3 Questions To Ask When You Are Searching For Spondylolisthesis Rehab

spondlylolisthesis rehab

Every day more and more people are receiving the diagnosis of having a spondylolisthesis or spondylolysis.

Of those that are diagnosed a large percentage are recommended to attempt a conservative method to help find relief as the first means of defense against pain and discomfort.

One of the most common conservative methods chosen is physical therapy.

Many times a doctor or physician will recommend a therapy clinic they are associated with.  Many patients are under the impression that the doctors recommendation is the best and only option, however there are more than likely several clinics or therapists that you can choose from and some may suit you and your situation better.

So before you run out to the first clinic you can find, did you know that not all therapy is the same?

To begin, several things make therapy unique…

  • Size of the clinic
  • Methods practiced
  • Experience of the professionals
  • Targeted clientele
  • Payment methods accepted (cash based or insurance)
  • Ratio of clients to professionals
  • Education or background of the professionals
  • Certifications of the professionals

The list goes on and on.

Although you may have a diagnosis of a spondylolisthesis or spondylolysis, there is no set in stone path to helping you find relief. You could go to five different clinics and receive five different treatment methods.

It really comes down to the clinic and the professional who is working with you.

So, you might be wondering…

“What can I do to find a professional that might offer the best chances of improving how I move and feel?”

You can start by interviewing a few places over the phone.

Simply give them a call and discuss with them your situation. I would recommend making a little chart of the places you call and the answers they provide to the questions you ask.

You can then use these answers to help make your decision.

You will get a good feel for the person and clinic simply by talking to them, you can also ask 3 questions that will provide some valuable insight.

Question #1:

Has your clinic or available rehab professionals worked with any spondylolisthesis or spondylolysis patients in the past?

This is a fairly simple question that hopefully will lead to a fairly simple answer, yes or no.

In a perfect world you would encounter a facility that has some experience working with patients that have had spondy’s.

But that is not always the case.

Some places may have never worked with a spondy patient before and others may have vast experience.

Keep in mind, this is not an end all be all question and in fact, none of these questions are.  But it will help you to weigh your options when it is time to come to a conclusion.

Listen to the answer and evaluate their response to help you make a decision.

Question #2:

Do you use any kind of full body movement screens in your clinic?

As you probably know by now we are BIG advocates of full body movement screens. We will not go over all of the reasons in this article, but if you would like to know more our site is full of articles touching on this topic.

For example here are two such articles you can read to better understand the importance of screening.

1. Screening for spondylolisthesis and spondylolysis

2. 3 Helpful do’s and don’ts of spondylolisthesis exercise

Full body movement screens and their results help to develop a good starting point for the professional.

These results can be used to help locate possible asymmetries, weaknesses, tightness’s or other issues that may be contributing to your spondy pain.

These screens can also help to improve issues related to possible sources of the pain opposed to just treating the pain itself.  In my opinion this helps to improve your chances of moving and feeling better for the long run, not just tomorrow.

Full body screens help the professional treat you as an individual not just the symptoms of your condition and this is a big plus for me (and you). It really opened my eyes when I discovered full body screening.

Question #3:

What is the estimated ratio of professionals to clients?

Another question that is often ignored, but the smaller the ratio the better quality of care you will usually receive.

If you are one of 3 clients that one professional is trying to watch it is often hard for them to pay attention to details of exercises, stretches and movements.

It is also difficult for them to answer questions or communicate.

I am by no means saying it is a bad thing if you are not the only client in the building, but you do not want to be one of several clients in a crowded facility being overlooked by one person.

With the ever changing landscape of healthcare many places are forced to fit more clients in per hour to keep their doors open. This may lead to water downed care caused by a packed house. There are still facilities that operate on a one-on-one basis and a simple phone call will help you locate them.

Yes, you may pay a little more but when it comes to your health an extra few dollars is well worth it in my book.

So before you jump right into starting rehab, take a step back, make a few calls and ask a few questions. It will greatly improve your chances of finding a successful rehab experience.

Remember, these are not make or break questions but gauging the answers you receive and reviewing your options carefully can go a long way in helping you find relief.

Do you have any questions you have asked or experiences with rehab that may help out another spondy patient? Do not hesitate to share your thoughts below in the comment box!

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Leave A Reply (2 comments so far)

  1. janine
    4 years ago

    What causes Spony in the first place cause I really don’t know how I got this way and it’s hard to under stand the different types of Spony. The pain is so bad at times that it is hard to bare the pain was going to therapy but not enough time 30 minutes is nothing need longer time but that never happens. So I had seen some kind of exercise to do the last email I had got from you in a while like reading all about this problem that I have since my Doctor won’t really explain to me so I would love to see more information on this

    Thank You Ms. Barajas.

    • Spondy
      4 years ago

      Hi Ms. Barajas.

      Thanks for the comment and I can relate to your pain. Having a spondy is frustrating both mentally and physically. Having a doctor who does not explain all of the details can also be a frustrating experience. The actually causing of a spondylolysis is a small fracture in your vertebrae. When this fracture progresses to the point that it causes slippage of the vertebrae it is called a spondylolisthesis (we simply refer to them as spondy’s for short). I wrote two articles that go into much more detail and may help you understand better…..


      The real question is what caused YOU to get a spondy. It could be from poor movement leading to compensations over years and tons of stress on your vertebrae. It could be from a traumatic injury. Perhaps you were born with a slight birth defect of one of your vertebrae leaving it more susceptible to injury or you may have what is called degenerative spondylolisthesis.

      I am not in position to tell you exactly what caused your spondy due to the various factors involved, but this article will give you a better understanding of the types of spondy’s.


      I hope this answer helps you out and thanks for commenting. Just let me know if you have any other questions.

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