Hi Dashrath,

In addition to the information provided by sdkashif, I would like to ask why you think the retrolithesis is significant. 7.5% is fairly small and you state that the neuro signs are negative.

Are you able to tell us more about his objective examination? What aggravates his pain? What eases his pain? How long has he had pain for? Why does he have pain now (accident or insidious onset)? What is FF/E/LF like? What is his sacral positioning like (since L5 is involved)? What about muscle tests and accessory movements?

Simply giving an exercise because someone has a retrolithesis doesn't make sense to me...

The answers to the above questions will be able to give you a more accurate guide as to what exercises to prescribe. I would see if he has restrictions in motion throught his ROM in the L/S and then seek to restore them. If for example extension is blocked at L5/S1 and it was painful, i wouldn't be giving extension exercises, i would seek to restore the segmental extension ROM then teach him simple exercises to maintain the ROM gained. etc etc.

Let us know how you get on...