Spondylolisthesis: Recovery and Core Stability Solutions

Spondylolisthesis is a spinal condition where one vertebra slips forward over the vertebra below it. It most commonly occurs in the lumbar spine (lower back) and can be congenital, degenerative, or caused by repetitive hyperextension (often seen in gymnasts and weightlifters).

Symptoms of Spondylolisthesis

• Persistent lower back pain, often aggravated by backward bending (extension).
• Tightness in the hamstrings and buttocks.
• Pain radiating down the legs (sciatica) if the slipping vertebra pinches a nerve root.
• Increased muscle spasms in the erector spinae.

Physiotherapy Treatment Strategy

Non-surgical physiotherapy is highly effective for grades 1 and 2 spondylolisthesis:

1. Core Stabilization (Deep Flexor Activation): Strengthening the transversus abdominis, multifidus, and pelvic floor muscles to provide a natural lumbar brace.
2. Flexion-Biased Rehab: Exercises like posterior pelvic tilts, double knee-to-chest stretches, and abdominal curls are preferred as they open up the spinal joints and relieve pressure.
3. Hamstring and Hip Flexor Stretching: Tight hamstrings pull the pelvis into a posterior tilt, while tight hip flexors increase lumbar lordosis. Balancing muscle length is key.
4. Activity Modification: Avoiding hyperextension of the spine while maintaining cardiovascular fitness through low-impact exercises like swimming or cycling.

Our targeted core stabilization program at Sparq Physiotherapy helps realign pelvic tilts and secure the lumbar spine, restoring pain-free movement.