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Thoracic Kypotic Surgery (residual lumbar pain)
Two months ago I received treatment for my scheuermanns kyposis (thoracic Kypotic defomity) my curve measure 70 degrees and I had been having upper and lower back pain for years (as long as I can remember). I am only 24 years old. I have been fused from T1 to T11 (or possibly T12). I can't recall - but it was the majority of my thoracic spine region.
My main reason for creating this post was to ask of everyone else's experiences. After your fusion surgery for kyphosis have you had continuing lower lumbar pain? My lower back basically curves OUTWARD instead of inward as its suppose to do. I've gotten a lumbar pillow to make my lumbar spine curve in as its designed to do so that I won't be slouching from my lumbar region. Basically when I sit down my pelvis tilts forward and I must make it tilt backward (thereby pressing my butt area outward - and sticking it out - in order to make my lumbar exhibit the inward curve it needs). This motion and pelvic tilt causes my lumbar region to tense up and if I straighten my lower back muscles in the process this corrects my postural issue. My question is - would this be basically more likely to be a muscle weakness issue rather then a mechanical one? It seems to be postural muscle weakness rather then the mechanical kyposis issue I had with my thoracic spine. Even though my lumbar curves outward (instead of inward) like kyposis does - I still believe this is related to the muscle weakness brought on by years of using my thoracic curvature and never using my lumbar area much. The thoracic issues possibly aggravated the lumbar caused weak muscles. I also have tight hamstrings. I do have pain when I forcefully correct my lumbar posture with a lumbar pillow - whenever I move the pillow and slouch at the area - and when I move from the position the pain lessons and goes away. As for my thoracic surgery it went perfectly and I have no residual pain from that - I am 100% satisfied with that posture - however the lumbar posture has much to be desired. I hope it's just muscle weakness - I didn't notice these issues with my lumbar spine until after surgery. Please comment with suggestions. I am also in PT as well to resolve these lumbar issues and to strengthen my muscles. Also what is this condition called where the lumbar spine curves outward excessively and causes an abnormal curvature and increasing pelvic tilt?