Hi, thanks for writing to HCM. All the MRI findings suggest DEGENERATIVE CHANGES in the lumbar spine at L3-L4 level. The loss of lumbar lordosis is not due to Listhesis. It is the result of protective muscle spasm that occurs secondary to any problem in the L.S.spine. The management for your problem is by conservative means as follows - * avoid lifting heavy weights as it imparts more strain on your back * avoid forward bending activities as it will worsen the anterior listhesis * Use a lumbosacral back support to prevent further Listhesis & to augment your spinal muscles * Intermittent pelvic traction to cause stretching of the muscles * Maintain optimum body weight as over weight will worsen your listhesis * Physiotherapy to strengthen your back muscles. Physiotherapy has to be done only after the acute pain has subsided. * Judicious use of analgesics and muscle relaxants. By following the above measures, you will get substantial symptom relief. Hope this information is helpful. Good day