Is it possible to treat kyphosis in an adult and what are the most effective methods?
In kyphosis, there are different symptoms and stages: from a minor change in the patient's posture to severe deformity, which occurs with damage to the nervous structure and chronic pain. Often, this ailment occurs in the thoracic region, but sometimes in the neck and lower back. In the article, we will consider in detail the treatment of kyphosis in adults by different methods.
What methods of kyphosis treatment can you use?
Conservative type of treatmentEarlier often used corsets from gypsum, then preference was given to operational correction. To date, conservative treatment is a physiotherapy and various types of corsets, which should support the spine in an optimal position.
If kyphosis is caused by osteoporosis, then you need to intensively treat the underlying disease - this will significantly slow the progression of kyphosis. Most often this is achieved through the use of medications that increase the level of calcium, vitamin D in the body, and in addition, bisphosphonates, and special medical exercises.
If you are an adult and you have kyphosis, corset treatment will help in alleviating the pain syndrome, but it will not positively affect the condition of the spine. When the skeletal maturity is reached( this period is from 14 to 16 years), fixation is used only to reduce pain, but no longer adjust the spine and not to prevent the development of the disease.
The doctor may recommend that you work with a specialist in rehabilitation. Good rehabilitation programs help reduce pain, improve mobility and strength of the spine and return quickly to your lifestyle. Exercise, unfortunately, does not affect the kyphotic deformity, but it will help to significantly reduce pain.
Operations in kyphosisSurgical treatment of kyphosis in adults has a number of risks, so that it is prescribed only when the probable benefit exceeds the risk. In most cases, if you have kyphosis, the operation will not be assigned, although there are cases when it is most likely.
First, the most common reason for the surgical treatment of kyphosis is severe pain. If it is possible to manage the pain symptom with conservative treatment, you will not be recommended for surgery.
Secondly, if the progression of deformation is noticeable, then you will be given an operation.
Thirdly, in many cases of kyphosis, surgical intervention will not be prescribed solely for the purpose of correcting the appearance. Although there are cases when kyphosis can cause intolerable deformity for the patient. Then the operation is the only correct choice for correcting this deformation. Most cases of cosmetic surgery of this disease are observed in young patients, because it is for them that appearance plays a big role.
There are many options for treating kyphosis in adults through surgery. For each individual case, there is a slightly different type of operation, because it requires an individual approach in order to obtain optimal results.
Almost all specialists will use a certain kind of metal screws, as well as plates and rods to straighten the spine and keep it in the correct position at the moment when the bone graft is reconstructed. These screws, rods and plates are interconnected, and a single corset is formed inside, which firmly holds the spine.
Treatment of the thoracic spine kyphosis and its typesIn many cases, conservative treatment is used. LFK, special medicamental therapy, as well as physiotherapy, massages, sometimes - wearing a special corset. Just keep in mind that prolonged and uncontrolled wearing of the corset can only do harm, since the muscles of the back will be weakened, which will lead to the progression of the deformity of the spinal column.
With such a disease as the kyphosis of the thoracic spine, treatment with surgery carries a certain degree of risk, which is why not always experts suggest this option, and patients rarely agree to it.
The main indications for the surgical treatment of such a disease as thoracic kyphosis are:
- clearly expressed pain syndrome, not amenable to conservative methods of treatment;
- rapid disease progression;
- decompression of the nerve root( or several rootlets) and spinal cord;
- possible cosmetic indications;
- protects the neural structure from further damage and squeezing.
Treatment of kyphosis of the cervical spine and its typesIt is possible to cope with this diagnosis with the help of conservative methods of therapy, which have already been mentioned above. An excellent result is observed with the use of special techniques of manual therapy, as they softly affect the spine, and gradually returns to its anatomical shape.
If conservative methods are not effective, treatment of the kyphosis of the cervical spine is performed using surgery. If you strictly follow all the doctor's recommendations, then the kyphosis of the neck department can be corrected, even relatively quickly.
