Lumbar Hyperlordosis

Lumbar - Postural

Lumbar hyperlordosis is an excessive inward curve of the lumbar spine, commonly associated with anterior pelvic tilt and lower crossed syndrome.

Biomechanical Mechanism

Tight hip flexors and lumbar extensors with weak abdominals and glutes. This increases anterior pelvic tilt and lumbar extension bias.

Clinical Rationale

Excess lordosis increases lumbar compression and can contribute to pain. Correcting pelvic position reduces stress.

Practical Solution

Reduce anterior pelvic tilt by lengthening hip flexors and strengthening core/glutes.

Common Compensations

• Anterior pelvic tilt
• Rib flare
• Gluteal inhibition

Progression

1. Level 1: Mobility and activation
2. Level 2: Core stability
3. Level 3: Integrated patterns
4. Level 4: Loaded movement

Regression

• Reduce load
• Use supported positions
• Shorten hold times

Red Flags

• Severe pain
• Neurological symptoms
• History of fracture

Differential Diagnosis

• Spondylolysis
• Facet irritation
• Disc pathology

Related Patterns

• anterior pelvic tilt
• lower crossed syndrome

Related Exercises

• hip flexor stretch
• glute bridge
• dead bug
• plank
• side plank
• posterior pelvic tilt drill
• cat cow
• goblet squat
• 90 90 breathing

Related Assessments

• pelvic tilt visual assessment
• postural assessment
• overhead squat assessment
• lumbar lordosis assessment

Evidence