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Your spine’s natural curves help balance your body. When your spine curves too much, it puts extra pressure on the spinal bones (vertebrae) and joints (discs) in your spine. This can cause balance problems, pain, and bulging discs.
Kyphosis is an abnormal curve of the upper spine. A healthy spine has a slight curve forward (25- 45 degrees) between the neck and the mid-back. If the curve is greater than 50 degrees, you may have kyphosis.
Kyphosis treatments range from education to surgery. Your doctor will decide the right treatment for you based on the cause of your kyphosis and how severe it is.
The most common symptom of kyphosis is pain in the middle or lower back.
Other symptoms of kyphosis include having:
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Kyphosis can be caused by a wide range of factors. Congenital diseases, including Scheuermann disease and spina bifida, can lead to kyphosis. It can also result from injury, osteoporosis, or infection. While kyphosis is more common in women than men, some causes are more common in men than women.
Known causes of kyphosis include:
You should give your healthcare provider as much information as you can to help them determine the cause of the kyphosis.
To learn more, your healthcare provider will discuss your symptoms with you, examine you, and perform tests. This section talks about some of the exams and tests your doctor may use.
Your doctor will check your body and its movement as part of a physical examand may check for:
There are several tools that let your doctor take pictures of the inside of your body. Based on what they need to see, they may use one of the imaging studies listed below.
Bone density scan.
This scan uses x-ray or ultrasound to measure the amount of bone in a certain area. It can detect and assess osteoporosis (thinning bones). Since kyphosis can develop as a result of osteoporosis, a bone density scan may help diagnose this condition.Electrodiagnostic testing. “Electrodiagnostic testing” refers to tests that measure electrical activity in nerves and muscles. Two common tests are the electromyogram (e-lek-tro-MY-oh-gram), or EMG, and the nerve conduction study, or NCS. Results from these tests help your doctor assess nerve and muscle function and locate any damage.
Pulmonary function tests.
These tests might be needed if the kyphosis is causing breathing problems.
Kyphosis treatment depends on the cause of the disorder. If an infection or a tumor has caused kyphosis, you will need treatment right away, which may include surgery and medicine. Depending on the cause, the treatment plan may include 1 or more of the approaches detailed below.
Education and activity.
Your doctor can teach you what you can do on your own to relieve pain, regain strength, and decrease the risk of further damage. Medicines (pills you take by mouth). Your doctor may prescribe medicine to reduce inflammation, relax muscles, and ease pain. Take the medicine exactly as your healthcare provider says. Let your provider know about all other medicines you take including over-the-counter medicines, supplements, inhalers, liquid medicines, and patches.
Physical therapy includes a variety of treatments to promote healing, relieve pain, build strength and flexibility, and help prevent future injuries. Scheuermann disease, for example, is treated using physical therapy and traction.
Traction is a way to decompress the vertebrae (bones) in the spine. Traction is done by a trained provider, or by braces or devices that gently lengthen the spine.
Your doctor may use a spinal injection to treat inflammation or ease pain. An injection can deliver medicine directly to the source of your symptoms. Common injections are:
Most spine problems, including kyphosis, can be treated without surgery. In some cases, however, your doctor may suggest surgery as a good option for relieving severe symptoms or constant pain. Some conditions, like congenital kyphosis in children, require surgery at an early age.
Options include kyphoplasty (KAI-fo-plas-tee), a surgery which straightens the spine.In this surgery, the surgeon injects a special balloon and cement into a collapsed vertebra. The balloon is inflated inside the vertebra to restore the original height of the bone, and the cement helps preserve this shape after the balloon is removed.
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