An important point of treatment is therapeutic gymnastics. Often recommend to perform a set of exercises, several of them will be given below( by performing them, you should monitor the correctness of breathing):
The starting position - the patient stands with legs spread apart in the width of the shoulders. He drives a stick behind his back and presses against his shoulder blades, his back should straighten. When you squat, you inhale, when you return to the original position - exhale.
Another exercise, the patient takes the same starting position as in the previous one. Gradually, he climbs on his toes, while at the same time hands up at the moment of inspiration. Returns to the starting position - exhalation.
And the last exercise begins with the same starting position. In the hands of the patient holds a gymnastic stick, which is on the shoulder blades. Straightens his hands, raises the stick up, at this time the head must be thrown back at the time of inspiration. Returns to the starting position - exhalation.
Kyphosis of the thoracic spine, treatment and gymnastics
The diagnosis of the kyphosis of the thoracic spine is made when the thoracic bend is bent back.
A little curvature is present in many people and is considered the norm until it becomes noticeable.
Kyphosis leads to excessive compression of the intervertebral discs , resulting in compression of the heart and lungs.
The causes of the appearance of kyphosis
- The cause of the occurrence may be such diseases as rickets and tuberculosis of bones.
- Deformities of the vertebrae can be caused by severe physical exertion.
- Kyphosis occurs and against the back of a spinal injury. Compression fracture of vertebrae leads to it.
- Often the cause of kyphosis is the incorrectly formed in childhood posture .Children's stoop, if not to fight with it, eventually becomes worse and a hump begins to form.
Classification of kyphosis
This is the kyphosis of the thoracic part in the photo
In medicine, the kyphosis is divided into several species.
- Congenital form of - initially abnormal development of the thoracic vertebrae.
- Genotypic kyphosis - is inherited and can be traced not in one generation.
- Compression form of kyphosis - is manifested with frequent and heavy physical exertion, when the bodies of one or several vertebrae are deformed and the height of their anterior sections becomes smaller.
- Mobile kyphosis - arises from the weakness of the back muscles, as a result of which a person either slouches or warps, which also leads to deformation of the vertebrae.
- Ricky kyphosis .With this kind of kyphosis, a hump grows. The cause of its formation is rickets, affecting children in the second half of life because of the general weakness of the skeleton and skeletal muscles, fragile vertebrae.
- The old kyphosis is diagnosed when the hump formation is caused by aging changes in intervertebral disc tissues and the weakening of all muscles supporting the spine and the skeleton as a whole.
- Total kyphosis is a complex arcuate form of kyphosis that affects the entire spine. This form is sometimes observed in newborn children, which then disappears.
- Tuberculous kyphosis - as the name suggests, the cause is tuberculosis, which causes inflammation of the spinal tissues and subsequently leads to the destruction of the vertebral bodies, their deformation.
- Corner kyphosis .With this type of disease, the convexity has the form of an angle, the vertex of which is directed backward.
- Physiological kyphosis is observed when the child's spine develops correctly before the age of seven, but then a mild kyphosis appears in the thoracic region, and in the future the kyphosis of the sacral region is formed to the pubertal period.
The stages of the disease
In medicine, it is common to distinguish three stages of kyphosis, depending on the angle of curvature of the spine and the symptoms:
1 stage - light form of kyphosis, angle of curvature is not more than 30 degrees;
Stage 2 is a moderate form in which the angle is 30 to 60 degrees;
Stage 3 is the most severe form of kyphosis. The angle reaches 60 degrees.
Treatment of disease
Conservative treatment of
There are several methods for treating kyphosis.
Most often the doctor recommends conservative treatment. This includes a whole range of procedures and treatment activities: physiotherapy, massage, specially selected physical exercises, medications that strengthen the back muscles of the corset.
At any kind and stage of the disease, a specially designed complex of exercises is appointed, which helps, first, to relieve pain, and secondly, to form around the heart and lungs a peculiar space that protects them from squeezing.
One of the common, accompanying kyphosis diseases is osteoporosis .
