LORDOSIS

INTRODUCTION:-
Lordosis is a condition where there is an increased inner curvature of the spine in lumbar region.

CAUSES:-
It’s also called lower cross syndrom. In which muscle surroundind the hip and the spine become tense or weak.
» Achondroplasia – bones do not grow normally, leading to the short stature.
» Spondylolisthesis – the vertebrae in the lower back slip forward.
» Osteoporosis – vertebra become fragile and can easily be broken.
» Obesity – can cause lordosis.
» Kyphoysis – can lead to lordosis
» Discitis – the inflammation of intervertebral disc
» Benign juvenile lordosis
» Tight lower back muscles
» Excessive visceral fat
» Pregnancy
» Rickets.

SYMPTOMS:-
C-shape back when seen from a lateral aspect, with the buttocks being more prominent
A large gap between the lower back and the floor when lying on one’s back
Pain and discomfort in the lower back
Problems in moving in certain ways.

EXAMINATION:-
Physical examination:
» Palpitaion determines apinal abnormality by feel.
» Rang of Motion measure the degree of movement of flexion,extension,lateral bending,and spinal rotation.
Neurological Evalution:
» Assessment of symptoms- pain,numbness,paresthesias,extremity sesation and motor function,muscle spasm,weaknessand bowel/bladder changes.
Radiographic:
» Spine AP,PA and lateral view of the spine X-ray taken.
»  Cobbs angel measure degree of the lordosis in AP view of X-ray.

TREATMENT:
Non surgical treatment:
» Medication- NSIADS And Analgesics.
» Physiotherapy- spine strength and flexibility exercise and increse Rang Of Motion.
» Braces- control the curve progression.
» Reduced body weight.

Physiotherapy exercise:


» Anterior-Posterior tilting
» Modified Ball Bridging
» Gluteal streaching
» Cat and Camel
» Hamstring streaching
» Knee to chest
» Trunk Rotation
» Abdominal crunch.

 

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