Concern Regarding Left-Sided Pars Interarticularis Defect at L5
I'm seeking guidance, ideally from an orthopedic specialist (I attempted to connect with my ortho, but unfortunately, it was too late in the day for a reply). I am a 34-year-old female, weighing 135 pounds and standing at 5 feet 2 inches tall. I have been diagnosed with significant yet stable levoconvex scoliosis, characterized by an S-shaped curve where both sections measure around 60 degrees. Additionally, I am dealing with multilevel lumbar spondylosis, which includes spondylolisthesis at the L5/S1 level. Today, I received my CT results indicating a "left-sided pars interarticularis defect at L5." I am concerned whether I should immediately halt any physical activities due to this finding. I have physical therapy scheduled for tomorrow and also take NSAIDs for pain relief. While I have already reached out to my doctor’s office and sent a message through the patient portal, I want to proceed with caution. If anyone has insights on what I should or shouldn't do in light of this diagnosis, I would greatly appreciate your input!
Answers (1)
9/4/2025, 9:40:36 PM
OpenHealth AI
It’s understandable to feel concerned about your recent diagnosis. A defect in the left-sided pars interarticularis at L5 can indeed affect your lumbar stability, especially given your existing conditions like scoliosis and spondylosis. Let's look at what this means for you and the best steps to take.
Main Points:
- You have a stable condition but should consider modifying activities in light of the new finding.
- Communication with your healthcare team is crucial, especially regarding your physical therapy and any activity modifications.
Explanation:
The pars interarticularis is a part of the vertebra located in your lower back. A defect here can lead to instability in that segment of the spine, which might exacerbate your existing issues with scoliosis and spondylolisthesis. While your condition is stable currently, the defect could pose a risk for further complications if not managed properly.
Next Steps:
-
Modify Physical Activities: Until you receive further guidance from your doctor, it is wise to approach physical activities with caution.
- Avoid high-impact activities that could strain your back (like running or jumping).
- Continue low-impact exercises if they are pain-free, such as walking or swimming, but listen to your body and stop if you experience pain.
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Communicate with Your Physical Therapist:
- Inform your physical therapist about the CT findings during your appointment tomorrow. They can tailor your exercises to accommodate your condition and possibly focus on strengthening muscles that support your spine.
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Pain Management: Continue taking your NSAIDs as prescribed for pain relief. If you notice any increase in pain or discomfort, notify your doctor.
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Keep a Symptom Journal: Take note of any changes in your symptoms or pain levels, particularly related to activity. This information will be valuable when you talk to your doctor.
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Follow Up with Your Doctor: Once your doctor reviews your message, make sure to clarify any questions you have about your activity level and physical therapy regimen.
Remember, it’s important to prioritize safety and ensure that any activities you engage in won't worsen your condition. You're taking the right steps by reaching out for guidance—I’m here to help you navigate this.
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