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What is grade 1 anterolisthesis L5 on S1 with lower lumbar spondylosis and what are the treatment options?

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Grade 1 anterolisthesis of L5 means 20% slippage. If you have Grade 4 anterolisthesis it means 100% slippage.
Slippage of the disks in your lower back, in plain terms, means the lower spine is curved out too much (spondylolisthesis) and is making the nerves not fuse. When nerves don't fuse it produces pain and then it projects to the hips and legs.

The curved spine also can pinch nerves (like mine) which will cause extreme muscle spasms, along with high and shocking pain.

The treatments are: physical therapy, or chiropractic and wearing support (corset) for grade 1 and 2. If your back is bad wether it's 1, 2, 3, or 4, you could have surgery, but surgery for spondylolisthesis does not commonly result in good news. The majority of people who get spondylolisthesis surgery say it made them worse.

The bad news about no surgery is that women, who do not get surgery could have very painful and difficult pregnancies.
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