Is your spine arched too much? (Lordosis/Swayback) Let's talk about this!

Is your spine arched too much? (Lordosis/Swayback) Let's talk about this!

Have you ever looked in the mirror and noticed the shape of your spine? Our spine is an amazing creation. It naturally has a few small curves. However, sometimes these curves can be a little too much. One such condition that we are going to talk about today is called `(Lordosis)`. Some people also call it `(Swayback)`.

What is this ``Lordosis''? Let's understand it simply, shall we?

Okay, think of it this way. Our spine, especially in the neck (also called the ``Cervical spine'') and lower back (also called the ``Lumbar spine''), naturally has a slight inward curve. It's like the letter ''C''. This curve is what helps us stand upright and absorb shocks when we walk. This is normal.

However, `(Lordosis)` is when this natural curve, that is, the forward bending of the spine, becomes excessive . To be precise, a curve of between 30 and 40 degrees in the cervical spine and a curve of between 40 and 60 degrees in the lower back is normal. If it is more than that, we call it `(Lordosis)`.

Although this condition is often seen in young children, it usually goes away on its own as they grow older. Also, most people do not need any special treatment for it. Sometimes the doctor will prescribe simple exercises to improve posture.

What is the difference between `(Lordosis)`, `(Scoliosis)` and `(Kyphosis)`?

All three of these are conditions associated with curvature of the spine. However, the difference lies in which part of the spine is affected and which side the curve is to.

  • (Lordosis): This is when, as we discussed earlier, the natural forward bend in the neck and lower back becomes excessive .
  • Scoliosis: This is a sideways curvature of the spine, sometimes with a slight twist. This is most common in children and young adults. Think of it as a curve in the spine that looks like the letter 'S'.
  • Kyphosis: This is when the thoracic spine, which is the part of the spine between the neck and the end of the ribs, curves excessively backward . People with this condition have their shoulders hunched forward and look hunched over.

Do you understand the difference? Simply put, `(Lordosis)` means bending forward, `(Scoliosis)` means bending sideways, and `(Kyphosis)` means bending backwards (kyphosis).

Who is more likely to develop this ``Lordosis''?

This condition can actually happen to anyone, but some groups are more likely to experience it.

  • People over 50: This may be due to changes in the spine as we age.
  • Young children who grow quickly: As their bodies grow rapidly, these types of changes can occur in the spine.
  • Pregnant mothers: This condition can occur due to the pressure on the spine from the weight of the baby.

How does this situation affect your body?

Lordosis mainly affects your posture. The way it affects your body depends on where in the spine the condition is located.

  • Cervical lordosis: This is when your neck curves forward more than normal. In some very rare cases , this can affect functions related to the neck and throat, such as speaking and even swallowing.
  • Lower back `(Lordosis)` (also called `(Swayback)`): In this, your hips and buttocks protrude backward, and your stomach protrudes forward. To be precise, if you lie down on the floor, you will see a large gap between your lower back and the floor. If this is too severe , you may have difficulty controlling your urine and stool, but this is also very rare.

The most important thing is that if the curvature of the spine is very severe, it may become so difficult that it is impossible to move the neck or spine properly.

What are the symptoms of `(Lordosis)`?

Many people have ``Lordosis'' without showing any physical symptoms. In fact, you may not even know you have this condition unless a doctor tells you.

Changes in your posture are usually the most noticeable to others. For example:

  • Your head and neck are protruding forward more than normal.
  • The hip area appears to be pushed forward .
  • The one with the buttocks protruding behind .
  • When the ground is stretched out, there is a large gap under the lower back.

If the curvature of the spine is severe due to ``lordosis'', you may experience pain in your neck or back, and you may also have difficulty moving your body normally.

What are the causes of `(Lordosis)`?

Most of the time, ``Lordosis'' develops without a specific cause (this is called ``Idiopathic'' in medical science). That is, it develops spontaneously. In many cases, no cause can be found for the ``Swayback'' condition that occurs in young children. It can also be seen in people who have a condition where the upper back is bent backward (``Thoracic kyphosis'').

However, some medical conditions can also cause ``Lordosis.`` For example:

  • Spondylolisthesis: This is when one vertebra (bone) in the spine slips forward.
  • Achondroplasia: This is a genetic condition that causes short stature.
  • Osteoporosis: In this, the bones become weak and brittle.
  • Osteosarcoma: This is a type of cancer that develops in the bones.
  • Muscular dystrophy: This is a disease that gradually weakens the muscles.
  • (Kyphosis): Lordosis can also occur due to the hunchback condition we discussed earlier.
  • Static encephalopathy: This is a condition caused by damage to the brain, for example, Cerebral Palsy.

How to identify `(Lordosis)`?

