Conversation: The conversation between human and AI assistant.
[|Human|] Hi this is salim from singapore, I have severe pain in my lumbar side after I did MRI diagnosis spondylothesis 2nd grade and cervical pain aswell and I went to some physio and chiropractic but no use, I use pain killer like tramodel 50mg since last year can I have any solution for my pain away except surgery please advice me
[|AI|]  Hi, thanks for writing to Chat Doctor. The initial management of Spondylolisthesis is always conservative by the following measures -- Avoid excessive forward bending activities as it will worsen the disc protrusion as well as further forward slipping of the vertebra. If you want to bend forwards, do it with your hips and knees flexed.- Avoid lifting heavy weights as it imparts more strain on your back-Maintain optimum body weight, if you are obese. A faster progression of listless and higher chances of worsening are very common in obese individuals.- Use a lumbosacral back support to stabilize your spinal muscles and prevent further progression of the listless.- Use analgesic and muscle relaxants as needed. If you fail to improve with the above measures or if your symptoms are worsening in due course of time, then you may need a surgical fixation. Hope this information is helpful. Good day