Pre-eminent Consultant  treating Lower Back conditions and Kyphosis from Norwich

Kyphosis is an abnormally excessive convex curvature of the spine as it occurs in the thoracic and sacral regions. Abnormal inward concave lordotic curving of the cervical and lumbar regions of the spine is called lordosis. It can result from degenerative disc disease; developmental abnormalities, most commonly Scheuermann’s disease; osteoporosis with compression fractures of the vertebra; multiple myeloma; or trauma. A normal thoracic spine extends from the 1st thoracic to the 12th thoracic vertebra and should have a slight kyphotic angle, ranging from 20° to 45°. When the “roundness” of the upper spine increases past 45° it is called kyphosis or “hyperkyphosis”. Scheuermann’s kyphosis is the most classic form of hyperkyphosis and is the result of wedged vertebrae that develop during adolescence. The cause is not currently known and the condition appears to be multifactorial and is seen more frequently in males than females.

In the sense of a deformity, it is the pathological curving of the spine, where parts of the spinal column lose some or all of their lordotic profile. This causes a bowing of the back, seen as a slouching posture.

While most cases of kyphosis are mild and only require routine monitoring, serious cases can be debilitating. High degrees of kyphosis can cause severe pain and discomfort, breathing and digestion difficulties, cardiovascular irregularities, neurological compromise and, in the more severe cases, significantly shortened life spans. These types of high-end curves typically do not respond well to conservative treatment and almost always warrant spinal fusion surgery, which can restore the body’s natural degree of curvature. The term is from Greek κυφός kyphos, a hump.

Norwich () is a city in Norfolk, England, about 100 miles (160 km) north-east of London. Located on the River Wensum, Norwich is the county town of Norfolk and traditionally seen as the chief city of East Anglia. Its population in 2019 was estimated at 197,212. The local authority for the city is Norwich City Council.

The site of modern Norwich was settled by the Anglo-Saxons between the 5th and 7th centuries, near the former Iceni capital and Roman town of Venta Icenorum. Norwich became fully established as a town in the 10th century and developed into a prominent centre for trade and commerce in East Anglia. Norwich Cathedral and Norwich Castle were founded soon after the Norman Conquest in 1066. Norwich was granted city status by Richard the Lionheart in 1194. The city greatly benefited from the wool trade throughout the Middle Ages and prospered as a port with the status of a staple port; until the 18th century, it was the second-largest city in England (after London).

Norwich’s fortunes declined with the advent of the Industrial Revolution and the rise of new industrial towns of the north. The city underwent de-industrialisation in the 19th century but remained a regional agricultural and manufacturing centre, with a prominent shoemaking industry. After the Second World War, Norwich gradually transitioned into a service-based economy. The University of East Anglia, established in 1963, is located on the outskirts of Norwich.