History
The course of Scheuermann’s disease cannot be predicted exactly. Particularly when the spine is still growing, the disease can lead to the development of the typical wedge-shaped vertebrae, which lead to a curvature of the spine if not treated in time. Since the disease often develops over a long period of time, in many cases it is only recognized later. Especially in children, however, early therapy can offer good future prospects with regard to the course of the disease. If Scheuermann’s disease remains untreated, the typical spinal malpositions such as a hunched back, extreme hollow back, flat back or scoliosis develop over the course of the disease, which may then lead to further problems.
Corset
Wearing a special corset (often a so-called Milwaukee corset is chosen) can also help to straighten the spine in Scheuermann’s disease. Depending on whether the thoracic or lumbar spine is affected, different corset shapes are chosen. However, it is essential for the success of therapy with the help of a corset that it is worn consistently day and night and is only taken off for personal hygiene.
Especially for children and teenagers this is often extremely disturbing and unpleasant for their circle of friends. In such a case, the right education is therefore of utmost importance. If a corset is worn, it is important to have regular check-ups with the doctor, also to make sure that the corset still fits correctly. Often it is recommended to straighten the spine more than necessary, because after taking off the corset a decrease of the therapy success can be expected.
Morbus Scheuermann/Sport
Although in Scheuermann’s disease, care must be taken not to place excessive strain on the spine, sport is still sensible and also possible to a certain extent. Back-friendly sports, such as swimming, yoga or Pilates, can be a useful addition to therapy. Sports that are very stressful for the back, athletics, martial arts or contact sports should be avoided. In general, the extent to which sporting activities are good and possible always depends on the individual patient and his or her progress with Scheuermann’s disease.
