Straightening of the physiological lordosis in the lumbar and cervical region. Lordosis is straightened - what does it mean? Lumbar lordosis straightened vertebrae compacted

Good posture, the spine with the correct natural curves, as you know, is the key to good health. Yet how few people can boast of this!

People often ask how to correct various pathological curvature of the spine - scoliosis, kyphosis, lordosis. Mostly questions are asked by parents who ask for advice on how to help their children. Adults usually do not ask themselves about such problems, apparently, believing that it is too late to help them - their skeleton has long been formed and is already too rigid to somehow influence it.

However, it is not. Observant people, of course, notice how the posture deteriorates and the legs of many older people are deformed, and the rigidity of the skeleton is not a hindrance here. This means that the skeleton at any age can actively change. And in which direction, depends on the conditions that we offer him.

We will talk today about what measures you can take on your own to correct various curvature of the spine.

Scoliosis exercises

Scoliosis is a lateral curvature of the spine, which is possible in all its departments and in any direction. Already in the initial stage of the disease, the internal tension in the vertebral bodies and discs increases sharply. The spine becomes rigid, inflexible. Pathological processes develop at an accelerated pace. The ability of the spine to withstand various overloads is reduced. For this reason, it is impossible to conserve or suspend the development of scoliosis, the disease progresses to a very old age.

On fig. 1 shows a left lumbar scoliosis.

The lumbar spine is curved to the left, the muscles at the waist are hypertrophied on the left, and practically absent on the right. This distribution of muscle mass in addition enhances the visual perception of the defect. Where did muscle asymmetry come from?

To maintain the body in an upright position, the muscles on the left must be constantly in a tense state, on the right - in a relaxed state. That is, if the patient is standing or sitting, the muscles on the left work hard, on the right they rest. If he walks, runs, swims, goes in for sports, the difference in loads increases many times over. This means that it is pointless to treat such a curvature with sports and ordinary physical education, moreover, it is harmful. Scoliosis will only increase!

Traditional Methods- physiotherapy exercises, gentle living conditions (for example, children are offered to do homework on their stomachs), corsets, mattresses molded in the shape of the body, - ineffective, and sometimes just akin to sophisticated torture. Oh, and surgery. I saw and treated children after surgical interventions. The results are not just zero, but tragic.

The common practice of chiropractors to try to straighten the spine using a standard set of techniques, unfortunately, also does not achieve its goals. The spine straightens for a few hours at best, then it returns to its original state.

What can you do yourself without resorting to the services of specialists?

1. Create conditions for the patient so that most of the time the spine is in a state of anti-bending.

2. Take all measures to align the muscular system.

Both can be successfully implemented by constantly performing the following exercises, or rather, by taking certain healing postures.

Pose for the treatment of lumbar scoliosis (Fig. 2).

The patient sits with a book under the left buttock. At the same time, the lumbar spine curves to the right, the muscles on the left relax, and the muscles on the right tense. The thickness of the book (or other suitable object) is selected based on the magnitude of the spinal deformity, the age of the patient, the width of the pelvis and fat deposits on the buttocks and varies from 1-1.5 cm for a child to 5-6 cm for a well-fed woman.

Sitting time for schoolchildren and adults is constant. This means - so you need to sit in the classroom at school, at home and in general always and everywhere, until complete recovery. For children 4-5 years old with mild scoliosis, half an hour of sitting a day is enough.

But there are times when it is impossible to sit on a book, for example, at a party or on the beach.

In this case, you can use the posture options shown inrice. 3 (away) andrice. 4 (at the beach, picnic or gym).

It is convenient to sit on an armchair or sofa, putting your foot instead of a book. It turns out extravagant and is not at all associated with treatment. On the beach, on the lawn, you can bend two legs. Sitting in such poses, you can lean with your right shoulder on a suitable support - the back of a chair, a wall, a tree trunk ...

All poses are given for left-sided lumbar scoliosis, with right-sided - exercises must be performed in a mirror version.

With lumbar scoliosis, the reverse bending posture can be taken while standing (Fig. 5).

To do this, the body should fully rest on the left leg, the right leg is slightly bent, the right half of the pelvis is lowered down.

For those who suffer from lumbar scoliosis, it is important to remember that both sitting and standing, he unconsciously takes a position that is convenient for scoliosis, that is, a mirror treatment. Therefore, watch yourself and take the right postures.

