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Kyphosis Treatment in India
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What is Kyphosis?
Kyphosis is the forward rounding of the back. Some rounding is normal, but the term "kyphosis" usually refers to an exaggerated rounding of the back. While kyphosis can occur at any age, it's most common in older women. Age-related kyphosis often occurs after osteoporosis weakens spinal bones to the point that they crack and compress. Other types of kyphosis are seen in infants or teens due to malformation of the spine or wedging of the spinal bones over time. Mild kyphosis causes few problems, but severe cases can cause pain and be disfiguring. Treatment for kyphosis depends on your age, the cause of the curvature and its effects.
The spine has a series of normal curves when viewed from the side. These curves help to better absorb the loads applied to the spine from the weight of the body. The cervical spine (neck) and lumbar spine (lower back) are have a normal inward curvature that is medically referred to as lordosisor "lordotic" curvature by which the spine is bent backward. The thoracic spine (upper back) has a normal outward curvature that is medically referred to as kyphosis or the "kyphotic" curve by which the spine is bent forward. In this discussion, the term kyphosis will be used to discuss abnormal kyphosis.
The spine is normally straight when looking from the front. An abnormal curve when viewed from the front is called scoliosis. Scoliosis can occur from bony abnormalities of the spine at birth, growth abnormalities especially with adolescence, degenerative spinal changes in adulthood, or abnormal twisting of the vertebrae because of muscle spasm after an injury. The normal curves of the spine allow the head to be balanced directly over the pelvis. If one or more of these curves is either too great or too small, the head may not be properly balanced over the pelvis. This can lead to back pain, stiffness, and an altered gait or walking pattern.
What are the symptoms of Kyphosis?
The most common symptoms for patients with an abnormal kyphosis are the appearance of poor posture with a hump appearance of the back or "hunchback." Symptoms may include back pain, muscle fatigue, and stiffness in the back. Most often, these symptoms remain fairly constant and do not become progressively worse with time.
In more severe situations, the patient may notice their symptoms worsening with time. The kyphosis can progress, causing a more exaggerated hunchback. In rare cases, this can lead to compression of the spinal cord with neurologic symptoms including weakness, loss of sensation, or loss of bowel and bladder control. Severe cases of thoracic kyphosis can also limit the amount of space in the chest and cause cardiac and pulmonary problems leading to chest pain or shortness of breath with eventual pulmonary and/or heart failure.
What are the causes of Kyphosis?
The individual bones (vertebrae) that make up a healthy spine look like cylinders stacked in a column. Kyphosis occurs when the vertebrae in the upper back become more wedge-shaped. This deformity can be caused by a variety of problems, including:
- Osteoporosis. This bone-thinning disorder can result in crushed vertebrae (compression fractures). Osteoporosis is most common in older adults, particularly women, and in people who have taken high doses of corticosteroids for long periods of time.
- Disk degeneration. Soft, circular disks act as cushions between spinal vertebrae. With age, these disks dry out and shrink, which often worsens kyphosis.
- Scheuermann's disease. Also called Scheuermann's kyphosis, this disease typically begins during the growth spurt that occurs before puberty. Boys are affected more often than are girls. The rounding of the back may worsen as the child finishes growing.
- Birth defects. If a baby's spinal column doesn't develop properly in the womb, the spinal bones may not form properly, causing kyphosis.
- Syndromes. Kyphosis in children can also be associated with certain syndromes, such as Marfan syndrome or Prader-Willi disease.
- Cancer and cancer treatments. Cancer in the spine can weaken vertebrae and make them more prone to compression fractures, as can chemotherapy and radiation cancer treatments.
An increased curve in the upper spine also can be caused by slouching. Called postural kyphosis, this condition doesn't involve any deformities in the spine. It's most common in teenagers.
What are the risks associated?
- Body image problems. Adolescents especially may develop a poor body image from having a rounded back or from wearing a brace to correct the condition.
- Back pain. In some cases, the misalignment of the spine can lead to pain, which can become severe and disabling.
- Decreased appetite. In severe cases, the curve may cause the abdomen to be compressed and lead to decreased appetite.
What to expect ?
If you or your child has signs or symptoms common to kyphosis, make an appointment with your family doctor. He or she may refer you to a doctor who specializes in the diagnosis and treatment of spine disorders. Before your appointment, you may want to write a list of answers to the following questions:
- When did you first notice the symptoms?
- Did any back injuries happen around the same time?
- Have any close biological relatives had similar signs and symptoms or been diagnosed with a spine disorder?
- What medications and supplements are taken regularly?
Your doctor may ask some of the following questions:
- Is there any pain? If so, where exactly does it hurt?
- Do symptoms include fever, chills or unexplained weight loss?
- Do symptoms include weakness, numbness, difficulty walking, or changes in bladder or bowel habits?
- Do symptoms include fatigue or shortness of breath?
Test and diagnosis
Depending upon your signs and symptoms, you may need:
- X-rays. Plain X-rays are used to determine the degree of curvature and can detect deformities of the vertebrae, which helps identify the type of kyphosis.
- Computerized tomography (CT scan). If more detail is required, your doctor might order a CT scan - which takes X-ray images from many different angles and then combines them to form cross-sectional images of internal structures.
- Magnetic resonance imaging (MRI). If your doctor suspects a tumor or infection, he or she may request an MRI of your spine. MRI uses radio waves and a very strong magnet to produce detailed images of both bone and soft tissues.
If you are experiencing any numbness or muscle weakness, your doctor may recommend several tests that can determine how well nerve impulses are traveling between your spinal cord and your extremities.
Kyphosis Treatment needs excellent supervision which can be provided with Spine and Neuro Surgery Hospitals in India. Hospital in India provides most innovative and supreme treatment facilities at affordable prices. Cost of Kyphosis Surgery in India is nearly 25 percent of that incurred in most developed nations.
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