It must be treated to stop further deformation and skewing of the skeleton. In the treatment of kyphosis with osteoporosis, preparations containing calcium and vitamins, as well as physical education and, if necessary, hormones, are added.A few words about corsets. Wearing corsets can significantly reduce the constant sensation of pain, but the corset itself does not correct posture, especially if the changes are already visible to the naked eye. Corsets are selected by specialists in accordance with the type and stage of the disease.
It happens that medication does not have the desired result, kyphosis continues to progress.
In this case, doctors prescribe surgical treatment. This treatment option for kyphosis is associated with certain risks. Therefore, first experts discuss with the patient the possible undesirable consequences of the operation. If arguments for a positive outcome predominate, then an operation is performed.
There are situations where is unambiguously recommended surgical intervention :
- Severe pain, which can not be dulled with medications and other methods of conservative treatment.
- Progressive deformation of the spine, interfering with the normal functioning of the lungs and heart.
- Explicit cosmetic defects that lead to psychological problems, discomfort in communicating with other people, disrupting the patient's socialization, stopping professional activity.
The operation itself is divided into two stages. It is not enough to eliminate the deformation, we must still fix the result, stabilize the position of the spinal column, in order to avoid the re-development of the disease. For this purpose, special transpedicular stabilization systems are used, including connecting rods and screws.Materials from which the mechanisms are made are not rejected by the tissues of the body. This allows you to leave the system in the body for a long time, sometimes for life.
Exercises and gymnastics. LFK
The complex of physical exercises with kyphosis is an integral part of the treatment. Exercises aimed at strengthening the thoracic area, allow to strengthen the muscles, to correct the posture, to suspend further curvature.
Here are a few basic gymnastic exercises for strengthening the muscles of the thoracic spine:
- Lie on your stomach, brushes touch your shoulders. Further, breathing in, try to tilt your head back while lifting your chest. Try to rise as high as possible. Exhaling, return to the reclining position.
- To perform the exercise you will need a gymnastic stick. Lying on his stomach, we put a stick on his shoulder blades, we hold it with our hands. In this situation, try to tilt your head and feel how the spine bends, strain your muscles, trying to bend even more. Then return to the starting position.
- Get on all fours, lift your head, chest area, bend down, elbows to the sides. Keeping this position you need to move forward by 50 steps.
- Again we take a gymnastic stick. Stand upright, feet shoulder width apart. We put the stick behind our back, so that it touches the shoulder blades. Exhaling - crouch, on inhalation - get up.
- Feet for shoulder width. We put the stick behind our back, pressing it to the shoulder blades. Inhaling, raise the stick up, head throws back. Exhaling, we return to the initial position.
Daily performance of these simple exercises allows you to find a beautiful posture and restore health to the spine.
Some information on the treatment of thoracic kyphosis can be found in this video.
Treatment of kyphosis - what you need to know
To correct the existing kyphosis, you can recommend the following complex of physical exercises( follow the breathing exercises):
1. Squats with a gymnastic stick. The patient stands, spreading his legs to the width of his shoulders. A gymnastic stick leads behind her back and slightly presses her to the shoulder blades, helping to straighten her back. During the squatting the breath is exhaled, then the patient returns to the starting position( IP) - inhalation.
2. I.P.as in the previous exercise. The patient slowly rises to the socks, and hands through the sides lifts upwards, making an inhalation at this time. Then he returns to I.P.- Exhalation.
3. The patient stands, feet shoulder-width apart. In his hands he holds a gymnastic stick on his shoulder blades. Straightening their arms, they raise the stick upward, their head tilts back and inhales. They return to I.P.- Exhalation.
4. IP.standing on all fours, leaning on his knees and hands. The head should be raised, the elbows should be taken to the side, and the thorax crooked down. In this position, about 50 crawl steps are performed.
5. IP.lying on the floor, on the back, hands along the body and bent at the elbow joints. By inhaling, they bend the spine in the thoracic region, leaning on the elbows and the back of the head, after which they slowly return to IP, making an exhalation.
