Lordosis (Swayback)
What Is Lordosis?
Lordosis (also known as swayback) is the abnormal inward curving of the lower back (lumbar spine). Curves are a normal part of the spine's structure. These curves help position the head and neck, while also working as shock absorbers during movement of the body.
When the spine curve arches too far inward, however, it creates a condition called lordosis. Lordosis can affect the lower back and neck.
Conditions that cause lordosis include:
- Spondylolisthesis, which causes one vertebra to slide out of position over another vertebra.
- Kyphosis, which causes an abnormal outward curving of the upper spine.
- Discitis, an inflammation of the discs that cushion the space between vertebrae, most commonly caused by an infection.
- Achondroplasia, which stunts normal bone growth (this condition is often associated with dwarfism).
- Obesity, which causes the spine to support excessive weight.
Lordosis can develop from other conditions that affect the spine as well as bad posture, hip problems, back surgery, or problems with the vertebrae from birth.
Symptoms of Lordosis
The primary symptoms of lordosis, or swayback, are the prominence of the buttocks and a pronounced inward curve of the lower spine. This is evidenced by a large gap between the lower back and a hard surface when laying down that does not change when leaning forward.
Other symptoms can include excess pressure on the spine, causing back pain and discomfort. Symptoms can also include difficulty moving in certain ways, especially if left untreated.
Nonsurgical Treatments
For most people, lordosis does not cause significant health problems and may not require significant treatment. Our doctors offer a range of nonsurgical treatments to help relieve pain, improve mobility, and protect long-term spinal health.
Lifestyle Modifications
If obesity is the cause or is worsening the condition, weight loss may be an effective treatment. Addressing poor posture and hip problems can also help improve lordosis and reduce symptoms.
Medications
Medication may be recommended to relieve swelling and pain associated with lordosis.
Physical & Occupational Therapy
Physical therapy or exercise can help improve spinal flexibility and build muscle strength, which supports the spine and can reduce symptoms.
Supportive & Assistive Devices
A back brace may be necessary to support the back or prevent the condition from worsening.
Surgical Treatments
Surgery for lordosis is rarely performed and is reserved only for extreme cases. When nonsurgical options are no longer effective and the condition significantly impacts quality of life, surgery may be considered.
Spinal Fusion
Spinal fusion is a surgical procedure where vertebrae are joined together to reduce excessive curvature and stabilize the spine. This procedure is only performed in severe cases of lordosis.