Retrolisthesis of the Lumbar Spine:

Overview & Management

Retrolisthesis is a condition where one of the vertebrae in the spine slips backward in relation to the vertebra below it.
This displacement can occur in any part of the spine but is most common in the lumbar (lower back) region.
Unlike the more commonly known spondylolisthesis, where the vertebra slips forward, retrolisthesis moves in the opposite direction, potentially leading to nerve compression, pain, and mobility issues.

Symptoms of Retrolisthesis:

Lower Back Pain:
Pain due to Retrolisthesis is often chronic in nature meaning dull & aching type of pain over longer period of time, which may worsen with movement.
Stiffness and Reduced Mobility:
Persistent muscle contraction to maintain stability in misaligned vertebral column can lead to a loss of normal range of motion. This often results in difficulty bending or twisting the lower back during daily activities.
Numbness or Tingling:
In retrolisthesis, a backward slip of a vertebra can compress spinal nerves, leading to symptoms like pain, numbness, or tingling in the legs or feet. This happens because the affected nerves supply sensation and control to the lower extremities.
Postural Changes:
In retrolisthesis, postural changes occur as the body compensates for the backward slippage of a vertebra. These adjustments can lead to an altered spinal alignment, muscle imbalances, and increased strain on surrounding muscles and ligaments, often causing discomfort or pain.

Key Chiropractic Techniques

Spinal Adjustments:
Gentle manipulations aimed at realigning the displaced vertebra, reducing nerve compression, and restoring proper spinal function, know more.
Flexion-Distraction Technique
A specialized table is used to stretch the spine gently, allowing for better vertebral alignment and pain relief without invasive procedures, know more.

Key Physiotherapy Techniques

Therapeutic Exercises
Customized exercises to strengthen the core muscles, support spinal alignment, and improve flexibility

Incorporate core-strengthening exercises and gentle stretching into your routine to support spinal stability and improve flexibility, know more.
Soft Tissue Therapy:
Techniques like massage or myofascial release to alleviate muscle tension and improve blood flow to the affected area.

Ergonomics guidelines:

Maintain Proper Posture:
Keep your back straight and shoulders aligned with your hips when sitting or standing. Avoid slouching or leaning forward for extended periods.

Workplace Ergonomics:
Use a chair with good lumbar support and adjust your workstation to keep your monitor at eye level. Ensure your feet are flat on the floor, and your knees are at a 90-degree angle when seated.

Activities to Avoid:
Avoid activities that involve heavy lifting, twisting, or sudden movements that could strain the lower back. Prolonged sitting or standing should also be avoided; take frequent breaks to move and stretch.

Safe Movement Practices:
When bending, use your hips and knees rather than your back. Avoid bending or twisting at the waist, especially when lifting objects.

A: Retrolisthesis can result from degenerative changes in the spine, trauma, congenital conditions, or poor posture over time.

A: Diagnosis typically involves a physical examination, medical history, and imaging studies like X-rays or MRI to assess the degree of vertebral displacement.

A: While chiropractic care may not completely reverse the vertebral displacement, it can significantly alleviate symptoms, improve spinal function, and enhance the patient's quality of life.

A: Yes, when performed by a licensed chiropractor, spinal adjustments and other chiropractic treatments are generally safe. The chiropractor will tailor the treatment plan to the severity of the condition.

A: Many patients experience relief after a few sessions, but the duration of treatment depends on the severity of the condition and the individual's response to care.

A: While chiropractic care is generally safe, some patients may experience mild soreness after adjustments. Serious complications are rare but possible, and your chiropractor will discuss any potential risks.

A: Yes, maintaining a healthy weight, practicing good posture, and avoiding activities that strain the lower back can help manage symptoms and prevent further progression of the condition.

A: You can get best Retrolisthesis treatment in Ahmedabad at Dr. Zubin Bhavsar’s Clinic Shraddha Therapeutics , Address A/2, 24, Management Enclave, Vastrapur, Ahmedabad.