6. The patient lies on the abdomen, hands are brought to the shoulders. Leaning on his forearms, he must tilt his head and maximally lift the chest from the floor, making an inhale at this time. Then he exhales and returns to I.P.
7. The patient lies on his stomach, and with his hands holds a gymnastic stick lying on his shoulder blades. You should tilt your head back and maximally possible to bend the spine. Then he returns to I.P.Breathing, when performing this exercise, can be arbitrary.
8. Exercise is performed in the knee-wrist position. You should bend your arms in the elbow joint, lower your chest to the floor and make the body move forward. Then slowly return to I.P.
9. IP.lying on his back in a state of maximum relaxation, hands along the trunk. Put your hands behind your head and stretch, then go back to I.P.
10. Exercise is performed while standing. Hands are placed on the back of the head. Rising to the socks, hands are bent to the sides and do at this time, breathing in, returning to I.P.- Exhalation.
The lordosis of the spine exercises by reference.
Spondylarthrosis of the lumbar spine symptoms http: //pozprof.ru/bn/spnd/ spondiloartroz-poyasnichnogo-otdela.html # t1.
It is very important in such a disease as kyphosis, to pay special attention to therapeutic physical training. Exercises included in the complex exercise therapy( physiotherapy exercises) with kyphosis, have a very beneficial effect on the body, on all its organs and systems. Namely - they help to improve blood and lymph circulation, and not only in the spine itself, but also in the tissues that surround it, and also improve the ligament-muscular apparatus. Thanks to therapeutic exercises with kyphosis, the joints acquire strength and flexibility. The main goal of LH( therapeutic gymnastics) at kyphosis is to strengthen the muscular masses of the neck, chest, back and abdomen, that is, those muscles that are the holders of the spine. Below, a set of therapeutic exercises for kyphosis is presented to your attention. However, before proceeding with their implementation, it is recommended to consult a doctor.
The first few exercises are performed lying on the back, movements are made with each leg alternately. Run 8-12 times with your right foot, then with your left foot. The starting position is lying on the back, legs are shoulder-width apart, arms are stretched along the trunk.
Therapeutic gymnastics with kyphotic deformity of the spinal column requires compliance with some general principles, regardless of the location and severity of the pathological process:
LFK in kyphosis should be performed using both dynamic and static exercises;
When exercising, do not exceed the dosed load prescribed by the doctor;
The amplitude and strength of the movements should increase gradually from one activity to another;
The total duration of the training should not exceed 30-40 minutes, as increasing this interval will cause muscle fatigue;
Before starting the workout, it is advisable to take a bath and do a relaxing massage to prepare the skeletal muscles for physical exertion;
The performance of a complex of gymnastics must be carried out with proper posture. To do this, first, in front of the mirror, work out the position of the back, shoulder girdle, head and lower limbs in various poses;
The effect of the lesson can be completely reduced to zero if the person is not sitting properly, sleeping or lifting heavy objects.
The total physical load for more than 40 minutes contributes to the overload of the musculature, which can lead to a negative effect. Short-term gymnastics does not create the necessary efficiency for strengthening the muscular framework of the back.
For the prevention of kyphosis, the following rules should be observed:
Observe the correct posture
Do not slouch when walking and working
Seek medical advice immediately if the first signs of kyphosis occur
Treat spine diseases
Correctly and nutritionally eat from an early age
Perform physical exercises( gymnastics, exercise), to strengthen the muscular frame of the back
Kyphosis and its treatment
Kifoz refers to the curvature of the vertebral column posteriorly. Normally, the thoracic spine bends posteriorly, forming the so-called physiological kyphosis. But in cases when this bend has too pronounced curvature, a pathological kyphosis is diagnosed. Clinically, the disease manifests itself as a syndrome of "round back".In the case of a relatively small curvature, the kyphosis looks like a stoop, and in more pronounced cases it appears as a hump.
