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Hello Anonymous,

Welcome to EmpowHER. Thank you for reaching out to us for help.

You may be suffering with flat back syndrome.

Flat back syndrome is an abnormal condition where the spine loses its natural low back curve to become flat. The spine becomes imbalanced and the patient leans forward. Patients with flat back syndrome typically notice troubles standing upright or have ongoing back or leg pain. Symptoms usually worsen as the day goes on and the patient feels they lean further and further forward the longer they try to stand upright. The severity of the symptoms usually depends on the amount of curvature present and difficulties with standing erect.

In patients with flat back syndrome, a loss of normal lumbar curvature causes an imbalance of the spine. The patient’s head begins to lean forward, away from the body and they may have trouble standing upright. This imbalance can cause muscle fatigue and pain.

Many patients with lumbar flat back syndrome may be treated without surgery. Initial treatment typically includes an appropriate exercise routine to include aerobic fitness, weight bearing exercise, and core muscle strengthening. Physical therapy and spinal manipulation may also be beneficial depending on the patient's symptoms. Medications are commonly used to manage symptoms of lumbar flat back syndrome. For many patients, conditioning and endurance programs may provide enough strength that symptoms improve. For patients with joint arthritis or pinched nerves, spinal injections can also provide relief.

Some patients with structural problems or severe curvatures may ultimately require surgical reconstruction. The goal of lumbar flat back syndrome surgery is to improve the patient's pain and spinal alignment. The goal is to restore a more normal alignment of the spine to decrease stress on supporting muscles of the back, hips, and legs.

Anonymous, is your upcoming appointment with an orthopedic surgeon?

Regards,
Maryann

December 20, 2016 - 9:16am

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