Spondylolisthesis: When One Vertebra Slips Forward

Excerpt: Experiencing lower back pain, tight hamstrings, or nerve symptoms? Spondylolisthesis could be the cause — physio helps stabilise the spine and relieve pressure.

What Is Spondylolisthesis?
Spondylolisthesis occurs when one vertebra slips forward over the one below it, often due to a pars defect or degenerative changes.

Causes:

• Pars defect (spondylolysis)

• Degenerative changes in older adults

• Trauma or spinal surgery

• Congenital abnormalities

Symptoms:

• Lower back pain, often after activity

• Hamstring tightness

• Leg pain or nerve symptoms (numbness, tingling)

• Pain with extension or standing for long periods

Physiotherapy Treatment:
✅ Core stabilisation and postural control
✅ Avoidance of provocative extension movements
✅ Mobility work for hips and thoracic spine
✅ Activity modification and education

Long-Term Recovery:
Physiotherapy builds control and stability around the spine, reducing slippage risk and improving movement confidence — essential for preventing progression.