Signs and Symptoms
Typical physical changes that occur in an individual with spondylolisthesis will be a general stiffening of the back and a tightening of the hamstrings, with a resulting change in both posture and gait. The posture will typically give the appearance that the individual leans forward slightly and/or that they are suffering from kyphosis. In more advanced cases, the gait of the individual may change to give the appearance of more of a "waddle" than a walk, where the individual rotates the pelvis more due to the decreased mobility in the hamstrings. A result of the change in gait is often a noticeable atrophy in the gluteal muscles due to lack of use.
An individual suffering from spondylolisthesis will typically experience generalized pain in the lower back, along with intermittent shocks of shooting pain beginning in the buttock traveling downward into the back of the thigh and/or lower leg via Sciatica nerve that runs from the lower back to the feet. Sometimes symptoms include tingling and numbness. Sitting and trying to stand up may be painful and difficult. Coughing and sneezing can intensify the pain. The individual may also note a "slipping sensation" when moving into an upright position. An increase in activity level, for an individual experiencing pain of this type, will likely cause the individual to experience an increase in pain levels in the day(s) following the activity due to inflammation of the soft tissues, which is alleviated with reduced activity and/or rest.
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