Lumbar spondylolisthesis requires different treatments depending on the severity of the condition. If the symptoms are mild, it can be treated conservatively; if the symptoms are severe, it can be treated with surgery. Lumbar spondylolisthesis is mostly related to abnormal development of the arch root and degeneration of the lumbar spine. If it is a first-degree spondylolisthesis, there are no clinical symptoms, so it can be left untreated, and attention should be paid to avoiding heavy physical labor as much as possible. If it is the second degree of spondylolisthesis, there may be narrowing of the spinal canal, spinal nerve compression, you can first choose conservative treatment, such as rest, wear a waist immobilization belt, under the guidance of the doctor, oral anti-inflammatory drugs nimesulide, diclofenac sodium anti-inflammatory pain, oral neurotrophic drugs such as methylcobalamin, adenosylcobalamin, and so on. You can also choose physical therapy such as hot compresses, massage, and baking electricity. If the second degree or more lumbar spondylolisthesis, nerve compression is obvious, lumbar and lower limb pain and numbness and other symptoms, after conservative treatment is ineffective, you can choose surgical treatment, such as open surgical decompression of the spinal canal implantation and fusion of internal fixation and so on. If persistent lumbar pain, numbness of the lower limbs and other symptoms, it is recommended to go to the hospital in a timely manner to improve the examination, regular treatment.