- Hollow back
- Saddle back
- 737.2 Lordosis (acquired)
- 754.2 Congenital musculoskeletal deformities of spine
- Q67.5 Congenital deformity of spine
- Q76.3 Congenital scoliosis due to congenital bony malformation
- Q76.425 Congenital lordosis, thoracolumbar region
- Q76.426 Congenital lordosis, lumbar region
- Q76.427 Congenital lordosis, lumbosacral region
- Excessive lumbar lordosis curvature
- Increased extension of the lumbar spine compresses the facets
- Anterior pelvic tilt
- Low back pain (LBP) with primary involvement of lumbar facet
- Lower-limb symptoms might be present in a non-dermatomal pattern
as a result of referred pain.
- Neurological findings minimal
- Bilateral symptoms
- Symptoms are dependent on the curve reversing when flexed
- Diagnosis made by clinical examination
- Use of treatment- (impairment) based classification system
is useful to determine evidence-based practice (EBP) treatment plan.
- Reproduction of symptoms when putting the joint in closed
packed position (combination of extension, side-bending toward involved
side, rotation away from involved site)
- Presentation can vary significantly in presentation based
upon anatomical structures
- Tight lumbar spine musculature and tight quadriceps
- Associated with thoracic kyphosis
- Can be postural or hereditary
- Pain in lumbar/sacral area that can be mechanically
- Bilateral referred or pain in lower extremities (LEs) possible
- ROM limited in a capsular pattern, rotation and side-bending
limited in opposite direction
- Lumbar segmental hypomobility may be present in capsular pattern.
- Can be associated with poor core muscle strength and postural
- Prolonged standing can cause compression pain
- May cause decreased ability to perform ADLs/IADLs
- May impact ability to participate in sports and other social
- Occupational factors
- Vitamin D deficiency
- Congenital anomalies
- Physical condition
- Postural changes
- Weakness of core musculature: hamstrings and abdominals
- Tightness of hip flexors, erector spinae
- Peripheral nerve impairment
- Hip pathology with radiating pain pattern
- Malignant spinal tumor or metastasis
- Referred pain from visceral structures
- Systematic auto-immune diseases (rheumatoid arthritis (RA),
- Ankylosing spondylitis
- Abdominal aortic aneurism
- In most cases not necessary, only with persistent symptoms
that do not respond to conservative management or presence of red/yellow
- MRI helpful in diagnosis to visualize compressed or inflamed
nerve root/disc pathology
- X-ray/plain film radiograph helpful to assess alignment,
fractures, and stability (flexion/extension radiograph)
- CT scan to show herniation compressing the spinal canal/nerves
and rule out abdominal pathology
- Electrodiagnostic/nerve conduction testing can assist
to determine a specific impaired nerve function
- Doppler ultrasound to examine vascular function
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