Could Your Low Back Pain Be Spondylolysis?

Almost 620 million people worldwide have low back pain, with various causes that include herniated discs, sciatica, and osteoarthritis. Another possible explanation is spondylolysis.

At our Steel City Spine and Orthopedic Center offices in Western Pennsylvania and an expansion location in South Florida, Dr. Jocelyn Idema and our highly skilled staff provide a wide range of services for back and neck problems. 

Whether you have spondylolysis or another condition, we provide an individualized, proven treatment plan using state-of-the-art technology and procedures. We emphasize a conservative approach whenever possible.

Spondylolysis

Also known as a pars defect, spondylolysis is a stress fracture through the bone segment known as the pars interarticularis that connects two vertebrae in the spine. It most often strikes the lower back but can also affect the middle back and neck.

Symptoms

Some people may have spondylolysis but experience no symptoms; it’s often only discovered during an imaging test for another issue. Others experience lower back pain.

The pain might feel like a muscle strain in or near the lower back, possibly radiating into the muscles of the thighs and buttocks. Physical activity typically worsens spondylolysis, and resting can ease the pain.

Causes

Spondylolysis causes include overuse or repetitive motions; working a physically demanding job, playing contact sports (e.g., football) or sports that overstretch the lower back (gymnastics, weightlifting), or suffering repeated back injuries can result in a fracture. 

Spondylolysis can also affect children and adolescents experiencing a growth spurt. Genetics, too, can play a role. Some people are born with vertebrae thinner than others.

Diagnosis

At Steel City Spine and Orthopedic Center, we typically diagnose spondylolysis and other low back problems by performing a physical exam, taking a medical history, and conducting one or more imaging tests. These may include X-rays, an MRI, or a CT scan.

Treatment

Following your doctor’s treatment plan is key to a full recovery. Spondylolysis not only affects mobility but can also lead to spondylolisthesis. That happens if the vertebrae are affected severely enough to slip out of place and press on a nerve, resulting in shooting pain in the legs.

Treatments most often include rest from sports and other significant physical activities. We may also recommend over-the-counter medications and corticosteroids. Wearing a back brace for stability and working with a physical therapist can help. Surgery is rarely needed.

If you suffer from back pain, let us help. We can diagnose the cause and personalize a treatment plan to get you back on track. Call the Steel City Spine and Orthopedic Center office near you or request an appointment online today.