Pectus Carinatum

Pectus Carinatum (pigeon chest) is a condition where the chest wall (sternum) pushes forwards. The deformity often starts in children and becomes more apparent during sudden growth spurts (such as puberty). The severity of the deformity can vary and it is most commonly seen in males. Most people who have Pectus Carinatum do not usually suffer from any symptoms however the appearance can cause physiological distress.

What causes Pectus Carinatum?

There is no known cause for Pectus Carinatum however the abnormal growth of the cartilage and bones in the chest wall forces the middle section of the chest wall forward.

What are the symptoms of Pectus Carinatum?

There are usually no symptoms of Pectus Carinatum but secondary postural issues can sometimes lead to back pain. In some severe cases, individuals may have difficulty breathing during exercise.

What are the psychological considerations of Pectus Carinatum?

As the pushed out position of the chest wall becomes more noticeable during puberty, this can lead to young adultolescents developing anxiety, low self esteem and self consciousness.The appearance of the chest wall is commonly the primary reason for treatment.

What treatment options do Liverpool Orthotics provide for the treatment of Pectus Carinatum?

Pectus Carinatum therapy - This includes a series of daily exercises, as well as a custom made chest compression device. The device works by applying pressure to the chest wall to encourage the flexible cartilage to remould to the desired flatter shape.

Surgery - Liverpool Orthotics do not provide surgery however we can ensure all non surgical intervention has been addressed before exploring surgery.

How long is the chest compression brace worn for?

This really depends on a number of factors including, age, chest flexibility and compliance. Generally, the brace is worn constantly for a 12 week period (other than washing).

Is chest compression therapy suitable for children and adults?

Yes. Chest compression therapy is often most successful with children as the chest wall is still growing and more flexible. There have also been many successful cases using the chest compression therapy in adults. The success of the results really depend on the amount of flexibility there is in the chest wall. Commitment to wearing the brace as instructed by the orthotist will result in the best possible outcome.

What is the process to receiving chest compression therapy?

First step is to arrange an initial consultation. During this consultation our pectus specialist orthotist will assess the chest wall and ensure that chest compression therapy is appropriate. If appropriate, the orthotist will then take photographs and 3D image scans. This will enable us to accurately track progress and so we can manufacture a custom made chest compression device. The orthotist will then run through a number of exercises that will help compliment treatment.

A suitable fitting appointment will then be arranged where the orthotist will explain and demonstrate how the device is fitted. The orthotist will then run through specific wearing times and activities to avoid, such as physical contact sports. The orthotist will then set out a number of review appointments so we can adjust the brace accordingly. New photographs and scans will likely be taken at each review appointment. This will offer an opportunity for the patient to see the progress that has been made.

To arrange an appointment call Liverpool Orthotics now on 0330 088 3949, or email us at office@liverpool-orthotics.co.uk