The human spine consists of two lordoses and kyphosis. This is the natural location of the spinal column. However, sometimes such bends have too strong or insufficient curvature. This indicates the development of pathology. This form of the spine greatly affects the spine and posture of a person. With the advanced form of pathology, this leads not only to the occurrence of pain, but also to a deterioration in the performance of organs. That is why complex treatment is required to prevent the development of complications.
Features of the disease
Lordosis has a slight bulge facing slightly forward. It can be in the lumbar and cervical spine. Under the influence of adverse factors, hyperlordosis of the lumbar spine can develop, which differs from the physiological variety in its bending index.
Improper bending in this case causes damage to the vertebrae or back muscles, as well as to the hip joints. Pathology gives a lot of inconvenience, and also provokes damage to internal organs.
Main classification
There are several signs by which hyperlordosis of the lumbar spine is grouped. According to the causes of the occurrence, there is a primary and secondary type of disease. The first variety is provoked by pathological changes in the spinal column. The second type of curvature refers to the compensation type, since it is provoked by the non-physiological position of the body.
Doctors distinguish forms of lumbar hyperlordosis, a photo of which helps to identify the pathology and timely treatment. In particular, there may be a congenital and acquired disorder. The congenital form is quite rare, and the acquired one arises as a result of various diseases, injuries and developmental anomalies.
The formed humps always lead to the appearance of hyperlordosis of the lumbar spine. They develop against the background of tuberculosis of the spine and with a severe course of rickets. The increase in the bending of the spine in this case acts as a compensatory reaction. However, it quickly develops into a pathology.
Causes of occurrence
Hyperlordosis of the lumbar spine, the photo of which allows you to clearly see what exactly this pathology is characterized by, is a defect that manifests itself in the main deflection of the lumbar region in the forward direction. There are several provoking factors that lead to the development of this disease. Among them, it is necessary to highlight such as:
- injuries to the legs and back;
- rickets;
- the presence of congenital malformations;
- the presence of pathologies accompanied by muscle paralysis;
- osteochondrosis;
- spondylosis of the spine.
In addition, there is a physiological reason for the development of such a pathology. This is due to the rapid growth of adolescents, when muscle tissue cannot fully form a kind of corset. As a result of this, an incorrect load is manifested and posture deteriorates. Such a problem must be urgently treated, as it can lead to serious complications and various pathologies. The doctor determines the tactics of therapy individually for each patient.
Strengthening bending in pathology
There are several separate signs that make it possible to understand that a person has hyperlordosis of the lumbar spine. The diagnosis is established only during the examination by a doctor. He may notice signs such as:
- the stomach bulges quite strongly;
- legs are a little apart;
- buttocks and pelvis set back;
- muscles of the lower back are very tense;
- it is hard to sleep and lie on your stomach;
- difficult to lean forward;
- if you lie on your back, there is a fairly large space between the floor and lower back.
If you do not start treating the disease after the first signs appear, more serious deviations and disorders may gradually develop. If symptoms of pathology occur, you should definitely consult a doctor as soon as possible.
Pathology smoothness in pathology
The opposite violation, when the lumbar lordosis is smoothed, is considered an equally dangerous condition. He also has certain symptoms. Symptoms can be distinguished by a doctor during the examination. With a smooth lordosis, signs such as:
- a person feels constant soreness in the back and neck;
- the back gradually acquires a completely flat shape;
- fatigue increased;
- in the development of pathology, numbness is observed;
- gait is slightly changed.
If the first signs appear, then it is necessary to carry out the treatment of a smoothed type of curvature. The patient is assigned a whole range of special procedures, as well as therapeutic exercises, depending on the severity and characteristics of the course of the disease.
Symptomatology
Symptoms of lumbar hyperlordosis are quite characteristic, and it can be easily recognized. With the development and course of the pathology, a person will feel intense pain in the affected area. They can periodically worsen.
In addition, hyperlordosis of the lumbosacral spine provokes severe disturbances in the work of many internal organs, as well as problems with the leg muscles. Such a pathology threatens very complex cosmetic disorders, since from the side of the legs they look quite strange. It is worth noting that other signs include such as:
- the legs of a person are quite widely spaced;
- buttocks bulge;
- muscle tension is noted;
- it’s hard for a person to bend over.
Doctors say that in the presence of a similar problem, a person will have a kind of expansion of the bone segment in the lower back, back muscles get very tired with various kinds of loads. Naturally, all this affects the quality of gait, significantly worsening it.
