Lumbar Lordosis

By Sally Ann Quirke | Filed under: Know your Spine, Lower Back Pain

Lumbar Lordosis - lordotic curve
The curves in your spine - lordotic and Kyphotic

Firstly, don’t necessarily think of lumbar Lordosis as a condition, rather as a description for a specific part of your spine anatomy.

Lumbar Lordosis explained

What I mean by this is your lumbar region is the region of the spine that starts from below the shoulder blades down to your abdomen (see Spine Anatomy for further information about the regions of the spine). Lordosis describes the curvature of the spine. If you look at your back from the side, you will see that your spine naturally curves in a gentle S-shape - inwards at the neck, outwards in the middle back and inwards again at the lower back and outwards in the middle.

Each of us may have variations in the shape and size of these curves, and the term lumbar lordosis is used to categorise these variations - Specifically, the lower curve in the back can be flattened, in what is known as a flat back or sway back posture, or the curvature can be too deep, known as a lordotic posture.

As I mentioned, everyone will have slight variations and there are normal limits which our backs will exist. However, any deviation too far away from the normal can be a factor in the cause of back pain.

Read on for more detail…

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Lumbar Lordosis - some common causes.

Lordosis occasionally occurs in children and teenagers as their spine develops, but unless noticed at this stage by a Doctor or Chartered Physiotherapist, may not be noticeable until they reach their early adulthood. It can also occur in adults at any stage.

There are many potential causes of Lumbar Lordosis, but the most common one that I see in my clinic is generally due to holding a poor posture and Muscle Imbalances over time. [Spondylolithesis] /category/conditions/spondylolisthesis “Articles on Spondylolisthesis”), Kyphosis and osteoporosis (where the vertebrae in your back weaken with age) and obesity are also known causes.

Treating Lumbar Lordosis

Treating an excessive or abnormal curvature of the spine will depend on the type and severity of the abnormality (too flat or too curved) along with whether there are any other symptoms present, such as severe lower back pain. your doctor may prescribe back pain medication to relieve the symptoms, but remember this won’t treat the cause of the pain. For that we need to correct your lordotic posture.

Correcting a Lumbar Lordosis

When I teach Physio Pilates each week - the position of your lumbar lordosis is the first thing that I teach. Quite often, by teaching you where the correct position for your lumbar lordosis is, the rest of your spine will naturally follow it into a correct postural position.

Once you have been taught on the position your spine should be held, strengthening exercises are often used to help correct and hold the spine in that correct position. For most cases, it is through holding and maintaining a good posture that you can prevent problems occurring in the future.

I look at your pelvis as the keystone to your body and its position is vital to the overall alignment of your posture. Your lumbar lordosis is an integral part of your pelvic positioning.

Physiotherapy will look to treat any symptoms of your lumbar lordosis, such as lower back pain or hip pain.

To summarise, sometimes your lumbar lordosis may be out of alignment. However this does not always mean that you will have, or get back pain, but it does require a chartered physiotherapist’’s opinion in my view.

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The materials contained on this website are provided for general information and educational purposes only and do not constitute medical advice on any particular individual situation. Please see your Chartered Physiotherapist or other medical practitioner for full and individual consultation.

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