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Hyperlordosis is the most pronounced curvature of the spine, which can occur in both the cervical and lumbar regions, and which can cause pain and discomfort in the neck and in the back. Thus, according to the location of the spine where the greatest curvature is noted, hyperlordosis can be classified into two main types:
- Cervical hyperlordosis, in which there is an alteration in the curvature in the cervical region, being mainly noticed the stretching of the neck forward, which can be quite uncomfortable;
- Lumbar hyperlordosis, which is the most common type and occurs due to alteration of the lumbar region, so that the pelvic region is further back, that is, the gluteal region is more "upturned", while the abdomen is more forward.
In both cervical and lumbar hyperlordosis, the degree of curvature of the spine is large and is associated with several symptoms that can directly interfere with the person's quality of life. Therefore, it is important that the person consult the orthopedist so that it is possible to identify the cause of hyperlordosis and start the most appropriate treatment, which may include physical therapy and / or surgery.
Hyperlordosis symptoms
The symptoms of hyperlordosis can vary according to the location of the curvature, that is, whether in the cervical or lumbar region. In general, the signs and symptoms indicative of hyperlordosis are:
- Alteration in the curvature of the spine, noticed mainly when the person is on the side;
- Change in posture;
- Pain in the bottom of the back;
- Not being able to stick your back on the floor when lying on your back;
- Weak, globose and anterior abdomen;
- Decreased spinal movement;
- Neck more elongated forward, in the case of cervical hyperlordosis.
- Cellulite on the buttocks and on the back of the legs due to decreased venous and lymphatic return.
The diagnosis of hyperlordosis is made by the orthopedist based on physical evaluation, in which the posture and spine position of the person in front, side and back is observed, in addition to orthopedic tests and X-ray examination to assess the severity of hyperlordosis and, thus, it is possible to establish the most appropriate treatment.
Causes of hyperlordosis
Hyperlordosis can happen as a consequence of several situations, being mainly related to poor posture, physical inactivity and obesity, for example, in addition to being also related to diseases that lead to progressive muscle weakness, such as muscular dystrophy.
Other situations that can also favor hyperlordosis are hip dislocation, lower back injury, herniated disc and pregnancy.
How to treat hyperlordosis
Treatment for hyperlordosis can vary with the cause of the change and severity and should be done according to the orthopedist's guidance. Usually, physical therapy sessions and physical activity such as swimming or pilates are recommended to help strengthen weakened muscles, specifically the abdomen, and to stretch the muscles that are "atrophied", stretching the spine.
Exercises that can be performed on the ground, as in pilates with or without equipment, or in water, in the case of hydrotherapy, are a great option to improve the overall posture and correct the curvature of the spine. Spine mobilization and global postural reeducation (RPG) exercises can also be part of the treatment.
The RPG consists of postural exercises, where the physiotherapist positions the individual in a certain position and he must remain in it for a few minutes, without moving. This type of exercise is done stopped and promotes some pain during its performance, but it is essential for the realignment of the spine and other joints.
Can hyperlordosis cure?
Hyperlordosis of postural cause can be corrected with postural exercises, resistance, and manipulative techniques, achieving great results, however, when there are syndromes present or serious changes such as muscular dystrophy, it may be necessary to perform spine surgery.
Surgery does not completely eliminate hyperlordosis, but it can improve posture and bring the spine closer to its central axis. Thus, it can be said that hyperlordosis is not always curable, but the most common cases, which happen due to postural changes, can be cured.
Exercises for hyperlordosis
The objectives of the exercises are mainly to strengthen the abdomen and glutes, also increasing the mobility of the spine. Some examples are:
1. Abdominal plank
To do the abdominal plank, just lie on your stomach on the floor and then support your body only on your toes and forearms, leaving your body suspended as shown in the following image, standing in that position for at least 1 minute. , and as it gets easier, increase the time by 30 seconds.
2. Spine elongation
Stand in the position of 4 supports with your hands and knees on the floor and move your spine up and down. Completely bend the spine by contracting the abdomen, mobilizing all the spine's vertebrae upwards, from the cervical spine, to the lumbar spine, and then you must make the opposite movement of the spine, as if you want to leave the spine closer to the floor. Then return to the neutral starting position. Repeat 4 times.
3. Pelvic mobilization lying down
Lie on your back, bend your legs and force your spine back to keep your back flat on the floor. Perform this contraction for 30 seconds and then return to rest starts. Repeat 10 times.
It is necessary to carry out at least 12 weeks of treatment in order to evaluate the results, and traditional abdominal exercises are not recommended because they favor the increase of kyphosis, which is usually already accentuated in these people.