Addressing Kyphosis and Sleep Issues: Expert Insights from Dr. Roach

Dr. Keith Roach recently addressed concerns regarding health complications associated with vertebral fractures and chronic sleep issues in his latest column. These topics highlight significant challenges faced by individuals, particularly the elderly and those experiencing long-term sleep disturbances.

Kyphosis: A Complication of Compression Fractures

Compression fractures, especially in the spine, are a common result of conditions like osteoporosis. A reader shared her concern about her mother, who suffered a compression fracture to her L2 vertebrae. As a result, her mother’s head leans forward, creating difficulties in walking and sleeping.

According to Dr. Roach, kyphosis, often referred to as a “dowager hump,” frequently follows vertebral fractures. This condition can lead to multiple fractures and has wider implications, including chronic pain and loss of independence. He emphasized the importance of prevention, noting that individuals who have already experienced a fracture are at a higher risk for future incidents.

Dr. Roach recommends that individuals like the reader’s mother receive appropriate treatment to mitigate the risk of further fractures. He explained that while braces are occasionally suggested for managing kyphosis, they do not address the underlying spinal changes and may weaken core muscles. Surgical options such as vertebroplasty and kyphoplasty could be considered, particularly if pain significantly impacts quality of life.

Dr. Roach also highlighted the potential benefits of exercise and physical therapy in alleviating symptoms and preventing additional fractures. He urges families to seek comprehensive care for their loved ones suffering from these issues.

Addressing Chronic Sleep Disturbances

In another query, Dr. Roach responded to a 23-year-old man experiencing persistent sleep difficulties that began in middle school. The individual described problems falling asleep and waking in the early hours, leading to daytime fatigue and missed social opportunities.

Dr. Roach recommended consulting a sleep medicine specialist for a thorough evaluation. He noted that while the individual had implemented reasonable changes to his sleep hygiene, these had not been effective. He acknowledged that thyroid dysfunction could contribute to sleep disturbances, although it is rare for such issues to exist without other symptoms.

Medication side effects can also play a role in sleep issues, and Dr. Roach encouraged the individual to discuss this with his healthcare provider. If no clear disorder is identified, cognitive behavioral therapy for insomnia may be recommended. This therapeutic approach offers long-term skills to manage sleep issues without the side effects associated with medication.

Dr. Roach emphasized the importance of seeking professional guidance for both spinal health and sleep disorders, encouraging individuals to take proactive steps in addressing their conditions.

Readers are invited to submit their health-related questions to Dr. Roach for consideration in future columns.