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  #1  
Old 31-01-2013, 03:07 PM
markit markit is offline
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Question Need direction

My son has "some upper thoracic scoliosis convex to the left and there appears to be mild mid thoracic kyphosis. There is some irregularity of the vertebral endplates T9/10, T11/12 and to a lesser extent T8/9 - consistent with some "old Scheuermann's disease." What would be the best approach? See Pead. Ortho or try physiotherapy? Am confused with what to do. Any help would be appreciated.
  #2  
Old 04-02-2013, 02:19 PM
Dr Scoliosis Dr Scoliosis is offline
 
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Default Re: Need direction

Thank you for your enquiry. From the description you have provided, which is presumably the radiologist's report, it would seem that your son has Scheuermann's disease, which is the common cause of round-shoulderedness in adolescents. The location of the changes in the lower thoracic spine are usual for this disorder.

Scheuermann's disease is active only during the growth phase and growing plates on the upper and lower surface of the vertebrae are affected and so the vertebra becomes wedged. When you put a lot of wedges together you have a curve.

If your son has symptoms it would be purposeful for him to be seen by a specialist in spinal disorder and there is an Australia-wide directory on this website. Your son would need to be referred by your family doctor.

In the interim it is reasonable to say that Scheuermann's disease is not a serious condition. It has an unfortunate name because Dr Scheuermann was the first person to describe it after x-rays became available. If it had been Dr Brown, it could have been called Brown's disease. There is frequently a strong family history of Scheuermann's disease as evidenced by round-shoulderedness and this usually comes through on the male side of the family.

I trust this information is helpful.

Dr Scoliosis
  #3  
Old 07-02-2013, 09:19 PM
markit markit is offline
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Default Re: Need direction

Thank you so much Dr Scoliosis!
We have been referred to (name of hospital removed by admin). May I ask what you mean by "symptoms"? Do you mean pain? Also, if we do nothing, what will happen? Should we see a physiotherapist for posture? Will it help?
  #4  
Old 21-02-2013, 01:58 PM
Dr Scoliosis Dr Scoliosis is offline
 
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Default Re: Need direction

Further to your recent post, the symptoms of Scheuermann's disease are principally two.

First, the cosmetic blemish of increased round-shoulderedness and the response to this is by no means standard. For some patients even a marked kyphosis is of no consequence whereas it can be all-consuming for someone with only a minor degree of the angulation.

Second, local spinal pain may be troublesome but there is no constant correlation between the appearance of Scheuermann changes on the plain x-rays and the patient's symtoms. Hence, a patient should be seen by a specialist in spinal problems for a thorough assessment. It is true that some exercise programs may be of assistance but these should not be ordered unless the patient has been assessed by someone well versed in the problem. Your family doctor will need to refer you and almost uniformly the peace of mind obtained is very worthwhile.

Dr Scoliosis
  #5  
Old 04-03-2013, 08:11 AM
markit markit is offline
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Default Re: Need direction

Thank you so much for this advice. This is a wonderful site!
 

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