WHAT IS IT? SCHEUERMANN’S DISEASE
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Scheuermann’s is a condition which affects the thoracic spine. In particular the anterior sections of the thoracic vertebrae where loading occurs are affected, resulting in wedging of the vertebrae. This is caused by a problem with bones ossifying properly and growth plates being affected.
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Diagnosis usually takes place in adolescence, with boys mostly affected.
Signs and symptoms
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Increased thoracic kyphosis
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local pain to upper back
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Aggravated by repetitive thoracic flexion
WHAT CAUSES IT?
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Trauma
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Repetitive flexion (e.g. cycling posture)
PROGNOSIS
- X-ray investigation is required to confirm the diagnosis. Scheuermann ’s is diagnosed if 3-4 levels are affected.
- If severe a corset type brace may be required
- Surgery would be warranted if spinal cord involvement became apparent or if wedging was at a level of 50 degrees or more
HOW PHYSIO HELPS?
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Possible diagnosis of the condition as they may be the first point of contact
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Referral for x-ray for confirmation
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Joint mobilisation
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Massage and electrical therapies to reduce pain
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Prescription of exercises to improve posture (strengthening of back extensors, abdominals, stretching of hamstrings and back muscles)
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Advice about modification of sport and hobbies involving repeated flexion
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