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Pectus Carinatum Case Histories

The London Orthotic Consultancy has been treating pectus carinatum non-surgically for several years, achieving positive results in our patients.

LOC treats the condition with the Dynamic Chest Compressor brace and a daily exercise routine. The brace applies pressure to the protruding area of the chest, helping it become less pronounced and resume a more normalised shape.

In order to achieve positive correction, patient compliance is incredibly important; in both wearing the brace daily for the prescribed time period and completing exercises set by one of LOC's clinicians. Outcomes can vary greatly from patient to patient, and are influenced by a number of factors such as age, severity and flexibility of chest to name a few, but we generally expect to see positive results within a year.

We are proud to be the pioneers of this treatment in the UK and are pleased to share some patient successes for those who have undergone treatment with us. These include patient chest scans and photos which we have kindly been given permission to share.


Patient A

Male teenage pectus carinatum patient before treatmentBefore, during and after pectus carinatum bracing treatment(Above) before bracing treatment, the sternum is 'pushed out' (below) before, during and after treatment

As is the case with many pectus patients, patient A came to see us as a teenager at the age of 16. His family began noticing drastic lower rib flaring and his chest becoming pushed out (pectus carinatum) over a period of six months.

They subsequently decided to come in and see us at LOC for a free, no obligation appointment, where it was determined that his carinatum was inferior and lateral, requiring treatment.

It was agreed that to achieve the best results, two dynamic chest compressors would be used; one to correct the carinatum area by applying downward pressure, the other to reduce the rib flaring. These braces were used in conjunction with daily exercises given by our personal trainer – patient A complied perfectly and as a result, started seeing improvements quickly.

Typically we use two dynamic chest compressors in pectus carinatum treatmentPatient A wearing the dynamic chest compressor 1 for the carinatum area, and another brace to correct rib flaring

After increasing the pressure on the braces gradually over a 16 month period, it was decided that he no longer needed to wear them. At this stage, he had successfully achieved a completely flat chest shape as well as a complete reduction in his previously present rib flaring. Patient A and his parents were very pleased with this change to his chest shape.


Patient B

Teenage boy before pectus carinatum treatmentAfter pectus carinatum treatment

(Above) before treatment (below) after

Patient B first came into see us at the age of 14 with an evident case of pectus carinatum, with a protruding chest and rib flaring. Previously advised by doctors that he would need surgical treatment, he was delighted to be told that he would be a perfect candidate for our non-surgical treatment programme.

During teenage years the chest wall is more flexible and malleable, where the body has not yet reached skeletal maturity. Starting treatment at a young age before or during puberty means that the dynamic chest compressor is able to work most effectively.

For some teenagers with chest deformities, the cosmetic aspect of the condition can cause the most distress, causing them to be self-conscious – and our patient was highly motivated to achieve results.

After just six months he began to show significant improvement and his chest appeared flattened. However, to maintain the progress achieved, he wore the brace for a further nine months at night time only, to ensure he sustained the progress throughout his growth spurts.

Before and after pectus carinatum treatmentBefore and after pectus carinatum treatment

Patient B’s chest now appears completely flattened and we are extremely pleased to have helped him achieve such great results. You can read his full story in our blog post 'Chest bracing works wonders for teenage pectus carinatum patient'.


Patient C

pectus carinatumBefore treatment

Patient C came in for his first consultation at the age of 16 with pectus carinatum inferior. Although his pectus carinatum was not causing him health issues, it was making him feel self-conscious – and so it was decided that he would begin our LOCpectus treatment programme.

Patient C’s bespoke programme consisted of wearing a brace full-time for 19 months, alongside personal training sessions. It is worth noting that for successful results in treating pectus, patient compliance is very important, this means wearing the brace for the prescribed times and completing the exercises.Before and after pectus carinatum

Patient C made brilliant progress during his 19 months of treatment – achieving a completely flat chest. His last scan was taken three months after he stopped wearing the brace and showed that he had maintained all the great progress made.


Patient D

Pectus carinatum before treatmentAfter pectus carinatum treatment(Above) Before pectus carinatum treatment (below) after

Patient D came into see us with his family at the age of 16 with severe pectus carinatum. As his sternum protruded considerably, he was keen to begin treatment as soon as possible. Pectus clinician Sam Walmsley decided that he would wear two braces – the dynamic chest compressor 1 for the chest protrusion and the dynamic chest compressor 2 for his rib flaring.

After just 11 months Patient D achieved a total correction of his chest shape, with which he was very happy. His treatment programme is another great example of how pectus carinatum can be successfully treated using the dynamic chest compressor, and without surgery.before and after scan of pectus carinatum

If you or your child’s chest protrudes significantly, and you think you might have pectus carinatum, LOC offers a free, no-obligation first consultation.

During this assessment, LOC clinicians will measure your chest and examine your posture to determine whether treatment is necessary. Visit our pectus carinatum page for everything you need to know about the condition, or contact us to book your free consultation today.

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