About Scheuermann's Disease
Also known as Calvé disease, Scheuermann’s disease is a disorder that affects the growth of the thoracic and/or lumbar vertebrae in the spine. It causes the back side of the vertebral body to grow as it should while the front grows abnormally and slowly, causing some of the vertebrae to become wedge shaped. Typically developing before puberty, Scheuermann’s disease can cause a rounded upper back and general back pain that is most often associated with periods of inactivity. To reduce the long-term impact of the disease, it’s crucial to seek treatment as early as possible. At Spine Care of North Texas, board-certified spine surgeon Dr. Kendall Carll provides treatments for both adolescents and adults who suffer from Scheuermann’s disease at his offices in Addison, Frisco and Plano, TX. His aim is to help patients find relief from pain and regain their ability to enjoy life.
"I recently experienced a pinched nerve that severely affected my ability to use my right hand. I contacted Dr. Carll who immediately went to work on my behalf. Knowing that this was a time sensitive situation Dr. Carll went out of his way to ensure that I received the appropriate MRIs, CAT scans, and nerve studies to properly diagnose my situation. After reviewing all the test Dr. Carll exhibited true professionalism and integrity by referring me out to Dr. Patty Young (I am so thankful for your referral) who specialized in the surgery that I would need. Dr. Carll could’ve chosen to operate because I had several degenerative disc, however he chose ethics over profit. Dr. Carll is a true professional that will put your health over profit! When it comes to your health there’s nothing more important than having a doctor that you can trust to be professional and ethical. Thank you Dr. Carll for providing me with both!"- K.H. / Google / Aug 29, 2018
"Dr.Carll is an amazing back surgeon. He performed a spinal fusion surgery on me and I am very pleased with the results. His staff is amazing, friendly and always helpful. The hospital where he performed the surgery was also amazing! The staff took great care of me and was friendly helpful and caring at all times. I would recommend Dr. Carll to any one of my loved one, friends, even strangers!!!! ALWAYS do your research before picking a back surgeon. Dr. Carll explained everything in a way I could understand & i can say with confidence that he truly cares about his patients!!!!"- Anonymous / Healthgrades / Feb 28, 2020
"My name is Mark Walter. Doctor Carll and his staff are simply the best when it comes to spine and back care, bar none ! Ive had a total of 6 spine surgeries to date. My first one was done by a different doctor and it failed. I found Dr Carll after exhaustive research and countless inital consultations with numerous other doctors and I'm so glad I found him. He has since then performed five additional spine surgeries on me. I was badly screwed up to say the least and he literally gave me my life back. I highly recommend him to everyone including my own family members, one of which he also done surgery on and like me she was totally thrilled with him and the results. His staff are hands down the best in the business and the only team that Ive NEVER had a single complaint or issue with !!! This man knows his stuff and sets the standard other doctors and surgeons only dream of achieving. No games and no lies. Just kindness, honesty, and most importantly, he treats people like his friends and neighbors and not an ATM machine like so many doctors do now days. Give his office a call. Its the best thing you will ever do for your spine & your own peace of mind."- F. / Google / Nov 07, 2019
"Dr Carll was a lifesaver for me! I fought the back pain from a pinched/herniated sciatic nerve for 7 months. I tried everything from PT, chiropractic, spinal decompression, antigravity table, ibuprofen and more ibuprofen and steroids. Eventually, the pain was so unbearable that I could not sit through a meal or even drive. I finally gave up avoiding surgery and went to Dr Carll. I had minimally invasive microdisctectomy and the results were excellent. A few months of rehab later and I’ve got my life back. I’m so glad I saw Dr. Carll! He was so caring and explained everything thoroughly, including what to expect after surgery. His staff was just as wonderful and caring. I’d go back to him in a heartbeat. I’m very grateful for his skilled hands. God bless them."- M.J. / Healthgrades / Oct 15, 2019
"Dr. Carll is THE BEST!!! I had to have an A-lift spinal fusion and never before have I seen such a caring doctor and staff. They held my hand through my fears were actually there for me and more throughout the process. I don't believe there is a more caring, more compassionate doctor than Dr. Carll. Thanks to him and his amazing abilities I can feel my right leg again and now live without pain. I will forever be grateful to this office and Dr. Carll for being there for me as a person and as a patient.-Nicole Baucum"- Anonymous / Healthgrades / May 17, 2019
Scheuermann's disease tends to run in families, but its exact cause may have many factors.
These factors may include:
- The onset of juvenile osteoporosis
- Malabsorption of certain nutrients early in development
- Certain infections
- Endocrine disorders
- Biomechanical factors, such as a shortened sternum
There are several symptoms that can occur with Scheuermann’s disease. The most common tend to be muscle spasms, difficulty balancing, pain associated with certain movements, and muscle stiffness. Pain typically only occurs in or around the thoracic spine but can also develop around the lumbar spine. Though it is rare, serious damage can occur with Scheuermann’s disease and harm can be caused to the spinal cord or internal organs. Therefore, it is important to seek medical advice upon noticing signs and symptoms of the condition.
The first step in diagnosing Scheuermann’s disease is a physical examination by Dr. Carll. The exam will typically include an evaluation of posture in order to examine the curvature of the spine. Most often, x-rays will also be needed for an accurate diagnosis. Individuals with Scheuermann’s disease commonly have a spinal curvature of 45 degrees or more, as well as three or more wedged vertebrae. If needed, Dr. Carll may also conduct a CT scan and/or MRI scan.
The initial treatments for Scheuermann’s disease involve taking steps to reduce inflammation and pain, as well as restore movement and mobility. Pain management options may include both over-the-counter or prescription anti-inflammatory medications. For some patients, Dr. Carll may recommend a back brace in order to help stop or reverse the curving in the spine. In many cases, physical therapy is also suggested to help maintain flexibility and alleviate some pain.
Surgery is rarely recommended for Scheuermann’s disease unless the amount of wedging of the vertebra is so great that it's impossible to achieve a normal posture, or if it is creating neurological issues. The surgical procedure for Scheuermann’s disease involves removing the discs in the affected thoracic region, inserting bone grafts into those spaces, and allowing the grafts to fuse the thoracic section of the spine. Within the same surgical procedure, a series of rods and wires will also be inserted and attached to the remaining vertebrae in the thoracic region to stabilize it. Since the thoracic region of the spine already has a limited range of motion, the fusion procedure will not greatly affect the patient’s range of motion or flexibility.
Experience Pain Relief
Board-certified Dallas-based spine surgeon Dr. Kendall Carll is passionate about providing his patients with solutions to their spine problems. Developmental issues such as Scheuermann’s disease can be physically and emotionally challenging to live with. Dr. Carll and his staff understand, and they are prepared to help your family. Contact Spine Care of North Texas to schedule your appointment today.