Well, what about muscles? Even with a complete cure for scoliosis, muscle asymmetry remains, which after some time easily leads to the return of scoliosis. Therefore, for the development of atrophied muscles, I suggest doing two exercises regularly.

Exercise 1(Fig. 6).

Press with your right hand on a fixed support, while tensing the muscles of the right side of the waist. Recommended exercise mode: 2 seconds - pressing, 1 second - rest. In mild cases, 1 series of 10 presses is performed, in severe cases, 2-5 series.

Exercise 2(Fig. 7).

Lie on your left side with your left leg slightly bent. The left hand is under the head, the right rests on the couch. The body is slightly tilted forward, the straight right leg is raised up and slightly laid back. To stimulate the muscles on the right leg, you can hang a load (several kilograms) and lift it with a straight leg until fatigue appears. You can resort to the help of relatives: the assistant presses on the leg in the area of the ankle joint, and the patient resists pressing (to the point of fatigue).

And the last tip. Do not forget about regular diagnostic examinations, as an overdose is possible. Therefore, it is important to stop in time, otherwise the curvature may go the other way. published

P.S. And remember, just by changing your consumption, we are changing the world together! © econet

Smoothness of the lumbar lordosis in some people does not cause any clinical symptoms, while in others it is combined with severe lower back pain. The different clinic of the disease is due to the anatomical features of the body structure, the state of the muscular corset and the degree of deformation of the lumbar vertebrae.

Translated from the Greek "lordosis" - "bent, stooped." In medicine, it refers to the physiological curvature of the spine in the cervical or lumbar regions with a bulge facing forward. It is necessary to reduce the depreciation load that the spine experiences when walking.

In children, after birth, the spine is straightened, and lordosis is not observed. When the baby begins to walk, he develops a lumbar concavity. Physiological curvature in the cervical region appears when the child can hold his head. As a result, by the year the baby has 2 lordosis (lumbar and cervical) and 2 kyphosis (thoracic and sacral).

Straightening of the lumbar lordosis occurs not only in small children, but also in diseases. Depending on the cause of the formation of convexity, the following types of pathology are distinguished:

Primary - occurs with pathological changes in the spinal column (inflammation, traumatic deformities, malformations);
Secondary - develops as a compensatory reaction in response to the occurrence of another pathology. Often occurs after hip dislocation and arthrosis of the hip joint;
Physiological - observed in children of the first year of life;
Paralytic - associated with weakness of the muscular corset of the back. Appears against the background of diseases that affect the muscular system (myositis, myopathy).

It is more correct to call the straightening of lordosis “hypolordosis”, since it reduces the angle of the physiological curvature of the spine.

More often doctors meet in practice with an increase in lordosis - hyperlordosis, which occurs with every second disease of the spine.

Lordosis in adults is flattened most often after a traumatic impact of the type of "whiplash" injury. Sharp acceleration, and then instantaneous braking leads to ruptures of the ligamentous-muscular apparatus and cracks in the vertebrae (car accident).

Figure A (left) - lordosis is straightened, Figure B (right) physiological concavity is preserved

Determining the straightening of lordosis at home is quite simple. Stand with your back against a wall. Press against her buttocks, shoulder girdle and nape. If the palm does not penetrate into the gap between the lumbar region and the wall, you have hypolordosis.

This pathology changes the appearance of a person:

The abdomen protrudes forward;
The shoulder girdle and head are displaced in the anterior direction;
The chest is flattened.

When walking, a person with this pathology cannot straighten the knee joints. The range of motion in them is sharply reduced, so pain occurs. Due to the fact that the abdominal organs go down, there are disturbances in the activity of the cardiovascular and respiratory systems.

The above changes do not bother a person so much as osteochondrosis with all its specific symptoms (lower back pain, limited mobility).

Straightening of the physiological lordosis in most cases is accompanied by the appearance of pain in the lower back of varying severity: from aching to acute. Following the smoothing of the lumbar concavity, there is a violation of the tone of the back muscles, which leads to a shift in the center of gravity of the body. As a result, the main load when walking falls on the joints of the lower extremities and the pelvis. Severe smoothness leads to serious complications:

There is a chronic compression of the spinal cord;
Demyelination of nerve fibers appears;
Formed cervical myelopathy (disturbances in the functioning of the nerve roots).

