Kyphosis is an abnormal condition of the vertebral column in which the outward curvature of the vertebral column is abnormally exaggerated giving the hunching appearance of the back. There may be many causes of kyphosis of spinal column some of which are described as following:
- One of the commonly occurring causes of kyphosis is the fracture of vertebral bones due to osteoporosis. The incidence of osteoporosis is higher in females than in males. Bones become weakened and susceptible to injury due to the degenerative process, so even mild stress can cause vertebral bones fracture resulting in kyphosis.
- Kyphosis may also be congenital due to malformation of the vertebral column in the uterus of the mother. This type of kyphosis presents in the young children and mostly requires surgical intervention to correct the deformity of the vertebral column.
- Sometimes kyphosis occurs in the young children having some neuromuscular disorders like spina bifida, muscular dystrophy or cerebral palsy.
- Nutritional kyphosis is also a type of kyphosis which takes place due to some vitamins deficiency during childhood specifically the deficiency of vitamin D.
- One more type of kyphosis is degenerative kyphosis which takes place due to wear and tear changes of the vertebral column which are mostly age related. The underlying cause may be the aging process, intervertebral disc degeneration or arthritis. This type of arthritis is corrected by non-surgical intervention like painkillers and exercise mostly.
- Postural kyphosis is also a type which happens due to poor posture which is adopted over a long period of time. Although, both males and females may be the victim of poor posture related kyphosis the incidence is higher in females. For the treatment of this type, strengthening exercises for abdominal and back muscles are usually recommended.
Treatment includes conservative management and surgical approach. Conservative management includes analgesic drugs to reduce the pain. The best group of the drug in this regard is NSAIDs. If inflammation is also present due to some pathology, then steroids may also be prescribed by your doctor. Lifestyle modification is necessary. The patient should maintain the weight within the normal range of BMI and regular exercise must be performed to make the abdominal and back muscles stronger. If it is congenital kyphosis, surgical intervention is needed. The vertebral column is re-aligned by surgery. Surgery may also be performed in some other conditions.
2) Sway Back
Swayback is also known as lordosis. It is a condition in which the vertebral column of the affected person has an abnormal curvature inward at the lower back region. This disease is mainly caused by a deficiency of copper either primary or secondary. Symptoms of sway back include:
- Appearing an abnormal curve at the lower back with the saddle area more pronounced.
- A large gap is present between the floor and the lower part of back when the affected person is lying on his or her back on a hard surface that does not have the capability to change with the bending movement.
- Discomfort in the back or backache.
- Difficulty in movements
Treatment for a sway back includes the following strategies.
- Medications to reduce pain and inflammation. The best drugs in this regard are of NSAIDs. Most commonly used NSAIDs are aspirin, naproxen, and ibuprofen.
- Physiotherapy has good results in most of the cases. You should undergo physiotherapy sessions to improve posture and movement methods.
- Exercise to make the abdominal and back muscles stronger and flexible.
- Weight reduction to relieve additional stress from the vertebral column.
- Surgical intervention to correct the curves of the spinal column.
3) Flat Back Syndrome
The flat back is a kind of sagittal imbalance or front to back imbalance in the vertebral column. It is a condition in which the lower part of the vertebral column loses some or complete of its normal anatomical curvature. There may be many symptoms of the flat back which include
- Difficulty in standing in an upright posture
- Difficulty in performing routine activities
- Chronic pain in the lower back region.
When the person affected with this condition wants to stand upright, he has to contract the muscles of back and flexion of muscles takes place at knees and hips. These maneuvers may allow the person to stand in upright posture temporarily but result in severe back pain with the passage of time. There may be many causes of the flat back syndrome but most common ones are ankylosing spondylitis, degenerative disc disease, compression fractures, and trauma. It may also take place after lumbar spinal fusion surgery or laminectomy.
Initially, non-surgical measures are given that include physiotherapy, gait and posture adopting training, pain medications, weight reduction and exercise. Smoking must be abandoned at all. In severe cases, surgery is needed to correct the spinal column and prevent the misalignment of the vertebral column to worsen.
4) Forward Head Posture
Forward head posture enhances the workload for many of the muscles which are attached to the cervical region of the vertebral column. These muscles act to hold up the head in the erect posture. If forward head posture is adopted for a prolonged period of time, it causes the imbalance of the muscles because our body tends to adopt correct and efficient ways to hold the head up for correct and straight vision.
Forward head posture can lead to several problems some of which are described as following.
- Stress is enhanced in the cervical region of the vertebral column. This is so because the head remains set in a poor posture, the cervical region has to support the extra weight. For every inch, the head is in a forward position, an additional weight of 10 pounds is felt at the neck.
- When the head is in the forward direction, the lower part of the cervical spinal column is in a state of hyperflexion while the upper part is in a state of hyperextension because the brain automatically sets the neck in a position that eyes can see forward. In this posture, the distance between the base of the skull and cervical spine is enhanced leading the stretching of nerve roots and spinal cord. This causes severe pain.
Advanced Treatment of All Postural Disorders
It’s a posture fixing device that mirrors the natural curvature of the spine. Patients are instructed to lie on the rack in a central position and follow our specially designed program of exercises. The wooden nodules push up, on either side of the spine. As a result, the joints are decompressed and you get a perfect posture.
Author: Spinal Backrack