Spondylolisthesis Causes, Symptoms & Treatments

Spondylolisthesis in Women: Understanding Back Pain and Treatment Options in Chennai

Lower back pain is a frequent concern for women, and pinpointing the cause can be challenging. One underlying condition to consider is Spondylolisthesis.

Dr. Vignesh Pushparaj, a renowned spine specialist in Chennai, dives into this condition, explaining its symptoms, causes, and treatment options specifically for women.

What is Spondylolisthesis?

Spondylolisthesis is a spinal condition where a vertebra, the individual bone forming your spine, slips forward onto the one below. This misalignment can occur anywhere along the spine, but it’s most prevalent in the lower back, particularly between the L5 (fifth lumbar) and S1 (first sacral) vertebrae, known as Spondylolisthesis L5-S1.

L4 L5 spine surgery

Symptoms of Spondylolisthesis in Women

While not everyone with Spondylolisthesis experiences symptoms, women who do may encounter some of the following:

  • Lower back pain: This pain often worsens with activity, like prolonged standing or bending over.
  • Stiffness and tightness: The back and legs may feel stiff and tight, limiting movement.
  • Radiating pain: Pain can radiate from the lower back to the buttocks and thighs, sometimes described as a shooting or burning sensation.
  • Muscle spasms: Spasm episodes, especially in the hamstrings (back of the thighs), can be a bothersome symptom.
  • Difficulty with daily activities: Standing, walking, and bending over can become difficult due to pain or stiffness.
  • Numbness and weakness (severe cases): In severe cases, numbness, weakness, or tingling sensations may develop in the legs.
    Spondylolisthesis stages

    Causes of Spondylolisthesis

    Several factors contribute to the development of spondylolisthesis in women:

    • Genetic Predisposition: Some women may inherit a susceptibility to spinal abnormalities that increase the risk of spondylolisthesis.
    • Traumatic Injury: Accidents or sports injuries can lead to vertebral displacement, particularly in the lumbar region.
    • Repetitive Stress: Activities like gymnastics, weightlifting, or certain occupations that involve repetitive spinal movements can strain the vertebrae over time.
    • Congenital Defects: Women may be born with structural abnormalities in the spine that predispose them to spondylolisthesis.
    • Lifestyle Factors: Obesity, poor posture, and inadequate core muscle strength can contribute to spinal instability and spondylolisthesis.

    Treatment Options for Spondylolisthesis in Chennai

    Dr. Vignesh Pushparaj emphasizes a non-surgical approach whenever possible.

    Here are some initial treatment options:

    1. Rest and Activity Modification: Reducing strenuous activities allows for healing.
    2. Pain Medication: Over-the-counter pain relievers or prescription medications can manage discomfort.
    3. Physical Therapy: Exercises designed to strengthen core muscles, improve flexibility, and maintain proper posture are crucial for long-term management.
    4. Steroid Injections: Injections can be used to reduce inflammation around the affected nerves.

    When is Spondylolisthesis Surgery Considered in Chennai?

    If non-surgical treatments fail to provide relief, Dr. Pushparaj can discuss surgical options available in Chennai. Spondylolisthesis surgery is a complex procedure, and Dr. Pushparaj will carefully evaluate your individual needs to determine the most suitable approach.


    Spondylolisthesis can be a source of significant pain and discomfort for women. Early diagnosis and treatment are essential for managing symptoms and preventing complications.

    If you experience persistent lower back pain, consult Dr. Vignesh Pushparaj for a comprehensive evaluation and personalized treatment plan in Chennai. Remember, early intervention is key to getting you back to your active life.

    dr-vignesh spine specialist

    Dr. Vignesh Pushparaj received his primary medical qualification M.B.B.S from the Rajah Muthiah Medical College. He further completed his post gradation in the field of Orthopaedics from the same institution.

    Post this, he had completed the AOSpine(Asia- pacific) long-time fellowship at Park Clinic Kolkata, fellowships (Paediatric spine deformity) offered by International Society for Spine Centres (ISOC) at Sint Maartenskliniek, Netherlands and Adult complex spine surgery by Indo American Spine Alliance(IASA) at the University of Michigan, USA.

    Along with this he had got training in chronic pain management also.

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