What to do with this problem

First of all, you should find out the cause of the pathology. In the presence of diseases of the spine, it is necessary to start their treatment. At the same time, a complex of general strengthening procedures is prescribed:

Swimming;
Massage;
Traction of the spinal column;
Wearing orthopedic belts and bandage.

The most effective treatment for straightening concavity in the lumbar region is therapeutic exercises. With hypolordosis, it is necessary to strengthen the abdominal muscles, which are antagonists of the muscular corset of the lower back.

The wrong shape of the back disrupts the distribution of the load on the human body. When there is a flattening of the physiological curves of the spine, the excess load falls on the lower limbs and pelvis. Arthrosis occurs in the joints (damage to the articular surfaces with limited mobility). At the same time, the physiological angle of the pelvis is shifted. To prevent such changes, with early detection of pathology, anti-inflammatory drugs (ibuprofen, nise, nimesulide, diclofenac) are prescribed. To strengthen the cartilaginous tissue of the spine and joints, it is advisable to use chondroprotectors (alflutop, structum).

In conclusion, it should be noted that doctors often overestimate the smoothness of the curvature of the lumbar concavity when analyzing radiographic images. So, very often in the conclusion of a radiologist you can read: "lumbar lordosis is smoothed out."

This condition in most cases is not pathological, but only serves as a compensatory reaction to a violation of posture. In such a situation, the lumbar lordosis is flattened for proper weight redistribution. Its straightening does not mean a primary pathology of the lumbar spine. The symptom will disappear on its own after the restoration of posture.

Problems associated with dysfunction of the spine occupy one of the leading places among other pathologies of the musculoskeletal system. This is due to the enormous load exerted on the spinal column in the process of life. In the course of evolution, it acquired a unique shape and structure that provides a person with the ability to walk upright, as well as mobility and flexibility.

Features of the structure of the spine

The spine of an adult consists of vertebrae united by a joint-ligamentous apparatus into a column, conditionally divided into the following departments:

cervical (has 7 vertebrae);
chest (12 vertebrae);
lumbar (5 vertebrae);
sacral (represents a triangular-shaped bone formed by five fused vertebrae);
coccygeal (usually represented by 3-5 fused vertebrae).

Of great importance in reducing the vertical load on the spine when walking, jumping, running is performed by formations called intervertebral discs. They are located between the vertebrae and have a heterogeneous structure, represented by the nucleus and the annulus fibrosus.

The vertebrae themselves are distinguished by the complexity and uniqueness of the structure. The main structural elements are the body (the most durable element) and the vertebral arch, which has special processes (spinous, two transverse, upper and lower articular). There is a hole between the body and the arch, thanks to which a receptacle for the spinal cord, nerve roots, and blood vessels is formed in the spinal column.

The spinal column of a healthy person is not absolutely straight. It has physiological curvature anteriorly and posteriorly, called in medicine and respectively. They take turns replace each other from department to department:

cervical lordosis;
lumbar lordosis;
sacral kyphosis.

Together with the muscles that stabilize the spine, this shock-absorbing structure provides the human body with mobility without the risk of injury.

In a situation where the physiological deviation becomes more pronounced or, on the contrary, disappears, we are talking about the pathology of the spine. The condition when the curvature intensifies is quite common. Smoothing of the curves of the cervical and lumbar regions, called hypolordosis, is diagnosed much less frequently.

Lordosis is straightened, smoothed, flattened - what does it mean

Depending on the stage of the disease, the straightening of physiological lordosis may not be visible externally. However, already at this stage, headaches, increased fatigue, and cognitive decline may appear. Regular medical examinations among schoolchildren make it possible to identify pathology at the initial stages, when physiological lordosis straightened, which greatly facilitates its correction.

It should be noted that the smoothing of physiological lordosis can take place both in the cervical and lumbar spine. Depending on the localization of the pathology, the symptoms of the disease also differ.

So, for hypolordosis of the cervical spine, the following symptoms and clinical manifestations are characteristic:

Smoothing the lumbar region is also fraught with the appearance of a characteristic symptom complex:

frequent back pain;
stiffness in the corresponding section of the spine;
change in gait, posture;
frequent urination due to increased pressure of the abdominal organs on the bladder;
violation of the filtration function of the kidneys, leading to the appearance of edema, as well as a deterioration in laboratory blood parameters;
protrusions and hernias of intervertebral discs;
disorders of the digestive system;
high risk of gallstone disease.