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Symptoms of kyphosis
The kyphotic bending of the spine in the thoracic region is manifested by the following symptoms:
- the head is constantly tilted forward;
- shoulders are brought forward and downward due to the shortening of the pectoral muscles( this further rounds the back);
- the abdomen is reflexively bulging;
- feet are bent at the knees;
- the thorax is narrowed.
All these signs of kyphosis can be determined at home. To confirm the diagnosis, radiography is used, which allows you to determine the severity of the pathology.
What is dangerous kyphosis?
The presence of progressive kyphosis leads to a violation of the anatomical structure of the chest. This over time manifests a decrease in the mobility of the ribs, impaired motor activity of intercostal muscles and, as a result, restriction of respiratory function of the lungs. In addition, the work of the heart is disrupted, and due to the constant squeezing of the abdominal cavity and insufficient supply of oxygen, the functions of the liver, stomach and intestines suffer.
Forms and degrees of kyphosis
The following types of pathological kyphosis stand out:
- congenital, which are due to intrauterine developmental disorders of the vertebrae;
- genotypic, or hereditary, having the identical form in children and parents in several generations;
- compression, developed as a result of compression fractures of vertebral bodies;
- mobile, arising due to weakness of the spinal musculature and habitual incorrect posture;
- rickets that develop in childhood with rickets;
- senile, due to age-related changes in the intervertebral discs and vertebrae, as well as the weakening of the muscular framework;
- total, caused by serious diseases of the spine, such as Bechterew's disease;
- tuberculosis, which develops in tuberculous spondylitis due to destruction of the vertebrae and their compression;
- angular, in which the bulge on the back has the form of a corner turned by the vertex to the back.
In addition, kyphosis is divided into degrees depending on the severity of the curvature and the angle formed:
- I degree - 31-40 °;
- III degree - 51-70 °;
- IV degree - 71 ° and more.
The degree of kyphosis "by eye" can not be determined. For this purpose, an X-ray examination is used, as well as computer or magnetic resonance imaging of the spine.
Causes of kyphosis
All causes of kyphosis can be divided into congenital and acquired.
Inborn causes include violations of intrauterine development, leading to the formation of vertebrae irregular( for example, wedge-shaped), the formation of additional vertebral bodies, etc.
The acquired causes of kyphosis development are: - spine trauma,
Kyphosis of thoracic spine: photo, symptoms, treatmentThe spinal column of a person without pathologies of development, when viewed in the sagittal plane, presents a series of curves of physiological properties. The bend in the inner side is characterized by lordosis in the cervical and lumbar spine, the kyphosis of the thoracic or sacral divisions is characterized by an outward bend. Such bends retain the mobility and flexibility of the spinal column, promote the maintenance of various loads. Normal physiological kyphosis should not exceed a 45-degree deviation. Curvature exceeding the norm refers to vertebral pathologies.
The causes of kyphosisThe development of the disease manifests itself for many reasons:
- pathology of the intrauterine nature;
- consequence of injuries and surgical interventions;
- due to pathological compression fractures of the vertebrae;
- consequence of the formation of incorrect posture or psychological stress;
- consequences of disc hernia and compression of nerve roots;
- neoplasm on vertebral disks;
Classification by speciesThe manifestation of functional kyphosis is due to the muscular weakness of the back. It looks like the usual stoop, acquired in the wrong position while working at a table or the consequence of a psychological factor, when they are shy of their growth, involuntarily slouch, trying to be lower. Often the psychological factor is expressed in girls during puberty, when they slouch, involuntarily trying to hide the growth of the breast. When the back is placed horizontally on a solid surface, kyphosis does not appear. Also disappears with an independent desire to straighten. With x-ray, no vertebral anomalies are detected. The young dorsal kyphosis or Sheyerman-Mau disease is characterized by a large degree of bending deflection( up to 75 grades).Such deformation manifests itself as a result of hernia formations in the thoracic intervertebral discs, which is the reason for the formation of several wedge-shaped vertebrae. Versions of pathology formation are numerous:
- hypertrophy of the anterior ligament of intervertebral discs;
- avascular necrosis of hyaline cartilage, disrupting bone growth;
- or excessive growth of bone tissue on intervertebral sites;
- pathological processes in muscle tissue;
- is a consequence of osteoporosis and many other versions.
