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I suffer from Spondylosis, what to do?

Dr Mathew Varghese
Head, Department of Orthopaedics,
St. Stephens Hospital,
New Delhi

Q: My X-ray LS spine (Lat. flexion & extension) shows: -Loss of lumbar lordosis -Spondylolysis at L5 grade 1 spondylolisthesis L5 over S1 -Osteophytes seen involving lumbar vertebrae -Aortic calcification noted Can you please suggest some medicines for this and advise regarding exercise? Should a support belt be worn permanently for 24 hrs?

A:You have only given me your X-ray findings. You have not mentioned anythingabout your symptoms, your age or your occupation. Treatment is neversuggested based on X-ray findings. Treatment is based on patientscomplaints, clinical findings and the result of investigations.I cannot suggest any medicines unless I know the symptoms. The exercisesthat are normally suggested for spondylolisthesis are usually different fromthose for spondylosis or disc prolapse. We call them flexion exercises forthe back. Brace is not routinely indicated unless the patient has pain onstanding or walking. Any way, it is better to do exercises than getdependent on braces.