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Lumbar spine hyperlordosis (hollow back)

Definition

Chronic hyperlordosis of the lumbar spine

Cause

1. mostly acquired
2. Shortened tendons and ligaments due to chronic poor posture
3. Wedge vertebrae, e.g. in the context of senile osteoporosis

Predisposing

– Behavior

1. sedentary work
2. Lack of exercise
3. Frequent unhealthy sitting
4. high footwear

– Disposing diseases of the musculoskeletal system

1. Spondylolisthesis
2. Muscular imbalance with shortened hip flexors, often weak buttocks, abdominal and back muscles

Symptoms

1. Often compensatory hyperkyphosis of the thoracic spine
2. Hypertonus and possibly hypertrophy of the paravertebral back muscles
3. possibly lumbar back pain

Complications

1. Disc hernia
2. Baastrup’s disease
3. Spondylolisthesis
4. Spinal canal stenosis

Therapy

1. Compensation of muscular imbalance
2. Training of postural awareness