Most of the time, people with spondylolithesis do not require surgery. These people need to learn how to avoid things that aggravate their condition, and ways to decrease the pain that does develop. Your physical therapist can help teach you exercises that will prevent you from aggravating your spondylolithesis. They can teach you better ways to move so that you do not develop pain. Physical therapists can also teach you positions and strategies that can help get rid of the pain once it develops.