Why does the lordosis of the lumbar or cervical spine straighten?

The occurrence of hypolordosis may be preceded by a number of reasons. Among the main ones are:

congenital defects in the development of the musculoskeletal system of the fetus;
birth injury;
diseases such as tuberculosis, rickets, tumors of the spine;
prolonged stay in an uncomfortable position (improper organization of the workplace);
inflammatory diseases of the muscles;
running ;
autoimmune diseases;
existing pathological kyphosis;
spinal injury;

Often, before starting the treatment of hypolordosis, it is necessary to first eliminate the factors that precede its appearance.

Methods of diagnosis and treatment of the disease

You can also diagnose the flattening of physiological lordosis at home. Standing with your back to the wall, you need to hold your hand between the wall and the cervical, lumbar regions. If it was not possible to stick your arm through, you should consult a doctor to confirm the diagnosis. After the examination, the specialist will prescribe the passage of x-rays or other research methods, depending on the specific situation.

The main tools of conservative therapy aimed at combating hypolordosis include:

reflexology;
physiotherapy.

Therapeutic exercise as a way to correct the problem is a priority. Before starting treatment, which includes drawing up a set of exercises, it is necessary to pass all the necessary tests and exclude the presence of any.

The training program is compiled by a competent specialist who has a specialized certificate and experience in working with this pathology. The following are some examples of exercises that you can do at home:

Before starting independent homework, it is necessary to hone the technique under the supervision of a specialist to prevent the negative impact of incorrectly performed exercises, as well as the occurrence of injuries.

Complex therapy of hypolordosis in the initial stages of the disease, including the use of several methods simultaneously, can completely eliminate the disease and restore lost mobility to the affected parts of the spine.

Why is it dangerous if the cervical lordosis is smoothed out? See in this video:

The essence of the definition of "lumbar lordosis" is that this is not a disease at all, as many patients imagine. By itself, lordosis is a bend, and a natural one, which the spine should have due to its natural design. We can talk about a violation of the norm when the lordosis goes beyond the boundaries determined by the angle of the bend.

A person normally has two lordosis. One of them is neck. The second is the lumbar. It is located, respectively, below, in the lumbar region, it represents the deflection of the vertebral arch inward. Pathological lordosis is not such a rare phenomenon that occurs either in a congenital way, or acquired as a result of lifestyle, overload, and disease.

If the lower back bends excessively, bringing the lordosis beyond the norm, this causes pain and leads to various diseases of the spine.

By the way. Very often, lumbar lordosis begins in women around the age of thirty, during pregnancy. When they bear a child, the posture changes, the center of gravity shifts, and in order to lighten the weight of the growing belly, the vertebral deflection increases.

Species differences

There is a certain set of parameters that gives the characteristics of lumbar lordosis. According to these parameters, the disease is divided into types.

Table. Division into types.

Separation	View 1	View 2
Cause	Primary - in which a bend that goes beyond the norm is caused by the growth of any formation (of any quality). It can also be a consequence of the pathology of the vertebrae received from birth.	Secondary - is caused directly by the mechanical influences that the spine has undergone.
Appearance time	Congenital - is detected in early childhood, but the anomaly is usually already present at birth, or appears during childbirth.	Acquired - development begins under the influence of external factors, such as injuries, diseases of the spine or tumor formations.
By type of deviation	Hyperlordosis - the deflection has too much angle.	Hypolordosis - the deflection is less than normal or smoothed out (absent at all).

Causes

Since a pathological phenomenon can be defined as congenital or acquired, the causes of occurrence are numerous and varied. It is worth dividing them into two large groups. The first includes the causes of congenital lordosis, the second - acquired.

Congenital pathology - causes:

one of the parents suffered from the disease;
during the gestation of the fetus in the womb, the mother violated the diet, resulting in a deficiency of certain elements;
the woman (mother) had injuries during pregnancy;
The child was injured during childbirth.

