How to Say It: Lor-doe-sis
Hyperlordosis is an excessive inward curve of the lower spine. It is sometimes called saddle back.
Early treatment can improve outcomes.
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The exact cause is not known.
Things that may raise the risk of this problem are:
Most people do not have symptoms. Those who do may have back pain.
This problem may be diagnosed during a routine exam or spinal check at school.
The doctor will ask about your symptoms and health history. A physical exam will be done. It will focus on the spine. This is often enough to make the diagnosis.
Images may be taken of the spine. This can be done with:
Any underlying causes will need to be treated.
The goal of treatment is to stop the curve from getting worse. Choices are:
Surgery may be needed by people with severe symptoms and those who are not helped by other methods. The goal of surgery is to correct the curve. This is done with a metal rod, hooks, or screws.
There are no known guidelines to prevent this health problem.
North American Spine Society
Ortho Info—American Academy
of Orthopaedic Surgeons
Canadian Orthopaedic Association
Canadian Orthopaedic Foundation
Acute low back pain. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/acute-low-back-pain. Accessed February 1, 2021.
Hresko MT. Clinical practice. Idiopathic scoliosis in adolescents. N Engl J Med. 2013 Feb 28;368(9):834-841.
Lordosis. Boston Children's Hospital website. Available at: https://www.childrenshospital.org/conditions-and-treatments/conditions/l/lordosis. Accessed February 1, 2021.
Spine basics. Ortho Info—American Academy of Orthopaedic Surgeons website. Available at:
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Accessed February 1, 2021.
Swayback (Lordosis). Cedars Sinai Health System website. Available at: https://www.cedars-sinai.org/health-library/diseases-and-conditions/s/swayback-lordosis.html. Accessed February 1, 2021.
Last reviewed December 2020 by
EBSCO Medical Review Board
Teresa Briedwell, PT, DPT, OCS, CSCS
Last Updated: 2/1/2021