Can You Safely Exercise with Spondylolysis and Spondylolisthesis?

Vertebral arch dissociation with spondylolisthesis?

Hello Doctor, I have a fifth lumbar vertebra with spondylolysis and a 10% to 15% slippage.
I would like to ask if it is safe for me to engage in fitness activities, such as squats and deadlifts, provided that I maintain proper form.
Thank you!

Nǐ hǎ, 10~19 year old female. Ask Date: 2017/06/26

Dr. Chen Yongxue reply Orthopedics

Hello, vertebral arch dissociation can cause slippage between the upper and lower vertebrae.
It is important to take special care in daily activities and avoid heavy lifting, as it may worsen the degree of dissociation.
Thank you.

Reply Date: 2017/06/26

More Info

When it comes to exercising with spondylolysis and spondylolisthesis, it is crucial to approach the situation with caution and a well-informed mindset. Spondylolysis refers to a defect or fracture in the pars interarticularis of the vertebra, while spondylolisthesis is the forward displacement of one vertebra over another, which can occur as a result of spondylolysis. These conditions can lead to lower back pain and instability, and thus, the choice of exercise is vital for both safety and effectiveness.

Before engaging in any exercise regimen, it is essential to consult with a healthcare professional, such as a physical therapist or orthopedic specialist, who can provide personalized advice based on your specific condition. They can assess the severity of your spondylolysis and spondylolisthesis, as well as your overall physical health, to determine what types of exercises are safe for you.

In general, low-impact exercises that promote stability and strengthen the core muscles are often recommended for individuals with these conditions. Activities such as swimming, walking, and cycling can be beneficial, as they provide cardiovascular benefits without placing excessive strain on the spine. Core strengthening exercises, such as planks and bridges, can help support the spine and improve overall stability.

Regarding weightlifting exercises like squats and deadlifts, caution is advised. While proper form is crucial in any exercise, individuals with spondylolysis and spondylolisthesis may be at a higher risk for injury if they perform these movements incorrectly or with too much weight. If you choose to incorporate these exercises into your routine, it is essential to start with lighter weights and focus on mastering the correct form. Additionally, consider working with a trainer who has experience with clients who have similar spinal conditions.

It is also important to listen to your body. If you experience pain during or after exercising, it may be a sign that you need to modify your routine or take a break. Pain is a signal that should not be ignored, as it can indicate that the exercise is exacerbating your condition.

In summary, while exercise can be beneficial for individuals with spondylolysis and spondylolisthesis, it is essential to approach it with caution. Focus on low-impact activities and core strengthening, and consult with a healthcare professional to develop a safe and effective exercise plan tailored to your needs. Always prioritize proper form and listen to your body to avoid exacerbating your condition.

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