Hi, A retrolisthesis is a posterior displacement of one vertebral body with respect to the adjacent vertebrae to a degree less than a luxation (dislocation). Clinically speaking, retrolisthesis is the opposite of spondylolisthesis (anterior displacement of one vertebral body on the subjacent vertebral body) Initial treatment strategies are aimed at controlling and reducing the pain. These include: Nutritious Food – Although this seems to be a very common suggestion by most of the physicians, taking nutritious food that aids in the repair of the soft tissues of the spine is very helpful. The required nutrients include: Zinc is an essential element for the proper utilization of vitamin A. Shrimps and oysters are rich sources of zinc. Without zinc, this vitamin does not get released from the liver. Vitamin A which aids in tissue repair can be obtained from cod liver oil, butter, orange and yellow vegetables etc. Copper plays a key role in adding strength to ligaments and membranes by cross linking the proteins. Vitamin C acts as a tissue builder and an antioxidant. Glucosamine is essential for cartilage repair (1500mg/day). Water is a required component of spinal disc cartilage and aids in the height of the intervertebral disc. The taller the disc the more taut the fibers in it. Manganese aids in cross linking the proteins. Reposition of the displaced vertebra – The position of the displaced vertebra needs to be corrected in order to decrease the irritation of the nerves and to reduce unnecessary stress on the soft tissues of the spinal column. Weight Reduction – Being overweight puts pressure and stress on the spine that may lead to back related disorders, especially Retrolisthesis. Hence it is advised by the doctors to maintain healthy body weight. Microcurrent Therapy – This technique not only stimulates tissue repair but also controls the pain. Through this therapy, the energy components of the cells (ATP) are increased. Since this is like a boost to the spine, cells can perform all tasks including cell repair effectively. Surgery – This treatment option should be given a nod only after trying all or some of the above therapies and the patients still do not find symptomatic relief. Taking some precautions such as sitting in a proper posture, having nutritious food and exercising regularly can prevent.Hope this would help you Regards Dr Sandhya Manorenj Neurologist Hi tech city hyderabad