How can chiropractic treatment be modified in Spondylolisthesis cases?

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In spondylolisthesis, the slipping vertebra is more vulnerable to the stresses created by extension. Extending the lumbar spine increases the lordotic curve and anterior shear forces at the slipping segment, which can worsen the slip and aggravate pain. The best way to modify chiropractic care is to avoid extension-focused activities and provide external stabilization by reducing lumbar lordosis. An anti-lordotic brace helps limit the curve, decrease shear forces, and support the spine during healing, making it a sensible precaution in many cases. Aggressive extension work would counter this protective strategy, and proceeding with standard adjustments or adjusting in progressive unstable types without modification can pose additional risk. Keeping extension at bay and using external support helps protect the affected segment while treatment progresses.