Lower back hyperlordose
Do you know that little belly that insists on staying after a careful diet and proper exercise? Probably an answer to your problem is in your column!
The vertebral column consists of 33 vertebrae and is divided by zones: cervical, dorsal, lumbar, sacrum and coccyx. Each of these zones has a certain type of curvature depending on its function and location. The curvature of the lumbar region is called lordosis, a concave curvature.
But when this lordosis is pronounced, the name given to it is hyperlordose and is associated with pelvic anteversion (anterior pelvic tilt), shortening of the lumbar extensors, abdominal and gluteal weakness.
A person with lumbar hyperlordosis has pain in the lower back, especially after standing for a long period of time, abdominal weakness (the belly looks more prominent and anterior) and increased cellulite in the gluteal region.
Hyperlordosis may have genetic cause or be related to bad postures, muscle weakness, sedentary lifestyle, pregnancy and repetitive strain injuries.
There are, however, some diseases that may contribute to the onset of hyperlordosis, such as spondylolisthesis (when a vertebra moves in relation to the adjacent vertebra), obesity, herniated disc, and osteoporosis.
The hyperlordosis diagnosis is usually made through an extra-long x-ray, which aims to verify if the angle of lumbar lordosis is superior to normal. In cases of neurological impairment it is important to perform a CT scan or magnetic resonance imaging to understand the source of the problem.
Postural assessment by a physiotherapist is another important diagnostic technique not only to identify hyperlordosis but also to evaluate the compensations created by the body in other joints.
Physiotherapy presents very significant results in this kind of situations, through global postural reeducation it is possible to reduce postural changes, reduce pain, increase muscle strength in compromised muscles, increase joint stability, mobility and flexibility.
Lígia Santos Phy text