Understanding Kyphosis

A Comprehensive Guide to Spinal Curvature Conditions

Orthopedics

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Last updated: Mar 24, 2025

What is Kyphosis?

Kyphosis is an excessive outward curvature of the spine that causes a rounded or "hunched" appearance of the upper back. While some degree of curvature is normal, excessive kyphosis can lead to both aesthetic and medical concerns.

Types of Kyphosis

  • Postural Kyphosis

    • Most common form
    • Usually develops during adolescence
    • Often caused by poor posture
    • Generally flexible and correctable
  • Scheuermann's Kyphosis

    • Structural abnormality in vertebrae
    • Develops during growth periods
    • Less flexible than postural type
    • Can cause more significant discomfort
  • Congenital Kyphosis

    • Present at birth
    • Results from spinal development issues
    • May require early intervention

Common Symptoms

  • Rounded upper back appearance
  • Back pain or stiffness
  • Fatigue
  • Tight hamstrings
  • Limited spinal flexibility
  • In severe cases, breathing difficulties

Diagnosis

Physical Examination

  • Visual assessment of spine
  • Range of motion testing
  • Neurological screening

Imaging

  • X-rays
  • CT scans (if needed)
  • MRI (in complex cases)

Treatment Options

Conservative Treatment

  1. Physical therapy
  2. Posture exercises
  3. Back strengthening
  4. Bracing (in adolescents)

Surgical Intervention

Considered when:

  • Severe curvature (>75 degrees)
  • Significant pain
  • Neurological symptoms
  • Failed conservative treatment

Prevention Tips

  • Maintain good posture
  • Regular exercise
  • Proper ergonomics
  • Weight management
  • Regular check-ups during growth years

Living with Kyphosis

  • Regular exercise routine
  • Proper lifting techniques
  • Ergonomic modifications at work/home
  • Regular monitoring with healthcare provider

When to Seek Medical Care

Consult a healthcare provider if you notice:

  • Progressive spinal curvature
  • Persistent pain
  • Difficulty breathing
  • Neurological symptoms

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