Scheuermann’s disease | Chiro & Sports Med
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Scheuermann’s disease

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Some amount of rounded curvature of the spine from the lateral (side) view is normal. The term kyphosis is used to describe the spinal curve that leads to an abnormally rounded back.

Types of kyphosis

Postural kyphosis
• Is considered the most common type of kyphosis and is often associated with slouching. It represents an exaggerated, but flexible, increase of the natural curve of the spine.
• Typically becomes noticeable during adolescence. It is more common among girls than boys, which can cause pain or discomfort.
• Exercise to strengthen the abdomen and stretch the hamstrings can help relieve associated discomfort, and can result in significant correction of the postural kyphosis.

Scheuermann’s kyphosis
• Is named after the Danish radiologist who first described the condition.
• Often becomes noticeable throughout the teen years; however, patients with Scheuermann’s kyphosis possess a much more severe deformity, particularly thin individuals.
• Usually affects the upper (thoracic) spine. It can also occur in the lower (lumbar) back area and if pain exists, in most cases it is felt at the apex (point) of the curve.
• Certain activity can intensify the pain, as can prolonged periods of sitting or standing. Exercise and anti-inflammatory medication can help ease associated discomfort as well.
• When x-rays of patients with kyphosis are analyzed, the vertebrae and discs will show up normal in individuals with postural kyphosis, however they will be irregular and wedge-shaped in those with Scheuermann’s kyphosis.

Treatment for poor posture and round back

Chiropractic treatment is dependent upon the actual cause of the deformity.
• The posture of some patients with postural kyphosis may improve over time.
• An initial program of conservative treatment by your chiropractor that involves manual therapy, exercises and anti-inflammatory medications (for discomfort) is advised for patients with Scheuermann’s kyphosis.
• An exercise program may also be helpful to relieve any associated back pain.

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