I was finally diagnosed correctly with a physical or biochemical abnormality that is present at birth and may be inherited, spondylilothesis, that has plagued me my entire life. Working with a physical therapist and pain management. I’m unable to stand and walk for long periods. Thank you 🙏🏼 for the videos.
Hi Otlatl. Thank you. I hope your PT is successful. Most cases of spondylo that have difficulty with standing and walking find that adding posterior pelvic tilting while standing and walking makes it easier. Try this with your PT and perhaps it will benefit you as well. Dr. Remy
Dr. Michael C Remy Yes, I’m aware of this and do it every time I think of it. It does help a lot. A new symptom is the tingling down my legs to my toes. I’m doing the best I can while watching your videos. Thank again Dr. Remy. Blessings.
Dr. Remy, as long as you activate your glutes, keep your RPI and do it in a controlled manner (moderate tempo, not skipping stairs) is upstairs running better for your lower back than let's say regular running, rope jumping and other similar high impact exercises?
Great question and the best answer is that it depends on the unique situation. If hip flexion and tail tuck under posterior pelvic tilting motion relieves the spondylo pain, then yes, uphill is better as this direction assists these motions. If the person is prone to hip flexion tightness, it would probably be a good idea to stretch the hip flexors after uphill walking. However, if the spondylo has a posterior disc herniation/ bulge associated with it, there will be instances where downhill is better as this would cause a forward migration of the disc nucleus back to its center position thus relieving the posterior herniation/bulge pressure. Speed is another issue. While many with degenerative facet joints and discs in spondylo may be aggravated with higher impact ground reaction forces associated with higher speeds and impact, some studies show benefits to the disc with running vs walking, as the additional impact will cause more fluid exchange in the disc, greater rotation in the lower spine, and a greater stimulus to the core muscles, all of which in the long term stimulates healing and strength.
I have this problem with all walking, had polio so left leg that is shorter and weaker. Now add spondylolisthesis and I have pain all down right leg and back pain. Would love to know other ways to correct all these issues.
Hi Angelia. If you have an anatomical short left leg ( bones are actually shorter), and not a functional short leg (pelvis misalignment), your right leg is causing low back compression when standing and walking. A heel or shoe lift (depending on the leg length difference) on the left side could be of great help. Finding a doctor or therapist to measure you and fit the corrective difference is usually helpful in these cases. You will most likely need a thorough assessment of your posture and mechanics with the necessary corrective custom exercises to relieve the soft tissue stress and pain. I recommend finding someone who specializes in this type of rehab near you. If you can't, another option would be the custom programs at the painfreeandfit.com website to walk you through your body analysis and creating a custom exercise program for your condition. I hope this info helps and keep me posted on how you make out. -Dr. Remy
Hi Sneba. Learning how to stabilize your spondylolisthesis is often the best self management approach. It begins with analyzing your posture, movement tendencies, muscle imbalances, back conditioning levels, and other mechanical factors. From an analysis and learning what needs to be strengthened, corrected, or conditioned, a customized program can be developed to aid in pain relief and prevention, allowing you to become more physically active without hurting yourself. If you have a local doctor or therapist to work with who specializes in spondylo rehab... that would be the place to start. If not, the FAST TRACK Spondylolisthesis Program available at painfreeandfit.com will teach you the analysis, exercises and program design needed to improve your spinal stability and back fitness. I hope this info helps you. Dr. Remy
I was finally diagnosed correctly with a physical or biochemical abnormality that is present at birth and may be inherited, spondylilothesis, that has plagued me my entire life. Working with a physical therapist and pain management. I’m unable to stand and walk for long periods. Thank you 🙏🏼 for the videos.
Hi Otlatl.
Thank you. I hope your PT is successful. Most cases of spondylo that have difficulty with standing and walking find that adding posterior pelvic tilting while standing and walking makes it easier. Try this with your PT and perhaps it will benefit you as well.
Dr. Remy
Dr. Michael C Remy Yes, I’m aware of this and do it every time I think of it. It does help a lot. A new symptom is the tingling down my legs to my toes. I’m doing the best I can while watching your videos. Thank again Dr. Remy. Blessings.
You are welcome @@sylviadodgin
Great info 👍🏻👍🏻
Dr, you are super, thanks!
So nice of you HC1, Thank You!
Dr. Remy, as long as you activate your glutes, keep your RPI and do it in a controlled manner (moderate tempo, not skipping stairs) is upstairs running better for your lower back than let's say regular running, rope jumping and other similar high impact exercises?
Great question and the best answer is that it depends on the unique situation. If hip flexion and tail tuck under posterior pelvic tilting motion relieves the spondylo pain, then yes, uphill is better as this direction assists these motions. If the person is prone to hip flexion tightness, it would probably be a good idea to stretch the hip flexors after uphill walking. However, if the spondylo has a posterior disc herniation/ bulge associated with it, there will be instances where downhill is better as this would cause a forward migration of the disc nucleus back to its center position thus relieving the posterior herniation/bulge pressure. Speed is another issue. While many with degenerative facet joints and discs in spondylo may be aggravated with higher impact ground reaction forces associated with higher speeds and impact, some studies show benefits to the disc with running vs walking, as the additional impact will cause more fluid exchange in the disc, greater rotation in the lower spine, and a greater stimulus to the core muscles, all of which in the long term stimulates healing and strength.
I have this problem with all walking, had polio so left leg that is shorter and weaker. Now add spondylolisthesis and I have pain all down right leg and back pain. Would love to know other ways to correct all these issues.
I have the same condition as you .
Hi Angelia.
If you have an anatomical short left leg ( bones are actually shorter), and not a functional short leg (pelvis misalignment), your right leg is causing low back compression when standing and walking. A heel or shoe lift (depending on the leg length difference) on the left side could be of great help. Finding a doctor or therapist to measure you and fit the corrective difference is usually helpful in these cases. You will most likely need a thorough assessment of your posture and mechanics with the necessary corrective custom exercises to relieve the soft tissue stress and pain. I recommend finding someone who specializes in this type of rehab near you. If you can't, another option would be the custom programs at the painfreeandfit.com website to walk you through your body analysis and creating a custom exercise program for your condition. I hope this info helps and keep me posted on how you make out.
-Dr. Remy
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🙏dr. I have spondylolisthesis great 2so what can I do sir
Hi Sneba.
Learning how to stabilize your spondylolisthesis is often the best self management approach. It begins with analyzing your posture, movement tendencies, muscle imbalances, back conditioning levels, and other mechanical factors. From an analysis and learning what needs to be strengthened, corrected, or conditioned, a customized program can be developed to aid in pain relief and prevention, allowing you to become more physically active without hurting yourself. If you have a local doctor or therapist to work with who specializes in spondylo rehab... that would be the place to start. If not, the FAST TRACK Spondylolisthesis Program available at painfreeandfit.com will teach you the analysis, exercises and program design needed to improve your spinal stability and back fitness. I hope this info helps you.
Dr. Remy
@@DrMichaelCRemypainfreeandfit ok tq dr.