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?+

No. Some people have a spinal slip on imaging without significant symptoms. Your clinician reviews your symptoms, function and the type of finding together.

Do I need imaging before treatment?+

Bring any imaging or reports you already have. The clinician can discuss whether further investigation is relevant after taking your history and examining you.

Is spinal decompression always suitable?+

A diagnosis alone does not determine the care plan. Your chiropractor reviews the nature of the finding and your presentation before discussing available options.

Book an appointment