buy cialis singapore what to do when cialis stops working singapore viagra history singapore will viagra make you bigger singapore cialis pill image australia buy cialis canada australia priligy 30mg price new zealand long term effects of viagra australia can viagra cause heart attack new zealand online viagra prescription singapore cialis online prices new zealand get viagra singapore 100mg viagra cost singapore viagra ad new zealand does viagra really work south africa can priligy be taken with viagra south africa legal viagra south africa what's the difference between viagra and cialis singapore propecia hair loss new zealand viagra stuffy nose south africa viagra 100mg price new zealand how difficult is it to get a prescription for cialis australia viagra age limit australia cialis si effects forum singapore non prescription viagra alternative hong kong kamagra online new zealand women viagra cvs hong kong do i need a prescription for cialis new zealand average viagra dose australia can viagra cause heart attack hong kong propecia for women south africa buy viagra pill south africa viagra for men price hong kong what is generic viagra hong kong viagra strengths hong kong cialis every day singapore statins and viagra hong kong walgreens viagra substitute new zealand can i take 200mg of viagra singapore kamagra amsterdam where to buy south africa does alcohol affect cialis south africa cialis vs viagra recreational use singapore taking half a viagra for fun hong kong viagra pen new zealand don puedo comprar viagra hong kong viagra connect walgreens hong kong cialis vs viagra si effects south africa can you take viagra with cialis singapore kamagra india australia kamagra kaufen singapore viagra before and after size australia priligy price in india online new zealand over the counter female viagra new zealand cialis experience hong kong viagra natural australia benefits of viagra for men australia viagra prank porn singapore viagra pictures before and after south africa what does viagra do for women hong kong levitra pills south africa viagra milligrams australia generic viagra dosage south africa where to buy womens viagra south africa low dose cialis hong kong don puedo comprar viagra australia catfish cooley viagra singapore viagra at walgreens australia kamagra vs viagra forum singapore where to get viagra pills new zealand female viagra prank hong kong levitra 10mg vs 20mg singapore where to buy viagra without prescription hong kong acheter kamagra en ligne australia cialis leg pain hong kong herbal viagra amazon singapore how fast does viagra work south africa kamagra express new zealand liquid cialis blue bottle south africa cialis 20mg daily singapore mom son viagra hong kong natural viagra new zealand kamagra reviews new zealand viagra rite aid south africa daily viagra new zealand do i need a prescription for viagra south africa how long does it take for watermelon viagra to work south africa propecia si effects australia viagra para mujer cvs hong kong other names for viagra singapore home ma viagra hong kong the prince family viagra prank south africa 30 mg priligy singapore cialis contraindications hong kong plugging viagra hong kong do you need a prescription for cialis new zealand white viagra new zealand what is kamagra jelly singapore viagra vs new zealand viagra pills near me singapore viagra prices costco hong kong chinese viagra singapore girl viagra australia when was viagra invented hong kong 20mg generic cialis pill hong kong kamagra cialis biz avis australia viagra competitor singapore viagra online canada new zealand what does viagra do to women singapore viagra injection hong kong free cialis trial samples singapore cialis manufacturer coupon lilly hong kong vietnamese viagra singapore viagra samples new zealand can you drink alcohol with cialis hong kong how much cialis should i take australia buy cialis over the counter hong kong over the counter viagra alternative at hong kong cialis daily cost hong kong off brand viagra australia viagra 100mg price new zealand best viagra for women south africa can girls take viagra singapore what happens if you take viagra without ed australia how to take levitra singapore cialis costco australia maximum dose of cialis new zealand kamagra jelly 100mg shqip hong kong where to buy viagra australia cialis lower blood pressure australia viagra pill images australia does insurance cover viagra singapore does viagra cause high blood pressure hong kong over the counter viagra substitute walgreens hong kong is cialis better than viagra south africa buy kamagra 100mg generic viagra new zealand can you get cialis over the counter singapore kamagra kaufen australia how long does levitra last australia para que sirve la viagra australia propecia vs finasteri hong kong what's the difference between cialis and viagra australia how to get cialis prescription singapore kamagra oral jelly how long does it last new zealand viagra milligrams singapore adrall and viagra reddit hong kong viagra prank singapore cialis pill image new zealand viagra street price hong kong viagra nitric oxi new zealand viagra las vegas hong kong what happens if a woman takes cialis singapore propecia vs rogaine new zealand cialis generic over the counter south africa where can you buy viagra over the counter south africa otc viagra cvs singapore long term effects of viagra singapore cialis without a doctor prescription canada australia kamagra jelly 100mg shqip south africa extenze vs viagra south africa what's the difference between viagra and cialis new zealand foods that enhance viagra hong kong cialis pill picture south africa watermelon rind viagra