A ‘Buffalo hump’ on the back of the neck could indicate serious health problems, experts warn
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A fatty bump at the base of the neck – often called the “buffalo hump” – is not just a cosmetic concern, as experts say it can sometimes indicate an underlying condition.
As more Americans deal with poor posture, obesity and chronic conditions that require long-term medication, experts warn that these factors can contribute to the development of “buffalo humps.”
There are a variety of causes and treatments for the often poorly understood condition, Health.com recently reported.
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“The buffalo hump is full of the base of the neck or the back area,” Dr. Dahlia Rice, a Chicago-based plastic surgeon and founder of DMR Aesthetics, told Fox News Digital.
The shape can make the hump appear more prominent, even if someone isn’t overweight, Rice says. A forward head position or rotation of the upper spine can contribute to this effect.
Hormonal changes involving cortisol can lead to fat deposits in the neck and upper back, according to experts. (Stock)
“Depending on the pattern and time, it may indicate a medical problem,” said the expert.
This condition is often associated with weight, according to Dr. Rachel Mason, a Las Vegas plastic surgeon and founder of La Femme Plastic Surgery, though not always.
“In some cases, it can be associated with medical conditions such as Cushing’s syndrome or long-term use of steroids,” he told Fox News Digital.
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“Depending on the pattern and timing, it can indicate a medical problem.”
High levels of cortisol – the body’s main stress hormone – may also lead to fat deposits on the neck and upper back, experts say. Certain medications, including HIV treatment, may play a role, according to Health.com.
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Experts emphasize the importance of distinguishing between a true buffalo hump and other conditions. The buffalo hump is often confused with the posture-related “dowager’s hump”, which is caused by curvature of the spine rather than fat accumulation.
“A real buffalo hump will feel soft and fat,” Mason said. “Structural, posture-related issues require a completely different approach than fat reduction.”
Maintaining a healthy weight and good posture may help reduce the risk of developing a buffalo hump, experts say. (Stock)
If the lump appears suddenly, continues to grow or is accompanied by other symptoms, a medical examination is recommended, according to doctors.
“If it’s accompanied by fatigue, muscle weakness or changes in blood pressure, patients should seek medical attention,” advises Rice.
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Mason added that symptoms such as bruising easily, hormonal changes or purple marks can indicate an endocrine disorder rather than a cosmetic problem.
Treatment options depend largely on the underlying cause. In posture-bound situations, physical therapy and exercise can help. When medications are involved, doctors may adjust the treatment.
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For patients with localized fat and no underlying condition, cosmetic procedures may be considered.
“Liposuction is often an effective method of massaging this area, as it directly removes excess fat and improves the profile of the upper spine and neck,” said Mason, noting that many cases may require surgical removal of dense tissue.
“Liposuction is often an effective way to contour this area, as it directly removes excess fat and improves the profile of the upper spine and neck,” said the expert. (Stock)
Lifestyle changes — such as maintaining a healthy weight, improving posture and monitoring long-term medication use — can help manage or reduce the condition, experts say.
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Although the buffalo hump itself is usually harmless, conditions left untreated can lead to serious problems, including high blood pressure or sleep problems, according to Health.com.
“Early identification of the cause is important to ensure that the right treatment is taken,” said Mason.
