[19F] With painful neck hump and scoliosis

Patient Description

A 19-year-old female presents with a painful neck hump that has been persistent for a few months. The patient also has a history of scoliosis. There is a family history of scoliosis and osteoporosis. The patient is currently taking Adderall, 30 mg once daily, and reports no recent injuries or trauma to the neck or back. No allergies or other chronic illnesses are noted.

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Arora's Assessment

What might be happening

Based on your symptoms and history, here are some possibilities:

  • Postural Changes or Dowager's Hump: This can occur due to poor posture or changes in the spine, often related to conditions like scoliosis. It can lead to a visible hump and discomfort.

    • Treatment typically involves physical therapy, exercises to improve posture, and sometimes bracing.
  • Kyphosis: This is a forward rounding of the back, which can be related to scoliosis or osteoporosis. It can cause pain and a noticeable hump.

    • Treatment may include physical therapy, pain management, and in some cases, surgery.
  • Fat Pad or Lipoma: Sometimes, a fatty deposit can form at the base of the neck, which might be mistaken for a hump.

    • Treatment usually involves monitoring, and if necessary, surgical removal.

What you can do

  • Consult a Healthcare Provider: It's important to get a proper diagnosis. They may recommend imaging tests like X-rays or MRIs.
  • Physical Therapy: Engaging in exercises to strengthen your back and improve posture can be beneficial.
  • Monitor Symptoms: Keep track of any changes in your symptoms using MDandMe. This can help your healthcare provider understand your condition better.

What you should look out for

  • Increased Pain or Discomfort: If the pain worsens or becomes unmanageable, seek medical attention.
  • Changes in Mobility: Difficulty moving your neck or back should be evaluated by a healthcare professional.
  • New Symptoms: If you notice any new symptoms, such as numbness or tingling, contact your doctor.

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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8 mo ago

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People Also Ask


What causes a neck hump and how is it related to scoliosis?

A neck hump can be caused by postural changes, kyphosis, or fat deposits. In individuals with scoliosis, the curvature of the spine can contribute to the development of a neck hump due to uneven distribution of weight and posture changes.


How can posture affect the development of a neck hump?

Poor posture can lead to a forward head position and rounded shoulders, which over time can cause a neck hump. Maintaining good posture through exercises and awareness can help prevent or reduce the severity of a neck hump.


What are the treatment options for kyphosis?

Treatment options for kyphosis include physical therapy to strengthen back muscles and improve posture, pain management strategies, and in severe cases, surgical intervention to correct the spinal curvature.


Can medications like Adderall contribute to neck or back issues?

Adderall is not directly linked to neck or back issues, but it can cause muscle tension or restlessness in some individuals, which might indirectly affect posture. It's important to discuss any concerns with a healthcare provider.


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