We use cookies where necessary to allow us to understand how people interact with our website and content, so that we can continue to improve our service.
We only ever receive anonymous information, and cannot track you across other websites.
View our privacy policyPectus excavatum is the most common type of chest wall deformity, affecting around 1 in 300 to 400 births. It is sometimes called ‘sunken’ or ‘funnel’ chest and is more common in men.
Pectus excavatum is a chest wall deformity where the chest bone (sternum) is pushed inwards. This happens because of an overgrowth of cartilage between the ribs and the breastbone. This causes the sternum to appear sunken into the chest or dented.
It’s frequently diagnosed in older children and teenagers as it becomes noticeable during growth spurts in puberty.
It is not to be confused with pectus carinatum, when the breastbone sticks outward.
It is possible to have a chest shape that has characteristics of both pectus carinatum and excavatum, where part of the chest protrudes whereas the other dents inwards.
The severity of the condition varies, and in rare cases, it may present alongside other disorders like Marfan syndrome or scoliosis.
Patients can find the psychological distress of having a pectus deformity much worse than the physical symptoms. Many patients, especially teenagers, may worry about their appearance and about others noticing.
This can lead to:
A 2024 study showed that patients with pectus excavatum reported a decreased quality of life and depressive tendencies.
Some people report secondary symptoms, including:
However symptoms can vary from person to person and not everyone may experience these.
The exact cause of pectus excavatum is unknown, but it’s thought to result from abnormal cartilage growth. Pectus excavatum tends to run in families, which suggests that genetics may play a role. It can also be linked to rare conditions like Marfan syndrome.
Assessment and diagnosis should be carried out by your GP or an appropriately qualified healthcare professional.
This may include a physical examination and, where appropriate, imaging, such as X-rays or CT scans, to rule out other conditions. The severity of pectus excavatum is often measured using the Haller index, which assesses the depth of the chest’s inward curve.
Treatment options depend on these factors:
Suitability for these options, and how individuals respond, can vary. A clinical assessment is required to determine whether treatment is appropriate for you.
Non-surgical options are often effective for most cases, while surgery may be necessary for more severe cases or for those who do not want to commit to the vacuum bell treatment schedule.
See our pectus excavatum treatment
At the London Orthotic Consultancy, we support people who have been assessed with pectus excavatum or rib flaring and are considering non-surgical management options.
Since 2010, we’ve been providing pectus bracing services in the UK. Each treatment plan is personalised and may include bespoke exercises, vacuum bell therapy and a rib flaring brace depending on your individual needs and following assessment.
We’re happy to answer any questions you might have, with no commitment to proceed with treatment.
You can book a range of assessment and review appointments online, depending on the service and location that you require. If a specific appointment type is unavailable online, please contact LOC directly on [email protected] or you can call us. Unfortunately we are unable to offer fittings online at the moment.
Yes, if your previous orthotist offers online booking and has availability, you can choose to book with them again.
Please check your spam or junk folder first. If you still haven’t received a confirmation within 10 minutes, contact LOC Admin to confirm your booking via [email protected]
Yes. You can book on behalf of someone else. Please ensure the registration form includes the details of the person attending the appointment.
No account is required. Our booking process allows you to book as a guest. However, you will be asked to enter key details and complete required forms.
Most orthotic treatments are available online. If the treatment you’re looking for is not listed, please contact us directly and LOC Admin will assist you.
