Degenerative Spinal Disease – Spondylolisthesis (Anterolisthesis)

Low back pain with degenerative spine disease (DSD) affects up to 80% of the population at some point in life, it shows an annual prevalence of 15% to 40% and results in disability in 1% to 2% of the population. One of the more common degenerative spinal disease that I have encountered in the clinic is spondylolisthesis.

Spondylolisthesis is an abnormal alignment of bones in the spine and it usually affects the low back. It is defined by a forward slippage of the upper vertebra in conjunction to the vertebra below. Due to this misalignment, nerves that travel out from the canals between each vertebra may be pinched. This can lead to painful and debilitating consequences. Depending on the nerve distribution of the pinched nerve, other parts of the body such as the arms and legs can be affected as well. The slippage is graded on a scale of mild to severe.

There are several causes to spondylolisthesis otherwise known as anterolisthesis such as a sudden blunt force or fracture due to motor vehicle accidents or falls. Anterolisthesis can also develop over time due to continuous strenuous physical exercise that puts a lot of load on the spine such as body building or power lifting. Aging is also a common cause of anterolisthesis due to the weakening and thinning of cartilage between each vertebra. Several underlying conditions such as arthritis, tumor or weak bones can also result in anterolisthesis.

Symptoms presented is dependent on the amount of slippage and the spinal level of which the slippage occurred.

Individuals diagnosed with spondylolisthesis often experience:

  1. Difficulty walking or running (especially up and down the stairs)
  2. Pain in lower back or buttocks
  3. Pain radiating down the legs
  4. Weakness in one or both legs
  5. Tight hamstrings
  6. Increased inward curve of the spine (lordosis)

There are various causes of spondylolisthesis, some are congenital whereas others are degenerative or due to trauma.

  1. Birth defect
  2. Degeneration from overuse or aging
  3. Arthritis or illness
  4. Fractures from injury
  5. Tumors
  6. Surgery
  7. Spondylosis

Spondylolisthesis is diagnosed via a patient history and physical examination. The practitioner will order an x-ray to locate the segment of slippage and measure the grade of severity.

Chiropractic treatment can be used as a conservative management to help move the vertebra back to its original position in the early stages (Grade 1&2). Alongside simple exercises to strengthen the surrounding muscles, patient has a good outcome for recovery.

If you have the above symptoms and would like to have an assessment with one of our practitioners, feel free to make an appointment via or call us at 03- 6211 7533.

Degenerative Spinal Disease – Spondylolisthesis (Anterolisthesis)2019-09-24T15:06:51+08:00

Neck Pain After Waking Up

Waking up with a neck pain is definitely one of the worst things in life.  Most of us, actually experience not only soreness but also stiffness in the neck.  Simple activities like turning one’s head or looking down can be devastating not to mention going about one’s normal routine.  This article will discuss on tips of how you can prevent and manage your neck pain after waking up.


Tip 1
Make sure that your pillow is at a moderate height and hardness. Many times, I have encountered clients who have complained about their pillows that were not ideal in supporting their heads. Pillows which are too soft or low often times lacked the strength to support our neck structures, thus causing the pain and stiffness. Pillows which are too high or hard on the other hand causes stress towards the neck muscles, waking up with achiness.

Tip 2
Making sudden movements like sitting up quickly or flinging your limbs around in a dream, can strain your neck muscles. Tossing and turning while you’re sleeping, or trying to sleep, can also create tension and stress in your neck.

Tip 3
Having a proper sleeping position is important to prevent injuries of the neck muscles. Sleeping on your tummy poses high risk for neck pain. When you sleep on your stomach, your neck may be twisted to one side for hours at a time. This can strain your neck muscles, and make them feel sore and stiff in the morning.  Sleeping on your back or sideways would be a better option in relieving the stress on your neck.

Ways to manage neck pain after a bad sleep

1) Ice
Icing the neck and shoulder helps in reducing the pain and the inflammation in the neck structures. You should Ice them for 15 minutes and if possible, ice them every hour.

2) Stretching
Stretching your neck muscles will not be comfortable especially if it is injured. Stretching the neck muscles helps to alleviate the tightness and stiffness in the neck and it encourages blood flow towards the injured area.

3) Visiting your friendly neighborhood chiropractor
Having to know your diagnosis is an important step to treating your neck. Chiropractors uses all natural healing techniques like spinal adjustments/ manipulation to allow the body to heal by itself thus reducing the pain.

If you have any inquiries of this article, feel free to visit our website at or call us at 03- 6211 7533.

Neck Pain After Waking Up2019-09-20T10:01:37+08:00

World Physiotherapy Month Sep 2019

In conjunction with World Physiotherapy Month, sign up for 8 sessions of Physiotherapy care plan (30 minutes per session) at Healthworks and receive 2 complimentary sessions at no cost.

Promotion valid till 30th September 2019.

For inquiry, please contact us at 03-6211 7533 or email to T&C apply.

World Physiotherapy Month Sep 20192019-10-04T15:30:51+08:00
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