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Postural kyphosis, cervicothoracic region

ICD10CM code

Name of the Condition

  • Postural Kyphosis, Cervicothoracic Region
  • Commonly referred to as Roundback or Postural Humpback.

Summary

Postural kyphosis in the cervicothoracic region is a curvature of the spine that results in an exaggerated forward rounding of the upper back and neck area. It primarily affects posture rather than being due to structural abnormalities of the spine.

Causes

The primary cause of postural kyphosis is poor posture over time, leading to muscular imbalances. It is not usually associated with any underlying spinal disease.

Risk Factors

  • Adolescence and young adulthood, when postural habits are established.
  • Sedentary lifestyle or occupations that require prolonged sitting.
  • Lack of awareness or education about correct posture.

Symptoms

  • Visible rounding of the upper back and shoulders.
  • Mild upper back pain or discomfort.
  • Fatigue in the back muscles due to prolonged poor posture.

Diagnosis

  • Physical examination by a healthcare provider.
  • Observation of posture and alignment during certain movements.
  • Occasionally, X-rays are used to rule out other structural spinal conditions.

Treatment Options

  • Physical therapy: Strengthening and stretching exercises to improve posture and muscle balance.
  • Posture correction: Techniques such as bracing or ergonomic adjustments in daily activities.
  • Education: Teaching proper posture habits and awareness.
  • Most treatments focus on non-invasive methods, emphasizing exercises and postural reeducation rather than surgery.

Prognosis and Follow-Up

  • Generally good with adherence to posture-improving exercises and practices.
  • Regular follow-ups to monitor posture and ensure compliance with physical therapy are beneficial.

Complications

  • Without intervention, it may lead to discomfort or pain.
  • Rarely progresses to structural spinal deformities if left untreated for an extended period.

Lifestyle & Prevention

  • Active lifestyle with regular exercises targeting back and core muscles.
  • Awareness and maintenance of good posture in daily activities.
  • Ergonomic modifications in the workplace or home to support proper alignment.

When to Seek Professional Help

  • Persistent back pain or discomfort that does not improve with self-care measures.
  • Notable or sudden changes in posture.
  • Concerns about spinal alignment or other symptoms that may suggest a more serious condition.

Additional Resources

Tips for Medical Coders

  • Ensure correct code M40.03 is used specifically for postural kyphosis in the cervicothoracic region.
  • Verify the condition is postural, not structural or due to congenital abnormalities.
  • Avoid common errors such as confusing postural kyphosis with different types of kyphosis like Scheuermann's disease, which is structural.

Medical Policies and Guidelines for Postural kyphosis, cervicothoracic region

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