Introduction Of Camptocormia Syndrome
Camptocormia, known as Bent Spine Syndrome, is a postural disorder defined by an abnormal forward flexion of the thoracolumbar spine when a person is standing or walking.
Camptocormia is based on neurological, muscular or psychiatric conditions. The diseases such as myopathies, dystonia or paraspinal muscle degeneration, is included in parkinson’s disease.
Pisa Syndrome:
Camptocormia, known as Pisa syndrome, is a postural abnormality defined by abnormal forward flexion of the trunk. It’s related with Parkinson’s disease and other movement disorders. Pisa syndrome is lateral flexion of the trunk, when patients leans to one side.
called “leaning tower” posture.
Causes:
Both conditions are related to Parkinson’s disease, but with other neurological symptoms like Multiple System Atrophy. It happens in isolated movement disorder and with patients, taking medications like antipsychotics.
They have basal ganglia dysfunction, sensory processing issues, and changes in body perception.
Causes Of Camptocormia Syndrome
The main causes includes:
- Neurological Disorders:
- In parkinson’s Disease, it is due to dystonia or postural instability.
- In multiple System atrophy, atypical parkinsonian disorder is related with postural abnormalities.
- In Dystonia, abnormal muscle contractions leads to automatic bending of trunk.
- In Peripheral Neuropathies, muscle cramps lead to postural imbalance and weakness.
- Myopathies:
In Primary myopathies conditions like polymyositis, mitochondrial myopathies and muscular dystrophy weaken paraspinal muscles. Focal Paraspinal Myopathy is inflammation of spinal muscles, diagnosed by MRI.
- Spinal Disorders
In Degenerative disc disease such as Spondylosis, vertebral fractures, osteoporotic spinal changes is related to postural deformity.
- Psychiatric Conditions
Conversion Disorder such as psychogenic and neurological disorders causes camptocormia.
- Medication-Induced:
In Parkinson’s disease, the Long-term use of dopaminergic medications leads to postural abnormalities.
- Trauma or Surgery:
The spinal surgery leads to paraspinal muscle damage and scarring causing camptocormia.
Types Of Camptocormia Syndrome
Types of camptocormia is based on etiology, duration and clinical presentation. The main types include:
Based on Etiology:
a) Neurological causes is found in parkinson’s disease and in other parkinsonian syndromes such as dystonia, rigidity and impaired motor control.
b) Myopathic causes occurs due to weakness or degeneration of the paraspinal muscles such as polymyositis, mitochondrial myopathy.
c) Psychogenic causes is related with functional neurological disorders or conversion disorder.
Based on duration:
a)Acute causes develop due to trauma, stroke and conversion disorder.
b) Chronic causes develop over years, in neurodegenerative diseases or chronic myopathies.
Based on Flexion Angle and Location:
a) Upper Camptocormia- It has forward flexion at the thoracic spine, related to dystonia or Parkinson’s disease.
b) Lower Camptocormia- It has Flexion that occurs at the lumbar spine related to myopathy or mechanical spinal disorders.
Symptoms Of Camptocormia Syndrome
Camptocormia is defined by forward bending of the spine, that affect posture, movement and quality of life.
Few symptoms include:
- Postural Symptoms has forward flexion of the spine, more than 45 degrees. The bending is posture-dependent, it worsens by walking and improves while lying down.
- Musculoskeletal symptoms includes lower back pain. By overusing of paraspinal muscles, there is difficulty in standing and walking.
- In Parkinson’s disease, symptoms like rigidity, bradykinesia and tremors present.
- Functional Impairments occurs such as diifficulty in walking with increased risk of falls.
- Psychological and Emotional Symptoms includes anxiety, depression due to pain and limitations in movements.
General Approach Of Camptocormia:
Camptocormia depends on the cause, severity, and functional effects.
- Clinical Assessment:
- Detailed history, physical examination, Identifying symptom with onset, duration, aggravating and relieving factors.
- Postural assessment measure the degree and level of spinal flexion.
- Neurological and muscular evaluation:
Assessing signs of Parkinsonism, dystonia, or muscle weakness.
- Imaging:
To evaluate spinal structure and paraspinal muscle condition.
- Electromyography
To assess for myopathic or neurogenic muscle activity.
- Treatment plan:
a) Treat the Cause
In Parkinson’s disease, activate dopaminergic therapy.
In Myopathy, treat inflammatory or metabolic muscle diseases.
