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X-ray result showing retrolistesis with subtle narrowing of L1 S1 disc. Schmrol s nodes found on the vertebra. Cause and treatment?

hi can u pls help me my xray result is written like this, retrolistesis L5 over S1 with subtle narrowing of L5/S1 disc shape. and mutilevel shmorl's node are noted on vertebral and plate.. what is the cause of this and how to prevent it how take care because im working as a caregiver lifting heavy patients. im 31 years old my hiegth is 5'2, 55 kilos, what is d ideal patients wiegth should we carry? pls help thank u.
Asked On : Sat, 20 Apr 2013
Answers:  1 Views:  100
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Neurologist 's  Response
A retrolisthesis is a posterior displacement of one vertebral body with respect to the adjacent vertebrae to a degree less than a luxation (dislocation). Clinically speaking, retrolisthesis is the opposite of spondylolisthesis (anterior displacement of one vertebral body on the subjacent vertebral body)

Initial treatment strategies are aimed at controlling and reducing the pain. These include:

Nutritious Food –
Although this seems to be a very common suggestion by most of the physicians, taking nutritious food that aids in the repair of the soft tissues of the spine is very helpful. The required nutrients include:

is an essential element for the proper utilization of vitamin A. Shrimps and oysters are rich sources of zinc. Without zinc, this vitamin does not get released from the liver.
Vitamin A
which aids in tissue repair can be obtained from cod liver oil, butter, orange and yellow vegetables etc.
plays a key role in adding strength to ligaments and membranes by cross linking the proteins.
Vitamin C
acts as a tissue builder and an antioxidant.
is essential for cartilage repair (1500mg/day).
is a required component of spinal disc cartilage and aids in the height of the intervertebral disc. The taller the disc the more taut the fibers in it.
aids in cross linking the proteins.
Reposition of the displaced vertebra –
The position of the displaced vertebra needs to be corrected in order to decrease the irritation of the nerves and to reduce unnecessary stress on the soft tissues of the spinal column.

Weight Reduction –
Being overweight puts pressure and stress on the spine that may lead to back related disorders, especially

Hence it is advised by the doctors to maintain healthy body weight.

Microcurrent Therapy
This technique not only stimulates tissue repair but also controls the pain. Through this therapy, the energy components of the cells (ATP) are increased. Since this is like a boost to the spine, cells can perform all tasks including cell repair effectively.

Surgery –
This treatment option should be given a nod only after trying all or some of the above therapies and the patients still do not find symptomatic relief.
Taking some precautions such as sitting in a proper posture, having nutritious food and exercising regularly can prevent.Hope this would help you
Dr Sandhya Manorenj
Hi tech city hyderabad
Answered: Fri, 10 May 2013
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