Spinal instability can be the result of weakening or damage to the muscles that support the spine, such as the multifidus or the transverse abdominal. Ultrasound may show a wasting (which is a sign of weakness) of deep spinal muscles, while electromyography (EMG) is often used to detect muscle change.
What causes lumbar instability?
But generally speaking, spinal instability occurs when a spine injury or degenerative changes lead to structural changes, abnormal movement and abnormal load transfer within the spine. Instability can develop if any one of the 3 subsystems that make up the spine suffer damage.
What is the treatment for an unstable spine?
This may involve physical therapy for core muscle strengthening, use of NSAIDs or pain medications, and probable activity modification. If instability creates severe pain or leads to arm or leg pain, spinal injections may also be considered to help decrease the discomfort.
How do you fix lower back instability?
- Physical therapy can help treat mild cases of spinal instability by strengthening the muscles in the spine.
- Prescription painkillers and anti-inflammatory medicines.
- Microdiscectomy — a surgical procedure that removes the intervertebral disc impinging on the spinal nerve.
Is lumbar instability serious?
Lumbar instability is an important cause of low back pain and can be associated with substantial disability. Back pain is the largest cause of disability-adjusted living years based on the WHO survey of the global burden of disease.
How can I improve my lumbar stability?
Examples of Exercises
- Hamstring Stretch. A passive exercise using little muscle effort. …
- Pelvic Tilt. An active exercise from one position, where the abdominal muscles are isolated and used to move the spine. …
- Arm/Leg Raises. …
- Exercise Ball Bridges.
Why does it feel like my spine is moving?
Lateral spine shift may be caused by acute pain in the low back, disc protrusion or disc herniation. Spine shift can be detected visually by a person who is trained to assess this condition. When the condition is severe, the person may lean to either side, which may be obvious even to the untrained eye.
When should you go to the ER for spondylolisthesis?
Severe pain that does not get better with treatment. A severe shift of a spine bone. Weakness of muscles in one or both of your legs. Difficulty with controlling your bowels and bladder.
What does slump test indicate?
The Slump test is used to evaluate for lumbar nerve root impingement or irritation. It begins with the patient seated on the table with both hips and knees positioned at 90°. The examiner stands to the side of the patient.
What is dynamic instability of the spine?
Dynamic instability is the finding of abnormal motion at a spinal level, defined in the literature as greater than 3 mm of translation or greater than 10° of motion between adjacent vertebral endplates [7-9].
What is predisposition to lumbosacral instability?
Causes of lumbar instability
This can happen in people who have a greater genetic predisposition to it and those whose bodies are subject to overexertion. These degenerative problems are increased by poor posture, poor physical condition, muscular insufficiency, sedentary life, excess body weight, injury, etc.