A slight levoconvex scoliosis is seen and there is a6 mm anterolisthesis of L4 L5, mild lumbar facet OA greatest at L4-5. The disc spaces and the vertebral body heights appear maintained. impression: degenerative spondylolisthesis at L4-4 due to facet OA What can I do and what is the best treament? Thanks
Physical therapy is your best option if you're suffering from pain in the low back. Aquatherapy is particularly a good option and "water jogging" is one of the best exercises in my opinion for this picture.
Nothing to do for the scoliotic curve which is graded as slight. Degenerative arthritis is not something that can be reversed or stopped but staying active is believe to to be the DRUG OF CHOICE.
If pain is significant then, try anti-inflammatories that are over the counter or Tylenol as well.
The arthritis foundation of America has an excellent website with lots of other suggestions including those of DIET and other alternative medical approaches for osteoarthritic pain and degenerative disease.
Hope I have answered your query. Let me know if I can assist you further.