An Interventional Pain and Sports Medicine Practice

An Interventional Pain & Sports
Medicine Practice

Spondylolisthesis - Arthritis of the Lumbar Spine | Barr Center | Virginia Beach, VA

Lumbar Spondylolisthesis

What is arthritis of the lumbar spine (spondylolisthesis)?

Arthritis of the Lumbar SpineThis is a condition in which a spine vertebral body slips forward or backward upon the vertebral body below. The word is derived from the Greek words spondylos, which means “spine” or “vertebra,” and listhesis, which means “to slip or slide.” If the vertebra slips too far forward, it can cause pain and nerve damage. Spondylolisthesis may vary from mild to severe. It can cause postural changes as it progresses.

Who is affected by spondylolisthesis?

Arthritis of the Lumbar SpineBoth children and adults can be affected.

What causes spondylolisthesis?

In children it is usually due to a small stress fracture of the pars interarticularis of the fifth lumbar vertebra due to repetitive stresses on the region. This occurs in 3-5% of the US population. As a result the fifth lumbar vertebra may slip forward on the sacrum.

In adults, the slip is most frequently between the fourth and fifth lumbar vertebrae. Common causes can be related to:

  • Degenerative diseases, such as arthritis
  • Traumatic fractures
  • Bone diseases

What are symptoms of arthritis of the lumbar spine (spondylolisthesis)?

Symptoms may include:

  • Pain in the lower back, thighs, and buttocks
  • Stiffness in the back
  • Muscle tightness
  • Tenderness in the slipped area
  • Neurological damage (leg weakness or changes in sensation) may result from pressure on nerve roots and may cause pain radiating down the legs
  • Localized tenderness over the spine just above the pelvis

Some patients may not exhibit any symptoms with spondylolisthesis.

How is spondylolisthesis diagnosed?

X-rays will reveal the misalignment of the vertebra, and they can also show if there are any fractures.

How is it treated?

The most common treatments for spondylolisthesis are:

  • Strengthening and stretching exercises
  • Modification of activities
  • Avoiding hyperextension of the back
  • Avoiding contact sports
  • Rigid brace when deemed necessary
  • Surgery for the more severe cases to fuse the slipped vertebra

What are complications related to spondylolisthesis?

  • Nerve compression
  • Temporary or permanent damage of spinal nerve roots, which may cause sensation changes or weakness
  • Chronic back pain

Facet Joint Injections | Barr CenterWhat can be done to help prevent further complications with

spondylolisthesis?

  • Avoid back hyperextension (leaning too far back)
  • Avoid weightlifting
  • Avoid contact sports
  • Seek medical attention if your child complains of back pain or stiffness, or pain in the thighs and buttocks.

Facet Joint Injection | Barr CenterIf these techniques do not bring about the desired pain relief, we may perform a facet joint injection, which delivers a steroid or anesthetic to reduce inflammation and pain. It will also help to better diagnose the problem. We may also recommend other types of procedures such as medial branch blocks (diagnostic only) or prolotherapy.

If the facet joint injection provides temporary but not long-lasting relief, your physician may discuss the option of radiofrequency Facet Joint Injection Causes (lesioning) of the small nerves, which provide nerve impulses to the facet joints believed to cause your pain.

Can the Barr Center Help You with Back Pain Relief?

Call us at 757-578-2260 or email us at Info@BarrCenter.com to get started on relieving your back pain.

Learn More

Other pain management conditions we treat are: Neck PainShoulder PainHip Pain and Knee Pain.  We often use Regenerative Medicine and Physical Therapy in our treatments.

 

INNOVATIVE PAIN & REGENERATIVE THERAPIES
INNOVATIVE PAIN & REGENERATIVE THERAPIES
Expert care for spine, joint, nerve, sports injuries, and chronic pain.

Find Relief From the Conditions Holding You Back

Dr. Lisa Barr is a leading pain management physician in Virginia Beach with over 35 years of experience diagnosing and treating spine, joint, nerve, and musculoskeletal pain. As a Board Certified PM&R specialist, she focuses on whole-body, non-surgical solutions that uncover the true root cause of pain. She is also the international bestselling author of Outsmart Your Pain and one of the region’s most experienced experts in regenerative medicine, PRP, and advanced biologic therapies.

