Scheuermann’s disease is less of a disease as such and more of a disorder. One feature is that the vertebra of the thoracic spine are misshaped in the form of a wedge creating an excessive rounding in the upper back. As with any disorder cases range from mild to moderate to severe and it is the more mild to moderate cases that often go undiagnosed and mismanaged. Ironically it is these milder cases that are most responsive to conservative chiropractic intervention.
People with Scheuermann’s disease classically present with poor posture, the result of an excessive rounding of the mid-back and shoulders causing the head to poke forwards and the lower back to hyper-extend. As a result of this postural distortion a whole range of other injuries, stresses and strains can occur. Most commonly people complain of neck, shoulder and lower back pain. Shoulder and low back injuries are very common amongst the more athletic sufferers.
The mistakes I have encountered in managing Scheuermann’s disease are 2 fold:
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