Episode 7: Low Back Pain, Do You Have Lordosis?

Episode 7: Low Back Pain, Do You Have Lordosis?

welcome to episode number seven of #posturematters I’m dr. paula moore the online posture doctor today’s going to be an
interesting little lesson and there’s an important reason for this because we’re
discussing back pain lordosis and whether or not you have it and i’ll tell
you why we’re going to be discussing this and i’m wearing glasses because
i’ll be drawing shortly in a moment I get a lot of questions on YouTube a lot
of comments a lot of emails to me and I see this a lot in forums people saying I
think I have lordosis my answer to that is I sure hope you do I think the
confusion lies in the way that we’re misusing the term lordosis so let me
give you a little lesson here see if I can straighten out the confusion so
let’s just draw in a little person here so we definitely do have a lordosis we
should have a curve another curve and another curve okay I’m exaggerating them
here ideally we have a curve in at the neck a curve out in the mid back and a
curve in again at the lower back the curve in is referred to as a lordosis
we have another lordosis in the lower back and
we have a reverse a kyphosis in the mid-back this is what we want to have a
curve in a curving out and a curving in I think where the confusion lies is when
people talk about having or lordosis what they really mean is that they have
an exaggerated curve and that’s actually known as a hyper-lordosis we could also
have a hyper-kyphosis kind of a hunchback posture we can also have a
hyper-lordosis in the neck but that’s less common what we often
find is somebody that has a flat curve in the neck area often an exaggerated
curve in the thorax and we can also see somebody with a flattened curve in the
lumbar spine this is your sacrum bone down here this
is not to scale clearly you don’t generally have flattened curves and an
exaggerated curve all at once now what causes flattened curves well
that’s for another tutorial this is usually trauma related car accidents
are really common when we have a flattened curve in the low back so you
look in the mirror and you often see a flat area that’s usually the result of
degenerative disc disease it’s unfortunate that we call that a disease it’s more of
a process over time a degeneration of the discs and the discs are kind
of a wedge shaped if we look at a side view of the lumbar spine as I
said it goes in we have these vertebra this is kind of sideways on and
generally the discs are kind of wedge shaped like this they’re wedge-shaped
this is a side view and that would be the curve when somebody loses the curve
what happens here’s the bony vertebra again the discs dry out
and pancake and this wedge causes a flattening in the back we end up with these dried-out wedge shapes pancake-like vertebrae what causes degeneration there are a lot of factors so certainly habits over a lifetime the
way we sit sports being very active as a child some
genetics yes but far more associated with our lifestyle now what I really
wanted to talk to you about today is a really common myth associated with
discs and curves of the spine so the myth is that it’s the discs in the spine
that give us our shock absorption you often hear practitioners talk about
the spongy discs our shock absorbers well that’s not true in fact the discs
aren’t the shock absorbers the curves are the shock absorbers the job of the
discs is to transmit or spread the load over the spine so the discs spread the
weight they distribute the weight through the body and the curves give us
our shock absorption that’s why we care so much that you’ve got the correct
spinal curves or at least I do that’s where the structure is so important here
so if you’ve got a flattened area here suddenly the shock absorption isn’t as
great let’s look at a little analogy I’ve got a little paper left here I love
this analogy the analogy of a spring so a spring has a lot of curves in it think
of the the space between the springs as the discs and think of the coils
themselves as the curves in your spine giving you the shock absorption so you know when we’ve got a coil in the spine or a spring let’s look
at the spring again when a spring is really close together oftentimes it’s
not that spongy anymore right but look at this spring where we’ve got lots of
space between the coils we’ve got a lot more sponginess or shock absorption in
that spring than we do here so we want good space between the coils and we
definitely want coils what happens when we take a spring like this and we pull
the coils out it doesn’t have a lot of shock absorption anymore does it you can think of when you pull the little spring that comes out I don’t know of some
electric contraption if you were to pull it out like that it loses that nice
shock absorption well that’s a little bit like the situation here we see when
someone’s got a flattened back suddenly instead of the nice shock absorption
that we have in this where there’s good space between the curves we have lost height and what ends up happening is now the forces are going straight
down through the bones and we’ve got these little joints that attach
themselves to the vertebra called the facet joints and now suddenly the
mechanics the load on those joints is very great and that lends itself to
inflammation (and BACK PAIN) YOU are a lot more prone to inflammation (and back pain) around these facet joints now
in this situation in a flatback spine so let’s just flip it back around here
for a moment so you can see me okay so that’s a general little anatomy lesson
and it’s really important because when we’ve lost those curves in the body
that’s when we start to experience my point is that discs aren’t shock absorbers spinal curves are the spinal shock absorbers
the discs simply transmit spread the load and think of that little spring
analogy so what can we do if we do have a flatback spine we’ll talk more about
the other kind of curves in the body in other live feeds what can you do if you
look in the mirror and you see you’ve got quite a flat back often see this on
men who have been very active in competitive sport I’m live again for
some reason where I live in the country we get a lot of cutouts in the
Internet so you just lost me there I’ll try to edit later so basically I’m going
to show you a little exercise a great little exercise you can do at the office
or when you’re sitting for any of you with flatback posture where you know
you’ve got some DDD degenerative disc disease let’s just think about it as a
little bit of wear wear and tear although I don’t like to use anything
but the real term which is degenerative discs wear and tear is little misnomer
I’ve had people actually say to me oh paula I know I don’t have arthritis or
degenerative discs I just have wear and tear well they’re the same thing so when
you’re watching these feeds at the end of each feed I’m going to give you three
places to look let’s see if I can get that right so one of the corners here I
think it’s going to be this one here top corner you can subscribe to the feed so
you never miss one of my tips all right sometimes there’ll be a little video
here which I’m going to add in today so that you could see a great little
exercise for you to practice if you do have flatback posture and by the way a
loss of lordosis is called an ‘a’ lordosis ‘a’ meaning ‘without’ I think it’s Latin so
we’ve got hyperlordosis too much lordosis lordosis the ideal what we
should have and alordosis loss of curve so it’ll be a good little exercise for
you right there and then each time I’m going to post a little
link here for some really fabulous poster swag if you click on that you’ll
find how to join the movement #posturematters and grab the first t-shirt that we’ve ever designed these are super cool we’ve had 175 t-shirt design entries and they’re about to launch imminently so make sure you’re on the
list so you’re the first to know okay so subscribe check out the exercise and
check out our swag thank you for watching and for your patience for all
the technical glitches I’m sorry I do live way out in the sticks in ski
country I’ll see you again tomorrow thank you for tuning in I hope that was
helpful and that you learned something and if there’s anything you want me to
cover in future live feeds post it in the comments I’m going to be addressing
questions and using those and if you want me to give you a shout out let me
know your name and I’ll do that okay thanks for watching see you again soon
bye bye for now

2 comments on “Episode 7: Low Back Pain, Do You Have Lordosis?

  1. Saly sed seds Post author

    Welcome back Dr Moore really missed your videos..I've forward head, uneven hips and posterior pelvic tilt I'm really suffering could you do a video about it? I'm a mess

  2. Baqir Ali Post author

    Dr what is the way to get alright straightening of the spine, I am dealing with this and my doc is giving me medicines but its not getting alright, kindly reply me I am so depressed by this.


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