Diagnostics
People suffering from hyperlordosis note the presence of pain of varying severity. Discomfort is mainly localized in the lumbar region and sacrum, and they intensify after prolonged sitting or standing still. Severe pain can speak of pinching of the spinal nerves.
To make a diagnosis, a person must be back against the wall. The doctor needs to put his hand into the gap between the wall and the lower back. In the presence of hyperlordosis, a person should have free space between the arm and the wall. To confirm the diagnosis, an additional x-ray should be performed. Pictures should be taken in lateral projection.
Tomography allows you to determine the concomitant changes in the nerve endings, intervertebral discs or vertebrae, which makes it possible to choose the most suitable method of therapy.
Treatment feature
Treatment of hyperlordosis of the lumbar spine requires quite a long time. Curvature of the spinal column and destruction of the discs cannot be quickly restored. First of all, you need to normalize the day.
To comprehensively strengthen the body, moderate physical activity is required. It is also necessary to ensure that the posture always remains level. It is required to normalize the mode of rest and work. Sitting on a chair, it is important to monitor the spine.
Treatment of lumbar lordosis implies pain and anti-inflammatory therapy. This will help eliminate unpleasant symptoms and speed up the healing and rehabilitation process. Manual therapy sessions are also recommended. A very good treatment will be water procedures. They help to relieve the spine and get the vertebrae in place.
Doctors often recommend therapeutic massage sessions. This has a bracing effect on the whole body. It is possible to supplement the treatment of hyperlordosis of the lumbar spine with various methods of physiotherapy, among which it is necessary to highlight such as:
- electrophoresis;
- ultrasound therapy;
- magnetotherapy.
You can normalize your health by using a special orthopedic mattress, which is selected individually for patients. In some cases, surgery may be required.
Drug treatment
If severe pain disturbs the course of the pathology, then it is recommended to take anti-inflammatory drugs in tablets, in particular, such as Aroxis. Intense pain can be eliminated with injections of the Movalis preparation. Additionally, you can also use cream, gel or ointment "Diclofenac", "Dolobene", "Ketonade".
For the treatment of lumbar hyperlordosis, intramuscular muscle relaxants are used that help eliminate spasms. In particular, drugs such as Midokalm or Sirdalud are prescribed.
Numbness and neurological pain can be eliminated with vitamin B. It is best to initially inject them intramuscularly for 10 days. In addition, chondroprotectors are required.
Wearing a corset
The treatment of posture disorders with a corset is a mixed opinion among doctors. A constant stay in a corset can provoke muscle hypotension and atrophy, as they cease to function normally. Thus, the problem begins to get worse.
Wearing a corset is indicated during pregnancy or complex lesions of the vertebrae to exclude their excessive mobility.
Physiotherapy
Exercises for hyperlordosis of the lumbar can eliminate pathology, but they are selected strictly individually, depending on the degree of damage and the particular course of the pathology. There are certain rules and principles for performing therapeutic exercises.
You need to start the complex with a minimum load, gradually increasing the complexity of the movements performed. When performing exercises, pain should not occur. If there is discomfort, a palpitations or dizziness is observed, then the gymnastics should be stopped.
During classes, the patient’s emotional state should remain stable. Forcing to perform a medical complex is completely unacceptable. In case of hyperlordosis of the lumbar spine, exercises should be carried out only after a light warm-up. The joints need to be prepared for the execution of the prescribed treatment complex. It includes basic and additional types of training.
Exercises will give a positive result only if you perform them regularly. It is also advisable to do this at the same time. At the end of the treatment complex, a feeling of mild fatigue should appear.
If possible, you need to visit special medical and preventive institutions that have rooms with special equipment. This will allow you to go through rehabilitation much faster and normalize your well-being. To perform the treatment complex, you need to choose comfortable clothes and orthopedic shoes. It is important to pay attention to the lower back, as it must be well insulated.
Surgical intervention
With severe hyperlordosis, surgery is indicated. During surgery, by using special metal structures, the vertebrae are fixed and strengthened. The doctor makes the decision regarding the operation individually.
Possible complications
Like any other disease, hyperlordosis can provoke various kinds of complications. If treatment is not carried out in a timely manner, the consequences can seriously worsen a person’s well-being. The main complications include:
- the occurrence of muscle inflammation;
- spondylarthrosis;
- loss of disks;
- spinal instability;
- squeezing of the spinal cord;
- intervertebral hernia.
It should be understood that the method of treatment is selected strictly individually. The doctor throughout the entire period of the therapy monitors the patient and, if necessary, corrects it. It is important to remember that the treatment of pathology should be carried out as quickly as possible, since the more time is lost, the more noticeable the problems.