Wednesday, June 30, 2010

Dowager's Hump


Dowager's hump (AKA - granny hump) usually presents as a hump or swelling of the upper back just below the neck. Sometime referred to as hyperkyphosis in the medical community, it is a chronic condition that usually takes years to manifest. While it does not appear attractive, a Dowager's Hump is a condition that can affect more than appearance. Research studies in clinical journals indicate that patients who have a Dowager's hump are more at risk to have breathing problems, heart and other cardiovascular problems, fatigue, and muscle tension/spasm.

A recent study from the Annal of Internal Medicine (May 19, 2009, vol. 150. no. 10 681-687) indicates that there is an increased risk of mortality in seniors with hyperkyphosis (Dowager's Hump). The authors note:

"These results add to the growing literature that suggests that hyperkyphosis is a clinically important finding. Because it is readily observed and is associated with ill health in older persons, hyperkyphosis should be recognized as a geriatric syndrome a 'multifactorial health condition that occurs when the accumulated effect of impairments in multiple systems renders a person vulnerable to situational challenges.'"


If someone has anterior head syndrome (AHS) there will be an increase in pressure or compressive forces in the neck and upper back. Over time, this can create swelling of the soft tissues and may result in the formation of a Dowager's Hump. If this is the case, and the AHS can be corrected, it may be possible to reduce the Dowager's Hump. Of course, this reduction is dependant on several variables including: severity of misalignment of the head and neck, pre-existing degeneration of the vertebrae and discs, presence of osteoporosis/osteopenia, and pre-existing stress fractures of the vertebrae.

In order to determine if we can help someone with Dowager's Hump, we perform a complete structural examination which includes several objective tests. Only then will we know the extent of the condition and the correct treatment plan. If you or someone you know is suffering from a Dowager's Hump, please contact our office to schedule a complimentary consultation so the doctor can go over your options.