Lordosis is a term used for people that have a swayback or a curved spine. The spine tips forward causing pain and problems with mobilization. The condition is either severe or mild. People with the disease have a large behind. Because of this, when a person lies flat on a surface, the low back does not rest comfortably.
This disease can affect people or any age or race. Other conditions can create or add to the pain of the disease. Lack of exercise, pregnancy and rickets are possible causes, as well. People do not notice this disease until after they reach their 20s.
In diagnosing, swayback a doctor needs a complete medical history from the patient. The record shows when the disease became most noticeable and painful. It also takes into account whether the amount of pain changed.
If the patient has other symptoms like pain in the arms and legs, tingling or muscle weaknesses, or any other problem relating to the spine, the doctor will ask for a neurological assessment.
Severe cases may need surgery. However, with proper diet and exercise, many sufferers may lead happy lives. Anti-inflammatory drugs will help to reduce the swelling that causes the pain.
Treatment, for the most part, means learning to stretch out the tight muscles that pull on the spine. Doctors recommend physical therapy to help in this area. Physical therapy also helps joints that the patient has not used much to move. Doctors and therapists want patients to have a good range of motion in their joints. Learning stretches and proper nutrition will go a long way to assist in reducing the pain and stiffness of swayback. Reducing body fat helps to make it easier to move and thus the effect of the disease lessens. Doctors may suggest braces for children until the muscles and joints can provide the needed stability. Drugs also can play a role in reducing pain and swelling.
In extreme cases where the curvature is especially troublesome, doctors many recommend surgery, specifically spinal instrumentation, artificial disc replacement and kyphoplasty. Spinal instrumentation uses hooks, rods, screws, and other instruments to help the spine to fuse. In some cases, a patient has to wear a brace for a long time. Artificial disc replacement surgery means just that. The disc in a patient's back gets a replacement disc that allows movement without as much effort. Kyphoplasty uses a cement-like material to stabilize a break or crack in the spine.