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Spondylolesithosis of c4 and c5 - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   hi
User :   hello
Doctor :   how can i help u?

User :   im wondering if the doctora few hours ago got the result that i scan
Doctor :   to which id u have sent?
User :   dr. barath
Doctor :  
which email id?
Doctor :  
ok
User :   i might be mistaken w/ the spelling
User :   doctor@healthcaremagic
Doctor :  
ok
Doctor :  
ok
Doctor :   dr bharath is available only from afternoon 2pm to 10 pm indian time
User :   oh
User :   its ok but would you be so kind to answer a question?
Doctor :   yes
Doctor :  
please proceed
User :   my right knee all of a sudden for 4 or 5 days already is heavy in feeling and numb
User :   but there is no pain of any kind
Doctor :  
ok
Doctor :  
have u taken any tests?
User :   none
User :   the last test i had
Doctor :  
have u seen any orthopaedician
User :   is 3-4 weeks ago
User :   no because i dont know what kind of doctor i should go to
Doctor :   ok
User :   before i was diagnos that my left knee does not have reflex
Doctor :   there are many reasons for numbness of the knee
Doctor :   Some of the more common causes of numbness in the knee include
Doctor :   kneecap dislocation, bursitis, tendinitis, strains or sprains, and autoimmune disorders like lupus.
User :   oh i forgot to mention
Doctor :   ok
User :   i had an xray of the spine
Doctor :  
ok
Doctor :  
whats the reasult?
User :   for a while
Doctor :  
result?
User :   im just getting the paper
Doctor :  
ok
User :   spondylolisthesis,C4-C6, grade 1
Doctor :  
ohh ok
User :   Lumbosacral Instability
User :   im not sure if there is any connection with my knee
Doctor :  
ok
Doctor :   Spondylolisthesis is a condition in which a defect in a part of the spine causes vertebra to slip to one side of the body. Typical symptoms of spondylolisthesis include back pain and/or leg pain and numbness
Doctor :   so there may be a link
User :   is this bad?
User :   i mean what should i be doing
Doctor :  
ofcourse bad
User :   how bad is it?
User :   what also causes this kind of slipping?
Doctor :  
it may lead to nerve damage
Doctor :  
In adults, the most common cause is degenerative disease (such as arthritis). The slip usually occurs between the fourth and fifth lumbar vertebrae.
Doctor :   so in ur case it may be degenrative Spondylolisthesis
User :   doctor correct me if im wrong
Doctor :  
ok
User :   this slipping of the disk is caused by a spinal disease?
Doctor :  
yes spinal vertebrae disease
User :   and what would cause such vertebra disease?
Doctor :   whats ur age?
Doctor :  
it is degenerative cause like arthritis
User :   26
Doctor :   whats ur occupation>?
User :   at the present none because of all the pains im having this thing with my knee is just 1/8 of the problems i had
User :   im already hysterectomized at the age of 22
Doctor :  
Nerve damage (leg weakness or changes in sensation) may result from pressure on nerve roots
Doctor :   ok
User :   if its nerve damage from where?
Doctor :  
spinal cord
User :   i hope you would be patient with me of all the this im asking
Doctor :   yes
User :   im so frustrated already
Doctor :  
ok
User :   about the lumbosacral instability what is this?
User :   and having this kind of slip disk how long would it take to have one like this and what may be the complications
Doctor :   yes will explain u
User :   ok
Doctor :  
The actual problem is one of too much motion between two vertebrae. Mechanical overload is blamed for the loss of stiffness that occurs. Using the spine over and over with too much force can cause LSI.
Doctor :   Chronic back pain
the possible complications Nerve compression
Temporary or permanent damage of spinal nerve roots, which may cause sensation changes, weakness, or paralysis of the legs
User :   weakness im already feeling
Doctor :  
ok
User :   super severe lower back pain also im having like for years already
User :   what should i do?
User :   and with this thing with my knees
User :   do you think it bwould be back to normal?
Doctor :  
ok
Doctor :  
Treatment varies depending on the severity of the condition. Most patients get better with strengthening and stretching exercises combined with activity modification, which involves avoiding hyperextension of the back and contact sports.
User :   honestly after my first operation im relly careful of even lifting heavy objects
Doctor :   ok
User :   about how long did it take to be like this?
Doctor :   that we cant tell
User :   but its years were talking about not just months?
Doctor :   may be
Doctor :  
cos it depends upon the extent of nerve damage
User :   oh my
User :   and with this happening to my knees it means that there are already nerves that is damage?
Doctor :  
it may be mild pressure
Doctor :  
on the nerve
User :   what kind of doctor should i be seeing?
Doctor :   neurosurgeon
User :   grade 1 means that it is just starting?
Doctor :   yes
User :   what could be the worst senario?
Doctor :  
paralysis
User :   what could be the worst treatment?
Doctor :  
but nothing to worry
Doctor :   Conservative therapy for mild spondylolisthesis is successful in about 80% of cases.
Doctor :   When necessary, surgery leads to satisfactory results in 85 - 90% of people with severe, painful spondylolisthesis.
User :   surgery is scary
Doctor :   hmm
Doctor :  
but u may get cured with conservative therapy
User :   in conservative therapy what is their procedure
Doctor :  
one minute please
User :   ok
Doctor :  
strengthening and stretching exercises combined with activity modification, which involves avoiding hyperextension of the back and contact sports.Some health care providers also recommend a rigid back brace.
User :   ok
User :   having this kind of problem with my disk would it cause pain in other parts of the body?
Doctor :   yes it may but mostly it will corrspnd to the nerve involved
User :   for example like in the lower back part of the shoulders?
Doctor :  
yes it may
User :   because i notice when the back part hurts the only thing that may relive the pain is by making it click or punching it to the air to make it click
Doctor :   ok
User :   well thank you very much doctor for your help
Doctor :  
Did you follow what I said? Please get back to me in case of doubts.
Doctor :   Is there any thing else I can help you with?
User :   none at this time. ill follow your advice thank you very much again
Doctor :   Please fill the feedback form say done when done.
Doctor :   welcome
Doctor :  
Have you filled the feedback form?
User :   done
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to ur service.
Doctor :   take care
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Diseases and Conditions
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