What is lumbar hyperlordosis?

The spinal column has physiological curvatures normal at various heights. The lordosis are the curvatures that appear concave seen from behind (the back sags or depresses) and the kyphosis are the curvatures that appear convex.

Viewed from the side, lordoses are forward bends and kyphoses are backward bends. Bottom up, lordosis appears in the lumbar and cervical areawhile kyphosis are located in the sacral and dorsal areas.

When these spinal curvatures appear accentuated or exaggerated beyond normal, then we will be facing a hyperlordosis or one hyperkyphosis depending on the type of curvature affected.

Thus, one hyperlordosis is defined as a excessive curvature of the spine in some of the lordosis zones. The most common is lumbar hyperlordosis and affects the lower back. can also be cervical and have several variations.

lumbar hyperlordosis

The lumbar hyperlordosis corresponds to an accentuation of the physiological curvature of the lower back. Creates a characteristic C-shape in the lower back and can lead to pain and partial disability for the realization of some sports and movements.

It is often due to a continued bad posture and combined with lack of exercise and muscle weakness both in the lower back and in the abdominal area.

The opposite condition is lumbar hypolordosisand both add extra stress on the joints that can trigger osteoarthritis and other degenerative joint diseases.


Lumbar hyperlordosis can cause muscle spasms and stiffness in the lower back area and cause collateral damage to the spine and soft tissues in the lumbar region.

Among the main symptoms:

  • curved column: One of the most descriptive features of lumbar hyperlordosis is an excessively curved spine that creates a depression in the lower back region and, on the opposite side, a more prominent abdomen.
  • low back pain: People with lumbar hyperlordosis may experience moderate to severe pain that can be aggravated by certain movements.

Causes of hyperlordosis

Lumbar hyperlordosis can be the result of numerous factors, including poor posture, obesity, lack of exercise, and spinal disorders.

  • Bad postural habits: This is one of the most common causes of lumbar hyperlordosis. When sitting, the muscles of the lower back are tightened to stabilize and support the spine. If this posture is sustained and continued, the muscles gradually pull the spine and increase its natural curvature. This problem especially affects people with a job where they spend long periods sitting down.
  • Obesity: Excess fat in the abdomen and buttocks adds tension to the lumbar region of the back and contributes to increased lordosis.
  • spinal problems: In some cases, hyperlordosis can be the result of another pre-existing problem in the spine, such as hyperkyphosis, spondylolisthesis, or discitis.

Diagnosis and treatment

The normal and physiological curvature of the spine can present a wide range without causing problems, so the diagnosis of hyperlordosis is complicated in many cases.

The x-ray radiography it is very useful to have an image of the spine in which the degree of curvature can be measured. If it is necessary to visualize the soft tissues as well, it can be used magnetic resonance imaging and computed tomography.

In the treatment of lordosis, the use of analgesics and anti-inflammatories to alleviate the pain.

To correct the curvature of the spine, sessions of physiotherapy and the realization of specific physical exercises by the patient to strengthen the muscles of the area, improve posture and correct excessive curvatures of the spine.

If the patient is obese or overweight, it is advisable to introduce a weight loss plan. With maintaining a healthy weight and performing the exercises, low back pain relief is usually very noticeable, even when there is no decrease in curvature.

Other types of hyperlordosis and hyperkyphosis

  1. Cervical hyperlordosis: consists of an accentuated cervical lordosis. The cervical area has great mobility compared to other areas of the spine, so the deformity is usually corrected if the cause disappears.
  2. thoracic hyperkyphosis: the curvature of the spine in the dorsal area (kyphosis) is accentuated and causes the shoulders to fall forward and the appearance of hump.
  3. Total kyphosis, true or fixed: the spine acquires a kyphotic curvature from the sacrum to the cervical region. The natural lordosis of the lower back disappears.
  4. flexible kyphosis: In this type of kyphosis, the excessive curvature can be corrected with a voluntary effort of the patient. It is generally due to poor postural hygiene in its early stages.
  5. Reversal of curvatures: the lumbar region appears flat or with kyphosis instead of lordosis, and the dorsal region appears with lordosis instead of kyphosis. At the pelvic level retroversion appears.
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