Spondylolisthesis

Spondylolisthesis describes a vertebra slipping in relation to the one below it and it can present in different types and grades. Many people may have a mild slip with few or no symptoms. When symptoms occur, they often include low back pain that can feel worse with prolonged standing or walking and may ease with rest or posture changes, along with stiffness and fatigue. If nearby nerves are affected, leg symptoms such as numbness or weakness can appear and should be assessed properly.

Diagnosis is made with a clinical exam and imaging, commonly X-ray and when needed MRI or CT to better evaluate discs and nerves. Most cases are managed conservatively with activity modification, symptom control and physiotherapy, while surgery may be considered in selected cases when symptoms are severe, progressive or not improving. In physiotherapy we use a progressive plan focused on function, strength and movement control to reduce flare-ups and support a safe return to daily life.

In real life, what helps most is building a steady routine without swinging from “too much” to “nothing.” Symptoms often rise when weekly load accumulates, such as long hours of standing, driving or repeated bending tasks. The goal is not to stop everything, but to learn how to distribute activity, make small posture changes and include short movement breaks. With proper guidance, you can work, walk and move with fewer flare-ups and more confidence, while gradually rebuilding the capacity you need for everyday demands.