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Spondylolisthesis (slipped vertebra)

Also called: Spondylolisthesis, spondylolysis, slipped vertebra

A bone in the lower spine slips forward over the one below, causing back pain and sometimes leg pain.

Common inYoung athletes, older adults
TreatmentRest, therapy, sometimes surgery

Overview

A slipped vertebra can come from a stress fracture in teen athletes or wear and tear in older adults.

It may cause back pain and tight hamstrings, or pain down the legs.

Symptoms

Common signs:

  • Low back pain

Less common

  • Leg pain

When to get medical care

Call 911Loss of bladder or bowel control.
Get care todayLeg weakness.
See a doctor soonBack pain lasting weeks.

Causes

Stress fractures, wear.

Does it spread or run in families?

  • It isn't contagious. You can't catch it from someone else.

Who is more likely to get it

  • Gymnasts
  • Football linemen

Diagnosis

X-rays show it.

Tests

Tests, if needed:

  • X-ray:

Treatment

Rest and strengthen.

Self-care

  • Core exercises
  • Avoid arching sports for a while

Medicines

Medicines that may help:

MedicineHelps withGood to know
Pain relievers
Pain and swellingAsk first if you have kidney, stomach, or heart problems.

OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.

Prevention

To lower your risk or prevent problems:

  • Core strength

Which doctor treats this

  • Start with your primary care provider (family doctor or internist).
  • They may send you to a rheumatologist (joint and immune system doctor).

Living with it

Support groups and helplines

Children, pregnancy, and older adults

  • Gymnasts and football linemen: Higher risk.

Pregnancy and breastfeeding

  • If you're pregnant or planning to be, tell your prenatal provider about this condition.
  • Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
  • Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
  • Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.

Outlook

Manageable.

Most improve with therapy.

Getting ready for your visit

Bring a list of your symptoms and medicines.

Questions to ask

  • Can I keep playing sports?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Spondylolisthesis (slipped vertebra)

Sources

Last updated 2026-11-12.