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A 48-year-old member asked:

how to treat scoliosis?

10 doctor answers20 doctors weighed in
Dr. Thomas Dowling
Orthopedic Spine Surgery 40 years experience
Nonop for most: Assuming this is your typical idiopathic scoliosis, most are just treated by observation. If there is any sign of progression in a child or teenager, bracing would be indicated or if the curvature was large enough to begin with and there is still a growth period left. Once a curve approaches 50 degrees, surgery is usually indicated.
Dr. Paul Gause
Orthopedic Spine Surgery 19 years experience
First try PT: Scoliosis curves can range from insignificant to severe curves. Treatment depends heavily on the symptoms you are having. If it is back pain only, then physical therapy to improve muscle control, strength and endurance are the mainstay of treatment. If a curve is more severe, then surgery is sometimes indicated to improve the curvature and relieve pressure from spinal nerves.
Dr. Edward Hellman
Orthopedic Surgery 29 years experience
Varies: There are two components to scoliosis treatment. One is based on the structural issues of the curve and the second is based on the symptoms a patient might have from their scoliosis. Structural treatment is based upon the age of the patient and the size of the curve. Symptomatic treatment is based upon how much trouble the person is having with their back and treatment options are multiple.
Dr. Zachariah George
Neurosurgery 15 years experience
Depends: This depends on your age, skeletal maturity, type of curve(s), magnitude of curve, spinal balance. Can be treated with observation, brace or surgery depending on above.
Dr. James Ferguson
Pediatrics 46 years experience
Depends: There are degrees of scoliosis from mild to major and treatment of each case would depend on degree, age and other factors. Some require no treatment ever, some would surgical stabilization. If you will re-submit your question with more information, like age, amount, effect on lifestyle, etc. we can provide a better response.
Dr. Edward Hellman
Orthopedic Surgery 29 years experience
Varies: Treatment for scoliosis is based upon the age of the patient, the size of the curve, and the presence or absence of any associated symptoms. Don't hesitate to be seen by a specialist to discuss the options of your specific case.
Dr. Hooman Melamed
Orthopedic Spine Surgery 22 years experience
Depends on age & typ: It all depends on your age & type of scoliosis. Obviously there is conservative management vs surgery but it's hard to say which w/out knowing the specifics.
Dr. Carla Enriquez
Pediatrics 50 years experience
Depends: Scoliosis can be developmental or acquired. The first occurs in growing adolescents, the latter in older people with bone disease. The degree of curvature determines the treatment in teens. Usually bracing first then surgery if the curve continues to worsen. Once you've stopped growing this kind of scoliosis can't occur or get worse.
Dr. Douglas Linville II
Orthopedic Spine Surgery 30 years experience
Nope: Nothing. See, once you're done growing, scoliosis does not progress to a significant degree. And, along with the lack of growth potential, comes the lack of remodeling or correction. Regardless, scoliosis is not typically painful (no more so than straight spines). Unless curves exceed the 50-70° range in thoracic or 30-50° range in lumbar. Then, pt, nsaid's and surgery are only options.
Dr. Alvin Stein
Dr. Alvin Stein commented
Pain Management 60 years experience
Painful scoliosis is readily cures by prolotherapy wisit www.proloshot.com or www.getprolo.com or www.aaomed.org for a doctor that can help you and to learn about this excellent therapy.
May 26, 2013
Dr. Edward Hellman
Orthopedic Surgery 29 years experience
Be seen: Don't hesitate to be seen. A specialist can examine you and discuss your specific case and treatment options.

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Similar questions

A 21-year-old member asked:

Does scoliosis get worse when you drive for long periods of time?

2 doctor answers2 doctors weighed in
Dr. Michael Depietro
Pulmonary Critical Care 35 years experience
No: Scoliosis tends not to worsen in adulthood, but patients with scoliosis may get back pain, stiffness with a long drive from poor posture etc.
A 32-year-old member asked:

How do you treat a 22 year old with a curved scoliosis or would you not do anything?

2 doctor answers9 doctors weighed in
Dr. Reza Karimi
Neurosurgery 16 years experience
Depends: The treatment of scoliosis first requires a thorough evaluation and special x-rays. Treatment options range from simple back bracing to complex surgical treatments. The treatment type depends upon the degree of the spinal curvature and the severity of symptoms.
A 45-year-old member asked:

What are ways to treat scoliosis?

2 doctor answers4 doctors weighed in
Dr. Thomas Dowling
Orthopedic Spine Surgery 40 years experience
Several: For most with typical udiopathic scoliosis, just an evaluation and periodic follow up until growth is completed. For some in which their curve is of a certain size and there is still growth time left or the curve has shown progression while being followed a brace is worn for at least 16 hours daily, a curve of 50 degrees or bigger needs surgery.
A 45-year-old member asked:

Is there a way to treat scoliosis with trigger point therapy?

1 doctor answer1 doctor weighed in
Dr. Joshua Rovner
Orthopedic Spine Surgery 19 years experience
Sciolosis: This may only help local symptoms of muscle spasm or pain but would not change the spinal curvature at all.
A 37-year-old member asked:

How to treat scoliosis with trigger point therapy?

2 doctor answers3 doctors weighed in
Dr. William Witt
Anesthesiology 45 years experience
Scoliosis & pain: Scoliosis often causes pain in the muscles of the back due to the asymmetric stress of the curvature. This may be in the form of myofascial pain with trigger points that may respond to injection of local anesthetic followed by stretching. Scoliosis may also produce spasm that may respond to the application of ice, medications such as cyclobenzaprine or injection of Botulinum toxin.

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