Spondylolisthesis is a condition that occurs when one vertebra slides forward over the one below it. This most commonly occurs in the lumbosacral area of the lower spine, and can cause pressure on nerve roots. Symptoms of spondylolisthesis typically include weakness in your legs, pain in your buttock, a limp, and lower back pain, although symptoms may not emerge for years after the vertebrae have slipped out of place.
Your vertebrae are all connected by small joints that keep them in line but still allow for a wide range of motion. When there is a problem with one or more of the joints, vertebrae can easily slip out of place. These problems can be congenital, caused by overuse, trauma, or damaged by arthritis. Spondylolisthesis can affect people of all ages, from children and teens involved in strenuous sports such as weightlifting or gymnastics, or adults who have damaged joints due to overuse. 

Treatment Options for Spondylolisthesis

When diagnosed with spondylolisthesis, adults can try a variety of non-surgical treatments to see what is most effective in managing their pain. Some common options include:

Hot/cold compress: This will help to reduce pain in a specific area; ice is used to numb the area, while heat helps to promote blood flow and relax muscles.

Medications: You can use over the counter medications for pain and oral steroids to help with inflammation.

Physical therapy: All exercise programs will concentrate on stretching the muscles in your legs and back, focusing on your hamstrings to relieve the pressure on your back.

Epidural steroid injections: Injections are recommended if your pain is considered more severe. The injections can be both a pain medication and steroids to help reduce inflammation, depending on what is most successful.

If the nonsurgical methods have been unsuccessful for a few months, your doctor may recommend a spinal fusion to fuse the vertebrae to each other, securing them into place. Spinal fusion surgery is a very effective treatment for spondylolisthesis but requires a lengthy recovery, which is why doctors pursue non-surgical treatments first. 

If you are suffering from back pain that runs from your lower back down to your leg that seems to get worse with bending or twisting, contact one of the compassionate physicians at Integrated Pain Management to see if you have developed spondylolisthesis and to learn about your treatment options.

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PRP Stem Cell Theraphy

Platelet-rich plasma (PRP) is an innovative regenerative therapy that leverages the growth factors in your blood to heal your body.


Besides treating headache,
Dr. Roofian specializes in treating cervicogenic headaches, a head pain that originates in the neck.

Shoulder Pain

Dr. Roofian offers a variety of treatment solutions designed to treat your temporary or chronic shoulder pain at its source.

Herniated Disk

Dr. Roofian performs a physical exam, evaluates your symptoms & may recommend a digital imaging scan to rule out conditions.

IV Ketamine Infusion Treatment

Dr. Roofian designs individualized treatment protocols based on the nature of your pain and your responsiveness to initial sessions.

Knee Pain

Dr. Roofian is a pain management specialist offering knee pain treatments for men and women of all ages in Beverly Hills, Tarzana, and Chula Vista, California.

Lower Back Pain

Dr. Roofian reviews your personal and family medical history, discusses your pain, and performs a physical examination to reach an accurate diagnosis.

Pain Management on Lien

Dr. Roofian offers healthcare services for personal or workers compensation cases on a lien. If you’ve sustained a personal or work-related injury.

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Shawn Roofian, MD, Beverly Hills, CA
Phone (appointments): 310-926-4922 | Phone (general inquiries): 310-926-4922
Address: 8500 Wilshire Boulevard, Suite 105, Beverly Hills, CA 90211

Shawn Roofian, MD, Tarzana, CA
Phone (appointments): 310-926-4922 | Phone (general inquiries): 310-926-4922
Address: 5620 Wilbur Avenue, Suite 305, Tarzana, CA 91356

Shawn Roofian, MD, Glendale, CA
Phone (appointments): 310-926-4922 | Phone (general inquiries): 310-926-4922
Address: 111 E Broadway, Glendale, CA 91206

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