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Pectus Excavatum

What is it?

Pectus excavatum, also known as "sunken chest," is a condition where the breastbone (sternum) is recessed inward. It is often noticed during childhood or adolescence and may cause issues with self-esteem or respiratory function.

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What are the symptoms?

  • Depression of the chest (more noticeable during physical activity)

  • Shortness of breath (especially during exercise)

  • Chest pain (in some cases)

  • Reduced ability to take deep breaths

What else could it be? (Differential diagnosis)

  • Pectus carinatum (protruding chest)

  • Sternal deformities due to trauma or surgery

What are the aggravating factors?

  • Growth spurts: Symptoms may become more apparent during rapid growth periods in adolescence.

  • Genetic predisposition: Can run in families.

What types of food are helpful?

  • Lean protein: Supports muscle and bone development, which can be helpful for those undergoing treatment.

  • Vitamins for bone health: Vitamin D and calcium-rich foods like dairy, leafy greens, and fortified foods.

  • Omega-3s: Anti-inflammatory foods like fish, nuts, and seeds to help with overall health.

Sample Recipe: Salmon and Asparagus

  • Ingredients: Salmon, asparagus, olive oil, lemon.

  • Directions: Roast salmon and asparagus for a simple, nutritious meal to support overall health.

What are the traditional treatments?

  • Bracing: For younger patients, wearing a brace may help in improving the chest wall shape.

  • Surgical correction: In severe cases, a procedure called the Nuss procedure or Ravitch procedure may be performed to correct the deformity.

What are the natural and alternative treatments?

  • Postural exercises: Strengthening the muscles around the chest and back to support better posture.

  • Breathing exercises: Techniques like diaphragmatic breathing can help with lung expansion and function.

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