Other conditions we treat.
Lordosis, is the opposite of kyphosis, is an excessive anterior (forward) curvature of the lumbar spine. A small degree of lordotic curvature is normal. Too much lordotic curving is called swayback. Lordosis tends to make the buttocks appear more prominent.
An increased lordotic curve may be congenital, but may also be acquired secondary to muscle imbalances such as weak abdominals, tight hip flexors, and tight back extensors that rotate the pelvis forward. Patients with lumbar lordosis may experience low back pain because it increases musculature stress as well as placing stress on the posterior, non- weight bearing, elements of the spine (facet joints).
Kyphosis is a posterior (backward) rounding of the upper back. Some rounding is normal, but the term “kyphosis” usually refers to an exaggerated rounding — sometimes called round back or hunchback. This rounding most commonly occurs in the upper and mid thoracic region.
There are three main types of abnormal kyphosis: postural kyphosis, and congenital kyphosis and Scheuermann’s kyphosis
- Postural kyphosis is the most common type of kyphosis. This is more common in girls than in boys and is typically first noticed during adolescence. It is caused by poor posture and a weakening of the muscles and ligaments in the back (para-spinal muscles). It is often slow to develop and usually does not continue to become progressively worse with time. These patients can have symptoms of pain and muscle fatigue.
- Congenital kyphosis is the least common type of abnormal kyphosis. This is caused by an abnormal development of the vertebrae during development prior to birth. This can lead to several of the vertebrae growing together (fusing) in kyphosis.
- Scheuermann’s kyphosis also is first noticed during adolescence. This type of kyphosis is the result of a structural deformity specifically inflammation and osteochondritis of the thoracic vertebrae. This type of kyphosis is more common to develop when compare with the other types of kyphosis. The diagnosis requires X-rays to show a wedge of at least 5 degrees at the front of at least three neighbouring vertebral bodies. The reason for this abnormal wedging of the vertebrae is not well understood. . These patients can have symptoms of pain, muscle spasm and muscle fatigue.