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Spondylolisthesis and Leg Pillow | spinal slip, symptoms, diagnosis and treatments

Spondylolisthesis and Leg Pillow | spinal slip, symptoms, diagnosis and treatments

Spondylolisthesis is a condition that affects the spine and occurs when one vertebra slips forward relative to the one below it. It can occur anywhere in the spine, but is most common in the lower back.

There are several causes of spondylolisthesis, including:

  • Birth defects: Some people are born with weaker-than-normal bones or ligaments in their spine, which can predispose them to spinal slippage.
  • Trauma: Trauma to the spine, such as a fracture or dislocation, can cause a vertebra to slip.
  • Degeneration: Wear and tear on the bones and cartilage of the spine with age can lead to spinal slippage.
  • Overload: Activities that are repetitive or require excessive flexion of the spine, such as gymnastics or weight lifting, can increase the risk of spondylolisthesis.


Spondylolisthesis can be asymptomatic, especially in mild cases. However, the most common symptoms include:

  • Back pain: The pain is often localized in the lower back and may worsen with physical activity or standing for long periods.
  • Stiffness: Stiffness in the back can limit range of motion.
  • Muscle weakness: The back and leg muscles may become weak.
  • Tingling and numbness: Tingling and numbness may occur in the legs and feet if spondylolisthesis compresses the nerves.


The diagnosis of spondylolisthesis is based on:

  • Medical history and physical exam: Your doctor will ask about your symptoms, lifestyle, and risk factors. The physical exam will evaluate the mobility of the spine and the presence of pain or muscle tension.
  • X-rays: X-rays can show spinal slippage and possible bone defects.
  • Magnetic resonance imaging (MRI): MRI can provide more detailed images of the spine and surrounding soft tissues, helping to identify the cause of the spondylolisthesis and any nerve compression.
  • Computed tomography (CT): CT can be helpful in evaluating the bones of the spine and identifying any fractures or bone defects.


Treatment of spondylolisthesis depends on the severity of the condition, symptoms, and underlying cause. Treatment options include:

  • Rest: Avoiding activities that cause pain can help reduce inflammation and promote healing.
  • Medications: Painkillers and nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation.
  • Physical therapy: Strengthening and stretching exercises can improve the flexibility, strength and stability of the spine.
  • Supports: A corset or brace can help support your spine and reduce pain.
  • Injections: Epidural steroid or steroid injections may be administered into the epidural space around the spinal cord to reduce inflammation and pain.
  • Pillows: among the supports we can also consider the use of a pillow to be placed between the legs to avoid rotation of the hips and overload in the lumbar part.
  • Surgery: Surgery is generally considered a last resort and is only recommended in severe cases or if other treatments have been unsuccessful. The surgery involves stabilizing the slipped vertebra using screws, metal rods or bone grafts.


The prognosis for spondylolisthesis varies depending on the severity of the condition and the underlying cause. In most cases, it can be successfully managed with conservative treatment. However, in some severe cases, surgery may be necessary to prevent further neurological damage or progression of spinal slip.

This article is for information purposes only and does not replace medical diagnosis. It is important to consult your doctor to diagnose the symptoms of spondylolisthesis and obtain appropriate care and treatment.