What is lordosis

Lordosis and kyphosis

If the two S-shapes of the spine deviate from normal dimensions, i.e. if they are too strongly or too weakly curved, physical complaints can arise. There are different treatment options for hunched back (hyperkyphosis) and hollow back (hyperlordosis). The focus is on strengthening the back muscles.

Depending on the extent and the cause of the deformity, the therapy consists of different measures. Underlying diseases, such as osteoporosis, must be treated causally.

Corrective muscle training using physiotherapy (back school)

Strengthening the muscles of the trunk (back and stomach), which is learned in physiotherapy, is of central importance. The aim is to improve posture as well as flexibility and strengthen the back muscles. However, such strengthening exercises must be carried out consistently, preferably daily, and not only in physiotherapy.

Bodices and bandages

Semi-elastic bodices or bandages can support and stabilize the spine. Corrective bodices are only useful for scoliosis, but not for hyperkyphosis.
However, these are only to be understood as support and not as causal (causal) therapy.

Operation of the spine

The indication for surgical rehabilitation is made individually. There are different therapeutic approaches depending on the age of the patient, the extent and type of curvature.

Surgical correction of the spine can be considered in the case of very severe profile disorders and insufficient success of conservative, non-surgical therapy methods. Various techniques are available for this, depending on the location and severity. The stabilization takes place via a screw-rod system. In the case of very flexible curvatures, a single rear (dorsal) stabilization is usually sufficient. With increasing stiffness (rigidity), the mobility of the spine must first take place via partial to complete surgical removal (resection) of the bony elements. The extent and number of resections (osteotomy) depends on the degree of curvature, the sagittal profile (along a plane of the body) and the underlying cause of the curvature.

Depending on the surgical technique, a corset must be worn for additional stability. Mobilization after the operation should be done on the axis. A physiotherapist will show you this.

Other therapy options

  • Taping to improve posture: This is usually carried out by a physiotherapist.
  • Manual therapy (e.g. massages)
  • Pharmacological therapies
  • Adaptation of the workplace (with the help of an occupational physician)