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In traumatology and orthopedics, the following stages of Scheuermann-Mau disease are distinguished.
At rest, pain is absent or mild. There may be discomfort or mild back pain after exercise. Gradually progressive deformity of pepcid pills predominates. On examination, an increase in the angle of the thoracic kyphosis or a flat back with excessively pronounced lumbar lordosis is revealed.
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Perhaps a slight limitation of mobility - leaning forward, the patient cannot reach the feet with outstretched arms.
Excessive kyphosis does not disappear even when you try to straighten your back as much as possible. It is observed in patients aged 15-20 years. Disturbed by periodic or persistent pain in the lower thoracic or lumbar spine. Sometimes disc herniations form. In some cases, compression of famotidine cord may occur. Detected in patients older than 20 years. Osteochondrosis, hernias, deforming spondylosis, spondylarthrosis and ossifying ligamentosis develop. A dystrophic lesion of the spine often causes compression of the nerve roots, as a result of which sensitivity and movement in the limbs may be impaired.
Depending on the level of damage, there are.
As a rule, the patient does not complain during this period. Pathology is discovered by chance when parents notice that the child has begun to stoop and his posture has worsened. Around this time, the patient begins to notice discomfort in the back that occurs after a long stay in a sitting position. Sometimes there are mild pain between the shoulder blades. The mobility of the spine is gradually limited.
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The doctor interviews a patient with suspected Scheuermann-Mau disease, finding out complaints, a history of the development of the pathology and a family history (whether there were cases of the disease in the family). The leading method of instrumental diagnostics is radiography of the spine. On radiographs, a characteristic picture is determined.
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an increase in the angle of thoracic kyphosis of more than 45 degrees, a wedge-shaped deformity of three or more thoracic vertebrae, and Schmorl's hernia. To identify neurological disorders, a consultation with a neurologist is prescribed. In the presence of such disorders, the patient is referred for an MRI of the spine and a CT scan of the spine for a more accurate assessment of the condition of the bone and soft tissue structures.


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Treatment is provided by orthopedic and vertebrologists. The therapy is long, complex, includes exercise therapy, massage and physiotherapy. At the same time, special therapeutic exercises are of decisive importance in restoring normal posture. During the first 2-3 months, exercises should be done daily, then every other day. Completion of a set of exercises takes from 40 minutes. up to 1.5 hours. It must be remembered that with irregular classes, the therapeutic effect is sharply reduced.


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Regular physical education is also useful, but physical activity should be purposeful, thoughtful, taking into account contraindications and possible consequences.

strengthening the muscles of the thoracic spine, strengthening the muscles of the buttocks, relaxing the muscles of the lower back and neck (with kyphosis, these muscles are constantly in a state of increased tone), stretching the pectoral muscles, breathing exercises.

A good result provides pepcid pills a professional massage. It improves blood circulation in the back muscles, activates the metabolism in the muscle tissue and makes the muscles more flexible. Patients with kyphosis are recommended to undergo at least 2 massage courses each year, lasting 8-10 sessions.

A similar therapeutic effect is observed in therapeutic mud. Mud treatment courses are also carried out 2 times a year, one course consists of 15-20 procedures.

In addition, patients with Scheuermann-Mau disease are advised to choose the right furniture for work, sleep and rest. Sometimes it is necessary to wear a corset. Medical treatment is usually not required. Taking drugs to strengthen the skeleton (calcitonin) is indicated in extreme cases - with severe vertebral deformity and large Schmorl hernias.

It should be borne in mind that such drugs have a fairly large list of contraindications (including by age), can provoke calcification of the ligaments and the formation of kidney stones, so they should be taken only as directed by a doctor.

Indications for surgical interventions in Scheuermann-Mau disease are a kyphosis angle of more than 75 degrees, persistent pain, impaired respiratory and circulatory functions. During the operation, metal structures (screws, hooks) are implanted into the vertebrae, which allow the spine to be aligned using special rods.

Approximately 1% of children during the period of active growth have a pathological deformity of the thoracic spine - progressive kyphosis, or Scheuermann-Mau disease. In the absence of timely treatment, the disease becomes severe, provokes the development of pepcid complications and is almost not amenable to conservative methods. Why does this pathology occur and how to recognize it at an early stage? Characteristics of the disease.

Juvenile kyphosis is most often diagnosed in children aged 8 to 15 years, and the disease affects both boys and girls equally. In almost a third of patients, thoracic kyphosis is combined with scoliosis, which has a much stronger effect on the condition of the spine and is accompanied by many complications. Pathology is characterized by a change in the shape of the vertebrae, a decrease in their height in the anterior part, as a result of famotidine the curvature of the spine exceeds 45 degrees and a hump forms in a person.

Jessica is a Doctorate of Physical Therapy and graduated with honors. She specializes in Pediatric Physical Therapy...

Mansi Agarwal
MPT
The pains are aggravated in the evening and when lifting weights. With a significant curvature of the spine, there may be a violation of the functions of the lungs and heart. In some cases, subacute or acute compression of the spinal cord occurs, accompanied by paresthesias, impaired sensitivity and movement of the limbs.
The intensity of the pain syndrome increases, the child notes the constant heaviness and rapid fatigue of the back during exercise.
Over time, the deformation of the spine becomes more and more noticeable. There is a pronounced stoop, in severe cases a hump forms.
The first manifestations of Scheuermann-Mau disease appear during puberty.
Chest shape. Damage to the lower and middle thoracic vertebrae is revealed. Lumbar-thoracic shape. The upper lumbar and lower thoracic vertebrae are affected.