The vertebral bones that make up the spine are arranged in a row in every healthy person. Each edge of the vertebrae is exactly in line with the previous and next vertebrae. It is the Decussation and facet joints that increase the durability and flexibility of this regular arrangement between the vertebrae; giving the spine the ability to move. The tissues located in the front part of the vertebrae are called discs, and those located in the back part are called facet joints. This Decussation structure acts as a small bridge or cushion between the bones. The vertebrae extending from the head to the coccyx protect the spinal cord at the same time as ensuring a balanced standing position of the person. But in the presence of a condition defined in medicine as spondylolisthesis and popularly known as waist shift, one of the vertebrae moves forward, displaces and Decays the order in the vertebral sequence. Due to this sliding movement made by the vertebra, the spinal cord passing through the spine is compressed and pressure is formed on the nerve root. Waist slippage, which leads to complaints such as pain, burning and numbness in the lower back, hips and both legs, can lead to much more serious problems depending on the severity of the sliding movement. There are many different reasons for waist slipping. Factors such as trauma, degeneration or, in other words, wear due to advanced age, congenital anomaly, infection, surgical intervention and tumor play a role in the formation of spondylolisthesis. Waist shift is usually caused by the forward movement of two vertebrae located just above the coccyx area, identified as L4 and L5 and called the sacrum. Before moving on to the diagnosis and treatment methods related to waist slippage disorder, it is necessary to understand what is waist slippage well.
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What is waist shift?
What are the types of waist slippage?
How is waist slippage treated?
What is waist shift?
Waist slippage is a discomfort caused by the bones of the spine sliding forward or backward for different reasons. The vertebrae, which are normally Decoupled in a row, are connected to each other by the joints and connective tissues located between them. These tissues located between each vertebra are called Decussations in the front and facet joints in the back. In the presence of a lumbar shift, defined as spondylolisthesis, one of the vertebrae moves forward or backward. Due to this sliding movement that takes place, the tissues between the vertebrae, the spinal cord and nerves located inside the vertebrae are compressed. Dec. Thus, neurological symptoms such as pain, tingling, burning and numbness in the hips, legs and toes, especially low back pain, occur. Approximately 10% of those who go to the doctor with complaints of low back pain receive a diagnosis of low back shift as a result of examinations and examinations. Waist slippage, which is more common in women than in men, although it shows similar symptoms to a herniated disc, it is actually structurally completely different from each other. In a lumbar hernia, the disc and facet joints between the vertebrae are compressed and protrude out from between the vertebral Decubitus Decubitus. In cases of low back slip, the vertebrae move and put pressure on the spinal cord and nerves. However, in some cases, both disorders may occur simultaneously. Cases of low back slip are mostly seen due to genetic predisposition, age, lifestyle and accidents. Although the first and most important finding is low back pain, some patients may not complain of low back pain. Complaints can only be seen when bending down, standing up, sitting up and straightening out of bed. Symptoms of low back slip persist as long as the discomfort is not treated, and most often an increase in symptoms is observed. When a person applies to a doctor with a complaint of low back pain, the doctor first listens to the patient's history in detail. Then, a physical examination is performed and the doctor requests radiological imaging as an additional examination when October is necessary. As a result of the evaluation, waist shift is diagnosed. Treatment is regulated according to the severity of the waist shift. This treatment may be surgical intervention, as well as the implementation of a physical therapy and rehabilitation program, or it may be with medication.
What are the types of waist slippage?
Types of waist slippage can be studied in two separate groups, congenital or acquired. In cases of congenital lumbar shift, defined as congenital spondylolisthesis, the vertebrae are observed due to a developmental disorder. Although cases of congenital spondylolisthesis, which is often seen between the L5 and S1 vertebrae, are twice as common in women as in men, only 5% of all cases of lumbar Decussation occur at birth. Although this discomfort caused by the weak connection between the two vertebrae causes pain during adolescence, defined as the adolescent Deciency, it may not pose a serious problem during adulthood. In severe cases, symptoms such as severe pain, paralysis of the arms and legs, urinary incontinence may occur. Some of the types of acquired waist shift that are common are listed below:
Degenerative Spondylolisthesis: It occurs with the progression of age with the shifting of the tissues existing around the spine and one another. The wear and tear that occurs due to aging in the connective tissues surrounding the spine and spine is especially observed in people aged 40 and older. Degenerative cases of spondylolisthesis are usually accompanied by narrow canal disease. In addition to lower back and leg pain, symptoms such as numbness and weakness in the legs, difficulty walking, increased waist Declivity are among the most common complaints of this disorder. An increase in complaints may be observed during physical activities such as standing and walking.
Spondylolysis: a fracture occurs due to an overload on the lumbar region, which is more mobile than the upper part of the body. In the presence of this condition, which is also defined as a stress fracture, the vertebra located in the upper part slides downwards. The first symptom in cases of low back slippage that develops due to a stress fracture that does not show symptoms during rest is lower back and hip pain. In some cases, symptoms such as a feeling of tension in the muscles, weakness, numbness in the legs and difficulty walking may be observed. November 27, 2018. But mostly stress fractures, which do not give any clinical symptoms, are usually seen during radiological imaging, which is performed for different reasons.
Traumatic Spondylolisthesis: Pain increases with standing and movement in cases of traumatic spondylolisthesis, which is seen acutely due to accidents experienced. The severity of the pain occurring in the area of trauma and other neurological symptoms it shows differ depending on the extent of the trauma. The cause of pain is mostly seen as degeneration of the discs located between the vertebrae, or in other words, the inability to perform its function due to Decaying of the disc structure. Another cause is facet arthrosis, which is seen due to the Deconstruction of the facet joint located between the vertebrae by exposure to trauma.
How is waist slippage treated?
When the patient applies to the doctor with a complaint of low back pain, a detailed anamnesis is taken and then a physical examination is performed. A diagnosis of low back slip is made by radiological imaging performed at the request of the physician. Treatment is arranged according to the type of waist slippage and complaints. In some cases, rest or exercise programs that strengthen the abdominal and back muscles may be November enough for treatment. Depending on the severity of the waist shift, the doctor may refer the patient to the physical therapy and rehabilitation department and recommend that a special program be created for him. Treatment with medication is another option. In advanced cases, surgical operation is required to restore the old structure of the spine. Thanks to the operation performed for the treatment of low backslide, the nerves that are suppressed and cause complaints of low backslide are relieved and the spine is fixed. If you also suffer from low back pain, do not neglect to have your health checks.