LORDOSIS

If you experience back pain or notice deformity in the spine, please Schedule an appointment with one of our orthopedic specialists as soon as possible.

What is Lordosis?

Lordosis, commonly referred to as swayback, describes an excessive inward curve of the spine. While a gentle curve in the lower back (lumbar region) is normal and helps the spine absorb shock and maintain balance, an exaggerated curve can lead to pain, stiffness, and posture problems. In severe cases, lordosis can affect movement, cause muscle imbalances, and place added stress on the spine.

The spine naturally has three curves — in the neck, upper back, and lower back — that help support the body’s weight and maintain proper alignment. When the curve in the lumbar or cervical spine becomes too pronounced, it can alter posture and strain surrounding muscles and ligaments. Early diagnosis and proper orthopedic care can prevent complications and improve long-term spinal health.

Causes of Lordosis

Several factors can contribute to the development of lordosis. In some cases, the condition is postural, meaning it results from poor posture or weak core muscles. In other cases, lordosis develops due to structural or medical conditions affecting the spine. Common causes include:

  • Poor posture or prolonged sitting

  • Obesity, which increases pressure on the lower spine

  • Muscle imbalances or weak abdominal and back muscles

  • Spondylolisthesis, a condition in which one vertebra slips forward over another

  • Disc degeneration or other age-related spinal changes

  • Osteoporosis, which weakens the bones and can lead to spinal deformity

  • Kyphosis or scoliosis, which can cause compensatory changes in spinal curvature

  • Congenital spine abnormalities present at birth

By identifying the underlying cause, an orthopedic specialist can create a personalized treatment plan that addresses both the symptoms and the root of the problem.

Symptoms of Lordosis

The symptoms of lordosis vary depending on the severity of the curve and its location in the spine. The most noticeable sign is an exaggerated inward curve of the lower back, which can make the abdomen and buttocks appear more prominent.

Common symptoms include:

  • Persistent lower back or neck pain

  • Muscle tightness or spasms

  • Reduced range of motion in the back

  • Difficulty standing straight or maintaining proper posture

  • Fatigue or discomfort after long periods of standing or walking

In severe cases, lordosis can cause numbness, tingling, or weakness in the legs due to nerve compression. If symptoms worsen or interfere with daily activities, patients should seek prompt evaluation by an orthopedic spine specialist.

Diagnosing Lordosis

Orthopedic physicians diagnose lordosis through a comprehensive physical examination and imaging tests. During the exam, the specialist evaluates posture, spinal alignment, flexibility, and muscle strength.

To confirm the diagnosis and measure the degree of curvature, imaging studies such as X-rays, MRI scans, or CT scans may be used. These images help determine whether the curve results from structural changes in the spine or muscular imbalances. Based on the findings, the physician will design a targeted treatment plan to restore proper alignment and relieve pain.

Treatment Options for Lordosis

The treatment for lordosis depends on its cause and severity. In most cases, patients respond well to non-surgical treatments designed to strengthen muscles, improve posture, and reduce discomfort. Common treatments include:

  • Physical therapy to strengthen core and back muscles and improve posture

  • Anti-inflammatory medications to relieve pain and stiffness

  • Heat or ice therapy to reduce muscle tension

  • Weight management to relieve stress on the spine

  • Postural training and ergonomic education for daily activities

  • Bracing, particularly in younger patients, to help correct spinal alignment

If conservative treatments do not provide adequate relief or if the curvature continues to worsen, an orthopedic specialist may discuss surgical options. Surgery may involve spinal fusion or other corrective procedures to stabilize and realign the spine.

Living with Lordosis

With proper care and consistent management, most patients with lordosis can live active, healthy lives. Regular exercise, stretching, and maintaining good posture can help manage symptoms and prevent the curve from worsening. Ongoing follow-up with an orthopedic specialist ensures the spine remains stable and functional over time.

At our orthopedic clinic, our experienced spine specialists provide comprehensive care for patients with lordosis and other spinal conditions. We focus on individualized treatment plans that reduce pain, restore movement, and promote lifelong spine health. Through early intervention and personalized care, patients can regain comfort, confidence, and an improved quality of life.

 

If you have any questions for our Texas based orthopedic specialists, give us a call at 817-697-4038, or contact us over the web. Tele-medicine appointments are also available.