hong kong can viagra lower blood pressure hong kong off brand viagra south africa tipos viagra australia cialis daily vs on mand south africa how much does cialis cost hong kong super viagra hong kong is silnafil as good as viagra new zealand viagra stuffy nose singapore viagra 25mg hong kong viagra sex pill singapore ecstasy and viagra singapore viagra medicine south africa male viagra pill australia can viagra make you bigger australia viagra with alcohol hong kong difference between viagra and kamagra singapore does viagra increase blood pressure singapore does walgreens sell viagra australia viagra alternative singapore 30 mg priligy singapore itsoktocry viagra singapore cialis effect new zealand what works like viagra australia kamagra jelly benefits singapore viagra and weed south africa how much viagra to take australia cialis 5 mg tablet australia cialis how long does it last singapore viagra maker south africa cialis 5mg daily hong kong does generic viagra work south africa mixing cialis and viagra hong kong viagra and weed new zealand grapefruit and viagra australia cialis 5mg daily south africa kamagra gel u apotekama south africa viagra and heart disease singapore do i need a prescription for viagra australia does viagra keep you hard after you come australia what does cialis do hong kong where to buy viagra without prescription singapore viagra dosage for ed new zealand roman cialis south africa viagra para mujer singapore viagra new zealand low price viagra australia where to buy female viagra pill new zealand when should you take cialis australia cialis dosing australia can you take viagra with antipressants singapore viagra at new zealand viagra precio new zealand l368 blue pill viagra singapore viagra ad new zealand can viagra cause ed australia kamagra pills australia where can i buy viagra without a prescription south africa drugs like viagra singapore long term effects of cialis australia what is kamagra jelly 100mg singapore what's the difference between cialis and viagra south africa african viagra hong kong chicago viagra triangle hong kong cialis 2.5 mg new zealand is viagra a blood thinner new zealand reddit propecia singapore non prescription viagra south africa viagra in spanish singapore viagra meaning new zealand can i get viagra without a prescription australia priligy dosage instructions singapore cialis capsule hong kong mom viagra australia levitra 10 mg uses new zealand how long viagra last hong kong can i take 2 viagra 100mg south africa benefits of viagra for men new zealand black viagra 200mg hong kong when to take cialis for best results australia viagra tablet price singapore cialis otc singapore how long before sex should i take cialis south africa how to get viagra or cialis new zealand does viagra keep you hard after coming singapore cialis india singapore viagra effect time hong kong can viagra lower blood pressure singapore other names for viagra hong kong kamagra jelly 100mg buy online in india singapore can viagra kill you australia rush limbaugh viagra new zealand viagra benefits hong kong que es cialis new zealand cialis pills for sale singapore generic viagra coupon hong kong cialis heart benefits singapore kamagra first new zealand how much cialis can i take hong kong viagra pill prank new zealand liquid cialis new zealand viagra for younger man south africa viagra competitor crossword australia free cialis coupon 2020 south africa porn viagra hong kong viagra natural para hombres new zealand cialis free trial 2020 australia cialis 10 mg new zealand how difficult is it to get a prescription for cialis south africa over the counter womens viagra australia sex on viagra hong kong viagra stock singapore where to get viagra australia how old do you have to be to buy viagra australia viagra las vegas singapore how long does it take for watermelon viagra to work singapore female version of viagra australia generic viagra no prescription south africa viagra heart palpitations new zealand daily viagra dosage hong kong what is viagra ma of hong kong how long does female viagra last australia where to buy viagra without prescription south africa priligy 30 mg nedir south africa viagra for sale near me south africa what drugs should not be taken with viagra australia viagra jokes australia female viagra pill singapore venn viagra en new zealand what happens if girls take viagra south africa where can you get viagra south africa does propecia regrow hair south africa is kamagra illegal singapore kamagra snap pack singapore how many years can you take cialis new zealand cialis half life south africa whats viagra singapore cialis and alcohol reddit singapore viagra before and after hong kong non prescription viagra new zealand buy viagra canada hong kong cialis price new zealand what if a girl takes viagra singapore does viagra raise your blood pressure singapore fake viagra pills australia what is the normal dose of viagra new zealand buy viagra no prescription singapore cialis before and after photos australia kamagra 24 hour livery new zealand kamagra online bestellen forum new zealand how long does viagra work singapore how long does it take for cialis to peak hong kong cialis contraindications new zealand how do you take cialis south africa where can i buy viagra pills australia viagra didnt work hong kong home ma viagra hong kong cialis daily south africa female cialis south africa best online viagra hong kong female viagra home remedies new zealand how do you take cialis australia who makes cialis hong kong best place to buy viagra online 2020 hong kong instant natural viagra hong kong fake cialis 20mg australia buy kamagra 100mg generic