My daughter has got grade 2 anterolisthesis in her L5-S1 vertebrae. What exercise should she do?

Question

Anterolisthesis is another term for spondylolisthesis. Anterolisthesis is a spine condition in which the upper vertebral body, the drum-shaped area in front of each vertebrae, slips forward onto the vertebra below. The amount of slippage is graded on a scale from 1 to 4. Grade 1 is mild (less than 25% slippage), while grade 4 is severe (greater than 75% slippage). Patients are advised to stop the activity or sport that evokes the back pain for up to 12 weeks, and may need a brace if pain is not adequately relieved. Usually most orthopedic experts recommend a non-operative management to begin with. Customized exercise and pain management programs to help the patients to get back to as normal as possible pain-free life. These programs generally (2-3 times/week) last for approximately 1-2 months based on individual response. These consist of electrical stimulation, ultrasound, or modalities such as massage, heat, manual therapy, ice, and graduated core stabilization and strengthening exercises to recondition the back and abdominal muscles. Re-aligning the spine by postural training, ergonomic changes to decrease straining at work, injury prevention, back safety education on proper lifting and repetitive motion, support braces as needed, breathing/relaxation techniques to reduce pain & muscle tension and, and lifestyle modifications are other strategies often employed. Operative management may be needed in some of the following situations - If a trial of non-operative management fails, - if dynamic radiological assessment shows excessive abnormal mobility of the involved verteba (during flexion and extension, or - if there is progressive neurological deficit. So far exercises in this condition are concerned, they should be customized as per individual. In general, when there has been slippage, the vertebrae tends to slip "forward" (towards the belly button) over the one below it. Due to the structure of the lumbar spine, it just makes sense that the vertebrae would slip "forward" and not "backward" Don't do any bending forward. Do a lot of extension exercises (arching the back) But keep the arching within limits, because extreme arching for is not good.

Satish Kumar Gupta · Accepted Answer

Anterolisthesis is another term for spondylolisthesis. Anterolisthesis is a spine condition in which the upper vertebral body, the drum-shaped area in front of each vertebrae, slips forward onto the vertebra below. The amount of slippage is graded on a scale from 1 to 4. Grade 1 is mild (less than 25% slippage), while grade 4 is severe (greater than 75% slippage). Patients are advised to stop the activity or sport that evokes the back pain for up to 12 weeks, and may need a brace if pain is not adequately relieved. Usually most orthopedic experts recommend a non-operative management to begin with. Customized exercise and pain management programs to help the patients to get back to as normal as possible pain-free life. These programs generally (2-3 times/week) last for approximately 1-2 months based on individual response. These consist of electrical stimulation, ultrasound, or modalities such as massage, heat, manual therapy, ice, and graduated core stabilization and strengthening exercises to recondition the back and abdominal muscles. Re-aligning the spine by postural training, ergonomic changes to decrease straining at work, injury prevention, back safety education on proper lifting and repetitive motion, support braces as needed, breathing/relaxation techniques to reduce pain & muscle tension and, and lifestyle modifications are other strategies often employed. Operative management may be needed in some of the following situations - If a trial of non-operative management fails, - if dynamic radiological assessment shows excessive abnormal mobility of the involved verteba (during flexion and extension, or - if there is progressive neurological deficit. So far exercises in this condition are concerned, they should be customized as per individual. In general, when there has been slippage, the vertebrae tends to slip "forward" (towards the belly button) over the one below it. Due to the structure of the lumbar spine, it just makes sense that the vertebrae would slip "forward" and not "backward" Don't do any bending forward. Do a lot of extension exercises (arching the back) But keep the arching within limits, because extreme arching for is not good.