Back pain is a common ailment, affecting millions around the world. But with so many terms thrown around, understanding the root cause of your discomfort can be confusing. Three terms that often cause confusion are Spondylosis, Spondylolysis, and Spondylolisthesis. While they all relate to the spine, they describe distinct conditions, so let’s break them down:

Spondylosis is a common condition caused by wear and tear on the spine, often due to aging. It frequently affects the neck (cervical spine) and lower back (lumbar spine), but can occur anywhere along the spinal column, including the chest area (thoracic spine). While some people with spondylosis experience no symptoms, others may have pain or limited movement. The severity varies, ranging from a mild inconvenience to a more serious condition.

Spondylolysis is a condition caused by a stress fracture in a specific part of the spine bone called the pars interarticularis. This fracture typically happens due to repetitive strain on the lower back, often affecting athletes and young people. Lower back pain, especially during activity, is the main symptom. However, some people with spondylolysis might not experience any pain at all.

Spondylolisthesis occurs when one vertebra slips forward over the one below and can be caused by a spondylolysis fracture weakening the vertebrae, a congenital defect present at birth, or even degeneration (spondylosis). Symptoms can include lower back pain, radiating leg pain (sciatica), muscle weakness, numbness, and tingling.

If you experience persistent back pain, radiating pain, weakness, or numbness, it’s important to see a doctor who can diagnose the specific cause of your pain and recommend the best treatment options. Early intervention can help prevent further complications and get you back to enjoying life.

Dr. Darakchiev is a board-certified, fellowship-trained neurosurgeon skilled in diagnosing and treating a variety of brain, spine and peripheral nerve disorders. To schedule an appointment, please call 631-690-9080.