Acquired pathology - causes:

during pregnancy, due to the deepening of the deflection of the lower back to compensate for the increased load, lordosis becomes pathological, but after childbirth it returns to normal;
in patients with complicated flat feet, the vertebral deflection deepens;
hyperlordosis gives osteochondrosis and its varieties, as well as Schmorl's hernia;
due to mechanical damage to the vertebral structures, lordosis may increase;
pathology is formed due to severe stretching or multiple muscle tears along the spine;
the deflection may increase after any inflammatory process in the spine;
also pathology is given by complications of sciatica;
not the last cause of pathological lordosis in a modern person is a sedentary lifestyle and an almost constantly sitting position;
the disease can be diagnosed in those who play heavy sports or experience other overloads that spasm the spinal muscles;
the deflection deepens with gross metabolic disorders;
alcohol and nicotine abuse can also lead to an increase in lordosis.

Athletic belt

Symptoms of the disease

With a difference in the types of pathology, it is natural that the symptoms also have a different character. They depend on many factors - the causes of the disease, the patient's lifestyle, the degree of anomaly. Again, pathological lordosis can be either hyper, when the lower back is overly arched, or hypo, when it is overly aligned.

By the way. While the anomaly is insignificant, at this stage the manifestations are minimal, and the patient may not even know that the pathological process has begun. Discomfort, pain and complications will come later.

The first symptom that occurs as the angle of the bend increases can be called pain. In the deflection, it is scattered and occurs when the body is bent, for example, bending over. At the same time, the stomach rushes forward, and the buttocks move back, which is why the posture gradually deteriorates.
When smoothing the deflection, the back is leveled. This also gives pain, but specifically in the lower back itself. The body becomes inflexible, as if "wooden".
In addition to back pain, sensations can radiate to the gluteal region.
At a certain stage, numbness of the legs and loss of sensitivity occurs.
Difficulty walking. At first it hurts to walk quickly, then the sensations appear at any pace of movement and the motor functions themselves are difficult.
The activity of the organs located in the small pelvis is disrupted.
There are failures and disturbances in the digestive system.
In men, potency may decrease or disappear.
Women experience increased pain during menstruation.

Diagnostic procedure

At first glance, it seems that knowing the definition of pathological lordosis, it is easy to recognize it on your own. But to understand for yourself whether there is an anomaly or this is the norm, it is possible only with hyperlordosis, and even then in its deep stage.

By the way. When the lower back is visually excessively concave, pain makes itself felt, posture changes and other symptoms are present, the patient can determine that he has

But if the deflection in the lower back is smoothed out, and this happens gradually, very often the onset and even development of the pathology goes unnoticed for the patient.

There are several methods of preliminary self-diagnosis that are used at home in order to understand if there is an anomaly and whether it is time to go to the doctor. One of them is to stand against the wall, press your back, back of the head, heels, shoulder blades, pelvis against it. Then check if the hand passes in the gap remaining from the wall at the level of the waist. If so, the bend is probably pathological, and you need to see a doctor.

Important! The distance between the spine in the lower back and the plane of the wall should be, but small, about half the thickness of the arm. If it is not present at all or it is less, this is an occasion for referring to and diagnosing hypolordosis.

The doctor (this may be a therapist or traumatologist) at the initial appointment conducts tactile probing, visual examination, questioning the patient about complaints and changes noticed. It is important to describe in detail the manifestations of the pathology, as accurately as possible - this will help to make an accurate diagnosis and prescribe an adequate course of treatment.

Diagnostic methods may be as follows.

If you want to know in more detail, as well as consider when magnetic resonance imaging is indicated, you can read an article about this on our portal.

Treatment

To cure pathological lordosis, a diverse differentiated approach is needed. Proper treatment affects the anomaly in a complex, from all sides. Only this will give a full therapeutic effect and avoid disability or complex surgical intervention.

With lumbar lordosis, the following specialists are involved in the treatment (in addition to the surgeon and orthopedist, depending on the type of disease):

vertebrologist - if the pathology is accompanied by osteochondrosis;
neuropathologist - if the nerve endings are damaged;
gastroenterologist - if the cause of lordosis is in violations of the digestive system;
oncologist - if there are tumors or metastases.

The most common variant of lordosis, which is diagnosed in the maximum percentage of patients who applied with this problem, is lordosis complicated by osteochondrosis (or arising as a complication of it).

In this case, treatment includes:

drug therapy;
physiotherapy;
massage;
therapeutic gymnastics.

Medical therapy

The doctor prescribes drugs for the treatment of pathological lordosis, based on the examination and diagnosis. The duration of the course and dosage, as well as the names of specific drugs, may vary, but groups are usually used according to the scheme.

