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Frequently Asked Questions

SUBJECT

I have received physical therapy as a treatment for the diagnosis of spinal instability.

DATE

2014-06-03

HIT

393

Question >

I started to have severe pain in the spine around the back every time I would bend or add pressure to the area about 4-5 months ago. The X-ray results showed that I have spinal instability and needed to received physical therapy. After receiving therapy, the pain in the back seems to be cured, but the severe pain in the right sacral vertebrae still causes discomfort in my daily life. As recommended by the hospital, I have done a lot of strength training. But it seems to have no effect. Do I need to continue my strength training?  



Answer >

Depending on the condition of the patient, the treatment is accompanied by exercise or rest. Even though the X-ray result showed that you have spinal instability, it is often difficult to pinpoint the cause of the abnormality of the spine only using the X-ray. Furthermore, it is not possible to determine if the back pain is caused by spinal instability.  

If the disease is spinal instability, it may cause spondylolisthesis with the spine shifted back and forth. If the symptoms are severe, major surgeries such as artificial disc surgery or screw fixation are needed. Therefore, treating it immediately is recommended. Steady weight training can strengthen the spine muscle and hold the spine in place. However, by strengthening the ligaments through training along with the ligament strengthening injection, you can get better results. If you suffer from pain in your daily life, the training should precede the pain treatment. 

However, you may have other diseases. First, you need to identify the exact cause of the pain. Until then, it is recommended that you avoid excessive exercise. Since you found no relief in strength training, we recommend that you find the exact cause of the pain using MRI and infrared thermography.