When is exercise therapy recommended for spondylolysis?

Spondylolysis is a stress-related defect in part of a spinal vertebra, often in the lower back. Early care may reduce aggravating activity while the area settles. A physiotherapist can then select exercises for deep abdominal control, hip strength, posture, and gradual spinal loading. The programme should match symptoms, age, activity, and examination findings; pain that steadily increases during or after exercise is a reason to adjust it.

Arrange an assessment before restarting intense sport, repeated back extension, or heavy lifting. Begin with the prescribed range and pace, keep a record of symptoms, and build activity in small steps. Low-impact movement may be suitable during recovery if it does not provoke pain. Do not copy a team-mate’s routine, because the diagnosis and stage of healing may differ.

Seek prompt medical care for new leg weakness, numbness around the groin, loss of bladder or bowel control, or severe pain after an injury. Contact your clinician if back pain is worsening, interrupts sleep, or fails to improve with the agreed activity changes.

Ask which movements to pause, how to recognise an acceptable training response, when sport-specific drills can return, and whether follow-up examination or imaging is needed.