Nonsurgical management has a significant role in the treatment of spondylolisthesis. Those patients with low-grade spondylolisthesis (grade I or grade II) may respond to more conservative care.
Spondylolisthesis does not usually get worse, but if the amount of slipping increases then a surgeon may operate to fuse the bones together preventing further forward slipping.
Best Exercises & Treatments for Spondylolisthesis
Depending upon the cause of the spondylolisthesis, the condition may or may not be avoidable. If it is due to a congenital gap in the bone (pars interarticularis), then there is not much that one can do to prevent the eventual effects of normal strain on the spine and gravity from causing a slip to develop. Certainly being at an ideal body weight, staying in shape, exercising and keeping the back and abdominal muscles strong will help to decrease the likelihood of slip over time. Similarly, when the slip is due to degeneration and aging of the facet joints, there is not much that one can do except to try to keep close to an ideal body weight and stay in shape. On the other hand, there are certain exercises which have a higher risk of causing a fracture of the pars interarticularis, thus resulting in the possibility of spondylolisthesis in the future. Certain athletic activities which cause extension of the spine (standing and arching the back backwards) predispose one to such fractures, such as gymnastics and diving. However, they are uncommon in swimmers.