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Spondylolisthesis Grade II 25 year old

I am not quite sure where to post this topic, as it doesn't have its own board.
I am a 25 year old female. My issues started 2 1/2 years ago. I went to the doctor for "hip" pain when I started cycling long distances. She told me I probably pulled a muscle. At this same time I started having bladder and bowel issues as well. My doctor at the time send me to Rheum and the Rheum doctor spent a total of 10 minutes with me and diagnosed me with fibromyalgia. I believe Fibro is a real disease, but I knew I didn't have it. I feel for those of you that do have it, as I have seen people with it... but I knew it wasn't what I had.

I finally switched to a new doctor this last summer and explained to her my issues with my bladder and bowels and she referred me to gastro and a urologist... well needless to say I didn't go.. I got busy losing almost 20 pounds and working out to try and remedy the situation myself. I ran two 10k's and hurt my left IT band and started in PT.
I started training for a 1/2 marathon and around week 5 my "hip" started hurting again and I started having pain in my legs, they felt weak, and tingly and numb. My PT told me to go see my doctor. My doctor sent me for SI joint and lower back x-rays.
The x-rays revealed:
1. There are large bilateral L5 pars defects with grade 2 spondylolisthesis.
2. There is moderate posterior narrowing of the L5-S1 disc without endplate sclerosis or spurring
Then I was sent for an MRI:
I was diagnosed with the following:
1. Grade II spondylolisthesis of L5 on S1 that appears to be present on the basis of bilateral pars interarticularis defects at L5.
2. Changes of degenerative disk disease involving L5-S1 level. No significant spinal canal narrowing is noted. There appears to be moderate to marked narrowing of the midportion of the right neural foramen and mild to moderate narrowing of the midportion of the left.

I understand the diagnoses and have been doing PT for the past 6 weeks... but it is not helping.
I have been trying different pain meds and Percocet works for maybe 3 hours maximum.
Everything is getting worse in my legs. They are weak, my bottom is numb and tingly, my bladder is so spastic I am peeing every 30 minutes, and I am exhausted from the pain. I manage a pediatrician office and would like my life back to normal!
I have a pre-auth in so I can make an appointment with a pain specialist for a Transforaminal Injection with Fluoroscopy and sedation.
I then have an appointment with a Neurosurgeon.

Does this sound like anyone else's case? I need advice on what your doctors said (I know you are not doctors and cannot give me medical advice, but any personal experiences would help).



  • LizLiz Posts: 7,832

    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • Hey!

    I am a 27 year old female and had a fusion at 25 for some of the same issues, so I completely understand where you are coming from. Have you seen an orthopedic or neurosurgeon with those scans yet? They would be your best bet on determining a course of treatment outside of PT. If you can find a great, recommended one in your area I would recommend going. That was the best decision I made in finally getting answers and a treatment plan!

    Feel free to DM me with any questions!

    Olivia Douglass
    MIS TLIF L5/S1 on 5/1/13
  • Hi!
    I have an appt scheduled for Jan. 29th. My pain is getting worse and worse, so I called to see if they have anything sooner.
    To them it doesn't look "urgent" except for the severely trapped nerve on the right side. Obviously me thinking about it all the time is making it worse. Hopefully I will have answers soon.

    I feel like no one quite understands the pain that has come from this.

  • Ashley,

    Good, hopefully you can get some good answers from that appointment and a treatment plan! The 29th seems so far away, I know...but at least you have an appointment. Are you seeing an orthopedic or neurosurgeon?

    Olivia Douglass
    MIS TLIF L5/S1 on 5/1/13
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