How to treat a forward slip of the l4 vertebra?

L4 vertebral body slips forward to consider the lumbar spondylolisthesis, feasible bed rest, traction, oral celecoxib and other painkillers, as well as surgery and other treatments. 1. Mild symptoms: Lumbar spondylolisthesis may present with symptoms such as lumbago and lower extremity pain, which can be relieved by bed rest when the symptoms are mild. Conservative treatments such as lumbar and dorsal muscle functional exercise and support protection can also be carried out. If rest can not be relieved, oral celecoxib and other non-steroidal anti-inflammatory drugs to relieve the symptoms, celecoxib adverse effects of stomach pain, hypertension, skin rashes, etc., to non-steroidal drugs and sulfonamide allergy is prohibited. 2. Obvious symptoms: if the symptoms are obvious and the application of conservative treatment is not effective, surgical treatment is needed. 3. Congenital lumbar spondylolisthesis: Asymptomatic patients with congenital lumbar spondylolisthesis within Ⅰ ° do not need special treatment, while symptomatic patients can be treated conservatively with traction, rest, and oral non-steroidal anti-inflammatory drugs. Those with congenital lumbar spondylolisthesis Ⅰ ° or more and with neurological symptoms such as low back pain need surgical treatment. If lumbar spondylolisthesis is diagnosed, early standardized treatment is recommended to reduce the adverse effects of the disease.