a forward curve of the upper spine that causes a bowing of the back and gives the appearance of a hump, or “rounded back”.
TYPES OF KYPHOSIS:
KNUCKLE: here there is prominence of single spinous process, indicating collapse of single vertebrae. eg. tuberclosis of spine.
ANGULAR: here 2-3 vertebral bodies are collapsed eg. Late stage of tuberclosis spine, secondary carcinoma, etc. hunch back deformity.
ROUND: here several vertebrae are involved and hence it gives a rounded appearance eg. In children-scheurmann’s disease. In old age- senile kyphosis, ankylosis spondylitis.
Healthy vertebrae are approximately rectangular-shaped and stacked one on top of another. Disease or fractures can damage the vertebrae. For example, if fractured, vertebrae may lose their normal shape and may begin to look like wedges, causing the vertebrae to collapse on one another and creating a curve in the spine.
There are two different kinds of kyphosis, and they can both affect babies, children, teenagers, and adults. The first type, postural kyphosis, is caused by bad posture and can be corrected by the patient. The second type is caused by a structural disorder, and cannot be fixed without medical treatment.
Some people are born with the second kind of kyphosis, which is called congenital kyphosis. It is caused by either missing or incompletely formed parts of the spine. During a growth period, a person with a vertebra that has not formed correctly may find they develop a pronounced kyphotic curve. If the curve becomes severe it may press on the spinal nerves and cause pain
Physical Exam: During the physical exam, the doctor looks at your back and feels your spine.kyphosis is best seen from the side, both standing straight and bending forward. To test your range of motion, your doctor will ask you to bend forward, backward, sideways, and to twist. Some people with kyphosis find it hard to do these movements.
Nervous System Exam: Next, your doctor will test your nervous system. The nervous system includes the brain, spinal cord, and nerves that extend like tree branches through the body (see diagram). The nerves carry messages to and from the brain to control your body. The doctor will ask if any part of your body is painful, tingles, is numb, or feels weak. Because nerves make everything work in the body, the doctor will also ask you if you are able to go to the bathroom normally.
Imaging Tests: X-rays are taken of the spine with you standing and laying down so that the doctor can see your spine from behind and from the side. These views will show many problems in the spine, including unusual curves and vertebrae that have unusual shapes (usually wedged shape). X-rays are also used to measure the size of the curve in the spine. If your doctor thinks there is a nerve problem, another test called a Magnetic Resonance Imaging test (an MRI) is performed. The pictures produced by an MRI machine are very detailed, so the doctor can see all of the structures in your spine.
Non-Surgical Treatment Options
Early treatment is important to try to stop the curve from becoming worse. The type of treatment you receive will depend upon the cause of your kyphosis.
A spine fracture may contribute to a kyphotic curve. Fractures may be treated with various methods, including bed rest, and pain management (analgesics and anti-inflammatory drugs
If your kyphosis is caused by poor posture, there are exercises you can do to make the muscles in the spine stronger. A physical therapist will teach you these exercises and show you how to correct your posture.
kyphosis caused by a structural problem is often treated by wearing a special brace. The brace can help control pain and help slow or stop the curve’s progression. There are different types of braces, and your doctor will carefully select the appropriate option for you. The brace will then be custom-fitted to your body, to ensure that it fits you comfortably.
At Physioline, all the members of the rehabilitation team work together so as to provide proper care and the therapy in order to
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