Table. Groups of medicinal preparations and their effect.

Group	Effect
	Able to accelerate the processes of regeneration of cartilage tissue. Slow down the rate of destruction in the disk structure. Significantly increase the effectiveness of therapeutic treatment.
	Relieve pain, remove puffiness, stop the inflammatory process.
	Necessary to relieve muscle spasm and improve blood circulation in the affected area.
	They relieve pain and return the patient to a normal state without pain.
	They are used for severe and prolonged pain experienced by the patient, to prevent and relieve depressive conditions.
	Complexes are taken to make up for the lack of necessary elements and boost immunity.

Important! All medications, not excluding vitamins, must be prescribed by a doctor, since their spontaneous use will lead to irreparable complications.

Physiotherapeutic effect

Physiotherapy devices

Treatment with various physiotherapeutic methods is mandatory. They are used to strengthen muscles, relieve pain, reduce tumors, speed up the process of treatment and recovery.

The list of methods includes massage, exercises, and physiotherapy. The main thing is to correctly combine and set the frequency of procedures, which will contribute to a speedy recovery.

Methods of physiotherapy treatment:

electrophoresis using anabolics;
acupuncture for acupressure;
installation of leeches to activate blood circulation;
electrical stimulation of nerve endings;

underwater stretching of the spine;
massage;
physiotherapy.

Massage procedures must be carried out by a specialist. With lumbar lordosis, the area of influence extends to the buttocks and the entire lumbosacral zone.

Important! In no case should the spine be massaged, since pressure on it can increase pain and pinch nerves. Movements and impact are soft and smooth, without sharp pressure.

Therapeutic exercises are also performed as prescribed by the doctor, it is better if the first classes are held in the exercise therapy group.

Of the exercises for the correction of hyperlordosis, the following are used.

Lying supine, the back is leveled, pressed against the floor surface, the stomach is drawn in. The curvature of the lower back decreases, the muscles are unclenched, the load on the affected area is weakened.
Standing with legs wider than shoulders, bends are carried out in such a way that the back is rounded, without pressure exerted on the lower back.
Again, lying down, legs are pulled up to the head in order to round the lower back.
The same thing - pulling up the legs with a rounding of the lower back - can be done on the horizontal bar.
Without abduction of the lower back, with a straightened back, smooth squats are made.

The set of exercises may be different, the main thing is that it includes stretching exercises and relaxing muscles.

Advice. Before gymnastics, it is necessary to warm up and not to make sudden movements during the exercise.

Prices for orthopedic sports shoes

Surgical treatment

There are cases of pathological lordosis, which are mostly congenital, in which surgery is recommended. Of course, everything is carefully weighed beforehand, because any operation on the spine can result in disability or inflammation caused by infection. Therefore, the surgeon takes up the case only in the case when there is no way to correct the lordosis conservatively.

Important! If the pathology is started and not treated as necessary, the patient can reach kidney failure, get infertility, impaired erectile function, paralysis of the legs.

Preventive measures

Can lumbar lordosis be prevented? If it is not congenital - quite. The best prevention is considered to be a mobile lifestyle, monitoring health, following the rules of nutrition, and physical education.

In the mornings, exercises are done, moreover, regularly, and not from case to case. Going to the gym or fitness club is also welcome, you just need to monitor the loads and follow the technique of working on shells.

Compliance with the regimen, a healthy diet, good rest and sleep (for which you need to purchase a hard mattress and an orthopedic pillow) will help prevention.

If the work is sedentary, be sure to control your posture. In between - hang on the horizontal bar or otherwise warm up.

Video - Lordosis of the lumbar. posture correction

Scoliosis - clinics in Moscow

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Scoliosis - specialists in Moscow

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During the initial diagnosis, many patients do not even realize that lumbar lordosis, while observing the angle of inclination of the corresponding vertebral bodies, is a physiological phenomenon. This is the normal curvature of the spine in lateral projection. It is designed to ensure the distribution of shock-absorbing load during walking and moving the body to a sitting position. The physiological posture of a healthy adult suggests the presence of two lordosis: cervical and lumbar. Lumbar lordosis begins to form in an infant around the age of 6 months, when the baby learns to sit.

