Lordosis is the normal shape of the spine in the low back and neck that looks somewhat like a backwards C-curve.

Hyperlordosis is the abnormal shape of the spine where the backwards C-curve in the low back is greater than normal range. This can be characterized by an increased arch in the low back that causes the buttocks to stick out.


Hyperlordosis occurs when muscles near the hips are weak or tight. This causes the child’s pelvis to tilt forward. Also, the curvature in the low back increases causing a noticeable arch.

Hyperlordosis is often seen in children who have nervous system and muscular issues (neuromuscular condition).

  • Cerebral Palsy
  • Myelomenigocele (spina bifada)
  • Muscular Dystrophy
  • Spinal Muscular Atrophy

How is Lordosis evaluated:

Your primary care physician can perform several tests to indicate hyperlordosis; the most common is an X-ray. If appropriate, a referral can be made to a physical therapist, orthopedist or other specialist depending on the child’s medical history.

The physical therapy evaluation consists of a review of your child’s medical history, an evaluation of posture, joint motion, strength of the spine and muscles around the hips and spine, screening of the arms and legs and a visual inspection of the back. Your child should wear loose comfortable clothing that allows them to move and will allow the therapist to see the child’s back.

At the physical therapy evaluation the therapist will talk to you and your child about pain and other related symptoms.

Common treatment interventions:

If treatment is recommended your child may receive any or all of the followings;

  • Stretching exercises for tight muscles
  • Strengthening exercises for weak muscles
  • Postural re-education
  • Massage to control pain and decrease muscle tightness
  • Referral to other healthcare providers, if needed.
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