In Scheuermann’s disease, the back of the vertebral body grows normally and the front grows more slowly or abnormally. This leads to a vertebra with a distinct wedge shape. This in turn leads to an increase in the bend in your upper back called an increased kyphosis.
Scheuermann’s disease usually causes pain in and around the thoracic spine. This can then lead to some restriction in range of movement especially into extension.
The pain can be made worse by activity including sports that require a lot of twisting, bending or arching backward such as gymnastics athletics.
Treatment for Scheuermann’s Disease
Physiotherapy treatment for patients with this condition is vital to hasten the healing process, ensure an optimal outcome and decrease the likelihood of injury recurrence. Treatment may comprise:
- Joint mobilisation
- Joint manipulation
- Spinal and pelvic realignment
- Dry needling /acupuncture
- Deep tissue massage/myofascial release
- Exercise programs to stretch, self treat and improve proprioception, balance, strength and core stability
- Biomechanical Assessment
- Neural mobilisation
- Education / training advise/ phased return to exercise
- Activity modification advice
- Orthotic/Insole advice
- Ice or heat treatment
- Clinical Pilates
- Injection advice