The cause of Scheuermann disease is unknown. Scheuermann disease is treated with a brace and physical therapy. But if the curve is large enough to cause a lot of pain, surgery may be needed. The curve of the spine that leads to kyphosis can be caused by arthritis, mini-fractures from osteoporosis, spinal injuries, or one vertebra slipping down onto another. Treatment for kyphosis usually depends on the cause. But the osteoporosis itself will usually need to be treated in order to prevent future fractures.
If the curve or the pain is severe enough, surgery may be an option. But if it is, Dr. More curvature may lead to nerve compression, Dr.
Arlet says, which can cause weakness, numbness, loss of balance and coordination, and pain. It can also become hard to do things, like walk long distances, because the nerves can become compromised. Treatment — whether surgical or not — can help relieve you of the pain and debilitating factors that are caused by the curve in your spine.
When you look at the spine from the posterior rear , as in Figure 2, the spine will appear to be straight vertically from your neck to the tailbone. The terms for these normal curves are kyphosis kyphotic curve and lordosis lordotic curve. However, such natural kyphotic or lordotic curves should never be confused with scoliosis. Lordosis, kyphosis, and scoliosis are spine curves. As mentioned, kyphosis and lordosis are natural but not scoliosis.
Scoliosis is an abnormal curve as seen from the front or back of the spine, as depicted in Figure 3. The standard curves lordosis or lordotic curves and kyphotic or kyphotic curves are those in the sagittal plane. In contrast, the abnormal curves scoliosis are a reference to curves in the coronal plane. In the human spine, there are two lordotic curves lordosis : one in the neck cervical and the other in the lower back lumbar. But there is only one kyphotic curve located in the upper and mid-back thoracic spine.
However, some even consider the curve of the buttocks as one of the spinal curves , as formed by the sacrum and the coccyx the tailbone. Therefore, to keep matters simple, we will proceed with the notion of two normal kyphotic backward curves: one in the thoracic spine upper and mid-back and the other in the sacral spine buttocks region. Each of these healthy and naturally occurring soft curves serve to distribute any mechanical stress incurred while the body is erect, moving, or at rest.
Complicated scoliotic curvatures will present increased or decreased natural curves lordosis and kyphosis curves. Rotatory scoliotic spine presenting with lordosis, kyphosis, and scoliosis requires expert attention. If you have been diagnosed with lordosis, kyphosis, and scoliosis, visit the best physiotherapy and chiropractic Center in Kuala Lumpur for accurate assessment and treatment. Both lordosis and kyphosis are normal to a certain extent, but there are conditions and situations where a kyphotic curve may be present in the neck or the lower back.
In contrast, lordotic curves are in the thoracic upper and mid-back portions of the spine. In other words, a kyphotic curve is typical for the upper back or mid-back but an abnormal finding when present in the neck or lower back. Patients may develop scoliosis or kyphosis spinal deformities in adulthood, or the deformity may have been present since childhood and become progressively worse.
Causes There are many causes of adult scoliosis and kyphosis. The most common cause of scoliosis is degenerative spinal arthritis, which can cause slight instability and eccentric loading of the spine, causing it to curve. This is referred to as de novo degenerative scoliosis DDS. Most often, the curvature is mild and does not, in and of itself, require treatment. Other patients may have had scoliosis as a child.
This is referred to as adolescent idiopathic scoliosis of the adult ASA. Natural history studies have demonstrated that many patients, especially those with a curvature greater than 50 degrees in childhood, tended to increase at nearly 1 degree per year even after puberty.
Adults may also present with scoliosis or kyphosis that was also present in childhood due to a congenital spinal abnormality. The most common cause of adult kyphosis is osteoporosis compression fractures, yet this is typically a mild deformity unless there are multiple fractures. Other patients develop kyphosis because of degenerative spondylosis arthritis of the spine or due to post-surgical changes. There are other musculoskeletal conditions and neurologic diseases that can also cause scoliosis and kyphosis, such as pelvic obliquity, leg length discrepancy, and polio.
Pain and difficulty walking and standing are the most common symptoms of patients with a severe spinal deformity. Patients may also have sciatica, neurogenic claudication, and leg symptoms if there is associated spinal stenosis. The most prominent finding on physical examination is the spinal deformity and truncal shift, either in the coronal plane or sagittal plane, or both.
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