I have been very concerned to notice in my daughter a 'fatty cushion' developing around the top of her spine. This has been a considerable worry to me since I remember my own mother noticing this problem begin and develop in herself in her late 40s or 50s. Her clothes began to hang strangely and she had to adapt bought clothing or make her own in an attempt to get the right fit. She was very concious of the hump and it may have been in an attempt to keep straight that she always sat on a dining chair rather than an easy chair. I never saw her slouch or lounge around. She was very active, doing her own housework vigorously and quite able to tackle digging etc like a man. As she grew older the fatty hump developed into a hump with her spine curved over until at age nearly 90 she was very bent and from being a tall strong woman she became unable to carry even light shopping as it just pulled her past her centre of gravity.
Strangely, my m-i-l also has had a noticable hunchback from her mid-forties (whether this started with a fatty cushion I cannot say) which is now very pronounced. She has pains in her ribs and digestive problems, presumably caused by the compression of the rib cage and stomach.
Much of what is written on your site has been helpful to me and thanks for that. However, I would like to say that it is likely that Dowager's Hump may well have more than one cause, or there is more than one condition being described. I am certain that it is not necessarily caused by either a large bust or osteoporosis, though those things would be likely to contribute. Both my mother and my m-i-l were pear shapes with small breasts in proportion to their hips so bust weight did not contribute in their case. My mother grew very frail in the end but never had any fractures even after several falls. My m-i-l, also very frail, is being monitored for osteoporosis after breast cancer because her medication could thin her bones, but every test has proved that she is in no more danger than an average person. But neither women smoked so that may have helped their bones.
One of my daughters was only in her early twenties when we noticed a hump beginning. She is a well-covered girl but with a very definate 'cushion' at the top of her spine and the 'forward head' problem. She sits at a computer all day for her work. Another daughter, though showing no noticeable outward signs of the hump, has been diagnosed with scoliosis (she also suffers pain in her rib which is apparently being squashed by the slight curve of her spine).
With both grandmas having such pronounced humps I am very worried. Now recently I learn that m-i-l's father was described as a 'hunchback' and there were others before him in the family so it seems that hereditary may be playing a role for one daughter at least. It isn't just the look of this condition that worries me; it makes life very difficult when trying to buy clothes that fit let alone look smart, and as we see with the grandmas, it becomes painful and difficult to manage (hospital scanning machines are very uncomfortable with this condition).
I was very relieved to read on this site that there can be correction. Both my daughters see the chiropractor but I think we could explore further still for help with posture, exercises and maybe the chi machine.
Gingertyke1do