viagra hong kong buy generic cialis online new zealand herbal viagra new zealand kamagra en alcohol singapore off brand viagra new zealand does cialis lose effectiveness over time south africa propecia for men singapore knock off viagra new zealand pills like viagra over the counter hong kong where can i buy viagra connect singapore viagra samples walgreens new zealand cialis drug new zealand comprar kamagra singapore black viagra pill australia cialis actress south africa addyi female viagra singapore can women take viagra australia kamagra forum new zealand cialis erectile dysfunction australia viagra effects singapore viagra for men cvs australia viagra unr tongue hong kong kamagra gold 100mg review australia viagra pill finition singapore viagra cream hong kong viagra cvs singapore viagra and speed singapore 100mg viagra cost hong kong what if a woman takes viagra hong kong how long does a viagra last singapore cialis 30 mg singapore viagra and enlarged prostate hong kong moringa natural viagra new zealand where can i buy viagra hong kong different types of viagra new zealand cialis experience forum singapore viagra para mujer don comprar hong kong priligy dapoxetine review australia buy pfizer viagra new zealand viagra didnt work hong kong viagra and blood thinners singapore kamagra cheap online australia viagra connect cvs australia cialis difficulty ejaculating australia canadian pharmacy cialis 20mg new zealand does viagra work hong kong taking viagra without erectile dysfunction australia what is levitra new zealand get cialis online australia black viagra 200mg new zealand pastilla viagra new zealand viagra without prescription hong kong when was viagra invented hong kong levitra chemist warehouse singapore cialis online australia best way to use viagra singapore viagra movie hong kong viagra 100mg street price hong kong buy kamagra review south africa viagra patent hong kong cialis drug south africa köp priligy south africa does cialis lose effectiveness over time new zealand propecia cost australia cialis 20 south africa cialis sublingual singapore is kamagra safe australia viagra how long singapore kamagra soft singapore buy viagra canada singapore what does viagra do to you south africa mail orr viagra hong kong viagra pill prank south africa d and b nation viagra south africa real viagra south africa how many inches does viagra give you south africa generic levitra pills australia priligy dapoxetine price new zealand female cialis singapore cheap viagra prices singapore generic cialis 20 mg from india australia benefits of taking viagra daily singapore cialis bodybuilding south africa female viagra home remedies new zealand does insurance cover viagra new zealand where to buy female viagra pill australia what's the difference between viagra and cialis new zealand how many viagra can you take new zealand does cialis work south africa rebecca viagran hong kong viagra gummies hong kong does viagra make your penis bigger south africa viagra dosage south africa don puedo comprar cialis sin receta south africa propecia vs rogaine singapore 200 mg viagra review south africa how much is priligy new zealand cheap kamagra supplier new zealand how long does viagra take to kick in australia cialis 40 mg singapore cialis prescription online singapore does medicare cover cialis hong kong best time to take viagra for best results south africa superman combo viagra cialis new zealand can i buy viagra without a prescription new zealand viagra pills for sale south africa what mg does viagra come in australia how do you spell viagra australia canadian pharmacy cialis 20mg south africa what does propecia do new zealand is viagra a controlled substance singapore viagra substitute south africa cost of viagra at cvs south africa kamagra cialis biz avis south africa do i need a prescription for cialis hong kong levitra generic release date hong kong diabetes and viagra singapore what does womens viagra do singapore cialis headache south africa buy cialis online without prescription new zealand where can you buy viagra over the counter singapore viagra and cialis south africa viagra for men for sale hong kong taking viagra daily singapore cialis generic best price south africa female viagra review singapore viagra with alcohol singapore how can i buy viagra australia cialis daily cost australia difference between viagra and cialis south africa the prince family viagra prank new zealand viagra connect price australia levitra vs cialis australia natural viagra fruit hong kong international viagra online hong kong viagra online india hong kong kamagra gel u apotekama south africa cialis after prostate surgery singapore buy priligy tablets singapore kamagra for her hong kong how long does viagra last for new zealand levitra 100mg 30 tablets new zealand kamagra reviews singapore can i get levitra over the counter south africa free cialis trial samples new zealand instant natural viagra australia viagra at walgreens australia does cialis make you last longer new zealand is there a generic for cialis australia viagra lowers blood pressure new zealand como funciona levitra 20 mg south africa cialis daily south africa viagra free trial 3 free pills hong kong viagra interactions south africa is flomax like viagra south africa kamagra kamagra south africa viagra pill 100mg new zealand cialis drug south africa how to make levitra more effective australia viagra timing australia kamagra advies singapore viagra pill womens new zealand viagra foods australia viagra patent expiration singapore cialis costco singapore cialis without a doctor prescription australia best place to buy kamagra new zealand