Can Pectus Excavatum Get Worse in Adulthood?
Pectus excavatum, commonly known as “sunken chest,” is a congenital condition where the sternum and ribcage are abnormally curved, leading to a concave chest appearance. While it is a condition that is often diagnosed in childhood, many individuals wonder if pectus excavatum can get worse in adulthood. In this article, we will explore the factors that can influence the progression of pectus excavatum and discuss the potential risks associated with this condition as an adult.
Understanding Pectus Excavatum
Pectus excavatum is typically diagnosed during childhood, but it can also be present in adults. The condition is believed to be caused by abnormal growth of the cartilage during fetal development. While the exact cause is unknown, it is thought to be related to genetic factors or certain medical conditions.
The severity of pectus excavatum can vary widely among individuals. Some may have a mild case with minimal symptoms, while others may experience significant physical and psychological challenges. Common symptoms include chest pain, shortness of breath, and a decreased range of motion in the chest.
Can Pectus Excavatum Get Worse in Adulthood?
The answer to whether pectus excavatum can get worse in adulthood is not straightforward. In many cases, the condition remains stable throughout life. However, there are certain factors that can influence the progression of pectus excavatum in adults:
1. Physical activity: Engaging in rigorous physical activities or sports may exacerbate symptoms in some individuals. This is particularly true if the chest wall is already weakened due to the abnormal curvature.
2. Trauma: A significant injury to the chest, such as a car accident or sports-related injury, can worsen the symptoms of pectus excavatum. The impact may cause further distortion of the chest wall or exacerbate existing deformities.
3. Aging: As individuals age, the connective tissues in the chest wall may become less flexible, potentially leading to a worsening of the condition. This is particularly true for those with more severe cases of pectus excavatum.
4. Underlying medical conditions: Certain medical conditions, such as obesity or connective tissue disorders, can contribute to the progression of pectus excavatum. These conditions may place additional stress on the chest wall, leading to a worsening of symptoms.
Management and Treatment
While there is no cure for pectus excavatum, there are various treatment options available to manage symptoms and improve quality of life. These include:
1. Observation: For individuals with mild cases of pectus excavatum, observation may be the best approach. Regular check-ups with a healthcare provider can help monitor any changes in the condition.
2. Physical therapy: A physical therapist can help improve chest wall mobility and reduce pain. Exercises and stretching techniques can help strengthen the muscles surrounding the chest wall.
3. Bracing: In some cases, a brace may be recommended to help correct the abnormal curvature of the chest wall. The brace is typically worn for several hours a day and can help improve chest wall alignment.
4. Surgery: For individuals with severe cases of pectus excavatum, surgery may be an option. The most common surgical procedure is the Nuss procedure, which involves placing a metal bar under the sternum to gradually correct the chest wall deformity.
In conclusion, while pectus excavatum can sometimes get worse in adulthood, it is important to note that the condition can vary significantly among individuals. Regular monitoring and appropriate treatment can help manage symptoms and improve quality of life for those affected by this condition.