- 1) Paralytic appearance is a consequence of cerebral palsy or poliomyelitis. Complicated by deformation of the spinal column.
- 2) Post-traumatic appearance is the result of injuries and fractures in the thoracic or lumbar spine.
- 3) Post-operative appearance of kyphosis - associated with unsuccessful stabilizing operations on the spine.
- excessive loads;
- is a consequence of radiation therapy.
Symptoms of kyphosis and stageFew people pay attention to the seriousness of such a disease. Well, what can be dangerous in the usual stoop? Kyphosis, and its symptoms from the degree of curvature of the spine expressed:
- 1) Hypokyphosis with a curvature angle of up to 15 degrees.
- 2) Normal kyphosis with a bend angle reaching 50 degrees.
- 3) Hyperkifosis, when the bend exceeds 50 degrees.
- with painful spasms in the area of bending;
- numbness and weakness in the legs;
- heart rhythm disturbance;
- problems with breathing and digestion( in complicated cases);
- is a violation of sexual functions.
- a decrease in free chest space;
- limited mobility of the chest;
- difficulty breathing.
- definition of genetic predisposition - an anamnesis of the disease in the family.
- the time of manifestation of the primary signs of kyphoid bending;
- determine the level of progression of the disease from previous pictures( if any).
- determine the nature of the pain, if present.
- detecting the presence of intestinal dysfunction or disorders in the urinary system
- assessment of motor functions.
- revealing the presence of surgical interventions on the backbone in the anamnesis.
- determination of the motor functions of the back;
- determination of the patient's flexibility in different directions;
- reveals the lesions of certain nerve endings when evaluating reflexes and muscle strength.
- uses special tests to identify irritated or clamped nerves.
- 1) X-ray examination in various positions( standing or lying down), a snapshot from the front, side and side curvature, helps to determine the structural changes in the spine and to measure the angle of curvature.
- 2) The MRI method allows you to view changes in nerve fibers and changes in the spinal cord.
- 3) The CT method allows obtaining more complete information on structural bone changes.
How to treat the kyphosis of the thoracic spine?The treatment plan is always tailored to individual needs. Consists of their conservative treatment and extreme method - surgical. Conservative treatment of kyphosis , which includes drug therapy, is aimed at reducing pain symptoms. It should be clearly recognized that no drug therapy is able to completely cure the curvature, its task is to facilitate the course of the disease. When kyphosis of the thoracic spine, complicated by osteoporosis, treatment of the background disease is carried out, preventing various vertebral fractures. Assignment:
- hormone therapy;
- vitamin complex;
- exercise complex with loads.
- 1) In view of training programs aimed at the correct mechanics of maintaining the vertical position of the body;
- 2) Recommendations for maintaining the maximum active level;
- 3) An individually formulated exercise plan for stretching exercises and compulsory swimming procedures.
Surgical treatment of kyphosisSurgical intervention in thoracic kyphosis is applicable in the following cases:
- 1) When conservative methods do not bring the desired results and pain symptoms are not manageable
- 2) In cases of progressive kyphosis, to prevent the effects of severe forms of kyphosis.
- 3) In some cases, with large physical deformities caused by curvature.
- to reduce the deformation of the spine;
- preserving afferent connections, eliminating pressure on nerve endings;
- protection against further damage.
Prevention of kyphosisPrevention aimed at preventing the disease contains several rules:
- fitness for the young and exercise therapy for the elderly.
- with sedentary work recommended gymnastic exercises to maintain normal muscle tone.
- a visit to a child psychologist or explanatory work for psychological problems that cause stoop.
- match the size of the desk and chairs according to the height of the person.
Kidney spine: treatment of symptoms and degree of development of
The spine has physiological curves. In the cervical and lumbar regions, the bend is forward, and in the thoracic and sacral - back. Due to various unfavorable conditions, vertebral bends increase, mainly in the lumbar and thoracic regions. The initial stage begins with a slight curvature of the spine to 30 degrees. Kyphosis of the spine is a pathological condition in which an excessive bulge of the spinal column is formed.