Your doctor will check for lordosis through a physical exam.

He or she will look at your posture and check for any abnormal curves in your spine. He or she will also check to see if the curve is ``flexible.'' This means that when you bend your neck or lower back, the curve moves with it. If it is that flexible, it is less likely that you will need treatment or surgery.

The doctor may also check if you have other spinal problems, such as scoliosis or kyphosis.

What tests are done to diagnose `(Lordosis)`?

If your doctor sees signs of lordosis in your spine, he or she may order some imaging tests to find out exactly what's going on inside your body. These may include:

  • (X-rays)
  • (MRI - Magnetic Resonance Imaging)
  • (CT scan - Computed Tomography scan)

These tests can determine the exact extent of the spinal curvature and its cause.

How to treat `(Lordosis)`?

The treatment for lordosis depends on where it is located in your spine and what symptoms you are experiencing as a result.

Most people don't need any treatment. If you have symptoms like neck or back pain, over-the-counter pain relievers (NSAIDs, such as aspirin or ibuprofen) and stretching and strengthening exercises are usually the only treatments. But remember, you should talk to your doctor before taking NSAIDs for more than 10 days at a time.

You will most likely need to see your doctor every few months to check if the curvature of your spine has increased.

However, if this curve increases over time, or if it is not flexible, the doctor may suggest treatments such as:

  • Physical therapy: Your doctor may recommend exercises and stretches to strengthen the muscles around your spine. Exercises cannot reduce the curvature of your spine or completely cure lordosis. However, research has shown that they are the best way to reduce symptoms such as neck and back pain. Strengthening the hamstrings, hips, abs, and glutes can go a long way toward improving posture.
  • Bracing: This involves wearing a custom-made brace. This will support your spine and prevent further curvature. Your doctor will tell you how long you should wear it and how long you should wear it. Most people have to wear it for at least 20 hours a day.
  • Surgery for Lordosis: Surgery for Lordosis is rarely necessary. However, if the curvature of the spine is severe or if it gets worse over time, your doctor may recommend spinal fusion surgery to straighten the spine and reduce the curvature. This may also involve bone grafting. Your surgeon or doctor will tell you what type of surgery you need and how long it will take to recover.

How should I take care of myself?

Having lordosis doesn't mean you have to stop exercising or playing. In fact, staying active can help strengthen the muscles around your spine and help reduce some of your symptoms. However, if you have surgery to correct your spinal curve, you may need to avoid certain physical activities until you recover. Ask your surgeon or doctor about this.

As the doctor says, see him and observe the changes in your spine.

Also, following a healthy diet and exercise plan is very good for your overall health.

If you notice any changes in your back, especially if you develop new symptoms like pain, or if you experience numbness in your limbs, be sure to talk to a doctor.

Can I prevent Lordosis from developing?

There is really no way to prevent lordosis. It can either develop for no apparent reason (idiopathic) or be caused by another health condition. However, there is nothing you can do to prevent it from developing. However, keeping your body flexible and strengthening your core muscles is the best way to reduce your risk.

What should I expect if I have `(Lordosis)`?

Lordosis doesn't have to have a major impact on your life. Most people don't even need treatment for it. Even if treatment is needed, it will likely involve pain medication or exercises to improve posture.

As children with ``Lordosis'' grow older, and their spines grow along with the rest of their bodies, this condition often goes away on its own.

When should I see a doctor?

If you have back pain, it's a good idea to talk to a doctor.

Ask your doctor how often you should see him. He will tell you how often you should come to check for changes in your spine's curvature.

See a doctor right away, especially if you experience numbness, tingling, or a feeling like you're being electrocuted in your arms or legs. These can be symptoms of other, possibly more serious, problems with the spinal cord.

What questions should I ask the doctor?

When you go to see the doctor, it's a good idea to ask some questions like these:

  • What type of Lordosis do I have?
  • Will I need treatment?
  • How often should I have my spine checked?
  • Am I at risk of developing other back problems?

The most important things to remember (Take-Home Message)

Most people only think about their bones when something is wrong with them. Lordosis is one of those things. Especially since you may never have any symptoms and may not even realize that your spine is curved too much. While it can be a little scary to think that your spine is changing without you even realizing it, lordosis doesn't have to have a major impact on your life or the things you enjoy.

If you notice any changes in your back or posture, definitely talk to a doctor. Don't panic, most of the time it can be something simple.


` Lordosis, Swayback, Scoliosis, Spine, Posture, Back Pain, Physical Therapy

නිතර අසන ප්‍රශ්න (FAQ)

What tests are done to diagnose `(Lordosis)`?

If your doctor sees signs of lordosis in your spine, he or she may order some imaging tests to find out exactly what's going on inside your body. These may include:

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