Dr. Sharoff Lokesh Mohan
Orthopedician and Traumatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I am a 29-year-old female, and I have anterolisthesis. I have pain in my leg and lower back L5-S1. I have been on pain medication for the past year. Now I am pregnant, just confirmed. Can I continue my pregnancy? Or will I have complications in pregnancy and delivery? Please suggest if I should continue with my pregnancy or can I have it in the future after all treatment. If I can continue, please tell me what precautions I should take till my delivery? Also, how can I take precautions to maintain the same without increasing risk for life long? Please help.
Hi,
Welcome to icliniq.com.
Anterolisthesis can have some complications in pregnancy, like more pain. But not specific to pregnancy itself. You can surely continue with the pregnancy. Please answer the following questions what is your grade of spondylolisthesis? Have you done an x-ray before? Have you shown it to any doctor before? Precautions-wise, I suggest you do physiotherapy as much as possible with back strengthening exercises. Thank you.
Regarding follow up
Patient's Query
Hi doctor,
Thank you for the reply.
I have grade 1 spondylitis. I have x-rays also. I have written below what is there in the report. I have been under medication for the past year. Please suggest precautions to take during the whole pregnancy and also strengthening exercises. I am worried if I enter into 7th month because of baby weight, will my problem increase to grade 2? I had a C-section previously. Will that injection affects my back? In the report, it is there as below: Grade- I of L5 over S1 noted with bilateral spondylolysis of L5 L5-S1 diffuse disc bulge with posterior annular tear noted in L5-S1 intervertebral disc indenting thecal sac causing bilateral neural foraminal narrowing. Please help me.
Hello,
Welcome back to icliniq.com.
Grade 1 should be ok for pregnancy. You need to continue with the back exercises, for which you need to consult a physiotherapist for easy back flexion and core strengthening exercises. No one can stop it from progressing, and it may progress, but one can deal with it after pregnancy. You need to take safe medications during pregnancy; check them with your doctor and read the information booklet with medications. Alternatively, you can answer the following Please tell me what medications you usually use? Which injection are you talking about? Do you mean for anesthesia? If yes, then spinal injection should not be a problem. Thank you.
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Orthopedician and Traumatology
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