facet joint arthritis/anterolisthesis/degenerated discs
have had back pain for over 15 years, occasionally up to pain level 8, had a bilateral radiofrequency ablation (bilateral) at three levels. After 3 years of good relief, the problems are coming back. A new MRI shows that everything is worse than it was 4 years ago. severe facet arthritis at L4-5. Approaching grade 2 anterolisthesis of L4 on L5 and even more degenerated discs at 4,5,S1. A bunch of other more minor problems (disc bulge, a few tares).
Pain management (after a successful diagnostic nerve block) is suggesting a repeat of the radioablation (just the side with the new pain). Two general questions:
1. Is there anything I can do to slow down or prevent these changes? I tried to do the physical therapy (stability ball) exercises I had done previously but about an hour afterwards I started have shooting pains so I stopped trying to exercise. Pain management said I need expert advise on PT because the anterolisthesis could be dangerous.
2. So how dangerous is the anterolisthesis (slowly progressing at this time)? What is likely to happen if it does get worse?