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Dr. Andrew Rynne

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Back Pain. MRI Shows Bilateral Pars Interarticularis Defect, Mild Disc Bulge. Currently Under Heat Therapy. Advised Surgery. Substitute?

i have a back pain from long time..recently i consulted ortho specialist..and got all tests done including MRI ...MRI report says Bilateral pars interarticularis defect at L5 with grade 1 listhesis....Mild disc bulge at L4-L5 level intenting anterior thecal...now i am going under heat therapy ..but i am not getting benefited out of this..now doctor suggesting surgery...i want to know whether surgery is the only option?what are the do s and donts which i should follow?
Wed, 16 Jan 2013
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Orthopaedic Surgeon,  's  Response
hi pavitravshetty
For pars defect with grade one listhesis surgery is advised only if patient is athlete or has occupation
which require heavy activity like forward bending and weight lifting etc.
grade one listhesis with can be managed conservatively with some lifestyle modifications proper lumbar corset and physiotherapy.
decision depends on how much pain you have and whats your occupation? occupations as mention ed above may require surgery depending upon the pain.
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Back Pain. MRI Shows Bilateral Pars Interarticularis Defect, Mild Disc Bulge. Currently Under Heat Therapy. Advised Surgery. Substitute?

hi pavitravshetty For pars defect with grade one listhesis surgery is advised only if patient is athlete or has occupation which require heavy activity like forward bending and weight lifting etc. grade one listhesis with can be managed conservatively with some lifestyle modifications proper lumbar corset and physiotherapy. decision depends on how much pain you have and whats your occupation? occupations as mention ed above may require surgery depending upon the pain.