Spinal Conditions
  • Neck Pain
  • Mid Back Pain
  • Low Back Pain
  • Pelvic Pain
  • SacroiIiac Joint Pain
  • Hypermobility
  • Myofascial Pain
    • Trigger Point
      injections
    • What is Sarapin?
  • Fibromyalgia
  • EOS/Hypermobility
    Syndrome
  • Autoimmunity
    • LDN (Low dose
      Natrexone)
    • Testing
  • Prolotherapy
  • Neuroprolotherapy
  • Neural Therapy
  • Cold Laser
  • Entrapment Neuropathy
    • Carpal Tunnel Syndrome
    • Radial & Ulnar Nerve Entrapment
    • Lower Extremity Entrapment
    • Occipital Neuritis
  • Scar Tissue
  • Peripheral Neuropathy
    • Fatty Acid Testing & Specialized Therapies
    • Cold Laser
    • Nutritional Support
  • Neck Pain
  • Mid Back Pain
  • Low Back Pain
  • Pelvic Pain
  • SacroiIiac Joint Pain
  • Hypermobility
  • Inner Arsenal
  • Vagus Nerve Support
  • Power over Pain Mindset
  • Breathing Practices
Resources

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OVERVIEW

The Barr Center for Innovative Pain and Regenerative Therapies, led by Dr. Lisa Barr, is dedicated to helping people in pain. With over forty years of experience, Dr. Barr and her staff offer a range of evaluation and treatment options, including osteopathic assessment, trigger point injections, prolotherapy, and regenerative therapies. They prioritize a caring atmosphere and involve patients in their own care, ensuring they understand the recommended treatments. If necessary, they collaborate with other professionals to provide a comprehensive approach. Dr. Barr’s expertise has been recognized with the Top Doc award for thirty years.

FAQ

Pain Management and Treatment

The Barr Center for Innovative Pain & Regenerative Therapies is located at:

933 First Colonial Road, Suite 200
Virginia Beach, VA 23454

Phone: 757-578-2260
Email: info@BarrCenter.com

Monday–Thursday: 8:30 am–5:00 pm

Friday: Closed (note: physician on call)

Not always. Some insurance plans—especially HMOs—require a referral before seeing a specialist. To confirm what your specific plan requires, call your insurance provider or contact our office at 757-578-2260.

We accept most major insurance plans (except Medicaid). If your plan requires a referral or pre-authorization to see a specialist, you will need one for your first visit. After your initial consultation, our office obtains any future pre-authorizations, sometimes with assistance from your referring provider. Visit our Patient Resources page for details.

Yes. We offer telemedicine visits for certain appointment types, including follow-up visits and treatment discussions. Some procedures require in-office evaluation, and our team will help determine whether a virtual visit is appropriate.

Conditions and Treatment Questions

Led by pain management specialist Lisa Barr, M.D., the Barr Center provides comprehensive musculoskeletal and pain treatments including:

• Acupuncture
• Mind-body medicine and lifestyle optimization
• Interventional spinal procedures
• Sports medicine
• Physical therapy
• Regenerative medicine (PRP, prolotherapy)

We treat a wide range of pain and musculoskeletal conditions, including:

• Neck, shoulder, hip, back, and knee pain
• Sports injuries and repetitive strain conditions
• Posture, sleep, and movement-related pain
• Car accident injuries, including whiplash

Our approach provides proven alternatives to surgery and long-term medications through targeted injections, hands-on physical therapy, acupuncture, lifestyle guidance, and regenerative medicine.

If your pain is persistent, recurring, or limiting daily activities, it is time for an evaluation. We assess how your joints move, how your muscles function, and whether lifestyle factors are contributing to your symptoms.

We offer a comprehensive, root-cause approach to pain in a boutique practice setting.

Our team is highly specialized, and we combine interventional pain medicine, regenerative therapies, physical therapy, and whole-person care—all under one roof.

Our team includes board-certified physicians, licensed physical therapists, regenerative medicine specialists, acupuncture providers, and experienced clinical support staff with focused expertise in musculoskeletal medicine and pain management.

Preparing for your First Appointment

To help make your first visit efficient, please bring:

• Photo ID
• Insurance card
• Referral (if required by your insurance)
• Completed new-patient paperwork
• Co-pay, if applicable

If you have MRIs, CT scans, X-rays, or lab results, please have your referring provider fax them to our office. You may also download our Medical Records Request Form to expedite the process.

Experiencing Pain? Reach Out For Medication-Free Treatment