From the Research
The management approach for reversal of normal cervical lordosis should prioritize a combination of physical therapy, exercises, and lifestyle modifications, with a focus on restoring proper cervical alignment and function, as evidenced by the most recent and highest quality study 1. The treatment should begin with addressing any underlying causes such as poor posture, muscle imbalances, or previous trauma. A comprehensive physical therapy program focusing on cervical spine mobilization, postural correction exercises, and strengthening of the deep neck flexors is recommended.
- Specific exercises include:
- Chin tucks
- Cervical retraction exercises
- Upper back strengthening performed daily for 10-15 minutes, 2-3 times per day.
- Ergonomic modifications at workstations, proper pillow support during sleep (using a cervical pillow that maintains proper neck alignment), and regular movement breaks during prolonged sitting are essential components of management. For pain relief, over-the-counter medications like ibuprofen (400-600mg every 6-8 hours) or naproxen (220-440mg twice daily) may be used short-term, but should not replace corrective exercises. Manual therapies such as gentle spinal manipulation or massage may provide additional benefit when combined with exercise, as shown in a case report where a patient experienced complete relief of symptoms and restoration of cervical lordosis after spinal manipulation and intermittent motorized cervical traction 2. This approach targets the underlying muscular imbalances and postural habits that contribute to the loss of normal cervical curvature, aiming to gradually restore proper alignment and function to the cervical spine, which is crucial for preventing long-term disability and degenerative changes 3. It is also important to consider the individual's age and gender when developing a treatment plan, as cervical lordosis architecture can vary significantly between males and females, and between different age groups 4. Overall, a comprehensive and multidisciplinary approach is necessary to effectively manage reversal of normal cervical lordosis and improve patient outcomes, with a focus on restoring proper cervical alignment and function, and preventing long-term disability and degenerative changes.