Kyphosis: When to Seek Medical Attention for Back Pain - Orthopedics

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Hunched over for a while?


I have a noticeable hunchback, and when I try to straighten up or lean back, I hear several cracking sounds from the middle of my spine between my shoulder blades.
Sometimes, there are also fine grinding or friction noises, and the frequency is quite high.
Occasionally, my entire left side, from my back down to my arm, feels sore.
After researching, I feel like this might be quite serious, but as a high school student (172 cm, 61 kg), I think it's a bit early for spinal issues at my age.
Could you please tell me what might be happening with my spine and whether I should see a doctor?

Song Moumou, 10~19 year old female. Ask Date: 2021/09/15

Dr. Shi Guozheng reply Orthopedics


You should see an orthopedic doctor to examine the thoracic spine to check for any bone issues or if it's just a matter of posture.
The English term for this condition is spinal kyphosis, which you can look up online for more information.

Reply Date: 2021/09/15

More Info


Kyphosis, commonly referred to as a hunchback condition, is characterized by an excessive curvature of the thoracic spine. While some degree of curvature is normal, an exaggerated curve can lead to discomfort, pain, and other complications. Your description of experiencing popping or cracking sounds in your spine, along with discomfort radiating from your shoulder blades to your back, suggests that you may be experiencing symptoms associated with kyphosis or other spinal issues.

Given your age and the symptoms you are experiencing, it is essential to take your concerns seriously. While it may seem unusual for someone your age to have significant spinal problems, conditions like kyphosis can develop during adolescence due to poor posture, growth spurts, or underlying structural issues. The popping sounds you hear could be related to the movement of joints and ligaments around your spine, but they can also indicate that there is some degree of dysfunction or misalignment in your spine.

Here are some important points to consider regarding your situation:
1. Posture and Alignment: Poor posture, especially during growth spurts, can lead to kyphosis. If you spend long hours hunched over a desk or looking down at your phone, this can exacerbate the condition. It is crucial to be mindful of your posture throughout the day.
2. Pain and Discomfort: The fact that you are experiencing pain and discomfort, particularly if it is persistent or worsening, is a significant indicator that you should seek medical attention. Pain is your body’s way of signaling that something may be wrong, and it should not be ignored.

3. Physical Examination: A healthcare professional can perform a thorough physical examination to assess your posture, spinal alignment, and range of motion. They may also check for any neurological symptoms, such as numbness or weakness in your arms or legs, which could indicate nerve involvement.

4. Imaging Studies: If necessary, your doctor may recommend imaging studies, such as X-rays or MRI scans, to evaluate the structure of your spine and determine the extent of any curvature or other abnormalities.

5. Treatment Options: Depending on the severity of your kyphosis and the underlying cause, treatment options may include physical therapy, exercises to strengthen your back muscles, posture correction strategies, or in more severe cases, bracing or surgical intervention. Physical therapy can be particularly beneficial in improving posture and alleviating pain.

6. When to Seek Help: You should seek medical attention if you experience any of the following:
- Persistent or worsening back pain
- Difficulty standing up straight or maintaining an upright posture
- Numbness, tingling, or weakness in your arms or legs
- Any changes in bowel or bladder function
In conclusion, while it may feel daunting to seek medical help, especially as a high school student, it is crucial to prioritize your health. Early intervention can prevent further complications and help you manage your symptoms effectively. Don’t hesitate to talk to a parent or guardian about your concerns and seek an appointment with a healthcare provider who specializes in spinal health. Your spine is an essential part of your overall well-being, and addressing these issues early can lead to better outcomes in the long run.

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