Landmark Skybox

Breeze-Courier | Taylorville, IL
The Weather Network
Advanced Search
search sponsored by


home : columns : ask the doctors November 18, 2019

9/30/2019 8:05:00 AM
Hyperkyphosis symptoms range from pain to limb paralysis

Dear Doctor: I had scoliosis as a child, and now, at age 72, I'm living with kyphosis in my middle and upper back. It's very painful, and I would like to know more about it.

Dear Reader: You're referring to hyperkyphosis, also often referred to simply as kyphosis, a technical term for the natural and normal curvature of the upper back. Hyperkyphosis means that the curve has become abnormally amplified. It's a condition in which the middle and upper portions of the spine develop an exaggerated forward curvature, which can cause the appearance of a rounded back. In more severe cases, hyperkyphosis results in visibly hunched posture, or what looks like a hump on the back.

The condition occurs because the thoracic vertebrae -- or the middle portion of the back -- have lost the rectangular shape that keeps the spine upright. Instead, they have become wedge-shaped, which causes the spine to have a forward arch. Kyphosis can be congenital, or present at birth. It may result from Scheuermann's disease, a condition that can arise during the growth spurt of adolescence. It sometimes develops over time as the result of chronically poor posture. And it can be age-related, the result of osteoporosis or muscle weakness, or a combination of the two.

Due to the hormonal changes of menopause, which result in a decrease in bone density, age-related kyphosis is more common in menopausal and postmenopausal women than it is in older men. It happens because the specialized bone cells that form the hard, external surface of each vertebra can no longer renew at an optimal rate. This weakens the outside of the vertebra, and leaves the inner part, a more fragile structure that resembles a honeycomb, vulnerable to becoming "squeezed" or compressed.

Kyphosis can range from mild to severe. In less-serious cases, an individual may experience stiffness, pain and fatigue, but won't necessarily have a visibly exaggerated spinal curve. Moderate cases of the condition may result in muscle weakness and decreased mobility. In more severe kyphosis, patients may suffer compression fractures in their vertebrae, which can cause the spine to collapse forward. Compression fractures can be caused by everyday activities such as lifting a bag of groceries, or even just twisting or coughing.

The condition is diagnosed with a physical exam and imaging tests. The spine's natural curve ranges from 20 to 45 degrees. A curvature of more than 50 degrees results in a diagnosis of kyphosis. Treatment depends on the severity of the condition. Milder cases respond to the use of anti-inflammatories for pain and targeted exercise to improve posture and increase muscle strength. There is some evidence that exercises using a weighted backpack can be helpful. Although back braces may be used to relieve pain, they will not cause the adult spine to straighten.

Surgery for kyphosis is considered in severe cases only, such as when breathing is compromised, or when neurological symptoms, such as limb paralysis or weakness, develop. In those cases, spinal fusion may be recommended.

Eve Glazier, M.D., MBA, is an internist and associate professor of medicine at UCLA Health. Elizabeth Ko, M.D., is an internist and assistant professor of medicine at UCLA Health. Send your questions to, or write: Ask the Doctors, c/o UCLA Health Sciences Media Relations, 10880 Wilshire Blvd., Suite 1450, Los Angeles, CA, 90024. Owing to the volume of mail, personal replies cannot be provided.

Article Comment Submission Form
Please feel free to submit your comments.

If you are looking for the SPEAK OUT submission form, you can find it by clicking here: Speak Out Form

Article comments are not posted immediately to the Web site. Each submission must be approved by the Web site editor, who may edit content for appropriateness. There may be a delay of 24-48 hours for any submission while the web site editor reviews and approves it.

NOTE: All information on this form is required. Your telephone number and email address will not be displayed or shared.
Submit an Article Comment
First Name:
Last Name:
Anti-SPAM Passcode Click here to see a new mix of characters.
This is an anti-SPAM device. It is not case sensitive.

Trinity Dodge Fixed
Dr Paul The Dentist
NewsWebPagesOpinionPeopleObituariesAg & BusinessSportsContact UsLife
Subscriptions | Username & Password Reminder | Change Password | Life

Breeze-Courier & Printing | 212 S Main St. Taylorville, IL 62568 | (217) 824-2233 |

© Copyright 2014 Breeze-Courier & Printing. All Rights Reserved.
Original content may not be reprinted or distributed without the written permission of Breeze-Courier & Printing.

Software © 1998-2019 1up! Software, All Rights Reserved