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Dr. Bob
Dr. Bob, Neurologist (MD)
Category: Neurology
Satisfied Customers: 5238
Experience:  Neurology & Int Medicine (US Trained): 20 yrs experience
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I've diagnosed as mild straightening of the normal lordosis.

Customer Question

I've diagnosed as mild straightening of the normal lordosis. There is moderate joint space narrowing at L3-L4 L4-L5 and severe joint space narrowing at L5 S1. Grade 1 spondylolisthesis at L5 on basis of bilateral spondylolysis. What is the treatment suggested?
Submitted: 1 year ago.
Category: Neurology
Expert:  Dr. Bob replied 1 year ago.
Hi there. Sorry to hear about your back pain. Treatment of this condition is usually conservative (e.g. rest, ice, anti-inflammatories, physical therapy) unless there is progressive pain or neurological symptoms in the legs such as loss of strength or sensation. In this case, your doctor might refer you to a neurosurgeon. They might recommend an epidural injection or surgery depending on the clinical context.
Expert:  Dr. Bob replied 1 year ago.
What I would suggest is that you ask your doctor to order nerve conduction testing (NCV/EMG). These tests will indicate if you have any evidence of nerve damage in your legs from the spondylosis/spondylolisthesis. If there is evidence of ongoing damage, seeing a neurosurgeon sooner, rather than later, would make sense.
Expert:  Dr. Bob replied 1 year ago.
Let me know if you have any follow up questions. I would be happy to help further is you have additional concerns or issues you'd like to go over.
Regards,
Doctor-Bob

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