Doctor insights on:
Can Scoliosis Be Cured
Can mild scoliosis be cured completely? I've been told I have scoliosis, but it's not severe. Will treatment cure the problem completely, or will i always have some curvature?
No: There is really no "cure" for mild scoliosis from the structural perspective. Non surgical treatments do not straighten the curve and we do not do surgery for mild curves. But the reason all that is ok is because mild curves are not really usually associated with problems. Even the incidence of back pain is similar in someone with a mild curve as it is in someone with a straight spine. Thanks. ...Read more
Only if: Only if scoliosis is flexible & due to another reason that is forcing the spine to bend, ie spasm being generated by another issue like a kidney stone. If it is a type of scoliosis known as congenital or idiopathic, the answer is surgery if indicated but curve may not be fully corrected & does not need to be usually. Bracing for idiopathic scoliosis during growth may control curve progression. ...Read more
Scoliosis : Scoliosis is a combined angular and rotatory malalignment of the spine. It is autosomal dominant with mixed expression, more common in females. Bracing can slow progression in very early stages. Surgery can help more severe curves that progress. Long term breathing problems are the medical issue. Cosmesis is the primary parental concern. ...Read more
Exercises: Certain stretching exercises can help decrease scoliosis in selected cases. If you have a shot leg as the cause of thescoliosis, lifting that side with a shoe lift canhelp. None of this. Is acure for ths scoliosis, but may help diminish it. There are braces available. As well. Also, could see a physical therapist or doctor who, specializes in that condition. Surgery is a last resort. ...Read more
Type of spine curve: There are multiple reasons for scoliosis &one is known as a congenital type which is when there is a deformity of the bones (vertebra) of the spine that one is born with & leads to an early curvature of the spine. Some don't need surgery & others do. They tend to not respond to bracing & can be very progressive in terms of a rapidly worsening curve & may be associated with other medical issues. ...Read more
Orthopedic follow up: Congenital scoliosis should be followed closely by an orthopedic doc that treats scoliosis. The issue is usually that one side of the spine grows faster than the other due to failure of one or more segments to separate or form. It progresses over time as the child grows. ...Read more
Not typically: Not typically. The two exception to that are if the curve has been allowed to progress to an exceptionally large degree that it effects lung or cardiac function, which is quite rare nowadays. Or two, if the patient has other associated conditions with the scoliosis such as congenital heart or kidney problems which can be seen in a small percentage of cases. ...Read more
No: No, they cannot.Get a more detailed answer ›
Can surgery be used to treat congenital scoliosis in children? My child was born with congenital scoliosis. Can she have surgery to correct it, or does she have to wait until she's an adult?
Talk to MD: You have to find out wether the scoliosis is affecting the child. In severe cases scoliosis can cause pain and interfere with breathing. In minor cases it is detectable on examination, but is not interfering with the patient's lifestyle. If it is the latter case you may not need surgery at all. Talk to your md about options. ...Read more
Depends severity: Congenital scoliosis can progress like idiopathic scoliosis during periods of growth. Spinal surgery depends on severity of curve. Surgery would be indicated with congenital scoliosis other body systems affected. Cardiac, kidney, and bowel abnormalities have increased incidence with congenital scoliosis. ...Read more
20years ago had l-4 spinal fusion for congenital scoliosis now as an adult uncontrollable pain. What do you recommend?
Work up: You need to see a spine specialist to get some tests done to see if you have adjacent levels degeneration. Usually pt and injections are first course of treatment. ...Read more
I've a 10 yrs. Old daughter who has an s shape congenital scoliosis more than 45*, there was no noticable progress & no pain. What are the options?
Early and often care: Although there has been no progression yet, with your daughter at age 10 and either early in puberty or not even entering puberty yet, now is the time to be very aggressive about monitoring for changes and intervening early. This is not a little 10 degree curve — she is already at 45, and you don't want much progression before you would get agressive with early therapies. See spine doctor often! ...Read more
Treatment 42 yr congenital scoliosis hemi vertebrae L4 has lead to osteoarthritis in lumbar, fractured pedicles, stenosis + degeneratIve discs L4 l5?
