Spondylolisthesis

an image of a spine that has shifted forward

Spondylolisthesis

If you already know what this word means, then most likely, you are either a health professional or have been diagnosed with the condition.  

If not, and you don't, let me give you a brief explanation of spondylolisthesis.   

What is spondylolisthesis? 

This spinal condition affects approximately 4 - 8 % of the population and refers to anterior slippage of a vertebra in relation to the bone below it. 

It’s usually get diagnosed during teenage years (15-16 years old) and is commonly associated with a genetic defect that weakens the bone with the 5th lumbar vertebra(L5) is the level most commonly affected.  

When the vertebra slips forward, the space where the nervous system resides is reduced, increasing therisk of being pressured.  This can not only cause lowback pain but also result in sciatica, a pain that runs down the leg. 

How is this problem evaluated? 


In spondylolisthesis, the severity of the displacement can vary on a graded scale from 1 to 4. 

Grade 1:  slippage of less than 25%
Grade 2: 26% - 50% slippage
Grade 3:  51% - 75% slippage
Grade 4: 100% slippage 

If the vertebra has slipped off completely in relation to the bone below, it's then classified as a grade 5 and is referred to as spondylosis.  

Some Spondylolisthesis insights 

When diagnosed, the large majority of people fall into a type I (75%) or Type II, meaning that thevertebra has moved forward by no more than 50% in relation to the bone below.  

Grades 1 and 2 are known to respond well to conservative treatment. 

Grades 3 and above (over50% anterior displacement) are more advanced and unstable, thus more likely to require surgical intervention.  

Most adults with this condition are asymptomatic, meaning they have no pain. Only about 10- 15 % of adults with spondylolisthesis seeking treatment will require surgery.

So, how do you deal with this type of problem?

Well, rather than treat symptoms, which are just pain signals, resolving the underlying issue to heal naturally is key. In the case of spondylolisthesis our plan may include;

Manipulative Therapy: This treatment can restore proper function to specific segments of the spine, allowing the structure to heal more efficiently.

Postural Education: By eliminating painful stimuli, such as those from faulty postural habits, this can reduce physical strain that is contributing to the problem.  

IASTM—Soft tissue therapy: This technique promotes faster tissue regeneration, breaks down scar tissue, and reduces restrictions by engaging the body’s natural healing mechanisms.

Biomechanical Rehabilitation: Practice specific routines to stabilize your spine, restore proper function and improve posture to impact the spine in a positive manner.

Kinesiotape Tape: This is used to support and relieve pain in muscles, joints, and ligaments. It lifts the skin to create a small space between the muscle and dermis, enhancing circulation and reducing inflammation.

At ChiroVitality, we use a multifaceted approach to healing. Our tailored treatment plans focus on your individual needs to ensure you receive the care you require to find lasting relief. Don’t let neck pain hold you back any longer.

Take the first step and book your initial assessment. If you’re unsure, contact us today to schedule a FREE 10-minute Virtual consultation with Dr. Nick so he can answer any questions you may have. Let’s work together to get you back to feeling your best!