Kyphosis

Kyphosis is a spinal condition characterized by an excessive outward curvature of the upper back, resulting in a hunched or rounded appearance. This condition can affect individuals of all ages but is more common in older adults and adolescents.

Symptoms of Kyphosis: Common symptoms of kyphosis include a visible hump on the upper back, back pain, and stiffness. The curvature can restrict movement and lead to difficulty standing up straight. In severe cases, kyphosis can cause nerve compression, leading to symptoms such as tingling, numbness, and weakness in the legs. Breathing difficulties and digestive problems can also occur due to the pressure on internal organs. Adolescents with kyphosis may experience emotional distress due to their appearance.

Causes of Kyphosis: Kyphosis can result from various causes, including poor posture, which leads to postural kyphosis, particularly in adolescents. Scheuermann’s disease is a condition where the vertebrae grow unevenly, causing a more pronounced curve and typically diagnosed in teenagers. Osteoporosis, a bone-thinning disease, can cause vertebral fractures, leading to kyphosis, especially in older adults. Other causes include congenital spinal malformations present at birth, spinal injuries, infections, tumors, and degenerative diseases such as arthritis and disc degeneration.

Diagnosis of Kyphosis: Diagnosis of kyphosis involves a thorough medical history, physical examination, and diagnostic imaging. Physical exams assess the spinal curvature, flexibility, and any neurological deficits. Imaging tests such as X-rays, CT scans, and MRIs are used to measure the degree of curvature and to identify any underlying abnormalities in the vertebrae, discs, and other spinal structures. These tests help to determine the severity of the condition and to guide the appropriate treatment plan.

Treatment of Kyphosis: Treatment for kyphosis depends on the type, severity, and symptoms of the condition. Non-surgical methods are often the first line of treatment. Physical therapy can help strengthen back muscles, improve posture, and increase spinal flexibility. Pain management includes over-the-counter pain relievers like acetaminophen or ibuprofen, and in some cases, prescription medications. For adolescents with Scheuermann’s disease or postural kyphosis, bracing can prevent further progression of the curvature. Lifestyle modifications, such as maintaining a healthy weight and practicing good posture, are also beneficial.

In severe cases or when non-surgical treatments are ineffective, surgical intervention may be necessary. Surgical options include spinal fusion, where the affected vertebrae are fused to correct and stabilize the curvature, and osteotomy, which involves removing a section of the vertebra to correct the deformity. These surgeries aim to relieve pain, improve function, and prevent further curvature progression.

Overall, early diagnosis and a comprehensive treatment plan are crucial for effectively managing kyphosis. With appropriate intervention, many individuals can achieve significant relief and improved quality of life, whether through non-surgical methods or, in severe cases, surgical correction.

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