14. March 2017 11:08
Scheuermann’s Kyphosis, also known as Juvenile Kyphosis or Calve’s disease, is a self-limiting disorder that creates an abnormal curvature of the spine. This is a thoracolumbar disorder that commonly affects the adolescents during their growth phase. A normal spine is vertically inclined and its cylindrical shaped vertebrae are placed one above the other to keep it stable. A slight curve is present in the spine which allows it to bear the impact of the body’s movements and to absorb external shocks effectively. In some cases, the vertebrae may grow at a different rate relative to each other and they tend to get stacked one above the other. This abnormal growth spurt increases the spinal curvature and if it exceeds 45 degrees, the condition is considered as abnormal.
Scheuermann’s Kyphosis may affect the upper back (thoracic spine) or the lower back (lumbar spine).The condition has both physical and psychological bearing on the patient and can lead to permanent disfigurement. It can also damage the internal organs in severe cases.
- Inherent genetic structure
- Direct or indirect injury caused to the spine
- Inherent weakness in the skeletal structure
- Thickening of ligaments which connect the two vertebrae may cause abnormal curvature
- Loss or lack of blood supply to the inter-vertebral cartilage
- Excessive bending for long hours or maintaining a poor posture for long
- Pain may radiate from a specific point in the spine to the neck
- Loss of vertebral height in teenagers
- Pain and discomfort may get aggravated during and after activity
- Muscle fatigue, cramps and stiffness in the back and extremities
- Visible deformity in the form of a hunchback
- Limited range of motion
- The space available for the lung cavity may be compromised with the excessive curving of the spine. This may cause breathing problem.
- Redness in the lower or upper spine region
- Instability of the spine
- Difficulty in sitting, lying down or standing for long
- Tightness in the hamstring muscles
- A detailed clinical evaluation of the patient, medical history, family traits and existing symptoms
- X-ray imaging to study the structure of the bones and changes in them, if any
- Testing of the other parameters such as range of motion, flexibility of spine and muscle strength
- MRI or CT scan may additionally be required
Scheuermann’s Kyphosis can be treated surgically and non-surgically depending on the severity or progression of the disorder. The doctor may recommend a surgery if:
- The spinal curvature exceeds 75 degrees
- The condition is progressive and likely to deteriorate the condition further or
- The conservative methods have not brought any relief.
- Prescription of anti-inflammatory medicines to ease the discomfort
- Wearing a removable back brace may be recommended to help reverse the curvature and combat pain
- Heating pads may be used to alleviate pain and curb inflammation. It also relaxes the surrounding soft tissues that support the spine
- Physical therapy may helpsto improve flexibility, range of motion and strength of the spine
- Supporting the back with additional pillows while sleeping
- Weight bearing should be strictly avoided
- Thoracotomy- It is a type of bone graft technique in which an incision is made in the chest to remove inter-vertebral discs, tissues and place a donor bone. It then fuses with the spine. The bone may be extracted from other joints of the body such as the hip
- Spine Fusion Instrumentation- The incision is made at the back of the spine and screws, pins, rods are inserted to correct the curvature and prevent it from becoming a permanent deformity
- Lifting of weights and excessive bending should be avoided post-surgery for 8-12 months. This allows the bones to solidify.
To know more about Scheuermann's Kyphosis, consult the doctors at OrthoTexas. You can visit them at 4031 West Plano Parkway Suite 100, Plano, TX 75093. For an appointment, call at (972) 985 – 1072.
21. April 2014 07:05
One of the most common causes of shoulder pain is Shoulder Impingement, which is caused by repeated overhead motion. Athletes or sports persons who are involved in swimming, tennis, overhead smashes, basketball, etc., often complain of shoulder pain. People, who do repeated activities such as construction work, painting a wall, etc., are also vulnerable to shoulder pain.
Shoulder is a complex structure that is made of three bones Clavicle, Humerus, and Scapula. The Rotator Cuff holds the arm in the shoulder socket and facilitates the motion. The muscles and tendons attach the arm to the shoulder. Bursa is a fluid that offers lubrication to the arm and allows the tendons to glide smoothly. The space between the top of the shoulder bone (Acromion) and Rotator Cuff reduces when one raises the arm. The pain and inflammation is caused when the Acromion rubs against the tendon and the bursa. Even an accident or trauma can also cause Shoulder Impingement.
The patient may initially face mild pain while using the arm; however, the pain may aggravate with time. Besides pain, there are other symptoms such as:
- Loss of motion or limited motion
- Difficulty in placing the arm behind the back
It is crucial to diagnose the problem as early as possible. To confirm Shoulder Impingement, an orthopedic doctor conducts certain physical tests and checks the medical history of the patient. He/she will check the extent of damage to the shoulder. The doctor may also suggest Magnetic Resonance Imaging (MRI) and ultrasound.
Depending upon the age and general health of the patient, the orthopedic doctor will follow a line of treatment so that the pain can be reduced and normal function can be restored. Initially non-surgical treatment is given, which is quite effective in helping the patient recover; however, in case the problem is not solved, then surgical treatment is considered. The doctor recommends complete rest and tells patient to reduce overhead activities. To reduce swelling, anti-inflammatory medicines are recommended and to restore normal functioning, some physical exercises are recommended