Spondylolisthesis occurs when one vertebra slips forward on the adjacent vertebrae. This will produce both a gradual deformity of the lower spine but also a narrowing of the vertebral canal. It is often associated with pain. the anterior displacement of a vertebra or the vertebral column. These occur most commonly in the lumbar spine. common among athletes who participate in sports with repeated hyperextension, such as gymnastics.

• Degenerative spondylolisthesis is a disease of the older adult that develops as a result arthritis

SYMPTOMS

1. general stiffening of the back and a tightening of the hamstrings, with a resulting change in both posture and gait
2. generalized pain in the lower back, along with intermittent shocks of shooting pain beginning in the buttock traveling downward into the back of the thigh and/or lower leg.
3. pain that extends below the knee and may be felt in the feet
4. Sitting and trying to stand up may be painful and difficult
5. Coughing and sneezing can intensify the pain
6. slipping sensation when moving into an upright position
7.  pain increases on activity

Ayurvedic  Management

Here we are maintaining the normal curvature of the spine with correcting the forward displacement using special manupulations, for this muscles should be relaxed and then correcting the spine using bandages,then the holding muscles should be strengthened to hold the spine

we are maintaining the normal curvature of the spine with correcting the lateral deviation of spine, for correcting the deviation the holding muscles should be relaxed and then correct the normal curvature of the spine using bandages, then the muscles should be strengthened to hold the spine, special external treatments are needed for this.

Medicinal Management

Specially prepared medicines for reducing the muscle spasm and bone strengthening,along with correcting the cellular digestive process

Local Treatments

These include special external oil treatment modalities and bandages, tractions along with lepanas. 

• Abhyangam - massage
• Tractions
• Lepanas
• Bandage
• Katee vasthi - 
• Swedam

PANCHA KARMA PROCEDURES

• SNEHA VASTI
• KASHAYA VASTHI

 EFFECTS OF AYURVEDIC TREATMENT

• corrects disc dehydration
• strengthens para spinal muscles
• arrests disc  dehydration
• restore mobility
• Life style modification and anti-inflamatory drugs. 
• Massage,trigerpoint therapy,maintain musculoskeletal function
• Increase range of motion,flexibility,core strengthening
• Decompressive therapies(manual mobilization,mechanical traction)

Surgical Treatment For Spondylolisthesis

Surgical treatment is only considered after at least 6 weeks and often 6–12 months of non-operative therapy has failed to relieve symptoms. This is an area of considerable debate among spine surgeons, because although there are now techniques available that will allow the surgeon to "reduce" the slipped vertebra back to is normal, "anatomic" position, these techniques carry the risk of causing an injury to the surrounding nerve roots in the process.

Posterolateral fusion: Posterolateral fusion in adult lumbar isthmic spondylolisthesis results in a significant improvement in 2 year outcomes, but the difference between surgical and nonsurgical treatment narrows with time.