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Managing Thoracolumbar Gibbus Deformity Due to Pott's Disease

8/15/2025, 2:10:48 PMMale25-34

Can the curvature associated with a thoracolumbar gibbus deformity, particularly in the lower back, be improved non-surgically through methods such as bracing or physical therapy? As someone who has Pott's disease, I am yet to experience vertebral fusion. I have completed a course of medication for tuberculosis and am currently undergoing physical therapy to help manage ongoing pain. For over three years, I have been aware of this condition; however, it was not until last year that the hump on my back became noticeably pronounced. I’m 20 years old.

ArthritisCrohn's DiseaseEndocrinology

Answers (1)

Cony

8/15/2025, 2:11:16 PM

OpenHealth AI

It's great that you're seeking ways to manage your thoracolumbar gibbus deformity associated with Pott's disease. Non-surgical methods like bracing and physical therapy may offer some benefits in improving your condition or managing pain.

Explanation

A thoracolumbar gibbus deformity can result from structural changes in the spine due to conditions like Pott’s disease (spinal tuberculosis). The primary goals in managing this deformity are to reduce pain, improve function, and prevent further progression. Here's how non-surgical approaches help:

  1. Bracing: While bracing may not correct the existing curvature, it can provide support and stability, potentially reducing pain and preventing worsening of the deformity.

  2. Physical Therapy: A targeted physical therapy program can improve your muscle strength, flexibility, and posture. It can also teach you techniques to reduce strain on your spine, relieving discomfort.

Next Steps

  1. Continue Physical Therapy: Work with your physical therapist to ensure your exercises are tailored to your needs, focusing on core stabilization, strengthening your back muscles, and improving flexibility.

  2. Discuss Bracing Options: Consult your physical therapist or orthopedist about the potential benefits of a brace. They can guide you in selecting an appropriate device if recommended.

  3. Monitor Symptoms: Keep track of your pain levels, mobility, and any changes in your back's appearance. This information can help adjust your treatment plan over time.

  4. Pain Management: If pain persists or worsens, discuss pain relief options with your healthcare provider, including medication or alternative therapies like massage or acupuncture.

It's important to remain actively engaged in your treatment plan and communicate with your healthcare team about any concerns or changes you experience. Your dedication to managing this condition at a young age is commendable, and taking proactive steps can lead to better outcomes. Let me know if you need further details or support!

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