Typical shapes of the spine

The spine has two turns that turn away from one and two turns toward one (when the viewer looks at someone else's back). Seen from the side, this corresponds approximately to the shape of a 2. The spinal column sections moving away from the observer are referred to as lordosis, the sections facing him as kyphosis.

The Overall shape of the spine corresponds to a Lordosis in the neck area (Neck lordosis), one Chest kyphosis (Breast kyphosis) and again one Lordosis in the vital vertebra area (Lumbar lordosis).At the end there is another small kyphosis, the so-called Sacral cyphosis on. The kyphosis corresponds to one Concave rotation, while lordosis is also called Convex rotation can denote.


The second most common bad posture is the excessive Lordosis in the lumbar region. It is also called colloquially Hollow back designated.

Illustration of a lordosis & hyperlordosis

Figure lordosis and hyperlordosis

Lordosis and hyperlordosis
(Curvatures of the

  1. Cervical spine (cervical spine)
    Neck lordosis
    (Cervical lordosis)
  2. Thoracic spine (BWS)
    Breast kyphosis
    (Thoracic hyphosis)
  3. Lumbar spine (lumbar spine)
    Lumbar lordosis
  4. Sacral spine
    or. Sacrum
    Sacral kyphosis
    (Sacral cyphosis)
    A - normal lordosis (green)
    B - hyperlordosis (red)
    known as the hollow back

You can find an overview of all Dr-Gumpert images at: medical illustrations


With frequently seated persons and at People with a strained straight posture (like it e.g. is the case with dancers or riders) It comes to pronounced lordosis.
In almost all cases there are lordoses in the Life spine. Here, too, deterioration occurs relatively quickly.

Lordoses are usually not operated on as often as kyphosis. Due to the deep seat of the lordosis, it usually only comes in Exceptional cases to neurological symptoms.

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The spine is difficult to treat. On the one hand it is exposed to high mechanical loads, on the other hand it has great mobility.

The treatment of the spine (e.g. herniated disc, facet syndrome, foramen stenosis, etc.) therefore requires a lot of experience.
I focus on a wide variety of diseases of the spine.
The aim of any treatment is treatment without surgery.

Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

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There are many different ways to correct an increased lordosis, such as special training, posture or back training, work with physiotherapists or fitness studios.

The main problem that leads to the hollow back is in most cases one strong tension in the hip flexor muscles (please refer: Iliopsoas) and des Back extender at the same time Weakness of the abdominal and gluteal muscles.

Most hollow backs result from this disproportion. Balancing this imbalance again is a lengthy process, which is often counteracted by a bad posture that has been trained for years and that feels “normal”.
After every posture correction from the outside, the impulse follows to switch to the old, accustomed posture. Especially at the beginning, the posture of the back must checked again and again so that there is a realistic chance of correcting the hollow back.


A hollow back can be prevented and it is highly recommended to do this!
To do this, it is enough during the day change posture frequently. Whoever sits a lot should get up, whoever stands a lot should walk around a little. These simple steps are a good first step.
In addition, you should always have a good, upright posture Pay attention: the shoulders pull slightly back and down ("away from the ears") and the chest a little forward, the abdomen and buttocks - and if possible the pelvic floor - are actively tensed and stabilize the spine.

If these measures are not sufficient, you can use a special one Back school be combined. In these courses, which are often funded by health insurance companies, the back is specifically trained with the aim of improving posture and reducing pain.

In addition to or instead of this, intensive training of the muscles in the core of the body (especially the abdomen, back and buttocks) can help prevent a hollow back. A stable hull is not only more efficient overall, but also ensures good posture and prevents tipping over into the hollow back.

Following these measures can be very exhausting at the beginning. But after a while the implementation becomes so natural and commonplace that you don't even have to think about it anymore and want to relieve your back intuitively.