When is physiotherapy recommended for spondylolisthesis?

Spondylolisthesis is a condition in which one spinal vertebra shifts in relation to another. It may cause lower-back pain, stiffness, hamstring tightness, or irritation of a nerve that travels into the leg. The [Spondylolisthesis](/conditions/spondylolisthesis/) page gives an overview. Physiotherapy is planned around symptoms, age, activity, examination findings, and whether the spine appears stable.

A therapist may begin by finding comfortable positions and assessing trunk, hip, and leg strength. The programme can then build core and hip control, improve movement habits, and gradually restore walking or other chosen activities. Avoid adding heavy lifting, repeated back extension, or high-impact exercise without advice when those movements increase symptoms. Follow the individual plan and use the [Physiotherapy](/treatments/physiotherapy-and-rehabilitation/physiotherapy/) guide for broader context.

Seek urgent medical care for new bladder or bowel control problems, numbness around the groin, or rapidly progressing leg weakness. Arrange prompt review for worsening pain, foot weakness, increasing numbness, repeated falls, or symptoms that spread further down the leg despite modifying activity.

Ask whether the slip appears stable, which exercises and lifting limits are suitable, how progress will be checked, and what changes would require imaging or a spine specialist review.