What is scheuermann’s kyphosis?

Scheuermann's kyphosis is a rounding of the spine that doesn't go away by standing or sitting up straight. The rounding usually happens during the growth spurt before puberty. It's usually diagnosed in the teenage years. It's also sometimes called Scheuermann's disease.

The main symptom is a rounding of the spine that doesn't go away when sitting or standing up straight. But depending on where the problem is, the rounding may be hard to see, especially at first. Back pain that gets worse with activity is also a common symptom. It may be what prompts a doctor visit.

Symptoms can also include tightness in the muscles of the front of the hips and the back of the legs. People with severe cases may also have nerve or breathing issues. But these problems are less common.

The doctor will ask about any symptoms, do a physical exam, and look for any nerve issues. The doctor may take X-rays to look at the bones of the spine. The X-rays can show if the bones have the wedge shape that happens with Scheuermann's kyphosis.

Treatment depends on how much the spine is rounded and what symptoms it's causing. Mild cases may just need to be watched to see if they get worse.

Some people can be treated with exercise or physical therapy. This most often involves exercises to stretch muscles in the front of the hips and the back of the legs. Strengthening the muscles in the trunk of the body can also help. These treatments don't change the shape of the bones in the spine. But they can help the body hold a straighter posture.

Some people may need to wear a brace to correct the rounding. And people who have severe cases may need surgery, especially if they have pain that doesn't get better with other treatments.

Self-care involves managing symptoms and doing exercises. For example, a physical therapist can show you exercises to strengthen your muscles and make your back and joints more flexible. Try to do some physical activity daily, such as walking. Take any medicines as prescribed. Wear a back brace if your doctor recommends it.