Pectus Excavatum: Symptoms, Treatments, and Solutions - Orthopedics

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Pectus excavatum, commonly referred to as funnel chest, is a congenital deformity characterized by a sunken appearance of the chest due to an abnormal growth of the rib cage and sternum. While it may not always cause significant health issues, many individuals with this condition experience symptoms that can affect their quality of life, particularly during physical activities.


Symptoms
The symptoms of pectus excavatum can vary widely among individuals. Commonly reported symptoms include:
1. Shortness of Breath: Many patients experience difficulty breathing during exercise or physical exertion, which can be attributed to reduced lung capacity.

2. Chest Pain: Some individuals report discomfort or pain in the chest area, especially during strenuous activities.

3. Fatigue: Chronic fatigue may occur due to the body working harder to get enough oxygen, particularly during physical activity.

4. Psychological Effects: The appearance of the chest can lead to self-esteem issues or anxiety, particularly in adolescents.

In your case, experiencing shortness of breath and facial discoloration during running could indicate that your body is struggling to get enough oxygen, which is a common concern for individuals with pectus excavatum. While your previous doctor mentioned that this is not a serious issue, it is essential to monitor these symptoms closely, especially if they worsen.


Treatment Options
There are several treatment options available for pectus excavatum, depending on the severity of the condition and the symptoms experienced:
1. Observation: For mild cases that do not cause significant symptoms, doctors may recommend simply monitoring the condition over time.


2. Physical Therapy: Some patients benefit from physical therapy aimed at strengthening the chest muscles and improving posture, which can help alleviate some symptoms.

3. Bracing: In some cases, especially in children and adolescents, a brace may be used to help reshape the chest wall over time.

4. Surgical Intervention: For moderate to severe cases, surgical options may be considered. The most common surgical procedure is the Nuss procedure, where a curved metal bar is inserted under the sternum to elevate it into a more normal position. This bar is typically left in place for about two to three years before being removed. Another option is the Ravitch procedure, which involves removing abnormal cartilage and repositioning the sternum.


Your Concerns
Regarding your inquiry about the procedure involving placing a steel bar in the chest, this is indeed a common surgical approach for pectus excavatum. The bar helps to reshape the chest wall and is usually removed after a period once the chest has stabilized in its new position.

If you are looking for ways to change your condition, it is advisable to consult with a thoracic surgeon who specializes in chest wall deformities. They can provide a thorough evaluation and discuss the most appropriate treatment options based on your specific situation.


Conclusion
While pectus excavatum can be a source of discomfort and concern, there are various treatment options available that can help improve symptoms and enhance quality of life. It is essential to have an open dialogue with your healthcare provider about your symptoms and treatment goals. If you feel that your current management is inadequate, seeking a second opinion from a specialist may provide you with additional insights and options for addressing your condition.