Types, symptoms, causes, treatment and prevention


Posterior lumbar spondylolisthesis occurs when parts of the spine slide backward against each other. Although the condition generally causes few symptoms, there is evidence that lumbar spondylolisthesis can lead to back pain and back dysfunction. occurs in the neck and shoulder area (cervical spine) or the lower back (lumbar spine).

This blog discusses inverse claudication, its causes, symptoms, treatment, and prevention.

What is inverse claudication?

As mentioned earlier, posterior spondylolisthesis is a rare joint dysfunction that occurs when a single vertebra slides backward along or under the disc. A series of tiny bones known as vertebrae join together to form the spine. Between each vertebra is a disc cushion consisting of an inner nucleus known as the nucleus pulposus. They are kept intact by a tough outer ring of ligamentous fibers known as the annulus fibrosus.

Inverse spondylolisthesis occurs when a single vertebra slips and moves backward with the disc below or above it. This condition is not the same as a dislocation. When the vertebra is displaced forward, Spondylolisthesis.

What types of inverse claudication are there?

There are three types of posterior spondylolisthesis based on vertebral displacement.

  1. full retroactive Occurs when one vertebra moves backwards. about one above and below.
  2. partial retroactive Occurs when one vertebra moves backward toward the lower or upper vertebra.
  3. stepped retrolithaise Occurs when one vertebra moves backward from the vertebra above it and forward from the vertebra below it.

What are the symptoms of inverse claudication?

Symptoms of posterior spondylolisthesis are individual and range from mild to severe. Can contain any combination of the following:

  • back pain
  • Anxiety in certain areas of the back
  • limited range of motion
  • pain at the dislocation site
  • sharp stabbing pain
  • swelling of the spine

Symptoms may extend beyond the back.specific patient experience Numbness Or tingling in the buttocks, thighs, arms, hips, legs, shoulders and neck.

When should I contact my doctor?

you must call a doctor If you experience symptoms of reverse lameness.

What causes inverse claudication?

Posterior spondylolisthesis occurs when the space between the vertebrae becomes smaller. It can occur when the intervertebral discs between the vertebrae contract. Scientists are not entirely sure about the cause of intervertebral disc contraction. However, some conditions and factors include:

  • arthritis
  • osteoporosis
  • degenerative spine problems
  • Weak muscles around the spine
  • birth defect
  • Injury at or near the spine
  • blood or bone infections
  • weak abdominal muscles
  • Malnutrition

How is inverse claudication treated?

The goal of treating vertebral spondylolisthesis is to reduce inflammation and pain. Treatment includes different methods based on the severity of the condition and how other tissues and discs are affected.


Surgery is necessary only if nonsurgical treatment fails. Orthopedic surgeons and doctors may check whether damage to the spine and nerves can develop over time before suggesting surgery. Spinal surgery minimizes slippage, pain, and instability and prevents or reverses neurological loss.

non-surgical treatment

Nonsurgical treatments include:

  1. Physical therapy to strengthen back, spine and core muscles
  2. Myofascial release, or massage to help restore muscle tone and improve circulation
  3. Microcurrent therapy uses low levels of electrical current to minimize inflammation, swelling and pain
  4. add heat to the area


People need to be well nourished so that the body can repair damaged soft tissues. They should consume foods rich in the following:

  1. Copper with green vegetables, peas and peanut butter
  2. Calcium from dairy products, dark green vegetables and sardines
  3. Vitamin A from carrots, spinach, melons, etc.
  4. Vitamin C from oranges, lemons, broccoli, etc.
  5. Vitamin D in fortified cereals, breads, milk, etc.
  6. manganese with banana
  7. Zinc in nuts, pork and lamb
  8. Proteins and amino acids from meat, lentils, soy, etc.

Patients should consult a nutritionist to find out how much of each nutrient they need to meet their needs. weight loss Helps overweight patients reduce pressure on vertebrae.

Exercise and physical therapy

Doctors may suggest that people see a physical therapist to teach them the correct techniques, such as lifting, bending, and sitting. Exercise and physical therapy can help you manage your weight. It can also improve mobility, flexibility, strength and pain relief.

Appropriate area-targeted workouts include walking, Pilates, yogaPatients can try the exercises at home. This includes sitting on a ball and tilting your pelvis, hip extensions, hip rolls, and ab crunches. They can also practice good posture at work and avoid sitting with their hips or knees bent.

How can reverse claudication be prevented?

Inverse claudication cannot always be prevented. However, there are steps patients can take to minimize the risk. they should:

  1. Maintain a healthy diet and weight for optimal bone health and minimal back strain.
  2. Strengthen your core muscles with pelvic tilt exercises. A strong core minimizes strain on your back.
  3. Practice correct posture while sitting and standing.
  4. Practice yoga to improve your posture, core strength and back position.
  5. Avoid straining your back by hyperextending or putting too much weight on it.
  6. Avoid smoking, as tobacco can cause joint damage over time.


Taking care of your back with regular exercise, eating a balanced diet, and avoiding activities that cause injury can help prevent back lameness. People diagnosed with inverse claudication often make a full recovery after following a treatment plan determined by a doctor. In some cases, surgery may be required for the patient to heal.

Frequently Asked Questions (FAQ)

1. How is posterior claudication diagnosed?

Doctors diagnose posterior lameness through a physical examination and neurological evaluation that includes details about the person’s medical history and symptoms. Standing X-ray images of the spine (anterior, posterior, and lateral) then help the physician see and measure the displacement. If the displacement is greater than 2 mm, a doctor can diagnose inverse claudication (e.g. Grade 1). Depending on the results of the neurological examination and confirmation of symptoms, the doctor may ask for additional imaging tests. CT scan Also MRI scan.

2. How serious is the vice?

Doctors can stabilize the deviation if they diagnose the condition early.However, without treatment, cervical spondylotic myelopathy (CSM) or spinal cord compression. People over the age of 50 are more prone to this condition.When nerves are compressed, people can suffer neck painnumbness and weakness in the arms and hands, reduced mobility, problems with balance and coordination.

https://healthlibrary.askapollo.com/retrolisthesis-types-symptoms-causes-treatment-and-prevention/ Types, symptoms, causes, treatment and prevention

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