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1) Age of patient
2) weight of patient
3) co morbidities like bp,
diabetes, heart disease etc
4) degree of lysthesis whether it's grade 1,2 or 3
5) is this a retrolysthesis
6) extend of neurological involvement like status of deep tendon reflexes, deegree of muscle wasting, power/ strength loss etc
Next Steps
if it is grade 3 lysthesis with neurological deficit and if the spinal canal AP diameter is below 6.5 mm, then better to proceed with surgery otherwise proper admitted ayurvedic treatment can alleviate symptoms and reduce chance of neurological deficit. There is no 100% cure but the quality of life can be enhanced significantly.
Health Tips
consult an ayurvedic doctor specialised in orthopedic conditions and consult an orthopedic surgeon to rule out surgery.