Scheuermanns disorder

Typical features

• lower thoracic spine

• thoracic pain or asymptomatic

• increasing thoracic kyphosis over 1-2 months

• wedging of the vertebrae

• pain in the wedge, especially on bending

• short hamstrings

• cannot touch toes

• diagnosis confirmed by X-ray

Treatment

• explanation and support

• extension exercises, avoid forward flexion

• postural correction

• avoidance of sports involving lifting and bending

• consider bracing or surgery if serious deformity

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