What is lumbar hyperlordosis?

The spine has normal physiological curvatures at various heights. Lordosis are curves that look concave from behind (the back sinks or depresses) and kyphosis is curves that look convex.

Viewed from the side, lordoses are curved forward and kyphosis are curved backwards. From bottom to top, lordosis appears in the lumbar and cervical region, while kyphosis is located in the sacral and dorsal areas.

When these spinal curvatures appear accentuated or exaggerated beyond normal, we will be facing a hyperlordosis or a hyperkyphosis depending on the type of curvature affected.

Thus, a hyperlordosis is defined as an excessive curvature of the spine in some of the lordosis zones. The most common is lumbar hyperlordosis and affects the lower back. it can also be cervical and have several variations.

lumbar hyperlordosis

lumbar hyperlordosis corresponds to an accentuation of the physiological curvature of the lumbar region. It creates a characteristic C-shape in the lower back and can lead to pain and partial inability to perform some sports and movements.

It is often due to continued poor posture and combined with lack of exercise and muscle weakness in both the lower back and abdominal area.

The opposite condition is lumbar hypolordosis, and both add extra stress to the joints that can trigger osteoarthritis and other degenerative joint diseases.

Symptoms

Lumbar hyperlordosis can cause muscle spasms and stiffness in the lower back and cause collateral damage to the spine and soft tissues in the lower back.

Among the main symptoms:

curved spine: One of the most descriptive features of lumbar hyperlordosis is an excessively curved spine that creates a depression in the lower back and, on the opposite side, a more prominent abdomen. Low back pain: People with low back hyperlordosis may experience moderate to severe pain that can be made worse by certain movements.
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Gallery

X-ray of a lumbar hyperlordosis Patient with lumbar hyperlordosis. In a normal curvature, points A and B would be approximately aligned.

Causes of hyperlordosis

Lumbar hyperlordosis can be the result of a number of factors, including poor posture, obesity, lack of exercise, and spinal disorders.

Bad Postural Habits: This is one of the most common causes of lumbar hyperlordosis. When sitting, the muscles in the lower back are contracted to stabilize and support the spine. If this posture is maintained and continued, the muscles gradually pull the spine up and increase its natural curvature. This problem especially affects people with a job where they spend long periods of time sitting. Obesity: Excess fat in the abdomen and buttocks increases tension in the lower back and contributes to increased lordosis. Spinal Problems: In some cases, hyperlordosis can be a result of another pre-existing spinal problem such as hyperkyphosis, spondylolisthesis, or discitis.

diagnosis and treatment

The normal and physiological curvature of the spine can vary widely without causing problems, so the diagnosis of hyperlordosis is complicated in many cases.

x-ray radiography It is very useful to have an image of the spine in which the degree of curvature can be measured. If soft tissue visualization is also required, magnetic resonance imaging and computed tomography can be used.

In the treatment of lordosis, the use of analgesics and anti-inflammatories to relieve pain.

To correct the curvature of the spine, physiotherapy sessions and the performance of specific physical exercises by the patient to strengthen the muscles in the region, improve posture and correct excessive curvature of the spine.

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If the patient is obese or overweight, it is advisable to introduce a weight loss plan. With the maintenance of a healthy weight and the performance of the exercises, the relief of low back pain is usually very noticeable, even when there is no decrease in curvature.

Other types of hyperlordosis and hyperkyphosis

Cervical hyperlordosis: it consists of a marked cervical lordosis. The cervical region has great mobility compared to other areas of the spine, so the deformity is usually corrected if the cause disappears. Thoracic hyperkyphosis: the curvature of the spine in the dorsal region (kyphosis) is accentuated and causes the shoulders to fall forward and the appearance of a hunchback. Total, true or fixed kyphosis: the spine acquires a kyphotic curvature from the sacrum to the cervical region. The natural lordosis of the lower back disappears. Flexible Kyphosis: In this type of kyphosis, the excessive curvature can be corrected with a voluntary effort from the patient. It is usually due to poor postural hygiene in its early stages. Reversal of curvatures: the lumbar region appears flat or kyphosis rather than lordosis, and the dorsal region appears lordosis rather than kyphosis. At the pelvic level, retroversion appears.

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