Treatments and drugsBy Mayo Clinic Staff
Kyphosis treatment depends on the cause of the condition and the signs and symptoms that are present.
Your doctor may suggest:
- Pain relievers. If over-the-counter medicines — such as acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) or naproxen (Aleve) — aren't enough, stronger pain medications are available by prescription.
- Osteoporosis drugs. In many older people, kyphosis is the first clue that they have osteoporosis. Bone-strengthening drugs may help prevent additional spinal fractures that would cause your kyphosis to worsen.
Some types of kyphosis can be helped by:
- Exercises. Stretching exercises can improve spinal flexibility and relieve back pain. Exercises that strengthen the abdominal muscles may help improve posture.
- Bracing. Children who have Scheuermann's disease may be able to stop the progression of kyphosis by wearing a body brace while their bones are still growing.
- Healthy lifestyle. Maintaining a healthy body weight and regular physical activity will help prevent back pain and relieve back symptoms from kyphosis.
- Maintaining good bone density. Proper diet with calcium and vitamin D and screening for low bone density, particularly if there is a family history of osteoporosis or history of previous fracture, may help older adults avoid weak bones, compression fractures and subsequent kyphosis.
Surgical and other procedures
If the kyphosis curve is very severe or if the curve is pinching the spinal cord or nerve roots, your doctor might suggest surgery to reduce the degree of curvature.
The most common procedure, called spinal fusion, connects two or more of the affected vertebrae permanently. Surgeons insert pieces of bone between the vertebrae and then fasten the vertebrae together with metal rods and screws until the spine heals together in a corrected position.
June 06, 2014
- Frontera WR, et al. Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation. 2nd ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.clinicalkey.com. Accessed July 11, 2013.
- Kyphosis (roundback) of the spine. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00423. Accessed April 10, 2012.
- Kado DM. Overview of hyperkyphosis in older persons. http://www.uptodate.com/home. Accessed July 11, 2013.
- Kliegman RM, et al. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.clinicalkey.com. Accessed July 11, 2013.
- Canale ST, et al. Campbell's Operative Orthopaedics. 11th ed. Philadelphia, Pa.: Mosby Elsevier; 2008. http://www.mdconsult.com/das/book/body/208746819-4/0/1584/0.html. Accessed July 11, 2013.
- Neurological diagnostic tests and procedures. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/misc/diagnostic_tests.htm. Accessed July 11, 2013.
- Larson AN (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 9, 2013.
- Wybier M, et al. Musculoskeletal imaging in progress: The EOS imaging system. Joint Bone Spine. 2013;80:238.
- Six years and more than 60 lifesized anatomic models to help plan complex surgeries. Mayo Clinic. http://newsletters.mayo.edu/newscenter/Article.aspx?contentID=DOCMAN-0000157800. Accessed Jan. 7, 2014.
- Golden AK. Decision Support System. Mayo Clinic, Rochester, Minn. Nov. 5, 2013.