From the Research
Straightening and reversal of the normal cervical lordosis can indeed cause pain, as it disrupts the normal biomechanics of the spine, leading to additional stress on the vertebrae, discs, muscles, and ligaments of the neck. This condition, often referred to as cervical kyphosis when reversed or military neck when straightened, can result in pain, stiffness, headaches, and sometimes radiating pain into the shoulders and arms 1. The most recent and highest quality study on this topic, published in 2022, highlights the importance of maintaining proper cervical spine alignment to prevent and manage pain 2.
Key Points to Consider
- The normal cervical lordosis plays a crucial role in maintaining the balance and stability of the spine, and any alteration in this curve can lead to pain and discomfort.
- Treatment options for straightening and reversal of the normal cervical lordosis typically include physical therapy, pain management using NSAIDs, heat and cold therapy, and in severe cases, a cervical orthotic device might be temporarily prescribed.
- Maintaining proper ergonomics, regular stretching, and strengthening exercises are essential for prevention and management of this condition.
- The pain occurs because the straightened or reversed curve alters the load distribution through the spine, causing muscles to work harder and potentially compressing nerve roots.
Recommendations
- Physical therapy focusing on posture correction and specific neck exercises to restore the natural curve is recommended as the first line of treatment for straightening and reversal of the normal cervical lordosis.
- Pain management using NSAIDs like ibuprofen (400-800mg every 6-8 hours) or naproxen (250-500mg twice daily) for short-term relief can be effective in managing symptoms.
- Heat and cold therapy can also help manage symptoms, and for severe cases, a cervical orthotic device might be temporarily prescribed.
- Maintaining proper ergonomics, regular stretching, and strengthening exercises are important for prevention and management of this condition, as highlighted in the study published in 2022 2.