Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with progressive thoracic kyphosis and chronic mid-back pain, exacerbated by prolonged sitting or physical activity. Reports postural deformity noted by family/peers. Denies radicular symptoms, bowel/bladder dysfunction, or constitutional symptoms. No history of trauma.
Clinical Examination Findings
Physical exam reveals rigid thoracic kyphosis, non-correctable with voluntary extension. Positive Adam’s forward bend test. Compensatory lumbar hyperlordosis noted. Neurological exam is intact with no focal motor or sensory deficits. Gait is stable.
Treatment Protocol
Management plan includes physical therapy focusing on core strengthening and postural correction exercises. For skeletally immature patients with kyphosis >50-60 degrees, bracing is indicated. NSAIDs for pain management as needed. Follow-up imaging (lateral spine radiographs) to monitor curve progression.