how to make cialis work better south africa propecia pills hong kong is there over the counter viagra south africa black viagra pill new zealand viagra doesnt work hong kong propecia results after 3 months new zealand how much is a viagra pill australia purple viagra new zealand viagra results photos australia meth and viagra australia what color is viagra pill singapore mandy flores viagra south africa does viagra raise your blood pressure hong kong cialis walgreens singapore viagra street price new zealand viagra not working australia can you buy viagra at hong kong levitra over the counter new zealand 100mg viagra pill singapore best place to buy viagra online 2020 new zealand how long does viagra last in your system new zealand viagra boner hong kong does cialis expire south africa best time to take cialis singapore generic cialis canada australia meth and viagra new zealand how does propecia work new zealand viagra 50 mg australia how much does cialis cost singapore kamagra oral jelly günstig kaufen paypal new zealand kamagra fast new zealand how much is viagra at walgreens singapore los viagras cartel singapore como funciona el viagra singapore kamagra online review south africa priligy comprar australia viagra pill for women south africa stendra vs viagra south africa kamagra bestellen erfahrungen hong kong cialis otc singapore cialis blood pressure new zealand female viagra silnafil south africa bob dole viagra hong kong how to take viagra singapore viagra online no prescription south africa generic cialis price singapore viagra for men online new zealand levitra dosage 40 mg singapore roman viagra singapore viagra for men for sale hong kong how difficult is it to get a prescription for cialis south africa how long for propecia to work new zealand ajanta pharma kamagra singapore viagra pill in stores australia priligy and westoxetin singapore addyi female viagra new zealand viagra spray hong kong home remedies for viagra australia priligy comprar south africa canadian pharmacy viagra new zealand how long viagra last new zealand cialis and viagra together reddit australia get viagra new zealand levitra coupon hong kong best viagra pills australia get cialis online new zealand expired cialis australia viagra ad hong kong instant natural viagra singapore buy propecia australia kamagra south africa what happens when you take viagra singapore can diabetics take viagra new zealand is there a female viagra singapore viagra xvios new zealand propecia 1mg new zealand cialis for bph dosage australia viagra tablet price south africa is viagra prescription south africa viagra commercial singapore buy levitra near me singapore viagra for women online new zealand viagra drug class new zealand viagra jokes hong kong cialis uses new zealand viagra effect time south africa does viagra expire australia cialis interactions south africa viagra casera australia buy generic viagra online hong kong what happens if a woman takes cialis south africa how much does a viagra pill cost australia l368 blue pill viagra new zealand pfizer viagra price south africa high blood pressure viagra australia cialis 20mg review new zealand kamagra 100mg oral jelly review singapore best place to buy kamagra australia generic viagra australia mail orr cialis hong kong does viagra increase heart rate new zealand girl viagra effects australia buy kamagra 100mg singapore buy viagra without prescription hong kong kamagra en alcohol new zealand viagra heart palpitations singapore cialis 20mg review new zealand moringa natural viagra south africa does cialis raise blood pressure singapore levitra directions south africa canadian pharmacy generic viagra singapore how to take viagra hong kong viagra for dogs south africa cialis and viagra together hong kong cialis tv commercial new zealand best time to take viagra for best results new zealand is viagra bad for your heart singapore viagra white pill australia types of viagra new zealand cialis capsule new zealand generic priligy 60 mg new zealand kamagra jelly 100mg buy online in india australia can you buy viagra without a prescription hong kong kamagra 100mg hong kong herbal viagra hong kong viagra boys sports hong kong is cialis better than viagra south africa cialis 50mg new zealand best place to buy kamagra new zealand otc viagra cvs hong kong viagra over the counter walgreens south africa generic cialis 20mg singapore street value of viagra australia generic cialis for sale south africa how long is viagra effective hong kong can i buy viagra at australia kamagra eu australia pastilla viagra south africa viagra how long does it last south africa low cost viagra new zealand cialis from canada to south africa how much is viagra at singapore what is the active ingredient in viagra hong kong viagra vs cialis vs levitra vs kamagra hong kong can i buy priligy in south africa herbal viagra amazon hong kong what happens if a women takes viagra australia street value of viagra australia cialis and bph australia viagra not working for performance anxiety australia viagra brand name hong kong buy viagra canada south africa buy levitra near me hong kong viagra without a doctor prescription canada singapore priligy comprar por internet hong kong cheap viagra new zealand wellbutrin viagra australia viagra las vegas south africa normal viagra dose australia can viagra cause heart attack australia does priligy dapoxetine work hong kong what is levitra new zealand viagra name south africa viagra for pulmonary hypertension singapore cialis mechanism of action south africa viagra reviews reddit new zealand can you take viagra and cialis south africa viagra para mujer cvs australia cialis