View attachment 1968 Hey everyone,
I’m a 24-year-old . In 2022, I was diagnosed with L4/L5 Grade 1 isthmic spondylolisthesis and sciatica. I also have a congenital L5-S1 fusion. My father has the same condition but is asymptomatic. However, mine is considered unstable (moves in flexion-extension but doesn’t change grade).
I always felt something was off with my back after losing weight (I was overweight as a child and bullied for it), but the pain started after a friend hung from my shoulders playfully. A spine surgeon recommended fusion, but I avoided it. I went to a sports PT, who did forceful spinal manipulations, which I now regret. I also underwent traction (25 kg for 3 days), after which my leg went numb. Despite consistently doing core exercises, sitting and walking still hurt ,legs are weak, and I can’t afford more PT. My MRI shows no progression, but I can’t shake the fear that those stupid manipulations may have worsened my instability.
I’ve had a rough past continues today—domestic abuse, family struggles,rejection from people I liked, bullying, loss of loved ones, and extreme stress and also pressure of being always good and a top guy in whatever I do studies etc and much more beyond the scope of mentioning in this forum. Now I’m wondering if TMS could be contributing to my pain. But my mind keeps asking for one last flexion-extension X-ray to confirm that my spondylolisthesis hasn’t worsened due to those manipulations before I fully accept the TMS diagnosis.
Should I go for the X-ray or move forward with TMS? I feel stuck and would appreciate any advice.
Thanks.
I’m a 24-year-old . In 2022, I was diagnosed with L4/L5 Grade 1 isthmic spondylolisthesis and sciatica. I also have a congenital L5-S1 fusion. My father has the same condition but is asymptomatic. However, mine is considered unstable (moves in flexion-extension but doesn’t change grade).
I always felt something was off with my back after losing weight (I was overweight as a child and bullied for it), but the pain started after a friend hung from my shoulders playfully. A spine surgeon recommended fusion, but I avoided it. I went to a sports PT, who did forceful spinal manipulations, which I now regret. I also underwent traction (25 kg for 3 days), after which my leg went numb. Despite consistently doing core exercises, sitting and walking still hurt ,legs are weak, and I can’t afford more PT. My MRI shows no progression, but I can’t shake the fear that those stupid manipulations may have worsened my instability.
I’ve had a rough past continues today—domestic abuse, family struggles,rejection from people I liked, bullying, loss of loved ones, and extreme stress and also pressure of being always good and a top guy in whatever I do studies etc and much more beyond the scope of mentioning in this forum. Now I’m wondering if TMS could be contributing to my pain. But my mind keeps asking for one last flexion-extension X-ray to confirm that my spondylolisthesis hasn’t worsened due to those manipulations before I fully accept the TMS diagnosis.
Should I go for the X-ray or move forward with TMS? I feel stuck and would appreciate any advice.
Thanks.