Lower back is a natural condition in the anatomy of the human body that results in a natural curve in the lower back area. A healthy spine naturally has a slight curve from front to back, with the lower spine in the lumbar region having a slight forward curve and the upper back (thoracic spine) having a gentle backward curve.

To diagnose and treat this disease, you should see a doctor who is an expert in the field of treating spine diseases. Dr. Ana Avamehr is one of the best doctors in Iran in the field of spine and back cavity treatment, and you can go to Dr. Avamehr to diagnose and treat this skeletal problem so that they can choose and implement the best treatment method according to your conditions.

Diagnosis of lumbar dimple

How to detect lumbar depression or lordosis (in English lordosis) is very easy, in order to find out if your lumbar depression is normal or abnormal, you should stand straight and put your hands on your hips and follow the path of the spine. Then move your hands forward to the abdomen, then back up and back, which creates a curve called lordosis in the lower back. If the amount of this dimple is too much, it means that you have lordosis and you should treat it. This problem can happen to all people regardless of age and has a negative impact on the spine.

Excessive lumbar depression and its effect on the spine is usually so great that in the long term, in addition to causing discomfort and pain for the patient, it also negatively affects his ability to walk and the patient has problems in his daily activities. For this reason, the treatment and diagnosis of lumbar depression should be done in the early stages of this disease in order to prevent the progress of this disease with a quick and timely diagnosis. To diagnose an abnormal lumbar spine spine specialist examines the following in the disease:

• Flexibility of the spine
• Spinal range of motion
Alignment of different parts of the spine

Symptoms of lumbar depression

Symptoms of lower back can appear in different ways in people, but knowing the common symptoms of this disease and visiting a specialist doctor for treatment can significantly reduce the damage caused by this disease. If you are experiencing or have concerns about lumbar lordosis, it is important to see your doctor and get proper evaluation and treatment. The most common symptoms of lumbar lordosis are:

• Muscle pain: pain in the lower back is one of the most common symptoms of lordosis, this pain is usually felt in the lower back, which in the acute state of the disease leads to disruption of the patient's daily activities.
• Limited movement: People with low back pain may have limited lumbar movement. This limitation can cause many problems for them in doing their daily activities.
• TChanges in body shape: Lumbar depression can lead to changes in body shape. Some people may lean forward and have their stomach drop out while their hips go back.
• Distance between the waist and the surface of the mattress: People with lumbar depression usually after lying on the mattress, the distance between the waist and the mattress surface is more than normal for them, and this issue is considered one of the most common symptoms of lumbar depression.
• Neurological symptoms: In more severe cases, lumbar depression can lead to neurological symptoms. These symptoms can include numbness, muscle tremors, electric shock-like pain, urinary incontinence and bladder control problems, weakness and fatigue, and problems maintaining muscle control.

The cause of lumbar depression

Having a dimple in the back is a normal condition and is seen in many people. If this curvature increases to an unnatural degree, it is called "excessive lumbar depression" which has various causes. Abnormal lumbar depression can lead to back problems and pain for the patient and severely affects the person's life. The types of lumbar depression are:

• Position-related lumbar depression: This type of lumbar depression is often caused by factors such as excess weight, incorrect sitting or standing habits, and weak back and abdominal muscles. Some people who are severely overweight may change the shape of their spine over time to maintain body balance.
• Congenital or traumatic lumbar depression: This type of lumbar depression is caused by congenital diseases or traumatic injuries and blows to the lumbar region in people, and it damages the person's body in the long term.
• Lower back depression caused by laminectomy surgery: Some people get lumbar depression after various surgeries to treat problems such as lumbar disc, this problem may appear as a complication of the surgery.
• Nervous and muscular lumbar depression: This type of lumbar depression may be caused by neurological and muscular problems that have a direct impact on maintaining the spine.
• Lower back depression secondary to hip joint problems: Some people with hip joint problems may experience changes in the way they hold their back, which leads to lower back depression.
• Osteoporosis: In osteoporosis, bone tissue density decreases and bones become vulnerable and fragile. Osteoporosis usually affects the strength of the spine and neck vertebrae in the long term and causes a hollow back in some people.

Waist cavity in women

Abdominal muscle weakness and spine abnormalities are usually more common in women than in men, and in some cases, the severity of this disease is greater in women than in men. Issues related to puberty, use of high-heeled shoes to a large extent and even pregnancy are among the factors that increase the waist dimpling in women. Pregnancy can also lead to an increase in the back arch. However, the complications caused by these changes in the lumbar region in women are generally not very different from what is in the case of men.

