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Facet Arthritis and Spondylolisthesis

Started by JillH on 02/02/2019 11:03am

I have had facet arthritis for about 10 years. Have been treated with nerve blocks successfully for that time period. I am 55 years old and I weigh 263 pounds. Unfortunately now learning that my weight may have caused a lot of these problems. Recently after about an hour of walking I started experiencing severe pain in my low back radiating into my buttocks and hips. My physiatrist performed another MRI which showed increased arthritis in L4 and L5 facet joints with increased effusion or fluid in the facet joint. And x-ray also shorted joint slippage or spondylolisthesis. Because I recently had a nerve block we did a Cortizone injection to buy me time to lose some weight as surgery may be the next step. The majority of my pain has been in my buttocks and the hips. I Am on an intensive weight-loss program as I would need to do so for surgery and I’m interested in understanding if the weight-loss will help the pain as well.

I am interested in knowing how others have treated facet arthritis in the lower back with Spondylolisthesis. What have you found effective for pain? Has weight loss and physical therapy work for you? For those who have had facet fusion surgery, how effective was it?

Would love some feedback because this pain is not fun.

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1 Response


Ur doctor should have helped u with weight loss a decade ago. The fusion is where u went wrong. Decompression is the key. take it easy with the "torture"/physical therapy, U will always have some pain, try heating pad and yoga. watch ur diet. Unless ur 6 feet 2 inches tall, u r putting too much strain on ur back. Lighten up. Good luck. Trust me u will feel better. Grade 5 spondylolisthesis in Utah.