vs viagra hong kong what is the normal dose of cialis singapore how long does female viagra last singapore viagra 100mg south africa cialis dosage reddit new zealand levitra for less new zealand viagra online canadian pharmacy south africa what is the difference between viagra and cialis new zealand viagra hard on new zealand best time of day to take cialis for bph hong kong kangaroo viagra hong kong viagra pill color australia fucking on viagra hong kong is virmax like viagra hong kong cialis price cvs hong kong is viagra free hong kong how old do you have to be to buy viagra australia bestellen kamagra nl opgelicht hong kong girl viagra pill south africa can i buy levitra at walgreens south africa viagra after age 70 australia over the counter womens viagra new zealand cialis headache australia natural viagra recipe new zealand teva viagra new zealand viagra forum south africa teva generic viagra cost singapore viagra for performance anxiety new zealand meth and viagra australia puedo comprar viagra en cualquier farmacia new zealand other uses for viagra hong kong gabapentin and viagra australia free viagra coupon hong kong expired levitra si effects hong kong how many mg of viagra should i take australia off brand viagra south africa canadian pharmacy cialis 20mg hong kong where can u buy viagra singapore different types of viagra australia what happens if i take 2 100mg viagra south africa hims viagra south africa canadian pharmacy ezzz cialis singapore how long before sex should you take viagra australia generic cialis name south africa viagra heart palpitations south africa cialis 100mg hong kong does viagra help you last longer hong kong priligy 30mg buy online south africa viagra boys new zealand fucking on viagra singapore viagra canadian pharmacy ezzz singapore how long does viagra take to kick in south africa maximum dose of cialis hong kong free viagra samples new zealand cialis cost per pill south africa bluechew vs viagra hong kong bestellen kamagra nl opgelicht south africa 200 mg viagra review australia pink pussycat viagra south africa who makes viagra singapore priligy comprar por internet south africa itsoktocry viagra lyrics south africa propecia results reddit singapore viagra mg doses new zealand goodrx com cialis hong kong how to use kamagra australia viagra price canada new zealand pastilla viagra new zealand how long does viagra last in your system south africa female cialis 10mg new zealand liquid cialis dosage australia best viagra new zealand how quickly does viagra work south africa viagra craigslist south africa generic viagra pills singapore what would happen if a girl took viagra yahoo answers australia viagra stories new zealand cialis heart benefits australia buy propecia online singapore how much is viagra per pill south africa best time to take viagra for best results hong kong generic cialis without prescription australia flomax and viagra australia acheter kamagra en ligne australia cialis vs viagra which is better south africa viagra para mujer don comprar hong kong viagra results photos australia female viagra prank australia can you take viagra every day singapore viagra xvios singapore levitra dosage 40 mg hong kong cialis experience new zealand cialis 5mg daily how long before it works australia women viagra prank new zealand viagra before and after pics new zealand viagra femenino new zealand levitra dosage new zealand 60 mg cialis too much hong kong priligy 30mg price hong kong pfizer viagra online australia does propecia work singapore i am a woman and i took viagra reddit new zealand when is the best time to take cialis hong kong viagra para mujer australia how long for cialis to peak singapore instant natural viagra australia how do i get viagra south africa cialis erection south africa can you buy viagra at walgreens singapore viagra overdose australia viagra without ed australia viagra craigslist new zealand viagra pills amazon south africa womans viagra hong kong viagra over the counter cvs new zealand legal viagra new zealand viagra erection singapore ajanta kamagra oral jelly australia kamagra soft south africa propecia reviews singapore is viagra dangerous hong kong natural viagra foods singapore los viagras cartel hong kong levitra 20mg south africa normal dose of cialis south africa can i buy viagra over the counter at walgreens hong kong kamagra soft singapore viagra en ingles australia cialis for men hong kong viagra for performance anxiety new zealand viagra para hombre en south africa generic cialis without prescription australia erectile dysfunction viagra singapore how long does cialis take to kick in new zealand another name for viagra hong kong comprar kamagra online singapore priligy tablets south africa kamagra store singapore cialis and high blood pressure singapore over the counter viagra cvs hong kong discount cialis australia girl takes viagra singapore viagra sex hong kong priligy pills singapore over the counter viagra alternative at hong kong white viagra s100 hong kong buy kamagra review south africa cialis 80 mg dosage australia cialis uses australia super kamagra 100mg new zealand can viagra cause a stroke australia how long cialis last hong kong cialis for daily use australia what is the generic name for cialis south africa viagra and lisinopril australia can women take cialis singapore cialis and grapefruit hong kong cialis shelf life south africa viagra connect walgreens singapore kamagra snap pack singapore kamagra gel u apotekama australia cheap kamagra supplier hong kong kamagra forum singapore cialis 10 mg singapore viagra forum new zealand viagra online india south africa pink viagra australia

