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Postural Hyper-Lordosis

Postural Hyper-Lordosis is where your lower back has a deeper arch than is normal.

Common Signs & Symptoms

  • A very deep lower back curve, it can make you look like your bottom sticks out
  • Pain in the lower back which is worse when you stand for a long time or lie on your back with your legs straight
  • Pain is usually located in your back but may spread into your buttocks and legs
  • The front of your pelvis tilts forward and down
  • Bad habits such as locking your knees back in standing or wearing high heels can also increase the arch in your lower back

Description

Postural Hyper-Lordosis is where your lower back has a deeper arch than is normal. In most cases, the problem is mainly because of muscle imbalances around the pelvis and trunk - the muscles around the trunk can become weak (mostly the transversus abdominis, and the lumbar multifidus) and the short muscles at the front of the hip become tight (usually the rectus-femoris and iliopsoas muscles and the iliotibial band). It is also made worse by poor postural habits such as standing with your pelvis tilting forward and a deep arch. This problem affects pregnant women and people who carry increased weight in their tummy area - carrying weight at the front of your abdomen increases the chances of you arching your low back and tilting your pelvis forward.

Very occasionally an increase in your back curve stems from rare diseases, where the joints of your lower back are more flexible, or from activities such as ballet or gymnastics which often encourage you to arch frequently in the lower back.

Treatment for hyper-lordosis is very effective. The main goal is to correct the soft tissue and muscle imbalance around your pelvis, and change your habit of arching your low back. A deep arch in your back can cause early arthritis in the joints (lumbar facet joints), and damage the disc which sits between your bones (vertebrae).

Advice & Exercises

Stretching the muscles in your lower back, the back of your legs and your hips, combined with strengthening your 'core' muscles helps to help you change your posture by loosening the tight soft tisssues which pull you into a deep curve.

It's important for you to be aware of your posture and keep your back flat. When you have been standing with a deep curve for a long time you need to break the habit of standing with an arch and exercises to strengthen (and shorten) your abdominal muscles really help to reduce this posture and the strain on your back. We also highy recommend exercise such as Pilates which will help you to gain more control of your spine posture.

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