Human spines are naturally curved, but too much curve can cause problems. Hyperlordosis is when the inward curve of the spine in your lower back is exaggerated. This condition is also called swayback or saddleback.
Hyperlordosis can occur in all ages, but it’s rare in children. It’s a reversible condition.
Keep reading to learn about the symptoms and causes of hyperlordosis and how it’s treated.
If you have hyperlordosis, the exaggerated curve of your spine will cause your stomach to thrust forward and your bottom to push out. From the side, the inward curve of your spine will look arched, like the letter C. You can see the arched C if you look at your profile in a full-length mirror.
You may have lower back pain or neck pain, or restricted movement. There’s limited evidence connecting hyperlordosis to lower back pain, however.
Most hyperlordosis is mild, and your back remains flexible. If the arch in your back is stiff and doesn’t go away when you lean forward, there may be a more serious problem.
Bad posture is the most frequent cause of hyperlordosis. Other factors that may contribute to hyperlordosis are:
- wearing high-heeled shoes for extended periods
- spinal injury
- neuromuscular diseases
- sitting or standing for extended periods
- weak core muscles
For pregnant women, a 2007 study found that hyperlordosis is the way that the female spine has evolved to adjust to the additional weight of the baby.
You can check your posture with a simple test:
- Stand up straight against a wall. Keep your legs shoulder-width apart and your heels about 2 inches from the wall.
- Your head, shoulder blades, and bottom should touch the wall. There should be just enough space to slip your hand between the wall and the small of your back.
- With hyperlordosis, there will be more than one hand space between the wall and your back.
Most cases of hyperlordosis don’t require special medical care. You can correct your posture on your own. You’ll need to do some regular exercises and stretches to help keep up good posture.
If you have pain or your hyperlordosis is rigid, see a doctor to determine the cause. Depending on the diagnosis, your doctor may refer you to a back specialist or a physical therapist. Sometimes hyperlordosis can be a sign of a pinched nerve, loss of bone in the spine, or a damaged disk.
Your doctor will do a physical examination. They’ll ask you when your pain started and how it has affected your daily activities.
Your doctor may also take X-rays or other imaging of your spine to aid in diagnosis. You may also have a neurological exam and other tests.
Your treatment plan will depend on your doctor’s diagnosis. In most cases, treatment will be conservative. In rare cases, surgery may be required.
Conservative treatment may include:
- over-the-counter remedies for pain, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve)
- a weight loss program
- physical therapy
Children and teens with hyperlordosis may need to wear a brace to guide spinal growth.
Exercises to try
Your doctor may refer you to a physical therapist. They may also give you a set of exercises to do on your own to help your posture.
There are many kinds of exercises and stretches to choose from, depending on your age and your level of fitness. Yoga and chair yoga are good choices. The important thing is to develop an exercise routine that you can stick to. You should also be aware of keeping good posture when sitting, standing, or engaging in activities.
Here are some simple posture exercises that require no equipment:
- Move your shoulders forward and up toward your ears and then back down, pushing out toward your back.
- Stretch your arms out at your sides at shoulder height, and roll them in small circles.
- Standing up, squat as though you were sitting in a chair.
- Standing tall, place one hand over your ear. Rest the other hand and arm flat at your side. Lean in the direction opposite to the covered ear.
Most hyperlordosis is the result of poor posture. Once you’ve corrected your posture, the condition should resolve itself.
The first step is to be aware of your posture during your normal daily routine. Once you know what it feels like to stand and sit properly, keep it up. You should see results right away, even if it seems awkward at first.
Develop an exercise and stretching routine that you do daily. Consult with your doctor if you’re not sure about the appropriate level of activity for you.
Post reminders to yourself to sit or stand straight. Ask your friends and family to tell you when they see you slouching or hunched over at your computer.
Good posture takes vigilance until it becomes automatic.
You can often prevent hyperlordosis by practicing correct posture. Keeping your spine correctly aligned will prevent stress on your neck, hips, and legs that could lead to problems later in life. Here are some more tips to help prevent this condition:
- If you’re concerned with weight management, start a weight loss program. Talk to your doctor if you need help getting started.
- If you sit a lot during the day, take small breaks to get up and stretch.
- If you have to stand for a long time, periodically shift your weight from one foot to the other, or from your heels to your toes.
- Sit with your feet flat on the floor.
- Use a pillow or rolled towel to support your lower back when sitting.
- Wear comfortable, low-heeled shoes.
- Stick to an exercise program of your choice.
During pregnancy: Q&A