spondylolisthesis & ESI's

[Ma03]

Hi,   I'm a 48 year old female with grade 1 spondylolisthesis, at S1/L5.  I recently had two Epidural Steroid Injections for pain management.  It has helped some - about 25-30% increase in functionality.  The problem for me is that my Pelvis clunks when I walk causing terrible pain.  In all the information I've read I have never seen mention of this with other people. I had a physiotherapist tell me it was a ligament snapping, but I believe its bone's not ligaments.  
Any ideas?

  

[Ma03]

I appreciate your reply.  I take premarin for my hormone imbalance - for nearly 1 year.  
I have nerve impingement at S1 L5  with pain and numbness down the right leg.   Moderate bilateral neural foraminal stenosis.  Also endplate sclerosis and edema.

All the typical complaints of someone with Spondylolisthesis, the pelvis clunking is the only non-typical complaint I experience.  
Neither of the doctors I've see have any suggestions as to what causes it.  

[Dr. Kokil Mathur]

Hi!
I am sorry to hear about your medical problems. At your age a combination of factors may be responsible for the pain. Low estrogen and high FSH could be responsible for pain. Hence you must get a complete hormone panel: estrogen, progesterone, FSH, LH, prolactin, thyroid hormones and parathyroid hormones. Low vitamin B12 and vitamin D could also contribute towards pain.
The other possibility is pinched nerve. Apart from physiotherapy and pain medications, manual therapy and spinal manipulation should be tried. If nothing helps then you may need surgery.
Various sounds coming from pelvis could be due to osteoarthritis, ligament tears or due to ankylosing spondylitis.
You need a comprehensive investigation keeping all the above factors in mind. Take care!

The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Hence this reply to your post should only be considered as a guiding line and you must consult your doctor at the earliest for your medical problem.