Scheuermanns Disease

Scheuermann’s Disease

Scheuermann’s Disease (SD)

Scheuermann’s disease is the most common cause of adolescent structural kyphosis (too much curvature of the thoracic spine – a spine deformity). The thoracic spine is the section below the neck to the bottom of the rib cage. A less common form of this disease can affect the thoracic and lumbar spine. The diseases cause the spine and spinal discs to grow at abnormal rates.

This disease is often mistaken for poor posture. Scheuermann’s disease begins in childhood and affects up to 8% of children between the ages of 10 and 12. It develops before puberty and progresses during growth spurts throughout adolescence. SD is twice as common in boys than girls and progresses until growth is complete. The disease can range from mild to severe.

What are the symptoms?

The earliest signs are a forward head position, rounded shoulders and limited shoulder motion. The adolescent cannot correct their posture. The most common complaint of children with SD is a self-perceived negative body image due to the hump created by the deformity. Adolescence is a time for ‘fitting in. A negative body image is likely to involve worry, concerns about fitting in and relationships at this most vulnerable time.

As the disease progresses other symptoms may include tight hamstrings, back pain, fatigue, muscle stiffness, spinal rigidity, decreased flexibility, weakness, numbness and tingling in the legs, loss of sensation and shortness of breath.

Pain is typically not severe and is triggered by long periods of sitting or exercise but resolves when growth ends. However, it can produce severe pain and physical and psychological disability. Affected adolescents also often have scoliosis.

What causes Scheuermann’s disease?

This disease is the result of a structural abnormality of the vertebrae in the upper spine caused by abnormal growth of the vertebrae during puberty. The true cause is not clear, but includes a combination of genetics, metabolic factors, poor bone quality, hormones, and mechanical factors.

Diagnosis

Scheuermann’s disease is diagnosed based on the magnitude of the curvature. The normal curvature of the upper spine is between 200 and 450. Curvature greater than this is characteristic of SD.

Dr. Shufflebarger will take a complete medical history, discuss your child’s symptoms and general health, and conduct a thorough physical examination including some common tests to evaluate how the condition affects the child’s balance, flexibility and range of motion. He will order x-rays to view the structure of the vertebrae and confirm the diagnosis. X-rays will reveal the structural deformity of the vertebra and spine. When there is severe curvature, he will order other tests to evaluate lung and heart function.

Treatment options

Patients with mild disease can be successfully treated with nonsurgical observation, anti-inflammatory medications and physical therapy. Bracing may be helpful, but compliance is difficult. Surgery is indicated for children with severe curvature, intractable pain, neurological deficits, compromised heart and lungs function and disfigurement.

Dr. Harry Shufflebarger is a world-renowned pediatric spine surgeon and the chief of spinal surgery at the Nicklaus Children’s Hospital in Miami, Florida. He is one of the top ten pediatric spine surgeons in the United States. He and his team of experts are specially trained and experienced in the unique needs of children with complex conditions. In addition to his many accomplishments in research and innovation in pediatric spine conditions, Dr. Shufflebarger is a kind and compassionate doctor who is sought out by parents the world over.