Am I prolonging the inevitable? Spondylolithesis, Physical Therapy and Pregnancy.
I am a 22 year old female who just recently got diagnosed with Spondylolithesis L5-S1 grade 3-4. I've only seen one orthopedic surgeon so far, I have a 2nd opinion scheduled at the end of the month. This surgeon wants me to try physical therapy to prevent further slippage. And I am going to start PT with in the next few days. But basically what I am wanting to know is, am I prolonging the inevitable? Will I eventually have to have surgery? Is this something that after time goes on it just gets worse?
I started complaining about sciatic pain when I was 14-15 years old. I was in cheerleading and gymnastics (which is probably what caused this, or I was born with it) and have since then put on a little weight and have had one child. My pain started getting even worse after I delivered my daughter. So in my opinion since time has gone on this has gotten worse for me. I am wanting to have more children down the road, but I am terrified of what another pregnancy and delivery might do to my body.
My pain is something I’ve learned to live with, but it is severe. It wakes me up in the middle of the night, it prevents me from standing for long periods of time, I can’t walk long distances without needing to rest, standing up first thing in the morning (when my pain is the worst) to shower is so painful and sitting in certain positions is very uncomfortable too. Just to name a few. But it is something I’ve learned to live with and manage, I think this is why my surgeon suggested PT first instead of jumping into surgery.
So basically I’m just wondering if anyone thinks that I am just prolonging the inevitable? Will I eventually need to have the surgery? Should I do it now before I try to have more kids, that way I can try to get my life back to normal pain free? Or do I keep living with this and try to maintain the slippage with PT? And does anyone have any info or stories to share about being pregnant with Grade 3 or 4 spondylolthesis?
Thanks in advance!!