What are Pectus Deformities?

Chest deformities like pectus excavatum and pectus carinatum are quite common in teenagers. Particularly in an age of social media and body shaming, the physical appearance of both conditions can be very challenging for some adolescents.

LOC clinicians are very much aware of this as we have discussed the psychological impact with parents and directly with patients. Patients are unwilling to take their t-shirts off, go swimming or put themselves in any position where they might reveal their chests.

Not surprisingly both parents and teenagers are looking for an answer. Surgery on the NHS used to be an option but even before the pandemic that option had become increasingly unavailable since the condition was deemed to be largely cosmetic and no risk to physical health.

LOC has been offering a non-surgical solution to the problem since 2010. Our treatment combines bespoke chest braces with a very specific set of exercises.

Pectus Excavatum

Pectus Excavatum, also known as 'funnel' or 'sunken' chest, is where the breast bone is pushed abnormally inward. 

It is the most common form of congenital chest deformity which tends to become exaggerated during puberty where growth spurts cause the cartilage and bones to grow at a rapid rate.

For patients considering LOC’s non-surgical treatment for pectus excavatum, we offer the opportunity for an initial free consultation via Skype, Facetime or Zoom.

Pectus Carinatum

Pectus carinatum, also known as 'pigeon chest' is a congenital deformity of the anterior chest wall, and occurs when the breast bone is pushed outward by an abnormal overgrowth of cartilage.

Orthotic bracing is proven to be a safe and effective way to provide successful outcomes without surgical intervention.

For patients considering LOC’s non-surgical treatment for pectus carinatum, we offer a free virtual consultation.

Pectus Treatment

LOC's pectus treatment is non-surgical and involves wearing a bespoke brace or orthosis called a 'Dynamic Chest Compressor', combined with a programme of Yoga exercises that have been developed specifically to augment our non-surgical treatment.

Most NHS trusts no longer recommend surgery for pectus carinatum and pectus carinatum as the conditions are considered to be cosmetic and no threat to physical health.

Our experience and development of custom-made braces has led to many patient success stories.

Non-Surgical Pectus Treatment

LOC's non-surgical treatment for pectus involves the Dynamic Chest Compressor, a custom made orthosis designed for an individual’s anatomy to specifically treat their particular type of pectus. For Pectus Excavatum patients we also prescribe the Vacuum Bell - it works by using a silicone cup and a vacuum pump to create an area of low pressure over the sunken part of the chest.

We manufacture bespoke braces for each patient, ensuring comfort and ease of compliance during treatment.

Free Virtual Consultation

LOC offers the opportunity to have a free virtual pectus consultation to examine your chest and your general posture. 

At this consultation, you will be asked to do various exercises so that one of our specialist pectus clinicians can establish how flexible your chest wall is. Our treatment programme will be explained in detail as patient compliance can be key to a successful outcome.

The consultation will also provide you the opportunity to ask your own questions so you can judge whether LOC’s treatment is appropriate.

Pectus Carinatum Case Histories

Information about our pectus carinatum case histories

The London Orthotic Consultancy has been providing non-surgical pectus treatment since 2010 achieving positive results in our patients.

We are proud to be the pioneers of this treatment in the UK and are happy to share some patient successes for those who have undergone treatment with us

Pectus Excavatum Case Histories

Information about our Pectus Excavatum case histories

The London Orthotic Consultancy has been providing non-surgical pectus treatment since 2010 achieving positive results in our patients.

We are proud to be the pioneers of this treatment in the UK and are happy to share some patient successes for those who have undergone treatment with us

Chest Bracing FAQs

LOC director and pectus specialist, Sam Walmsley, has recorded a series of videos answering our client's frequently asked questions about our pectus treatments and exercise programmes.

For patients who want to avoid surgery, non-surgical pectus treatment can be a great way to achieve a flatter chest, but often, patients are unsure of what treatment involves.

Treatment for Overseas Patients

Our overseas pectus treatment package involves an hour-long initial consultation that will cover an assessment of the severity and type of the patient’s chest deformity, an assessment of the flexibility of the patient's chest wall and explanation of LOC’s non-surgical pectus treatment.

The consultation includes a 3D chest scan and photographs using a specialist app that can capture a 3D scan that we can use to model a bespoke pectus treatment for our patients.

Dr Haje

Dr Haje was widely regarded as the world's leading authority on the non-surgical treatment of pectus deformities.

LOC's treatment follows the methods of Dr Haje, who visited the UK to train LOC's clinicians in the Haje method in 2010 and 2011.  He sadly passed away in the summer of 2012.

Pectus Treatment Costs

Information about our assessment and treatment costs for patients wishing to go ahead with non-surgical pectus treatment.

All fees associated with your treatment are included, such as appointments required for the duration of treatment.

LOC offers the opportunity to have a free virtual pectus consultation to examine your chest and your general posture.

 

CAUSES

What causes Pectus Deformities?

There is no unified opinion on causation, but there is evidence to suggest that both pectus excavatum and pectus carinatum can be inherited conditions.

We are indebted to the late Dr Haje for the information that follows. Dr Haje was widely regarded as the world's leading authority on the non-surgical treatment of pectus deformities.

We have summarised his audit of the 4,346 patients he treated in the following page.

Read more about Dr Haje

Above: Dr Haje training LOC staff in 2010

Above: Dr Haje training LOC staff in 2010

TREATMENT

Non-Surgical Treatment

The London Orthotic Consultancy's pectus treatment is non-surgical and involves wearing a bespoke brace or orthosis called a 'Dynamic Chest Compressor', combined with a programme of daily exercises. LOC has pioneered this method of treatment in the UK.

Although the optimum age for non-surgical treatment is during puberty, the key determining factor is the pliability of the chest wall so older patients can also benefit if there is a ‘give’ in their chest wall.

For further information about our non-surgical treatment programme and the use of orthoses, read about our non-surgical pectus treatment.

Surgical Treatment

Most NHS trusts no longer recommend surgery for pectus carinatum and pectus carinatum as the conditions are considered to be cosmetic and no threat to physical health. Privately the type of surgery performed in the UK is either the Nuss or Ravitch procedures. The Nuss procedure is minimally invasive compared to the Ravitch.

Good results have been reported from both types of surgery and patients are generally pleased with the improvement in chest shape. However, these procedures do not address the problem of rib flaring, which is fairly common, and patients can be left with visible surgical scarring.

Read more about treatment for pectus deformities.

 

PATIENT STORIES

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