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J Phys Ther Sci. 2019 Nov;31(11):965-970. doi: 10.1589/jpts.31.965. Epub 2019 Nov 26.

Scheuermann's disease: non-surgical improvement in whole spine sagittal alignment in the treatment of a symptomatic patient using Chiropractic BioPhysics® technique.

Author information

1
Private Practice: Newmarket, ON, L3Y 8Y8, Canada.
2
CBP NonProfit, Inc., USA.

Abstract

[Purpose] To present the dramatic improvement of sagittal posture in a young male with Scheuermann's disease suffering from pain ailments as treated by Chiropractic BioPhysics® technique. [Participant and Methods] An 18 year old reported low back pain and headaches for several years. Full spine radiographic assessment revealed pronounced thoracic hyperkyphosis, anterior head translation, posterior thoracolumbar sagittal balance, and a reduced sacral base orientation. The patient was treated by Chiropractic BioPhysics methods incorporating mirror image® exercises, traction, as well as spinal manipulation. [Results] Assessment after 35 treatment sessions over 14-weeks revealed a dramatic improvement in postural parameters. The thoracic kyphosis reduced by 13°, and was accompanied by a reduction in forward head posture, reduction in posterior sagittal balance, and an increase in sacral base angle to normal. The low back pain and headaches were alleviated. [Conclusion] This case adds to the accumulating evidence demonstrating CBP methods offers an effective approach to reduce the burden of postural disorders including those with Scheuermann's disease. Since thoracic hyperkyphosis is a serious disorder, the routine comprehensive assessment via full-spine radiography is essential for the quantification of relevant postural parameters.

KEYWORDS:

Low back pain; Scheuermann’s disease; Thoracic hyperkyphosis

Conflict of interest statement

Dr. Paul Oakley (PAO) is a paid consultant for CBP NonProfit, Inc.; Dr. Deed Harrison (DEH) teaches chiropractic rehabilitation methods and sells products to physicians for patient care as used in this manuscript.

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