When is exercise therapy recommended for spondylolisthesis?

Spondylolisthesis means one spinal vertebra has shifted in relation to another. Symptoms can include lower-back pain, stiffness, buttock or leg pain, and reduced tolerance for standing or activity. Assessment may include posture, spinal movement, leg strength, sensation, walking and how symptoms respond to loading. A programme may use abdominal and back endurance, hip strengthening, controlled movement and practical lifting advice.

Arrange review if pain is affecting work, sleep, walking or sport, or if you are unsure which movements are appropriate. Start with the prescribed level and avoid sudden increases in lifting, impact or spinal extension. Keep a record of leg symptoms and any change in strength. Your clinician may adapt exercises to the vertebral level, symptoms, age, activity needs and any scan findings.

Seek emergency care for new bladder or bowel control problems, numbness around the saddle area or rapidly worsening weakness in both legs. Prompt assessment is needed for progressive foot weakness, severe pain after trauma, fever with back pain or inability to walk safely.

Ask whether your symptoms suggest nerve involvement, which spinal positions to limit, how progress will be monitored, and what signs mean the exercise plan needs review.