Lordosis (Swayback) Treatment in Singapore 2023

Considerations

The spine has three types of curves:

• Kyphotic curves refer to the outward curve of the thoracic spine (at the level of the ribs).
• Lordotic curves refer to the inward curve of the lumbar spine (just above the buttocks).
• Scoliotic curving is a sideways curvature of the spine and is always abnormal.

A small degree of both kyphotic and lordotic curvature is normal. Too much kyphotic curving causes round shoulders or hunched shoulders (Scheuermann’s disease).

Too much lordotic curving is called swayback (lordosis). Lordosis tends to make the buttocks appear more prominent. Those with significant lordosis will have a significant space beneath their lower back when lying on their back on a hard surface.

If the lordotic curve is flexible (when the patient bends forward the curve reverses itself), it is generally not a concern. If the curve does not move, medical evaluation and treatment are needed.

Causes

• Achondroplasia
• Benign juvenile lordosis (not medically significant)
• Spondylolisthesis

When to Contact a Medical Professional

Call us at (+65) 3135 1327 if you notice that you have an exaggerated posture or a curve in the back. The condition should be evaluated to determine if there is a medical problem.

What to Expect at Your Office Visit

The doctor will perform a physical exam. You may be asked to bend forward, to the side, and to lie flat on a table so that the spine can be examined in a variety of positions.

Questions about your medical history will be asked, including:

• Time pattern
  • When did you first notice the excessive curve?
  • Is it getting worse or more noticeable?
  • Is it ever better or worse than when examined by the health care provider?
• Quality
  • How would you describe the curve?
  • Does the amount of curve seem to change?
• Symptoms
  • What other symptoms are also present?

In some cases, particularly if the curve seems “fixed” (not bendable), the following or other diagnostic tests may be recommended:

• Lumbosacral spine x-ray
• Spine x-ray
• Other tests to rule out suspected disorders causing the condition

How is lordosis treated and how can I take care of myself?

The treatment for lordosis is determined on where it is located on your spine and whether or not it is producing symptoms. Most of the time, no therapy is required. If you have neck or back pain, over-the-counter NSAIDs (such as aspirin or ibuprofen) combined with stretching and strengthening exercises can help. Before taking NSAIDs for more than 10 days, visit your healthcare professional.

It is important that you see your doctor every few months to check the progression of lordosis and ensure that the curvature does not worsen.

If the lordotic curve worsens over time or becomes rigid, your healthcare professional may recommend the following treatment options:

Physical Therapy: To bolster the muscles surrounding your spine, your doctor can suggest a set of particular stretches and exercises. Exercises are beneficial for reducing symptoms like neck or back pain, even if they cannot cure or lessen lordosis. Your posture can be enhanced by strengthening your hamstrings, hips, abdominal muscles, and glutes.

Bracing: A custom-made brace can be worn to support your spine and prevent further curving. Your healthcare provider will provide instructions on how often and for how long you should wear the brace. Typically, wearing the brace for at least 20 hours a day is necessary.

Lordosis surgery: Lordosis surgery is rarely required. However, if the curve is significant or worsening, your doctor may propose spinal fusion surgery to straighten the spine and lessen the curve. To aid in the healing process, bone grafting may be required. Your surgeon or healthcare professional will select the best surgical method and recovery time.

You can continue to exercise and participate in sports even if you have lordosis. Staying active will help strengthen the muscles surrounding your spine and reduce some symptoms. However, if surgery is required, certain physical activities may need to be avoided throughout the recovery time. It’s essential to get advice from your surgeon or healthcare professional.

Follow your healthcare provider’s recommended visits schedule to monitor any changes in your spine. Maintaining a good diet and exercise programme can also improve your general well-being.

If you detect any changes in your back, especially new symptoms like pain or numbness in your limbs, notify your healthcare professional right away.