Recovery requires a period of relative rest, ice, medication and specific exercises. It is important that inflexible muscles are stretched and the trunk muscles strengthened. In some cases, bracing may be necessary to allow for proper healing. Progression back to sports is similar to that for sprains and strains.
A few special considerations are important in an athlete who has developed a spondylolisthesis. Athletes with 50% or less forward slippage can usually return to all sporting activities after pain resolves and appropriate rehabilitation has been completed. Athletes with 50% or greater forward slippage are encouraged to participate in less aggravating sports. Also, athletes with a spondylolisthesis should be monitored every six months for progressive slippage as they go through any adolescent growth spurt.