Spondylolisthesis

Spinal disease associated with the displacement of a superior vertebra relative to an inferior one is known as spondylolisthesis. The lower lumbar and sacral regions are most prone to this condition, particularly at vertebral segments L4-L5 and L5-S1, since these areas typically bear the greatest load.

Symptoms of Spondylolisthesis

The manifestation of spondylolisthesis often depends on the severity and progression of the disease. For a long time, the condition may be asymptomatic, with pain appearing only occasionally after physical exertion — usually in the lumbar region and radiating to the lower limbs. There may also be spasms of the paravertebral muscles, leading to reduced range of active and passive movements. Neurological symptoms depend on the degree of vertebral displacement and the extent of compression of spinal structures. These can include weakened or absent reflexes, muscle atrophy, and paresthesia (tingling or numbness).

Diagnosis of Spondylolisthesis

Displacement of the vertebrae and the stage of the disease can be diagnosed using X-ray imaging, as well as CT or MRI scans for more detailed evaluation.

Treatment of Spondylolisthesis at the Sanatorium

• Radon baths, dry carbonic acid baths.
• Heat therapy using galvanogly mud and paraffin-ozokerite applications.
• Magnetotherapy.
• Electrotherapy (medicated electrophoresis, amplitopulse therapy, interferential therapy, diadynamic therapy).
• Ultrasound therapy with medicinal agents.
• Light therapy using magnet-infrared laser, Bioptron, Korobov's photonic polychromatic matrix.
• Manual or vacuum massage.
• Therapeutic exercise in traction-training mode. Strengthening of back extensor muscles.
• Exercises with an instructor on the Yevminov trainer.
• Computerized traction of the lumbar, thoracic, and cervical spine sections, with fixation belt.
• Use of Heel pharmaceuticals: Zeel T, Traumeel S, Discus Compositum, Ubichinon, Lymphomyosot.
• Manual therapy (post-isometric relaxation).
• Shockwave therapy for sacroiliac joint arthritis and myofascial syndromes.
• Blockades with Mydocalm for myofascial syndrome and piriformis muscle syndrome.
• CO₂ gas injections.
• Intratissue electrostimulation according to Gerasimov’s method in cases of complex nerve damage and pain syndrome.
• Anti-osteoporotic therapy if necessary.
• Chondroprotective therapy.