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Lordosis is also known as Hyperlordosis or Swayback or Saddleback. It is an abnormal excessive front-to-back curvature of the lower back Lumbar Spine. Hyperlordosis is one of the most common causes of Lower Back Pain yet is a correctable condition if addressed properly.
What causes Hyperlordosis?
Anything that causes the pelvis to rotate forward will move the body's center of gravity forward. The body will compensate by moving the upper torso backward to reposition the center of gravity in a vertically balanced position. When that happens, the end result is an excessive front-to-back lumbar curve given other names Hyperlordosis, Swayback, or Saddleback. The resulting Postural Dysfunction of the lower back Lumbar Spine causes muscular imbalances as well as incorrect positioning of and in the Lumbar Spine. What this basically means is that Hyperlordosis is fundamentally a postural and developmental problem that develops over a period of time rather than a condition that happens overnight.
Does this mean that Foot Position has a lot to do with Lordosis?
Anything that causes the heels of the feet to be lifted higher than the balls of the feet can be a contributing cause to Lordosis. This means that Lordosis can be caused by wearing high heeled shoes that results in postural dysfunction of the lower back. The postural dysfunction in turn causes muscular imbalances where there are corresponding anterior and posterior hypertonic muscle groups in opposition to weak and inhibited muscle groups in the pelvis and lower torso. This results in a condition that is commonly known as “Lower Crossed Syndrome”.
What are the corresponding Hypertonic (Excessively Tight) Muscle Groups for Lower Crossed Syndrome?
The anterior hypertonic muscle groups directly related to Hyperlordosis Lower Crossed Syndrome are the Hip Flexors (Psoas Muscles) and the upper anterior thigh muscles (Rectus Femoris and Sartorius). The posterior hypertonic muscle groups directly related to Hyperlordosis Lower Crossed Syndrome are the muscles of the Lumbar Spine (Erector Spinae, Multifidi, Quadratus Lumborum, Rotatores).
What are the corresponding Weak and Inhibited Muscle Groups for Lower Crossed Syndrome?
The anterior weak and inhibited muscle group directly related to Hyperlordosis is the abdominal Muscles (Rectus Abdominus). The posterior weak and inhibited muscle groups directly related to Lordosis is the buttocks muscles (Gluteus Maximus) and the posterior upper leg muscles (also known as the Hamstrings or Biceps Femoris).
How does Hyperlordosis cause Lower Back Pain?
With the spine positioned in an excessive lordotic curve, a primary dysfunctional source of pain and a secondary dysfunctional source of pain is created. The primary source of pain is the improperly positioned lumbar spine. The secondary source of pain is the abnormal tissue hypertonicity that is created.
How does the improperly positioned Spine cause Lower Back Pain?
The improperly positioned lumbar spine due to Hyperlordosis results in unbalanced, uneven, and abnormal weight bearing loads upon the Lumbar Vertebrae and the Intervertebral Discs, which could result in nerve impingement and/or Sciatica. The excessive curve also results in incorrect Lumbar Facet Joint movement i.e. reduced Lumbar Facet Joint movement and /or Lumbar Facet Joint Compression which can turn into Lumbar Facet Syndrome. That Facet Syndrome could be a stuck open or closed Facet Joint or a Facet Joint that “sticks or binds”. This could also cause Facet Arthritis.
So what kind of Pain Symptoms are experienced directly as a result of the Improperly Positioned Spine?
The pain symptoms commonly experienced initially from the Improperly Positioned Spine are Facet Syndrome Pain Symptoms due to the Hyperextended Lumbar Spine that results in Facet Joint Compression, decreased Facet Joint movement, and irritation caused within the limited Facet ROM-Range of Motion in a Hyperextended state. Additional Pain symptoms over time would be a result of degeneration of Intervertebral Discs, and development of Osteophytes (Bone Spurs) that would have an effect upon nerve roots in the Lumbar area. In either case the pain could be localized, radiating, or Radicular-nerve root pain in nature.
How does Tissue Hypertonicity cause Lower Back Pain?
When Lordosis occurs, the hypertonic tissues experience excessive soft tissue loading and compression as well as reduced circulation due to the compressive state. The excessive tissue loading in turn causes reduced circulation that results in the inability to move waste products out of the muscles, ligaments, tendons, and other soft tissue, as well as impeding the flow of nutrients into cell structures. The result of this multiple cause and effect issue is significantly reduced circulation that not only results in lower back pain, but can also result in Ischemia (lack of Blood Flow) or Myofascial Pain Syndrome or Trigger Points.
What can be done to correct Lordosis?
As far as self-treatment goes, the first thing that the Hyperlordosis back pain sufferer should do is to alleviate as much as possible any condition that would position the heels higher than the balls of the feet while standing. The best approach to Hyperlordosis is to have a Diagnostic Pain Assessment conducted by a skilled Medical Massage Therapist or other Healthcare Professional prior to Hyperlordosis Treatment. The Assessment is a comprehensive compilation of information based upon Postural Analysis, Range of Motion Testing and other Special Tests that will be used to formulate the most effective treatment plan for this condition.
Back pain is one of the most common problems suffered by the American adults. Lower back pain is a particularly difficult problem. There can be many reasons for lower back pain so the first thing you must do before considering treatment of any kind is to try to determine the cause of the back pain.
Before your back began to hurt did you have an injury of any kind? This includes things like falling, or throwing your back, which can happen with a strong sneeze, which causes you to move sharply, or perhaps you lifted something that strained the muscles in your lower back. Any of these could be the culprit. If it is an injury you should see your health care provider. They will likely give you an anti-inflammatory and some simple exercises to do to relieve the pain.
Is the lower back pain that you are experiencing worsening when you bend over or lift even the lightest item? Is the pain remaining in your lower back, not traveling up anywhere? If so you may be experiencing muscle spasm, a pulled muscle or compression of a nerve. In this case you will need similar treatment to when you injure your back. Your health care provide will give you a prescription for an anti-inflammatory, and suggest bed rest for a couple of days with regular heating pad or hot water bottle sessions. After a couple of days the physician will want you do to some gentle exercises to strengthen your back muscles so this does not happen again. If the pain doesn't get better in a week you should go to see your physician again.
Are you pregnant? This can cause lower back pain, especially in your third trimester. As long as your symptoms include only mild back pain, a mild heat treatment should help. If it gets worse or you have a fever or any bleeding with the back pain see your health care provider immediately. These symptoms could be signs of a more serious problem.
A herniated disc can also cause some serious lower back pain. If you have pain that radiates from your lower spine down into your knee, ankle or simply down your leg these are signs that should be reported to your health care provider. But, if you have sudden weakness in your legs, or you lose bowel or bladder control, which are also signs of a herniated disc, you should get to the nearest emergency unit of a hospital. Have your physician meet you there if they have been following your back problems.
Does a rash accompany your back pain? Is it on your chest and back? If this rash looks similar to blisters, and feels like it is burning you likely have shingles. Shingles is a form of chickenpox that usually attacks a person over fifty. This can be very uncomfortable so your doctor will need to prescribe medications for you.
Whatever causes your back pain, don't let it remain untreated.