This condition, popularly known as waist shift, which is called listesis among the medical world, is a condition caused by the forward or decussation of the spinal bones for many different reasons. It is a condition that occurs when the bones of the spine slide forward or decussate. The vertebrae are arranged in a row and in an order in a normal situation. This sequence is connected to each other by the joints and connective tissues located between them in decouplement. There are decussation and facet joints located between each spine. Those in the front part are called disc joints, those in the back part are called facet joints.

In the case of a lumbar shift, one of the vertebrae moves forward or backward. Depending on this sliding movement that takes place, the tissues between the vertebrae are compressed. Again, the spinal cord and nerves located inside the vertebrae are also compressed. Thus, neurological symptoms such as pain, tingling, burning and numbness in the hips, legs and toes, especially low back pain, occur.

Pay Attention to Low Back Pain! How is Waist Slippage Diagnosed?

Approximately 10% of those who consult a doctor with complaints of low back pain receive a diagnosis of low back shift as a result of examinations and examinations. It is more common in women than in men. Cases of waist slippage are mostly seen due to genetic predisposition, age, lifestyle, nutritional disorders, inactivity, belly fat called front weight and accidents. Although the first and most important diagnosis is low back pain, some patients may not complain of low back pain. Complaints can only be seen when bending over, standing up, sitting up and straightening out of bed. The symptoms of low back slippage persist as long as the problem is not treated. Most often, an increase is also observed. When a patient goes to the doctor with a complaint of low back pain, the doctor first listens to the patient’s history in detail. Then, a physical examination is performed and, if deemed necessary, radiological imaging is requested as an additional examination. As a result of the evaluation, waist shift is diagnosed. Treatment is regulated according to the severity of the waist shift. This treatment may be surgical intervention, as well as the implementation of a physical therapy and rehabilitation (physiotherapy) program. Especially in cases that do not require surgery and cannot be performed surgically, physiotherapist evaluation is definitely a must. Physiotherapy is the right way for these patients. Therefore, after the diagnosis and diagnosis have been made by a physician in this regard, it will definitely be the healthiest way for you to consult a physiotherapist.

How is Waist Shift Treatment Performed?

When the patient goes to the doctor in Turkey with a complaint of low back pain, an anamnesis is taken in detail, that is, the patient’s history is listened to. Then a physical examination is performed. With radiological imaging performed at the request of the physician, a diagnosis of low back slip, if any, is made. Treatment is arranged according to the type of waist slippage and complaints. In some cases, rest may be enough. In some cases, exercise programs that strengthen the abdominal and back muscles are also recommended for treatment. Depending on the severity of the waist shift, the doctor may refer the patient to the physical therapy and rehabilitation department and recommend that a special program be created for him. Another option is treatment with medication. In cases that are very advanced, surgical operation is required to restore the old structure of the spine.

Holistic Physiotherapy in Waist Shift (Listesis) Has a High Success Rate!

The holistic physiotherapy applications that we have mentioned and described in many of our previous articles have a high success rate in many diseases, especially waist slippage in spinal cord disorders. If you also have a listesis problem, called waist slippage, do not neglect to have your health checks. In this regard, you can first contact the relevant Physician and then the Specialist Physiotherapist at MedicalPark hospitals in Istanbul with peace of mind.

Have a healthy day.



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President of Organ Transplant Center at MedicalPark Hospital Antalya

Turkey's world-renowned organ transplant specialist. Dr. Demirbaş has 104 international publications and 102 national publications.

Physician's Resume:

Born on August 7, 1963 in Çorum, Prof. Dr. Alper Demirbaş has been continuing his work as the President of MedicalPark Antalya Hospital Organ Transplantation Center since 2008.

Prof. who performed the first tissue incompatible kidney transplant in Turkey, the first blood type incompatible kidney transplant, the first kidney-pancreas transplant program and the first cadaveric donor and live donor liver transplant in Antalya. Dr. As of August 2016, Alper Demirbaş has performed 4900 kidney transplants, 500 liver transplants and 95 pancreas transplants.

In addition to being the chairman of 6 national congresses, he has also been an invited speaker at 12 international and 65 national scientific congresses. Dr. Alper Demirbaş was married and the father of 1 girl and 1 boy.


Eczacibasi Medical Award of 2002, Akdeniz University Service Award of 2005, Izder Medical Man of the Year Award of 2006, BÖHAK Medical Man of the Year Award of 2007, Sabah Mediterranean Newspaper Scientist of the Year Award of 2007, ANTIKAD Scientist of the Year Award of 2009, Social Ethics Association Award of 2010, Işık University Medical Man of the Year Award of 2015, VTV Antalya's Brand Value Award of 2015.


Doctor of Medicine Degree Hacettepe University Faculty of Medicine Ankara, General Surgeon Ministry of Health Turkey EKFMG (0-477-343-8), University of Miami School of Medicine Member of Multiple Organ Transplant, ASTS Multiorgan Transplant Scholarship. Lecturer at Kyoto University. Lecturer at University of Essen, Research assistant at the University of Cambridge .

Professional Members:

American Society of Transplant Surgeons, American Transplantation Society Nominated, Middle East and Southern Africa Council Transplantation Society 2007, International Liver Transplantation Association, Turkish Transplantation Association, Turkish Society of Surgery, Turkish Hepatobiliary Surgery Association.


Our website contents consist of articles approved by our Web and Medical Editorial Board with the contributions of our physicians. Our contents are prepared only for informational purposes for public benefit. Be sure to consult your doctor for diagnosis and treatment.
Medically Reviewed by Professor Doctor Alper Demirbaş
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