Normally, lumbar lordosis is noted in the projection of the 3rd and 4th vertebrae of this department. The physiological angle of inclination should not exceed the range of values from 145° to 169°. Deviations in one direction or another are recorded on x-rays in lateral projection. Hyperlordosis is diagnosed, in which the angle is reduced to 144 ° or less, and hypolordosis, in which the angle increases to values exceeding 170 °. The second case can be indicated in diagnostic charts as straightening of the lordosis of the lumbar spine.

Lordosis of the lumbar spine as a pathology

Pathological lordosis of the lumbar spine is a combined violation of posture, in which changes occur in the thoracic and sacral spine. Physiologically, in the lateral projection, there is normal kyphosis (posterior deviation) in the region of the thoracic and sacral regions. With the development of pathological lordosis of the lumbar spine, kyphosis is smoothed out, and the back loses its basic depreciation properties.

As a pathology, this violation of posture can develop both in the early newborn period and against the background of destructive changes in the large joints of the lower extremities after the age of 45-50 years. Osteoporosis, rickets, calcium deficiency in the diet, injuries of the spinal column, advanced cases of osteochondrosis, intervertebral hernia, weakening of the muscular corset of the back, and much more can become risk factors.

During the diagnosis, it is important to determine the cause of this pathology. In particular, the primary form of pathological lordosis of the lumbar spine can develop against the background of spondylolisthesis, which is characterized by dislocation of the vertebral bodies. It is also worth excluding tumor neoplasms, destructive changes in cartilage and bone tissue, muscle tissue dystrophy, rheumatoid lesions, and much more.

The secondary form of pathological lumbar lordosis of the spine is more often diagnosed. In this case, the cause may be deforming osteoarthritis of the hip or knee joint, flat feet, clubfoot, spinal injury, obesity, displacement of the internal organs of the abdominal cavity, large hernias, and much more.

Straightening of the lumbar lordosis

Straightening of the lumbar lordosis is more common in women who have carried multiple pregnancies. Although in girls with poorly developed muscles in the region of the spinal column, a similar condition can form after the first birth.

Straightening of the lordosis of the lumbar begins to form in the second half of pregnancy as the bottom of the uterus rises and the physical load on the pelvic bones increases. In this case, a change in posture occurs, the expansion of the abdominal cavity provokes a deviation of the lumbar spine posteriorly. This can be avoided by using a bandage and a corset. You should also not wear high heels.

Other common causes of straightening of the lumbar lordosis can be destructive changes in the cartilaginous tissue of the intervertebral discs. During an exacerbation of osteochondrosis and its complications, a severe pain syndrome occurs, which in turn provokes spasm and tension in muscle fibers. In order to compensate for the exerted load, there is a violation of posture with a predominant straightening of the back. In the course of inflammatory phenomena, the formation of connecting cords occurs, which in the future can cause a stable straightening of the lumbar lordosis.

Treatment of lordosis of the lumbar spine

Treatment of lordosis of the lumbar spine should be started at an early stage, when there are no signs of stretching of the ligamentous apparatus and negative consequences in the form of contracture joints. Any pathological lordosis is characterized by slow but stable progression due to a change in posture in several directions at once. This can negatively affect not only the appearance and well-being of the patient, but also the work of internal organs. Prolapse of the kidneys, abdominal organs may be observed. The functioning of the intestines and bladder is disturbed, sexual function is reduced.

Timely treatment of lordosis of the lumbar spine allows you to effectively correct postural disorders. In our clinic of manual therapy, an integrated approach is practiced. At the initial stage, possible causes in the form of osteochondrosis, its complications, improper foot placement, deforming osteoarthritis of the hip and knee joint are eliminated.

Manual therapy, reflexology, physiotherapy exercises, massage, osteopathy, traction traction and many other methods are used.

How to treat lumbar lordosis yourself?

Self-treatment of this pathology is almost impossible, since attempts to straighten the back can cause severe pain. The patient is looking for a way to find a comfortable position of the spinal column and thereby further exacerbates the straightening or increased lordosis of the spinal column.

Before treating lumbar lordosis, it is necessary to identify the cause of this pathology. After effective treatment of the underlying disease, it is necessary to follow the recommendations of the specialists of our manual therapy clinic. In addition to the scheduled massage sessions, manual therapy and other techniques, you need to pay attention to your sleeping and working place, lifestyle and nutrition. Our doctors provide full consultations to patients on all these issues.