What is Hyperlordosis?

Lordosis is a pronounced inward curving of the lower back or lumbar spine (just above the buttocks). It is also known as 'swayback'. The spine has two other types of curves: kyphotic or an outward curve of the thoracic spine near the ribs known as 'hunchback', and scoliotic (sideways curving).

A small amount of kyphotic and lordotic curvature is normal. However, scoliosis is always considered abnormal. If the lumbar region has no curving, it is known as 'flat back'.

What Causes Hyperlordosis?

Bad posture is a common cause of hyperlordosis. Other factors that may contribute to hyperlordosis are:
  • obesity
  • wearing high-heeled shoes for extended periods
  • spinal injury
  • pregnancy
  • neuromuscular diseases
  • spondylolisthesis
  • osteoporosis
  • rickets
  • sitting or standing for extended periods
  • achondroplasia (dwarfism)
  • weak core muscles
A simple test can check your posture: Stand up against straight with your back pushed against the wall. With legs shoulder-width, your head, shoulder blades, and buttocks against the wall. Then, place your hand behind the lower spine. If you can place more than one hand between the back and the wall, then you have hyperlordosis.

What Are the Signs and Symptoms?

There will be a fairly large gap when lying on a hard surface, and the buttocks will appear more prominent while the abdomen may protrude. Other symptoms include problems standing in one place for prolonged periods due to low back pain. Gymnastics is usually difficult for people with hyperlordosis. Other signs and symptoms may eventually include chronic fatigue and neck discomfort.

How is Hyperlordosis Diagnosed?

A simple physical exam can detect the curvature in hyperlordosis. If the curvature seems rigid rather than flexible, the doctor may order X-Rays to determine the diagnosis.

How is Hyperlordosis Treated?

If the lordotic curve is flexible, it does not usually progress or result in significant symptoms. If the curve is rigid, and X-Ray will be needed and may require a back brace or back surgery, such as spinal fusion.

Surgery & Treatment for Hyperlordosis

At Spine Connection we have regenerative and surgical treatments for all spine conditions. As every case is unique we encourage you to receive and compare opinions from our Neurosurgeon and Orthopedic Spine Specialists. We are here to help.
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