Depends: Scoliosis is a curvature of the spine in the coronal plane. The majority of cases of scoliosis are mild and do not cause symptoms and do not need treatment. Curvatures greater than 45 degrees usually relentlessly progress, and surgery is really the only cure for large curves. Thank you for your question. ...Read more
I believe so: I do believe that there will someday be a cure for scoliosis, and maybe not so far in the future. It is thought that there is a strong genetic link to scoliosis. There are over 50 genetic markers that can currently be used to predict how likely a curve will progress. So hopefully we will have our answers and cures soon. Thank you for the question. ...Read more
See a massage therap: Scoliosis results when muscle balance is lost around the spine, and the stronger muscle pulls in its direction, then the rest of the spine bends as well. A good massage therapist can help relax the overworking muscle and help, it relax. If not treated, this will worsen ...Read more
No: There is no cure for scoliosis in most instances. The majority of scoliosis is mild, and has no long term consequences in terms of general health, back pain, or cosmetic issues (ie) curves less than 30 degrees at maturity. It is when curves are greater than 50 degrees that they tend to get worse over time and surgery is a consideration. Surgery doesn't cure scoliosis, but prevents progression. ...Read more
Close: I think we are really close to finding the cure for scoliosis and it all comes down to determining the cause. There is an increasing body of evidence showing a strong genetic link, including finding over 50 genetic marks seen more commonly on patients with progressive curves. Thank you for the question. ...Read more
Various Ways: Non-surgical scoliosis correction relies upon maximizing spine posture in the upright position. Often, spine assumes a compensatory & non-fixed curve due to unequal leg lengths or pelvic girdle tilting. A heel lift can be used if one leg is shorter. Yoga, back exercises, swimming, and physical therapy are considerations to develop compensatory strength of back. Weight must be reduced if excess. ...Read more
You don't: Severe scoliosis, more than 40 degrees, is best treated surgically, and that's coming from a non-surgeon. However, there is the schroth method which is a form of spinal stabilization and postural restraining. Some of my patients have benefitted from it, but their scoliosis was less than 35 degrees. There haven't been any good studies showing benefit of chiropractic treatmer. ...Read more
Yes: Yes, there is a continual attempt to find the underlying cause of scoliosis with the goal of curing some day without surgery. There is much evidence to suggest a genetic cause and as the human genome project of mapping out the genes continued we hope the cause will be found and treated. Thank you for your good question. ...Read more
Yes when indicated: Most typical idiopathic scoliosis cases are treated without surgery- most by just observation and some with bracing. Fusion is for those with a curve that has gotten too big and/or progressed in spite of non op care. Bracing has been the only documented non op care that can minimize surgical interventions. ...Read more
No: Over hundreds of years, the medical field has tried hundreds of things to cure scoliosis. This has included strengthening exercises, physical therapy, chiropractic care, estim, traction, yoga, pilates, and many other things. Nothing has ever been shown to help. Mild cases don't usually need treatment. Severe cases need surgery. Thank you for your question. ...Read more
Probably not: If you truly have a structural scoliosis and it is greater than 45 degrees, only surgery can correct it. All that being said, I have seen patients who have been told they have severe scoliosis and do not, or they may have a non-structural cause that is inherits fly treatable. For example, a person with a leg length discrepancy can have a non-structural curve treated by a shoe lift. Thank you. ...Read more
Scoliosis treatment: There is treatment for scoliosis, but not a "cure". First, make sure that diagnosis is correct and that doctor is sure the scoliosis is indeed the cause of your child's pain. First treatment is routine and consistent physical therapy to improve range of motion and decrease pain. If the scoliosis is so bad that this is not helping, bracing and/or surgery need to be discussed, but she young yet! ...Read more
As medicine advances, do you think there will ever be a cure for scoliosis in the near future instead of surgery? I've heard of laser spine surgery?
Potentially: As out knowledge advances on the causes of scoliosis we may find new ways to treat the condition early before surgery is required. However, if you already have the condition and it is worsening to the point surgery is needed, it is quite effective. That said, laser spine surgery has no role in the correction of scoliosis. ...Read more
Curvature of spine: Scoliosis is an abnormal curvature of the spine. Depending on the degree, it can be without symptoms or it can cause a very noticeable deformity. You may want to see a chiropractor or orthopedic doctor if your primary care doctor suspects scoliosis. Some cases can be treatable with non-surgical intervention. ...Read more
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