In Psychogenic causes, psychiatric support with cognitive-behavioral therapy is advised.
b) Physical Therapy & Rehabilitation:
Postural training and strengthening exercises for the paraspinal muscles to reduce rigidity.
c) Medications:
In Parkinson’s-related camptocormia, dopaminergic drugs such as levodopa for
muscle relaxants, antispasmodics for dystonia and analgesics for back pain.
d) Botulinum toxin injections:
Its injected into overactive or dystonic abdominal muscles.
e) Surgical Options:
Surgery is chosen in severe,refractory cases of spinal fixation or deep brain stimulation.
- Supportive Care:
Occupational therapy to help with daily activities. Psychological support for depression, anxiety and conversion disorder.
Side Effects Of Camptocormia:
- Respiratory problems due to restricted chest expansion.
- Chronic back pain with fatigue due to muscle strain and poor posture.
- Difficulty in walking with increased risk of falls and injuries.
- Depression and anxiety from chronic disability.
Homoeopathic Approach Of Camptocormia Syndrome
Homeopathy aims to stimulate the body’s self-healing mechanism based upon neurological, muscular or psychosomatic causes.
Few Remedies Are:
- Rhus Toxicodendron: This medicine is given for stiffness and pain, improving with movement and worsening with cold weather.
- Causticum: Causticum is chosen for progressive muscular weakness with stooped posture, difficulty in walking and tremors.
- Gelsemium Sempervirens: It’s Indicated for general weakness, trembling and lack of muscular coordination.
- Phosphoric Acid: It’s chosen for muscular fatigue and spinal weakness, postural decline and exhaustion.
- Plumbum Metallicum: Its used in muscular atrophy and nerve-related weakness.
Diet And Nutrition:
Diet and nutritional support manage parkinson’s disease and muscle disorders, reducing inflammation and improving overall well-being.
Diet Plan
Breakfast:
- Herbal tea or water.
- Oatmeal and chia seeds with Scrambled egg whites.
Lunch:
- Fresh salad, Roti or steamed rice and boiled veggies with grilled chicken or tofu.
Snacks:
Greek yogurt or a protein shake with
almonds or walnuts.
Dinner:
A fresh fruits with steamed broccoli and quinoa and warm milk with turmeric powder should be taken.
Frequently Asked Questions (FAQs) About Camptocormia
- Is camptocormia a disease on its own?
No, camptocormia is a symptom, not a disease. It usually indicates an underlying neuromuscular or neurological problem.
- How is camptocormia diagnosed?
Diagnosis involves:
- Physical and neurological examination
- MRI and XRay of spine and muscles.
- EMG to evaluate muscle function.
- Blood tests for muscle damage or inflammation.
- Can camptocormia be cured?
There is no specific cure, but management is based on the cause. Early treatment and therapy improve symptoms and quality of life.
- What are the treatment options?
- Medications such as dopaminergic drugs, muscle relaxants, physical therapy, botulinum, toxin injections, orthotic supports, surgery.
- Can exercise help?
Yes. Targeted physical therapy and strengthening exercises improves posture, reduce pain and enhances mobility.
Conclusion:
It is a challenging disease, but by intervention in early stages, good management, and combined treatments such as homeopathy, patients can improve their quality of life. Dr. Vaseem Choudhary and his experienced team of professionals at Homeo Care Clinic are homeopathic treatment specialists who treat children afflicted with neurological disorders by providing them with natural but effective individualised medicines.
To avail yourself of a consultation on homeopathic treatment of Dandy-Walker Syndrome, call Homeo Care Clinic today!
To schedule an appointment or learn more about our treatment, please visit our website or give us a call +91 9595211594 . Our friendly staff will be happy to assist you. If you’re searching for the best homeopathic doctor, we are here to help.
Follow us on Facebook, Twitter, and Instagram for valuable insights into the world of homeopathy and holistic health.
Facebook – https://www.facebook.com/homeocareclinicpune
Instagram – https://www.instagram.com/homeocareclinic_in
Website – https://www.homeocareclinic.in
Chat with the best homeopathic doctor privately
If you have any queries regarding your disease or any symptoms, Click to send a WhatsApp message. Our best homeopathy doctor will be happy to answer you.
Book an Appointment
If you want to visit our clinic, Click to book an appointment.
Online treatment
If you are a busy professional or you are living in a remote town or city with no good homeopathic doctor near you, Clickhere to start an online homeopathic treatment with the world’s most exclusive, experienced, and best homeopathic clinic, managed by Dr. Vaseem Choudhary, a world-renowned homeopathic doctor.