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Doing body-building exercise. Back side is coming forward. What is wrong?

Jul 2013
User rating for this question
Very Good
Answered by

Orthopaedic Surgeon, Joint Replacement
Practicing since : 1996
Answered : 2148 Questions
Hi Doc,
Actually i am doing bodybuilding exercise for past 1 and half year,actually when i was doing also i am noticing my back and that to upper part of it is coming kinda forward, since then regularly little bit of it is coming kinda forward,its a bit weird,when i was at 20 also my upper back was going forward making my body to haunch over but not what is now, i am 28 My weight is approx 75 kg.i took almost everyday healthy diets so nothing wrong in that part,less consumption of alcohol too,but i took protein powder whey when i do exercises weight lifting,please advice me what to this case.
Posted Thu, 22 Aug 2013 in Bones, Muscles and Joints
Answered by Dr. K. Naga Ravi Prasad 36 minutes later
Hi, thanks for writing to XXXXXXX

After carefully examining all the pictures that were sent, I consider two possibilities as the cause for the slightly raised area over the left paraspinal region of dorsal spine (pictures 1325 & 1329 shows the deformity) -

(1) A possibility of COLD ABSCESS formation. I am considering this because you had a history of Glandular tuberculosis. Also spinal tuberculosis is a common presentation. Though you have taken ATT (anti tuberculous treatment) for 6 months, there is a chance for resurgence of disease activity. This cold abscess (nothing but sterile pus) develops in the paraspinal region (area adjacent to the middle of vertebral column) similar to the area shown in your pictures.

An Xray of the dorsal spine & MRI scan will diagnose this problem.

(2) A RIB HUMP - which is nothing but a prominence of the paraspinal area in the back secondary to a change in the curvature of the spine (mild scoliotic deformity)

Please let me know if you have any symptoms or problems with this deformity so that i can think in terms of other possible causes.

Above answer was peer-reviewed by
Follow-up: Doing body-building exercise. Back side is coming forward. What is wrong? 20 hours later
Thanks Doc.for RIB hump,how to diagnose it,is there any XRAY for this?or dorsal spine is sufficient,i have not told my parents yet as i dont know the disease,please advice me what to do ?
Answered by Dr. K. Naga Ravi Prasad 5 minutes later
Hi, Nice to hear from you.

I appeal to you not to take it granted as a rib hump. Its only a possibility. To exactly your diagnose your condition , a direct physical examination as well as investigations are necessary.

A CT scan is a better diagnostic tool than a simple Xray to know the exact configuration of both the vertebral bodies and the orientation of the ribs.

I suggest you to consult either an orthopedic surgeon or a spine surgeon for further workup and management.

Good luck
Above answer was peer-reviewed by
Follow-up: Doing body-building exercise. Back side is coming forward. What is wrong? 7 minutes later
Hi Doc,One more Query,I have visited one neurologist(MD) is that ok if i will tell him to go for CT scan or i should rather go to spine or orthopedic surgeon,The neurologit adviced me to take 20 days of Remilyn D ( Vitamin D)
Answered by Dr. K. Naga Ravi Prasad 23 minutes later
Hi, thanks for getting back.

I personally prefer either a spine surgeon or an orthopedic surgeon over a Neurologist.

There is no harm in taking Vitamin D tablets as it will correct any muscle related issues (if any).

Have a great day
Above answer was peer-reviewed by
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