On the left - a healthy spine, on the right - a spine afflicted with kyphosisA new look at the treatmentAs the former "hard worker" was able to get rid of arthritis and osteochondrosis for a month? Further. ..
Among the causes of kyphosis of the spine usually are:
- Rapid growth of the spine during puberty.
- Injuries during childbirth.
- Incorrect load on the spine during its development.
- Disturbance of vertebra growth due to improper biomechanics.
Features of the disease
If the degree of kyphosis does not exceed 30 degrees, then 1 degree is diagnosed. With pathology of the bend from 30 to 60 degrees determine the 2 degree. The heaviest kyphosis is 3 degrees, in which the curvature is more than 60 degrees.
1 degree of the disease usually goes unnoticed, as it manifests only stoop, which is rarely taken seriously. Many people think that the stoop will pass by itself and there is no need to treat it. But this is an erroneous opinion. If there is an extremely irregular load on the spine, the kyphosis progresses to heavier forms. So the initial stages are also the reason for going to the doctor. If the treatment of the first degree of kyphosis can be accompanied by a short course of manual therapy, exercise therapy, the correct organization of work and rest in favor of strengthening the motor activity, maintaining a correct posture, then at the second degree of kyphosis another treatment is required.
Kyphosis of the 2nd degree is characterized by a curvature of the spine with an angle of 30 to 60 degrees. The back becomes rounded, the shoulders go down and down. The muscles of the back are quickly tired. Strengthening of thoracic kyphosis provokes the development of lumbar lordosis as a compensatory reaction. The abdomen begins to bulge forward. Also, cervical lordosis can be strengthened, in which the chin thrusts forward.
Quite often kyphosis of the spine is combined with scoliosis and so-called kyphoscoliosis is formed. In humans, the volume of the chest decreases, which means that respiratory function and cardiac activity are impaired. Organs are less saturated with oxygen and nutrients.
You need to start immediate treatment. Assign a manual therapy, a course of gymnastics, adequate physical activity at home. It is also recommended to sleep on a comfortable orthopedic mattress and visit the swimming pool. Only careful compliance with all the rules and recommendations of a doctor will help to avoid the progression of the spine in a severe 3 degree.
Pathological kyphosis of the 3rd degree is a serious disease with a rather strong angle of curvature. The spine tries to compensate a strong bend, therefore the lumbar lordosis amplifies. To get rid of such pathology is rather difficult even with the help of surgery. It can manifest itself if in time did not pay attention to the 2 or 1 degree of kyphosis of the spine, there are congenital anomalies in the structure of the spine, conditions after severe surgeries, burns and injuries, muscle hypotension, a weakened state of the body, heavy loads on the spine, leukemia in children.
With kyphosis of the 3rd degree, a hump is formed. The spine is strongly curved and in the lumbar and thoracic parts, the person somehow folds in half. Because of this, it decreases in growth, legs are weakened, hands seem long. Physical stresses become unbearable, pain in the back - unbearable. At the slightest load, there is a violation of breathing and a breakdown in the work of the heart. All these symptoms constantly continue to worsen. There are problems with digestion, the body is weakening, a person constantly needs support and even in drowsiness there can be shortness of breath. Severe kyphosis of the spine can be cured only through surgery.
In case of grade 3 kyphosis, the
hump appears. The main causes of kyphosis
Usually the kyphotic arch can occur for the following reasons:
- Infectious. Bacterial lesions of vertebral bodies and tuberculosis lead to deformation.
- Ricky. It is usually associated with a lack of vitamin D in childhood, which causes the pathological development of the spine.
- Total. It is caused by problems of the whole spine. For example, the mobility of the spine can limit the deposition of calcium salts in the ligaments that causes Bechterev's disease.
- Static. There are age changes in the bone apparatus, muscles.
