The reasons for the development and treatment of hyperlordosis of the lumbar

Do you know the symptoms, when after long sitting I want to stretch out, spread your arms, to relieve fatigue in the back. Prolonged improper position of the spine leads to the stoop, incorrect posture and many health problems. Correction of posture is the most difficult problem in orthopedics. Therefore, it is necessary to understand what causes a disturbance of the physiological position of the spine.

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Refer to the anatomy of the spine. The spine has physiological curves, which helps the body to maintain balance, to walk upright and to cushion the jolts of walking and movements. In normal there are two spine curvature forward – lordosis (cervical and lumbar) and two back – kyphosis (thoracic and sacral).

A child is born with a rounded back. With the development of his muscular system begin to form physiological bends. First, the cervical lordosis when the child begins to hold his head, then thoracic kyphosis, if the child is sitting and the beginning of the walk and formed a lumbar lordosis.

In a number of diseases occurs over-expression of the curvatures of the spine Hyper-kyphosis or hyperlordosis. Sometimes there are some violations. For example, hyperlordosis of the lumbar combined with Hyper-kyphosis of the chest.

The causes of pathology posture

Hyperlordosis of the lumbar formed for the following reasons:

  1. Bone changes of the skeleton due to rickets.
  2. Injury of the lumbar spine.
  3. Diseases of the hip joint: dislocation, dysplasia, bilateral toxity lead to the deviation of the center of gravity of the body forward and the development of lordosis.
  4. Physiological hyperlordosis observed in late pregnancy.
  5. Diseases of the nervous system with paralysis of the lower extremities, such as cerebral palsy, polio.
  6. Osteochondrosis, spondylosis, hernia of intervertebral disks.

Clinical manifestations

Especially pronounced hyperlordosis of the lumbar spine, if you look at the human side. Thorax patients is slightly deflected posteriorly, the stomach protruding forward. The legs are straight, and the pelvis is shifted back. Attempt to tilt the body forward causes the pain that makes you bend your knees. Excessive bending of the spine can cause compression of the nerve roots and the development of neurological symptoms: difficult urination and defecation, loss of sensation in the feet.

Patients complain about back pain and discomfort after exercise or prolonged standing.

Diagnosis

In some cases, hyperlordosis in the lumbar region can be seen immediately. But overweight patients sometimes require more research. For example, x-rays of the lumbar spine can clarify the diagnosis and measure the angle. Magnetic resonance imaging reveals associated changes in the nerve roots, vertebrae or intervertebral discs, which allows doctors to choose the right therapy.

Treatment

giperlord2Treatment of postural disorders begins with correction of the causes of pathology. If there is pain syndrome, or muscle spasm, doctors prescribe anti-inflammatory and pain medications, medications to relax the muscles.

For the correction of the excessive bending at the level of the lumbar use of manual manipulation, massage, physiotherapy.

Physiotherapy

At the initial manifestations of hyperlordosis on the lumbar level a good effect is achieved from regular exercise.

Many people believe swimming is a panacea for all problems of the spine. But experts believe that it is not so. The desired improvement in the condition of the spine can be expected only as a result of prolonged regular training under the guidance of a competent instructor. It will be the right training program for you. For example, for unloading the lumbar spine will suit all kinds of gliding on the water and swimming the crawl. And the technique of “dog” and breaststroke, on the contrary, is contraindicated in disorders of posture. Advantages of swimming is that water creates optimal resistance and gently stretches the ligaments in the spine, strengthens and develops the muscles of the back.

There has recently been an increased interest in such techniques as yoga and Pilates. Exercises focuses on stretching ligaments and muscles. But in each case it is necessary to focus on your feelings and pick the right load.

Wearing a corset

To treatment of infringements of a bearing by the method of wearing a corset the attitude of doctors is mixed. Permanently to the corset may cause hypotonia and muscle atrophy because they are not working. Thus, the problem is exacerbated.

The application of the corsets shown in pregnancy or in severe lesions of the vertebrae, to eliminate their mobility.

Surgical treatment

In marked hyperlordosis of the lumbar spine operative treatment. During the operation by means of metal structures are strengthened and fixed lumbar vertebrae.

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