Scheuermann’s Disease at Back Pain Clinic DRHC Dubai

Scheuermann’s disease, also known as juvenile kyphosis, is a spinal disorder that causes abnormal curvature (kyphosis) of the upper back. This condition typically affects adolescents during their growth spurts, leading to postural changes, back pain, and stiffness. At DRHC Dubai, our expert orthopedic and spine specialists provide advanced diagnostic and treatment options to help patients achieve better posture, reduce discomfort, and improve their quality of life.

What is Scheuermann’s Disease?

Scheuermann’s disease is characterized by the development of a rounded or hunched back due to wedge-shaped vertebrae that cause the spine to curve forward. Unlike postural kyphosis, which can be corrected with improved posture, the curvature caused by Scheuermann’s disease is structural and requires medical intervention.

This condition most commonly affects the thoracic spine (mid-back) but can also involve the lumbar spine (lower back), leading to additional back problems.

What Causes Scheuremann's Disease?

The exact cause of Scheuermann’s disease remains unclear, but it is believed to be associated with:

• Abnormal Vertebral Growth: The front of the vertebrae grows more slowly than the back, causing them to become wedge-shaped.
• Genetic Factors: A family history of spinal deformities can increase the risk.
• Mechanical Stress: Repeated strain on the spine during growth may play a role.

Symptoms of Scheuermann’s Disease

The symptoms of Scheuermann’s disease vary depending on the severity of the curvature and the affected area. Common signs include:

• Visible Hump or Rounded Back: Noticeable forward curvature of the upper spine.
• Back Pain: Pain typically occurs in the thoracic region and worsens with prolonged standing or physical activity.
• Stiffness and Reduced Flexibility: Limited range of motion, especially when bending backward.
• Fatigue: Muscle fatigue from the effort required to maintain posture.
• In Severe cases: The curvature may compress internal organs, causing breathing difficulties.

Diagnosis of Scheuermann’s Disease at DRHC Dubai

Accurate diagnosis is essential for developing an effective treatment plan. Our spine specialists at DRHC Dubai use the following diagnostic methods:

1. Physical Examination:
   • We assess posture, spinal alignment, and muscle strength.
   • The patient may be asked to bend forward to check for abnormal curvature.
2. X-rays:
   • X-ray imaging confirms the presence of wedged vertebrae and measures the angle of kyphosis.
   • A curvature angle greater than 45 degrees indicates Scheuermann’s disease.
3. MRI or CT Scans: These provide detailed images of the spine to evaluate the condition of vertebrae, discs, and the spinal cord.
4. Family History and Medical Review: Information on family history of spinal issues helps us understand genetic predispositions.

Management and Treatment Options for Scheuermann’s Disease

At DRHC Dubai, we provide both non-surgical and surgical treatment options, depending on the severity of the curvature and the patient’s symptoms.

Non-Surgical Treatments

1. Physical Therapy:
   • Customized exercises to strengthen the back muscles, improve flexibility, and correct posture.
   • Stretching routines to alleviate stiffness and increase spinal mobility.
2. Bracing:
   • Wearing a spinal brace may help prevent the progression of the curve in adolescents who are still growing.
   • The brace must be worn consistently for several hours a day as recommended by the specialist.
3. Pain Management:
   • Nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve pain and reduce inflammation.
   • Muscle relaxants may be prescribed for muscle spasms.
4. Lifestyle Modifications:
   • Encouraging proper posture habits.
   • Avoiding activities that put excess strain on the spine.
   • Maintaining a healthy weight reduces spinal pressure.

Surgical Treatment

Surgery is recommended only in severe cases where the curvature exceeds 75 degrees or if there are associated complications, such as nerve compression or breathing difficulties. At DRHC Dubai, we specialize in minimally invasive surgical techniques to correct spinal deformities.

• Spinal Fusion Surgery:
  • Involves fusing several vertebrae to stabilize the spine and correct the curve.
  • Metal rods, screws, and bone grafts may be used to provide support.
• Kyphoplasty: A minimally invasive procedure that helps restore spinal height and correct deformity.

Rehabilitation and Recovery

After treatment, patients may need a rehabilitation program to aid recovery. Our physiotherapy team at DRHC Dubai provides post-treatment care to:

• Help patients regain strength and mobility.
• Teach proper posture techniques to prevent further issues.
• Offer guidance on managing pain during the recovery period.
• Monitor progress through follow-up sessions to ensure long-term results.