In case you’re over the age of 35 and have spent years both sitting behind a desk, driving, laboring or in any other case being very bodily energetic, you may need a situation generally known as Flatback Syndrome.

What’s Flatback Syndrome?

Flatback Syndrome is actually not a syndrome as such. I favor to name it flatback posture or the right medical time period, alordosis.

Lumbar Lordosis is the traditional inward curvature within the decrease backbone. “Alordosis” means “absence of lordosis” – the traditional curvature isn’t current, and as a substitute, the decrease again is “flat.” The pelvis is often tipped backward (posterior tilt), related to or inflicting the traditional spinal curve to flatten. That is Flatback Syndrome

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Indicators and Signs of Flatback Syndrome

  • flat decrease again curve
  • ahead head  
  • spherical shoulders
  • low again ache typically described as ‘aching.’
  • groin ache
  • leg ache
  • spinal stiffness, particularly on waking 

This record is just a information. You could have most of the indicators and signs listed, just a few or none of them. The record is to help you in recognizing whether or not you might have Flatback Syndrome.

What Causes Flatback Posture?

Incorrect Sitting

If in case you have spent years sitting incorrectly – sitting in your backside muscle mass as a substitute of sitting together with your again aligned over your hips – you will have developed persistent muscular imbalances – quick, tight abdominals, quick, tight hamstrings, and weak hip flexors – pulling the pelvis right into a tucked-under place (known as posterior pelvis).



Slouch Sitting – copyright Posturo World Ltd

Disc Degeneration

Incorrect sitting and standing posture, poor diet, accidents, athleticism, and guide labor can result in worn spinal discs and ache in a affected person. The decrease spinal discs must be wedged-shaped, which supplies the lumbar area a wholesome inward curve, generally known as lumbar lordosis.

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Attention-grabbing: When individuals say, ‘I’ve bought lordosis in my lumbar backbone,’ what they often imply is that they’ve hyperlordosis or sway again. The hyper suggests a rise to the traditional lumbar curve. We must always ideally all have lordosis in our lumbar backbone.

If the lumbar curve is exaggerated, it’s a hyperlordosis; whether it is flat, it’s an alordosis or with out a lordosis. Saying you might have ‘lumbar lordosis’ is definitely saying you’re regular. That at all times makes me chuckle – in a kind-hearted doc kind of approach.

When our spinal discs degenerate, they lose their pure wedge form, inflicting a discount in pure lordosis. This may occasionally lead to flatback posture. It could even be frequent to see spinal curvature.

Herniated Disc

A herniated disc is only a severely degenerated disc, the place the gelatinous, toothpaste-like materials usually discovered contained contained in the disc has leaked via the outer cartilage rings. This additionally causes lack of the pure wedge form, which results in a change within the regular lordotic curve.

Power Muscular Imbalance

Most of the muscle mass accountable for posture and physique motion are present in “pairs.” One muscle (or group of muscle mass) strikes a physique half in a single course, whereas the paired muscle strikes the identical physique half in the other way. The 2 sides of such a pair are stated to be “opposers” for the reason that effort of 1 facet opposes – works in the other way to – the opposite facet.

Each side of a muscle pair’s efforts might also be exerted concurrently (when sitting or standing comparatively nonetheless) to supply the stress and help wanted to carry a physique half regular in a desired balanced place.

Additional Sources: Balance Exercise for Beginners

When one of many muscle mass of a pair turns into stronger than its opposer, we are saying that the stronger one has develop into dominant. Dominant muscle mass are likely to develop into quick, tight, and over-aroused – or facilitated – neurologically. The weaker opposing muscle turns into lengthy and under-aroused or passive.

Though these muscular imbalances are pretty predictable, particular person variations do, in fact, exist. Muscle imbalances generally present in individuals with flatback posture embody:

Dominant Quick Muscle mass

Passive Lengthy Muscle mass

As a result of posture and muscular imbalances have an effect on the way in which we transfer, issues in a single space result in issues in different areas. Flatback posture typically contributes to the event of spherical shoulders and forward head posture.

Different issues might end result from the muscular imbalances present in flatback posture, together with:

  • Sciatic leg ache (from infected, bulging discs)
  • Power decrease again ache
  • Acute decrease again muscle spasms (typically one-sided)
  • Scoliosis
  • Degenerative disc illness
  • Deformity


It isn’t important to know the precise reason behind your flatback syndrome. Nonetheless, it suggests some daily posture exercise habit is required to return mobility and optimum alignment to the backbone. Spinal surgical procedure correction or different surgical therapy will not be excellent. Nonetheless, surgical procedure and bodily remedy may also help you, particularly in case you have a pinched nerve, neck ache, or different extreme ache.

The affected person’s goal is to finally restore good alignment by establishing wholesome posture habits and day by day routines. Good posture is a behavior and one that you would be able to study to like. It additionally helps to keep away from backbone surgical procedure or different intrusive remedies for the backbone.

After Thought – Finest Ergonomic Tip

Absolutely upright posture (90°) is tough on the discs in your low again, so keep away from shopping for the “excellent ergonomic chair” that retains you bolt-upright. Analysis has proven that reclining at a 135° angle is the least damaging to our lumbar discs when seated.

Earlier than you bounce and alter your seat angle, acknowledge that such a place is impractical for working at a pc. You’d be up to now again, you’d be straining to achieve the keyboard, and also you’d nearly actually improve your ahead head place.

It appears that evidently 110-120° is about excellent for decreasing any ahead head posture that would happen should you incline the seat again any additional. Personally, I favor 120°, with lumbar again help.

In any occasion, do bear in mind to maintain your head again, properly inline above your shoulders. Please don’t power it again; enable a delicate lengthening to carry your head again into alignment.

Evaluate the chin tuck exercise for forward head posture if you’re not sure.

Inclining your seat 5° downward on the entrance and utilizing armrests can additional cut back lumbar disc strain.

Completely happy sitting!