1. the most common cause of having spondylolithesis is degenerative changes, thus will involve physical examination and consultation with back pain
specialist [orthopedic surgeon], who might ask for X-rays or other imaging techniques [if needed] so an appropriate referral and/or treatment approach can be developed.
2. could be simple muscle strain
, or injury
to the muscles, ligaments, and discs that support your spine, you should contact your doctor to see if you need further evaluation.
3. depending on the condition that is causing mid spinal pain, option for treatment may include:
i. conservative [Non-Surgical Treatment]: rest,ice,heat,exercises, medications.
ii. Alternative Treatments
iii. Spine Surgery: since had not any surgery, and if back pain does not resolve with simple steps your doctor can help you determine when surgery may be an appropriate treatment for your condition.