in response to LillyUK... Hi Lilly,
Wow, your story sounds very familiar! ... I get excited when I actually hear from someone with the condition, as there are not too many of us out there, especially with such a severe grade. This sounds bad, as I don't wish such pain, and the many issues that come along with this condition upon anyone! In 1996/7 I was so desperate to find anyone else with this condition, anyone whom had gone through surgeries, and so forth, and there was nothing out there. That is why I have begun to write about it, sharing my story in hopes that I might be helpful to even one other person out there suffering with this, as doctors and the medical community in general are not too terribly familiar with it, especially when it comes to treatment. Your doctor is right in the sense that there are fewer surgical options available after the age of 18-20. It is likely that one will try to push you into a fusion, without any correction, meaning that they would stop the slip where it is now without doing anything to improve it. And, honestly, while stopping the slip is a good thing, fusing it at a 5, like mine, is not optimal. Not too mention the fact that any fusion, guaranteed over time, will only create more pain and deterioration and degeneration of the spine above.
Grade 5 and Spondylotopsis - complete slip and fall - are pretty unique and docs have only had so much experience with patients like ourselves. As you probably read, I went from the age of 10/11 to 14, before I was officially diagnosed, and that period of time was critical, as somewhere in there my spine slipped from a grade 2 to complete slip of more than 3 inches in height. Same sort of story with the doctors ... telling me and my parents that I was lazy, trying to get out of playing sports, and needed to do stretching ... um .... yeah, not so much! Later, during my medical malpractice case it was discovered that not only had my x-rays "disappeared," but that one of my doctors actually made a note in her records when I was 11 that she was "surprised I was still able to walk." Even though she had this knowledge she failed to diagnose the condition, tell my parents that yes, there was a reason I had this pain (and was not lying!), nor did she refer me to any specialists or any other practitioners for that matter. Also, I wanted to note that I had a fall similar to what you mentioned in your message too, and while this surely would jar a back and possibly make matters worse, it is not the cause of the condition. Usually we will already have Spina Bifida, which if not severe, goes undetected, and therefore, undiagnosed. We are missing a piece of vital bone that connects/supports part of our spine (the location of the slipped vertebra).
So, you are 24 years old? I have several questions for you regarding your specific case ... if anything is too personal or uncomfortable to address, that's okay, but let me know as I will get straight down to the point of all the symptoms, problems that result, types of treatment, etc. You are very flexible, or were at a younger age? How far has your pelvis twisted forward, and is your rib cage getting close to touching the top of your pelvis ... making your abdomen/mid section very compact? Can you visibly see a protrusion at the location on your back? Same question for your pubic bone. Are you falling a lot, experiencing sharp shooting pains, have any issues walking, and lastly numbness? On your x-rays, when viewing the spot, is the vertebra on top still touching the on below, enough so that if it were to be pushed in, it would align? Or, has is begun to slip down, so that the one on top is starting to, or completely paralleling the one on the bottom?
I don't think you've read my pages on chronic pain yet, and I would suggest that to start, as some things in there might be helpful, and then you can let me know your thoughts on it and any questions you might have. Of course, this condition is different and there are certain things that I would suggest that only apply to this condition. Where do you live? I would suggest that finding a certified Soma Massage practitioner would be very beneficial right away, and I would be happy to help you locate one in your area. You can read about my experience with Some massage on my pages, and see how it not only keeps my body under control today, but actually began to move my spine before my surgeries. Soma massage therapist are not the same as any other massage therapist, not deep tissue nor swedish, etc. Rolfing is the closest to Soma, but is very rough and would like be too painful for your condition right now. Another thing to begin doing right away is getting in a pool with light leg weights and doing exercises with your legs, where the concept is to slowly begin stretching your spine. This has been very helpful for those with an unfused grade, as it's natural, but requires a lot of time and dedication. We are talking nearly everyday a week in the pool for at least an hour, even better, 2 hours. I realize that this is a lot of commitment, but, if I could go back, this option is soooo much better than having your back permanently fused at grade 5, and because the process is slow, it is much less likely that you will experience permanent nerve damage or complete paralyses. One case I was advised of when I was going thru my surgeries was of a young girl who did this for 3 years and actually resulted in moving her spine back to grade 1, then fused at this position (the position your spine is supposed to be in!). Combining the pool and the Soma work would be a lot of time and energy for you, but in the same token it would be the better route than a continued downward slip (literally), and avoiding nerve damage, as well as chronic pain, would seem to be the best goal.
Are you experiencing issues with urination, ... like where pee slips out? Another piece of this is numbness and general loss of feeling in the vagina in general. Bowl issues, or lack of control of the bowls, can be another thing that can/will be affected. Are you sleeping on your stomach with one leg up to the side? This helps to relieve the pressure on the sciatic nerve. Important to put a pillow under your belly/hips region when sleeping this way, if you don't already. I am guessing that with your level of pain and distortion/stiffness, that you are literally unable to do most physical activity, but if you are pushing yourself to do anything upright, stop. No running, no long period of walking (only on a treadmill for a short spurt of time, concentrating on your gate, as we begin to compensate in order to walk and function, and it's important to train those nerves and keep them awake), no jumping, etc. The two type of exercise besides the pool, are pilates (but all on the floor, and utilizing the altered/or less strenuous positions - if it hurts, don't do it) & yoga. One thing to remember is that due to the chronic and severe pain, your body is using it's energy to try to heal and deal with pain, which will often leave you exhausted long before the "average" person. No matter what any doc says, please do not get any cortisone shots, period. Not good. They like it cause it's a quick fix, but it only damages the region where it's injected, and eventually, just like chiropractic, it will completely destroy your cartilage and joints.
If your doctor(s) haven't already given you prescriptions for pain medication, they need to. Pain medication is not something that is obviously desirable to be on forever, although, sometimes it's just the case, but, with that much pain, especially once you begin some form of daily work (like the pool and soma), your body needs a break from the pain, and it very well might actually provide you with extra energy rather than less. I will stop for now, as I don't want to overwhelm you. I really hope that this info. has been somewhat helpful, or at least a place to start. I hope that I hear from you again, as I look forward to making my experience a positive thing in making your life better.
I know that you are in a lot if discomfort, and it probably would be the best thing for you not to be working full time and really focusing on taking care of yourself, your body and mind. Just like myself, you have had difficulty getting others (doctors in particular) to take you seriously and truly understand, ... didn't want to rock the boat and cause problems, ... I get it, I did the same. And now, from my point of view, it seems crucial that you address this to the best of your ability as you do not want it to get worse. I realize that this may not be possible to stop working completely, but hope that your family may be supportive of you and the situation. Definitely apply for any type of assistance related to disability, etc. It seems that your mom is very loving and concerned, and might also need someone to talk to that has been there and back? My mom has been thru this with me every step of the way and I know that she would be more than delighted to communicate with you and your mom if either of you are interested.
Avoid getting pregnant, as this is very stressful for someone with this condition. Spondylolisthesis was actually first "discovered" about 40 years ago when a woman in labor could not deliver as her slip had resulted in the birth canal being completely shut off. This is the same case for me, and I would guess you as well, and would require c-section, likely under general anesthetic, rather than epidural.
Again, I hope to hear from you! Take care of yourself. Many blessings, Brenna