What makes spondylolysis worse?

Answered by Tom Adger

Spondylolisthesis can worsen due to various factors and activities that put stress on the spine. Here are some factors that can make spondylolisthesis worse:

1. Poor Posture: Maintaining poor posture can contribute to the progression of spondylolisthesis. Slouching or sitting in a hunched position for prolonged periods can strain the spine and lead to increased slippage of the vertebrae.

2. Sports and Physical Activities: Participating in certain sports and physical activities can exacerbate spondylolisthesis. Activities that involve repetitive hyperextension of the spine, such as gymnastics, diving, weightlifting, or football, can put excessive stress on the vertebrae and potentially worsen the condition.

3. Traumatic Injury: Spondylolisthesis can be further aggravated by a traumatic event like a motor vehicle accident or a fall. The impact from such incidents can cause additional damage to the vertebrae, leading to increased slippage.

4. Heavy Lifting: Engaging in activities that involve heavy lifting or improper lifting techniques can strain the spine and potentially worsen spondylolisthesis. It is important to use proper lifting mechanics and avoid putting excessive stress on the lower back.

5. Excessive Weight: Carrying excess body weight can place additional strain on the spine, increasing the risk of spondylolisthesis progression. Maintaining a healthy weight and engaging in regular exercise can help reduce the strain on the spine and potentially slow down the progression of the condition.

6. Lack of Physical Activity: On the other hand, a sedentary lifestyle can also contribute to the worsening of spondylolisthesis. Lack of physical activity weakens the muscles that support the spine, making it more susceptible to further slippage.

7. Aging and Degenerative Changes: As we age, the spine undergoes degenerative changes, including the wear and tear of the intervertebral discs and the development of osteoarthritis. These age-related changes can contribute to the progression of spondylolisthesis.

It is important to note that the severity and progression of spondylolisthesis can vary from person to person. Seeking medical care and following the advice of healthcare professionals is crucial in managing the condition and preventing it from worsening. They can provide personalized recommendations based on the individual’s specific condition and lifestyle factors.