Is it safe to work with L4/L5 slip?
Patient: Hello,  I had a spinal fusion in May 2008. (L4/L5) Six months later during physical therapy something happened during a stretch. I have been in pain since. I pain has been increasing. I had an MRI in July that shows an L4/L5 slip. I have not worked since 2007. I was offered a job as a special education teacher. Is it safe to accept this position? I do not want to end up in a wheelchair. Doctor: Hi,  As you had lumbar lecithesis at L4-5 level  post trauma during physiotherapy so if the injury is stable which can be decided upon MRI Finding & clinical examination it can be managed conservatively by1) Avoiding bending forward 2) regular physiotherapy 3) warm compression4) Vitamins (methylcobalamine, folic acid etc )5) analgesic , proton pump inhibitor , muscle relaxant as and when required 6) LS Corset belt if required Otherwise if unstable then operative fixation may require .  So in my opinion Visit an orthopaedic surgeon preferably spine centre for further management and opinion ( If you have stable injury and can perform the job if spinal mobility can be imobilised during working hours ).Hope this will help. For any queries feel free to ask THANKS N REGARDS