In the world of spinal arthritis and spinal degeneration, one of the most common problems seen with aging is degenerative spondylolisthesis. “Spondy” refers to the spine, and the slippage part is “listhesis”. As a person’s ages and the spine experiences arthritis, there is a cascade of degeneration that occurs in the following steps. The steps are not singular events, there is considerable overlap in occurrence.

1. Degenerative Disc Disease
2. Facet Joint Arthritis
3. Facet Joint Instability
4. Intervertebral segment instability
5. Slippage of one vertebrae on another

As the spinal disc degenerates, the facet joints of the spine see increased and abnormal stresses from what is typically seen. This creates arthritis in the facet joints by the bone growth that occurs. Optimally more cartilage would be grown, preventing arthritis by creating joint lubrication. But the human body loses its ability to keep up with necessary cartilage growth as we age, so it turns to growing bone because it’s always good at that.

The facet joint bony overgrowth is a phenomenon that is neither needed nor desirable and creates instability in the spinal segment. This leads to slippage of one vertebrae on another. The slip is categorized by the percent slip of the vertebral body on the one below. If it is less than twenty five percent it is a Grade 1 slip. If it’s 25-50%, it’s a Grade 2. If it is fifty to seventy five percent it is a Grade 3. And seventy five to one hundred percent is a Grade 4. By and large the slips are Grade 1 or Grade 2 for the degenerative kind of spondylolisthesis.

As a result of the slipping, individuals may begin to have increasing back pain.A Phoenix Pain Center will be able to work up this back pain diagnosis. This can be from the arthritis in the facet joints, the mechanical instability experienced, the degenerative disc disease, or a combination of all three.

Another end result with the slippage is that the spinal canal may see a cross sectional area decrease, leading to subsquent spinal stenosis with resulting leg pain, buttock and hip pain, and sciatica.

A Phoenix Spinal Decompression or Phoenix chiropractor doctor will typically be able to alleviate pain with this back pain diagnosis.

An Overview Of Back Pain From Degenerative Spondylolisthesis

Common Spine Disorders | Degenerative Spondylolisthesis | Back Pain Prevention | TV8 Vail | CO

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