Lordosis

Definition

Lordosis is an exaggerated inward (anterior) curvature of the lumbar or cervical spine. Mild lordosis is normal; excessive lordosis causes back pain and postural changes.

Causes

• Pregnancy (shifts center of gravity)
• Obesity
• Weak abdominal muscles
• Muscular dystrophy
• Poor posture
• Spondylolisthesis

Clinical Features

'Swayback' appearance, lower back pain, forward-tilting pelvis, buttocks appear more prominent. May cause muscle strain and decreased mobility.

Nursing Interventions

Core-strengthening exercises, weight management, posture correction, ergonomic workplace. Physical therapy referrals. Analgesics for pain. Pregnant women: body mechanics teaching, supportive shoes and clothing, proper lifting.

NCLEX Relevance

Common postural finding in pregnancy. Encourage body mechanics.