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  • moho
    Member
    Post count: 2

    hi doctor Corenman i ‘m a 22 years old and i was a gym instructor for 3 years after a dead lift contest i had a severe back pain and the doctor said i have a slight movement in the vertebra less the 5% and he said after some rest it’s ok to go back to my normal life i went to another doctor to make sure i can go back to my life activities and here was the shock HE SAID I SHOULD STOP MOST ACTIVITIES (DONT WALK MUCH DONT STAND MUCH DONT RIDE A BIKE DONT SET DOWN FOR A LONG TIME ALMOST DONT DO ANYTHING BUT STILL DONT GAIN WEIGHT ) AND THE MOST SHOCKING HE TOLD ME I CANT HAVE PHYSICAL THERAPY AND I SHOULD WEAR THE BACK BRACE FOR THE REST OF MY LIFE ) IT CANT BE THAT BAD I REALLY HAVE NO PAIN OR FEEL PAIN WHEN BENDING OR WHATEVER JUST SLIGHT PAIN VERY VERY SLIGHT PAIN IN MY LEFT LEG IT DOESN’T EVEN ANNOY ME , THE ONLY PAIN I HAVE NOW IS THE PSYCHOLOGICAL PAIN IF THAT DOCTOR IS RIGHT , IS HE ?

    Donald Corenman, MD, DC
    Moderator
    Post count: 8455

    I assume by the title of the thread that you have a grade 1 isthmic spondylolisthesis of L5 on S1. Please read the description of this disorder on the website for further information.

    I am not clear why your second physician is reducing activity. If your spinal disorder is what you note, you have to find out if it is acute (a fresh fracture) or chronic (occurred when you were between 8 and 16). It is unlikely acute but if it is, there is a small chance of healing and possibly that is why the second doctor is taking these measures.

    Assuming this is a chronic problem and you tore the pannus of the pars fractures (see website) during the dead lifts, then as soon as you are relatively asymptomatic, you should be able to participate in whatever activities cause no pain. Do not wear a brace for the rest of your life as this is detrimental to the core muscles. Riding a bike is wonderful exercise for a patient with an isthmic spondylolisthesis. So is walking.

    Find a spine specialist to give you some accurate advice.

    Dr. Corenman

    moho
    Member
    Post count: 2

    i can’t thank u enough , the article and the video was very helpful. well no it’s not acute he’s telling me to wear the brace cause he think it can deteriorate even with me limiting all activities and wearing the brace , and yes my disorder is what i note three different doctors diagnosed it that way the only different is no one ever mentioned the isthmic word although from seeing your video and the article I’m pretty sure that’s exactly what it is . but I’m in egypt and doctors aren’t that advanced. I’m seeing another doctor today . my question is what the chances for it to deteriorate knowing that i have no annoying symptoms I’m just seeing these doctors to make sure it wont be a problem in the future . and thank u again doctor

    Donald Corenman, MD, DC
    Moderator
    Post count: 8455

    The isthmic spondylolisthesis is a weakness in your back. You do have to be somewhat more careful in lifting and loading your spine but plenty of patients do well with this disorder and need no surgery. However, if you tear the pannus and have pain, this condition although painful is generally not dangerous. It will not paralyze you or put you in a wheelchair.

    Keep your back strong and lift properly. See my videos on avoiding back pain for further information.

    Dr. Corenman

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