“…Its onset is usually insidious, and it typically worsens with extension, ipsilateral bending, or rotation of the spine (2-4), improving with lumbar flexion. It causes morning stiffness of the spine (3) and occurs when movement starts and at rest (3,4). In contrast, lumbar hyperlordosis produces overload in its concavity (the facet joints) and is associated with a horizontalized sacrum (5), which, in turn, is associated with female sex (6).…”