Usually pathological kyphosis is detected in children, beginning with the age of seven. At this time, there is an increased growth of the spine, in which various pathologies are found. The most important factor for successful treatment is timely access to a doctor.
Kyphosis can be slow progressing. With this form of the course of the pathology, the angle does not increase more than 7 degrees during the year. Can be rapidly progressive. With it, the cytical angle increases by more than 7 degrees. Also, depending on the location of the top of the kyphoid arch, lumbar, thoracolumbar, lower thoracic, middle chest, upper thoracic, cervicothoracic can be distinguished.
In adults, pathological kyphosis of the 2nd degree appears due to degenerative-dystrophic changes in the spine. The lack of nutrients, a violation of blood supply lead to an increase in concavity in the chest. In older people, kyphosis can be caused by joint diseases. Kifosis in adults can cause endocrine diseases, osteochondrosis, tuberculosis. Since the musculoskeletal system develops under the influence of endocrine glands. The cause of kyphosis can be Cushing's syndrome, hyperparathyroidism, long-term use of corticosteroids. If there are such symptoms, you should undergo a preventive examination at the orthopedist.
The danger of kyphosis in adolescents is that it is progressing faster due to the rapid growth of the spine and the fact that the spine is still very flexible. But also cure kyphosis of the spine can be much easier and faster than in adults. The curvature of the spine in adolescence is dangerous because of the deformation of the skeleton. The thorax narrows, the mobility of the ribs decreases, the musculature of the back suffers, the muscles of the abdominal press weaken, the diaphragm descends. Then the following symptoms are manifested: the depth of breathing decreases, there is shortness of breath, and this can lead to chronic diseases of the respiratory system.
Kyphosis is manifested by the following symptoms:
- hand weakness,
- numbness in the extremities,
- upper back pain syndrome. In more difficult cases, there is a violation of breathing, abnormal gastrointestinal function, unstable heart function. In general, such symptoms appear at 2 and 3 degrees of kyphosis.1 degree is asymptomatic.
Principles of kyphosis diagnostics.
- Inspection. The doctor palpates the back and neck, determines the strength of the muscles and the sensitivity of the skin.
- Anamnesis. He studies the history of the disease and clarifies the presence and localization of pain symptoms.
- Special neurological tests are performed.
- Radiography of the spine, MRI, CT is prescribed.
Treatment of kyphosis
Most often, conservative methods are used to treat kyphosis. This therapeutic gymnastics in order to strengthen the muscular corset, physiotherapy, massage, sometimes shown manual therapy. Physiotherapy is an integral part of the treatment of adult kyphosis. The physiotherapist will think through an individual treatment plan and if the patient fully follows it, the pain will disappear, and the illness can be stopped.
Drug treatment is prescribed for patients who suffer from pain and want to get rid of it. Usually prescribed painkillers, muscle relaxants and NSAIDs. In order to get rid of the pain syndrome, you can apply corsets. However, it is not recommended to wear them for a long time, since they can not correct the posture, but the muscles of the back will considerably weaken.
Massage with kyphosis plays a supporting role and serves as an excellent addition to exercises of therapeutic gymnastics. It is necessary to take two or three courses a year for ten sessions. Of course, it is recommended to perform massage sessions by a professional masseur. Only in extreme cases it is possible to perform it at home after a detailed briefing and consultation of a specialist.
If persistent pain does not manage to be cured by conservative methods, kyphosis continues to progress, neurological impairments or a cosmetic defect worsen the patient's life, then surgery is indicated. Its goal is, as far as possible, to correct the angle of the bend and slow the progression of the disease. It is also necessary to get rid of the compression of the vertebrae and nerve trunks.
Treatments are surgically risky. This is a complex operation and it is conducted only by the field of careful examination of the patient. With surgical treatment in the spine, replace the damaged vertebrae with implants and fix the structure with screws and rods to form a single corset.
Features of modern lifestyle leads to the fact that almost every child is formed pathological kyphosis. You need to take care of your health and the health of your children. When even minor signs of kyphosis appear, it is better to consult a doctor.