Lordosis, One of The Three Major Spinal Deseases

It gets worse during puberty and doesn’t become apparent until the age of 25.

Lordosis is a medical term used to describe anterior curvature of a portion of the spine. Two segments of the spine are normally lordotic: lumbar and cervical. They have a curvature with anterior convexity and   posterior concavity in the context of human anatomy.
Spinal lordosis or secondary curvatures are determined by the difference in thickness of the anterior half compared to that of the posterior half of a vertebral disc. It gets worse during puberty and doesn’t become apparent until the age of 25 .Imbalance in muscle tension and muscle length is also a cause. Excessive lordosis curves are called “hollow back “. Common causes of excessive lordosis include weakening of back muscles, and increased visceral fat load. Loss of normal lordosis of the back is called rigid back and it’s formed trough fusion surgery.

Lordosis is found in all age groups. Especially affecting the cervical and lumbar spine but. is discovered when the patient presents hallow back, prominent buttocks and exaggerated posture. Lumbar lordosis can be painful sometimes affecting movement.

Congenital lordosis is one of the three major congenital spinal deformities. It is caused by lack of posterior segmentation in the presence of an active earlier column growth. Pure congenital lordosis is rare and lordosis with no segmentation extremely rare. Asymmetrical segmentation defects lead to lordo-scoliosis and are more common.

Lordosis is diagnosed based on history and physical examination. If the patient experiences numbness, muscle weakness, pain and muscle spasms of the arms and legs, sphincter disturbance and pain in the feet is recommended a neurological exam. Palpation determins spine anomalies. Assessing the freedom of movements calculates the degree in which a patient can perform movements such as flexion, extension, lateral bending and spinal rotation. Asymmetrical movememnts are being observed. Neurological assessment includes highlighting pain, paresthesia, tremor, sensation and motor function, muscle spasms, muscle weakness and bladder or rectal dysfunction.

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