The initial treatment often involves conservative management strategies. Physical Therapy is crucial, providing tailored exercises and stretches aimed at strengthening the muscles supporting the spine, enhancing flexibility, and promoting good posture. The strategic application of heat and ice can also aid in managing inflammation and alleviating pain.

Continued physical therapy is essential for spondylolysis management. It includes specific exercises to strengthen the back and core muscles, which support the spine, and techniques to improve spinal stability and prevent further injury.

Chiropractic interventions can be beneficial for managing symptoms related to spondylolysis. Gentle spinal adjustments and manipulation techniques can help in maintaining proper spinal alignment and reducing discomfort.

Depending on the level of pain, medications such as anti-inflammatory drugs or pain relievers may be recommended to manage symptoms and enhance comfort.

Lifestyle and ergonomic modifications are important in managing spondylolysis. This includes avoiding activities that strain the lower back, maintaining a healthy weight, and adopting proper lifting techniques.

Temporarily limiting certain activities, especially those that involve hyperextension or twisting of the spine, can help in preventing exacerbation of symptoms.

In some cases, wearing a back brace can provide additional support and help in stabilizing the spine, especially in adolescents during periods of growth.

If conservative measures are inadequate, interventional procedures like epidural steroid injections may be considered for pain relief.

Complementary therapies such as acupuncture, yoga, and massage therapy can support overall treatment by offering pain relief, stress reduction, and improving spinal flexibility.

Surgery is generally considered only if conservative treatments fail and there is persistent pain or progression of the condition. Surgical options might include repair or stabilization of the affected vertebrae.