A careful approach to lumbar spondylolisthesis.

Spondylolisthesis describes one vertebra being positioned forward relative to another. The type, grade, stability, symptoms and health history all influence management decisions.

01

What the term describes

Spondylolisthesis may be identified on imaging and can arise for different reasons. Some people have few symptoms, while others experience lower-back pain, stiffness or symptoms extending into a leg.

An imaging finding should be interpreted with the clinical picture rather than treated in isolation.

02

Assessment priorities

Assessment may consider symptom behaviour, movement, neurological findings, activity demands, previous injury and available imaging. The chiropractor may recommend medical or specialist review when stability or neurological concerns require further investigation.

03

Conservative care

Where conservative care is suitable, management may focus on education, graded activity, trunk and hip capacity, movement confidence and appropriate symptom-management strategies.

Recommendations should be adapted to the person and reviewed over time.

04

Does decompression have a role?

Your chiropractor reviews the type and stability of the finding, relevant symptoms and clinical presentation when discussing spinal decompression.

The table settings and broader care plan can then be selected for the individual.

Talk with a ChiroRelief chiropractor about your options.

What patients often ask.

Does spondylolisthesis always cause pain?+

Answer to be supplied by ChiroRelief.

Do I need imaging before treatment?+

Answer to be supplied by ChiroRelief.

Is spinal decompression always suitable?+

Answer to be supplied by ChiroRelief.

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