Lordosis is the abnormal inward curving of the spine that leads to a shape called “swayback.” In children, the condition is sometimes called benign juvenile lordosis, which means the lordosis symptoms are temporary and will fix themselves as the child grows.

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Lordosis symptoms can be caused by a variety of different issues. These include achondroplasia, a disorder where bones do not grow properly; spondylolisthesis, a slippage of the vertebrae; or discitis, inflammation of the disc space between bones of the spine that may be the result of an infection.

Lordosis can also result from osteoporosis, obesity or kyphosis, which is a forward rounding of the back (also called hunchback) to correct the body’s alignment.

Lordosis Symptoms

  • Inward curve of the spine, which is most easily observed by lying down on a hard surface to see the gap between the low back and the surface
  • Pronounced buttocks
  • Fatigue
  • Back pain
  • Loss of range-of-motion
  • Tenderness in the spine
  • Stiffness in the spine


The first step to diagnosing and providing lordosis treatment is to observe and measure the curve of the spine. Coastal Spine may also recommend an X-ray or spinal MRI.

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Lordosis Treatment

We focus on Minimally invasive lordosis treatments, including:

  • Observation: In some cases, especially for children, we may want to check progress of spine growth every six months to determine if further treatment is necessary.
  • Bracing: In other cases where patients are still growing, a brace may be worn to prevent further curving.
  • Physical therapy: In adults and fully matured adolescents, physical therapy can be used to strengthen core and back muscles, which helps to alleviate pain associated with lordosis.
  • Surgery: For patients whose spine is curved more than 75 degrees or those in severe pain, a surgery called spinal fusion can stabilize and correct the shape of the spine.
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