy. They are effective by reducing the biological effects of inflammation and pain. Their management should be monitored for adverse effects and gastropathy, renal toxicity, hypertension, liver disorders and hemorrhage. Inhibitors of COX-2 selective cicloxigenazei celoecoxib as decrease the risk of stomach bleeding.Tricyclic antidepressants are indicated for patients who experience chronic pain. Common side effects include dry mouth, sedation, urinary retention, constipation, cardiac conduction block.Muscle relaxants such as carisoprodol and ciclobenzapina are beneficial in patients with spasm of the lumbar muscles. Opioids are indicated in patients with moderate to severe pain with significant structural spondylosis, which are not candidates for surgery and those who have failed therapy with other agents. For those at risk from NSAID gastropathy, especially opioids are reasonable grounds geriatric population.Steroids. In some patients with significant radiculopathy a high dose of steroids to reduce pain and shorten the symptoms. Some patients with progressive myelopathy spondylosis also shows the benefits. Epidural steroid injections help patients with radicular symptoms. Patients experiencing acute injury caused by osteophites ventral medullary benefit of high dose methylprednisolone.
Physical Therapy.It remains a conservative standard in the treatment of chronic low back pain, including aerobic exercise, muscle stretching.Significant variation in the intensity and frequency of exercise depends on the condition pacidentului.Transcutaneous electrical nerve stimulation.It is a therapeutic technique involving the application of electrodes, which releases a cutaneous peripheral nerve electrical stimulation for noninvasive pain relief. Such devices are available regimens at home.Lumbar support.Benefit patients suffering from chronic back pain secondary degenerative processes. They restrict movement of the spine, stabilize, correct deformities and reduce the mechanical forces.They massage the affected areas and the effects of local heat application.Lumbar Traction.This applies an axial force longitufinala column using a harness attached to the iliac crest and lower ribs to relieve chronic back pain. These forces widen the intervertebral space and correct the lordosis.Increased mortality is associated with lumbar spondylosis. While some patients have persistent back pain, significant disability is rare if the patient has severe neurologic compromise. Morbidity is most commonly represented by persistent back pain or nerve incarceration. Since degeneration of the disc is accelerated spondylosis can occur discogenica pain. Degenerative spondylolisthesis produces characteristic arthritic symptoms can worsen with age.