par defect is a status that involve the lumbar backbone , causing scurvy back botheration . It particularly affects the area of a bone called pars interarticularis in the spinal vertebrae .
Pars Defect is also known as par interarticularis defect or pars fracture of the lumbar spine .
Pars Defect is one of the vulgar make ofback pain in adolescent . Pars defect may be present since puerility without any presenting complaints . It may cause difficulties in some persons involved in sportswoman , athletic competition and similar activities that demand stringent movements of spine and particular hyperextension or back turn away .
What is Pars Defect?
Pars mar happens when there is a breakage in an area of the bone ( pars interarticularis ) . Due to this , the upper and the humbled portion of the vertebrae can get separated during replicate tenseness and melodic phrase on the spinal vertebra . Pars Defect can further develop into more bothersome condition affecting the spine like dislocate of the spinal vertebra . Pars defect can be count as a hazard factor for rise stress fractures and condition like lumbar spondylosis orspondylolisthesisin some showcase .
Pars desert on one side can get pain and difficulty in spinal bm , more on the opposite side . However , the break can also occur in such a mode that it ask both sides of the vertebra ; Pars defect involving both side is called bilateral equation defect . This can increase the chances of the vertebral body splitting into two pieces . This is exchangeable to a ivory fracture and right healing may not go on lead to a light expanse , which is vulnerable to further tension and slip of vertebra ( spondylolisthesis ) . Pars defect of L5 - S1 is common , in which this segment is frequently affect , which increase the endangerment of the L5 vertebra slip over the S1 segment cause more damage . The L4 - L5 segment too is vulgar area , where Pars defect can lead to spinal problem .
Causes of Pars Defect
Pars fault , was earlier considered to be a birth defect , but later studies revealed that it is a break in the bone occurring due to excessive press on the pars intercularis . The imperfect spot or break in that expanse can lead to consummate breakage or damage to the vertebral bone by certain activities that cause repeated stress and mental strain .
unseasoned players and athletic competition are at risk of overuse combat injury while their skeletal system has not fully matured .
Symptoms of Pars Defect
Although young adults with Pars defect may be symptomless ab initio , an installment of injury or repeated nerve-racking activities can have back pain during their growth years . Low back painis the most common presenting lineament of Pars Defect . Pain link with pars defect is usually sharp initially and may become dull in the inveterate leg . Pain is often high-risk by activities , sports and is relieved by sleep . In some sports persons , painfulness associated with par fault may disappear temporarily during the relaxation period , but gradually re-emerge once the sports or stressful activities are resumed .
For any humiliated back pain persevere for continuance longer than 2 calendar week , right clinical rating is essential .
Diagnosis of Pars Defect
Pars blemish may not be always seeable on the X - rays , specially in the initial stages . Further promotion can be seen on X - rays , but healing in such case can be difficult . Pars desert or the accent geological fault can be detected using other imagination studies like MRI , CT scan or pearl CAT scan .
Treatment of Pars Defect
As Pars defect is considered as a tenseness injury or go against in the ivory , adequate rest , immobilization of the area , mechanical support and meter can mend the stipulation . pain in the ass medications for Pars defect are often advise depending on the condition , however , rest and proper healing is essential before resuming fun or other activities . Physical therapyfor patient role with equivalence defect can speed up the healing process . Physical therapy for equality mar would include utilization of affectionate and cold compresses , electrical stimulant , ultrasound , soft tissue paper massage , trigger stop therapy , purpose of appropriate duad for back , hydropathy etc . This treatment modality can help slow down the muscle in the surrounding country and relieve pain associated with pars defect .
A proper discourse program for equivalence blemish should be drawn with the help of an expert . It in the main includes rest period , activity restrictions and enjoyment of back braces in initial period . Then active physical therapy like back beef up exercising , prepare for flexibility and lumbar stabilisation would follow in the treatment program for Pars defect . The final phase would include continuation of exercises and gradually resuming sportswoman , if there is no pain .
Exercises for Pars Defect
The following physical exercise can be utilitarian for patients with Pars Defect but these exercises should be done only after getting the approval from your treating physician or PT .
lie Down Stretching Exercise for Pars Defect # 1 : dwell down on your back with your knees raised but with feet on the ground . Make trusted your fundament and your knee is held together . Slowly bend your knees to one side and at the same time turn your head to the opposite side . Example if you are bending the knee to the left then your head should be turned to the right side . Stay in that military position for 2 - 3 indorsement and issue forth back to the original position . Repeat the same step on the opposite side . Do this 10 multiplication to each side provided the exercise is pain free .
Lying Down Stretching Exercise for Pars Defect # 2 : This exercise is standardized to the one explained above but varies slightly and append more flexibleness to the spikelet . lie in down on your back with your knees bring up but with feet on the ground . Make certain your feet and your knee is held together . Now , lift one leg up and keep it over the other leg , such that one knee is overlapping the other . Repeat the same footfall as explicate originally . Slowly turn away your knees to one side and simultaneously turn your head to the paired side . Example if you are bending the knee to the left then your head should be turned to the right side . Stay in that billet for 2 - 3 seconds and come back to the original emplacement . Repeat the same step on the opposite side . Do this 10 times to each side furnish the exercise is pain loose .
lie Down Stretching Exercise for Pars Defect # 3 : Lie down on your back with your knees raised but with feet on the ground . Make certain your pes and your knee are open asunder . Slowly bend your knees to one side and simultaneously turn your point to the opposite side . Repeat the same footstep on the opposite side . Do this 10 sentence to each side provided the utilisation is pain in the neck barren .
Pars Defect Exercise # 4- knee to Chest : Lie down on your back and lento get both your knee to the chest of drawers . you’re able to utilize your hand to snap up your knee so that it can do as close-fitting as possible to the chest . Repeat this exercise about 8 time as long as you are easy and do not experience any pain .
Prevention of Pars Defect
With advancement in medical technology , Pars defect , if observe betimes , appropriate measures can be taken to promote timely healing and further terms to the vertebral column can be prevented . Patient didactics regarding proper posture , avoidance of stressful activity and grandness maintaining regular fitness can also help .
Sports persons necessitate to follow a right fitness regime , warm - ups , athletic conditioning and also take equal breaks from their sports .
