Causes and treatment of hyperlordosis lumbar spine
Hyperlordosis – increased severity of physiologic lordosis of the spine (lumbar and cervical spine). It is formed as a result of weakness of the muscular frame of the back, bone structure defects, lesions of the joints of the lower limb and many other factors.
The Physiological curvature of the spine developed during evolution under the transition to walking upright (according to the opinion of the followers of Darwin's theory of evolution). In any case, "spring structure" of the spine allows a person to effectively perform the motor function, which are used daily in the process of life.
The Curves of the spine are formed during growth of the organism and genetically programmed. The confirmation of this fact is that a child born with a straight spine, and the first physiological curvature seen only-on-year. When the baby begins to walk, begin to form the thoracic kyphosis, lumbar and cervical lordosis.
Features and causes of the pathological curvatures of the vertebral column
Hyperlordosis is characterized by excessive concavity of the physiological curvature. If pathology to perform radiography of the spine in the lateral projection, the angle of lordosis will be more than 45 degrees (normal is 20-40 degrees).
Identify the following types of pathology:
Congenital hyperlordosis is often accompanied by cleft anomaly arcs of the lumbar vertebrae ("spina bifida"). In this pathology decreased reserve capacity of the lumbar spine, as it cannot withstand the shock loads. As a result, when walking, the observance of correct posture, lifting heavy objects there is a compression "spring" in the lumbar spine.
Acquired disease is classified into the following types:
- Rachitic form seen in children. The disease can occur immediately after birth or in the first year of life. It is associated with a lack of vitamin D, which is essential for proper absorption of calcium.
- Paralysis Is formed due to diseases associated with weakness of the skeletal muscles (polio, cerebral palsy). In this situation the muscles are not able to optimally capture the axis of the spinal column. Because most physical activity has on the lumbar hyperlordosis in this pathology becomes a pattern.
- Traumatic Most often appears in adults after hip dislocation. Pathology is accompanied by changes in movement patterns (gait appears to the inclination of the torso forward and straighten the knees).
- Functional lumbar hyperlordosis Is more typical for teenagers. In the period of puberty, often there is intense bone growth, and skeletal muscles may not have time for her. As a result, the depreciation load on the lumbar region is increased, since the muscle tissue does not have time to "absorb shocks".
- Compression Occurs most often in the elderly on the background of osteochondrosis, spondylosis, or ankylosing spondylitis. An osteochondrosis damaged intervertebral cartilages; spondylosis is a fusion of the vertebrae between themselves; Bechterew's disease is the deposition of calcium salts into the ligaments of the spine and pelvic joints. These diseases lead to deformation of the lumbar vertebrae that is accompanied by a physiological increase in the concavity of the lumbar.
Hyperlordosis has some age peculiarities. Depending on this, doctors distinguish the following its form:
In infants hyperlordosis of the spine appears against the background of rickets. Children's analog occurs due to improper sitting, twisted posture, flat feet.
For adults the more common traumatic and degenerative-dystrophic (impaired blood flow and nutrient delivery) form of the disease.
Senile (senile) look is the result of numerous pathologies, which the people in his life manages to "accumulate".
Treatment lumbar hyperlordosis
Treatment lumbar hyperlordosis should start with fixing the underlying diseases. For these purposes, doctors carried out a full study of the spine with the use of the following methods:
- Radiography in frontal and lateral projections;
- Computer and magnetic resonance tomography
- Spondylopathy (the measurement of the angle of the concavity or the convexity of special tools)
- Electromyography (assessment of strength and function of muscle tissue).
It is Important to normalize the lifestyle, learn to observe your posture, to sit, stand, work, relax andto eat.
If during the day long you sit on a chair, do not load the lumbar. To do this, lean spine on the back of a chair.
When standing, distribute weight evenly on both feet. This position will not "load" the muscles and ligaments, and the body weight is evenly distributed on the spine and joints of the lower limbs.
If the work involves carrying heavy loads, don't do jerk movements. When lifting the load comfort on the knees.
Relax as often as possible. Night's sleep should be at least 8 hours.
The Diet of a healthy person consists of a balanced content of proteins, carbohydrates, fats, vitamins and minerals.
Regularly engage in exercise, physical therapy and swimming.
What you need to do therapeutic exercises
When hyperlordosis after studying the features of pathology doctors prescribe physiotherapy. The list of exercises is chosen individually, but there are exercises for relaxation of the spinal column, which is suitable for all people with this disease are:
- Exercise 1. Stand with your back to the wall. Scapula and sacrum need to be snug. Begin to lift the hands slowly to the sides. Thus it is necessary to think about something abstract. After performing 10 elevations rise up quietly, and mentally visualize how the hands rise up. After some time will feel the relaxation and the feeling that the upper extremity do the exercise;
- Exercise 2. Lie down on a flat surface sideways. Lower hand enclose under the head and bend the knee, upper leg maximum bend in the knee joint. Hold the upper leg above the knee joint in the position of maximum flexion for 10-11 seconds;
- Exercise 3 (to relax the neck). Sit on a chair and straighten your body. Hold your back straight. No straining of the neck muscles, tilt the head forward and secure the position for 20 seconds. Return to the starting position and rest for 30 seconds. Repeat this exercise 15 to 18 times.
Thus, hyperlordosis – evidence of increased physical load on the lumbar spine. To prevent the disease, it is necessary for all life to be engaged in its prevention.