Straight Spine
A straight spine is a common name for a condition in which the
backbone
loses a percentage of one or more of its normal curves. The
spine
is multiply curved back to front to allow greater weight bearing and shock negating qualities. A typical spine is curved in the shape of a letter S, when viewed from the side. The cervical and lumbar regions maintain a lordotic curve, with the open end of the curve towards the posterior. The thoracic spine maintains a kyphotic curve, with the open end of the curve towards the anterior. Partial loss of one or more of these normal curves is often blamed as the cause of painful symptoms throughout
the back.
Straight Spine Causes
There are many structural reasons why a patient might lose spinal curvature. Congenital conditions are a common cause of curvature loss. Some patients are simply either born with a lesser curved spine or the predisposition to develop it during their lifetimes.
Lordosis
or
kyphosis
in one spinal region can cause a straightening of curvatures in other spinal regions. Degenerative or postural changes can create the ideal circumstances for the minimizing of typical spinal curvatures.
Back injury
can also produce a lessened curvature either in the direct area of trauma or in the surrounding spinal levels. Finally,
spinal fusion surgery
can flatten out operated spinal levels or neighboring vertebral levels. However, the single most common reason why a patient might express a decreased lordotic or kyphotic curvature is surely due to muscular reshaping of the spinal curves. This temporary condition can be enacted by spasms or simply chronic tightness in muscles which help regulate the vertebral column. For these patients, finding the source of the muscular issue will almost always result in a sudden and dramatic return of the lost curvature.
Straight Spine Symptoms
Symptoms of this condition can be diverse and might mimic many other
back pain
syndromes. Many doctors feel that any loss of curvature is a major source of discomfort, while others write it off as much to do about nothing. Minimal to moderate loss of spinal curvature is rarely symptomatic, although it is often blamed for causing back ache when no other more obvious cause is available. This sometimes makes a straightened spine one of the ever growing number of
back pain scapegoat
conditions. Very severe spinal straightening can be a real problem for the patient and might create acute symptoms or general sensitivity throughout the affected region or even the entire backbone. While this condition is rare, it is possible to experience and drastic treatment is usually the prescribed course of action.
Recommendation on a Straight Spine
This condition is an ongoing part of my personal diagnosis. In addition to my 12
herniated discs
and
degenerative disc disease,
I was also diagnosed several times as having both a decreased lumbar curvature and a
military neck
(also called a
straight neck
condition). I used to blame it on my upbringing and having it drilled into my head to STAND UP STRAIGHT. Martial arts training for all those years is akin to military training and keeps the student standing at attention for many long hours. Now I feel it is more a direct result of chronic muscular tension. Some doctors thought that this condition was
postural
and others related it to my other spinal conditions. None of my doctors seemed to think this was my primary cause of pain, but most thought that it was a contributor. In the end, I still have no conclusive diagnosis as to the exact reasons for my diverse symptoms. It can be very frustrating indeed. Just remember that the spine is not such a delicate structure after all and some variation from the norm is often harmless and coincidental to any pain. Research has shown little correlation between minor lordotic and kyphotic reductions and the incidence of chronic back ache. In cases where they are related, the loss of curvature is likely to be more of a result of the pain rather than a cause of it. Looking at it objectively, this is another example of which came first... The chicken or the egg. Ooops, I mean the curvature change or the pain.
Straight Spine to Back Pain
7/16/08 Revised 12/30/11
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