Lordosis (Swayback) Treatments

Lordosis is an exaggerated kyphotic (anterior) curvature of the lumbar region. Other names for this disorder include saddle back or hyperlordosis. Though the direction of the curve remains normal, it's angle of curvature is beyond the ideal and puts pressure on the vertebral structures in the lumbar and pelvic region beyond what the spine is designed to handle. Lordosis is the excessive curvature of the lumbar spine to an angle of curvature beyond the normal range. A normal curvature of the spine presents several curves which correspond to different regions of the column (e.g. cervical, thoracic, lumbar, pelvic). Lordosis refers to an excessive low back or lumbar curve (anterior tilt of pelvis). The causes of lordosis may include pregnancy, obesity, osteoporosis, and muscle imbalances. Muscle imbalances or weakness in the Iliopsoas, Paraspinals, Quadratus Lumborum, Gluteus Medium, and Gluteus Minimus may cause an abnormal increase to a person's lumbar curvature. Other causes of this hyperlordosis may include structural abnormalities in the vertebral discs or structural deficiencies in the vertebral bones. Treatments for lordosis may include weight loss programs, core strengthening exercise, and possibly spinal fusion procedures to treat pathology to one or more segments of the spine.



Causes - The S curve of the spine is designed to withstand stress. The disorder known as Lordosis usually refers to lumbar lordosis, the excessive anterior curvature in the lumbar region. Cervical lordosis refers to an exaggerated anterior curvature of the cervical spine. In this article, we will be referring to anterior Lumbar Lordosis. Patients afflicted with lumbar lordosis may have an abdomen that extends in front of their chest, the buttocks more prominent, and generally will have a noticeable exaggerated posture when standing and walking. The shape of the spine really is not normal, and it can eventually cause pressure on the spine eventually when standing or walking or performing tasks. Possible causes of this problem include osteoporosis, Spondylolisthesis, and muscle inflexibility. Women may experience a temporary form of lordosis during pregnancy.

Treatment - Muscle related lumbar lordosis may be treated by exercises aimed at lengthening and strengthening the muscles that keep the spine in proper alignment. This problem can be treated by stretching the psoas muscles, and by strengthening the hamstrings and abdominal muscles. The psoas muscles. The psoas muscle stabilizes the base of the spine, allowing the spine to flex, and rotating the hips for free range of movement. When the psoas is strong and at an optimal size (length), a person is able to maintain a correct posture and remain comfortable when standing and sitting. When it is constricted, it pulls the vertebral column too far forward. Physical therapists and trainers may show patients with tight psoas muscles a foam-rolling technique, also known as self-myofascial release. Abdominal exercises are core exercises aimed at strengthening the rectus abdominus, external abdominal obliques, and internal abdominal obliques. One rectus abdominis exercise is the Exercise Ball Crunch. The only piece of equipment need for this exercise is the exercise crunch ball. In this exercise, the patient sits on the ball in a semi-seated position, with the top of their bottom and back touching the ball, The patient's feet remain flat on the ground, and the person is sitting up with their hands touching the back of their head. The person on the ball curls up and down over several repetitions to challenge their internal abdominal muscles.

Physical therapy is successful at treating the majority of patients with lumbar lordosis this problem nearly 75% of the time.