Complications of lumbar depression

Not paying attention to the health of the muscles, the spine and reducing the lumbar depression through exercise, maintaining a healthy weight and regular medical care can prevent these complications and help improve general health. In case of experiencing any symptoms or complications caused by lumbar depression, it is necessary to consult a specialist doctor such as Dr. Ana Avamehr.

Severe and chronic low back pain can lead to some other health complications in the heart, lung and vascular system. These complications include the following:

• Tension in the heart system: The existence of a lumbar depression can cause tension in the heart muscle. This tension may lead to increased heart rate, increased blood pressure and tension in the central nervous system
• Problems in oxygen supply: An increase in lumbar depression may cause restriction in the movement of the diaphragm (the main respiratory muscle), which can lead to long-term breathing problems.
• Blood circulation disorders: changes in the body position caused by lumbar depression can lead to blood circulation disorders and interference in blood coagulation distribution.
• Metabolic effects: disorders in the central nervous system and changes in the endocrine system may lead to an increased risk of metabolic problems such as diabetes and obesity.
• Sciatica: Severe low back pain can put pressure on nerve roots in the lower back, which may cause sciatica symptoms. These symptoms include pain, numbness and tingling in the legs and the lower part of the body.

Choosing the methods of treating a dimple in the back is completely dependent on the severity and the factors that cause it, and not all people can use the same method to treat this disease. In many cases, there is no need for special treatment, and only by modifying the lifestyle and performing some sports movements, the development of the abnormal back dimple can be prevented. However, if the sciatica is severe enough to cause severe pain, limited movement, or neurological symptoms, you may need treatment. The methods of treating the lumbar depression are:

• Medicines: In some cases, the doctor may prescribe non-steroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation. Also, in case of severe neurological symptoms, painkillers are prescribed and in some cases corticosteroids are used.
• Physiotherapy: Physiotherapy sessions can be useful for strengthening back and abdominal muscles, improving range of motion and reducing pressure on the spine.
• Weight reduction: If weight gain is a factor in the lower back, weight loss with changes in diet and regular exercise activities can help reduce complications.
• بریس (کمربندهای حمایتی): بریس‌های کمری مخصوص ممکن است به کودکان و نوجوانان با گودی کمر کمک کنند تا وضعیت شانه و کمر را بهبود بخشند.
• Surgery: In rare cases when the lumbar depression is severe and causes nerve involvement or other serious problems, surgery may be required as a treatment method according to the doctor's diagnosis. In these surgeries, compressed discs are usually removed and the spine is reconstructed.
• Food supplements: Some food supplements, such as vitamin D, may help strengthen bones and spine. It is recommended to take supplements with medical advice.

Concluding remarks

It is possible to maintain spine health and prevent lumbar depression through regular exercise, preventing obesity and correcting physical movements in daily activities. It is also necessary to consult a specialist doctor about any back problems and proper treatment. The diagnosis and treatment of back pain should be done by a skilled and experienced doctor such as Dr. Ana Avamehr in a completely specialized manner, the doctor is one of the best back pain diagnosis specialists in Iran and has a brilliant record in the field of treating spine diseases such as back pain.

Frequently Asked Questions

1. When should treatment for lumbar depression take place?

If the condition of your lower back is resolved by bending, there will be no need for treatment, but the remaining of the lower back when bending, as well as the presence of pain in this area, should be taken into consideration and treated.

2. Is it possible to prevent the side effects of lumbar depression?

Yes, different people can significantly reduce the symptoms of the lower back by performing some corrective movements, if you are overweight, reduce it with correct and appropriate sports movements. When sitting, try to use suitable chairs and place a pillow behind your back if needed. Also, using the right shoes and doing stretching exercises can reduce the side effects of the lower back in the long run.

3. Is the waist hollow in women more than men?

Yes, relatively speaking, it should be pointed out that women are more exposed to unnatural waist depression due to pregnancy and the use of high-heeled shoes in their daily life.

4. What is the best solution for the treatment of lumbar depression?

Doing sports and visiting a professional spine specialist regularly to treat low back pain is one of the best ways to treat this disease.

movie Dr. Avamehr's explanation about waist depression

Dr. Avamehr: Many loved ones who come to the clinic ask us that we have a hollow back, is this the cause of our back pain? You see, people naturally have an arch in the neck area, the lower part of the back, in the spine. If the arch of the back is too normal, we call it hyperlordosis or lumbar depression, which can be due to the weakness of the lumbar abdominal muscles or weight gain. In this case, this problem can be solved to some extent with a series of corrective movements and strengthening exercises.