Low Back Pain Due to Hyperlordosis of the Spine

Low Back Pain | Hyperlordosis | Physiotherapy Management

What is Hyperlordosis?

Hyperlordosis is the condition of the lower back spine, in which the lumbar spine acquire a posture of the increased anterior curve. It can be easily visible in the side view.

The Hyperlordosis posture differs from the healthy posture in the following ways: Increased lumbar lordosis and pelvic anterior tilt. Increased hip joint flexion is caused by a more anterior pelvic tilt. Plantar flexion of the foot can occur as a result of hyperextended knees. Lower back hyperlordosis impairs functional abilities and has a negative impact on quality of life. Additionally, spinal misalignment is associated with a slower gait, poor balance, and an increased risk of falling.

A greater lordotic angle increases shearing strain or stress in the anterior direction, pushing the center of gravity anteriorly. Some people claim that the increased angle and tension cause terrible posture and back pain. According to biomechanics, increased lumbar lordosis is associated with a higher prevalence of low back pain. Several factors can contribute to increased lumbar lordosis. Trunk weakness, short back muscles, weak thigh, hamstrings, and other etiological factors can all contribute to low back discomfort. Furthermore, trunk muscular weakness can influence the shape of the lumbar lordosis and be the source of low back discomfort.

Strengthening the multifidus, transversus abdominis, and internal trunk muscles prevents lordotic curvature from rising. An imbalance in the muscles surrounding the pelvic bones is caused by tight hip flexors, weak core muscles, and weak gluteal muscles.


Stretching and releasing tight muscles such as the iliopsoas, tensor fascia latae, quadriceps, lower back erectors, quadratus lumborum, thoracolumbar fascia, and anterior adductor fibers. Stretching exercises include the following:

  • Single knee to chest- Lie on your back, knees bent, feet flat on the floor. Hold for 5 to 10 seconds as you slowly pull your right knee toward your shoulder. Lower one knee and repeat with the other.
  • Pull one knee to your chest, then the other, and hold for 5 to 10 seconds on each knee. Reduce one leg at a time.

The gluteal group, hamstrings, and abdominals are all weak muscles that need to be strengthened. Here are some examples of strengthening exercises:

  • Pelvic tilt exercise – Lie on your back with your legs bent and your feet flat on the floor. Hold for 5 to 10 seconds, flattening the lumbar region of your back against the floor without pressing down with your legs.
  • Partial crunches – Holding your pelvic tilt stance, slowly curl your head and shoulders off the floor. Hold for a moment.

Aside from the exercises listed above, our physiotherapists will combine other exercises such as motor control exercises, hold-relax stretching, stabilization exercises, Swiss ball exercises, and so on.

In addition, for pain relief, we employ a variety of electrotherapy modalities such as SIS, TR-therapy or TECAR therapy, TENS, IFT, and ultrasound. In addition, we use laser therapy, cupping therapy, and dry needling therapy in conjunction with other therapies to help patients heal faster.

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