Doctor insights on:
How Severe Is Scoliosis With A Curve Of 30 Degrees
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
I'v 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
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
Treatment 42 yr congenital scoliosis hemi vertebrae L4 has lead to osteoarthritis in lumbar, fractured pedicles, stenosis + degeneratIve discs L4 l5?
A few ideas: Exercises designed to balance muscle tension. Osteopathic manipulation to optimize vertebral & neural function & muscle balance. Find a fixable cause: ex. Short leg syndrome (can be improved by wearing a heel lift).Prolotherapy to strengthen ligaments/prevent further curving. Neuroprolotherapy to overstretched/inflamed nerves to quiet/stop pain. These are not easy, but are more than symptomatic care. ...Read more
Most exercise is ok: Scoliosis is not worsened by exercise. Most exercises should be fine with scoliosis. Avoid repetitive impact exercises (such as long distance running) and heavy weight lifting (such as squats and dead-lifts) if you have severe degenerative adult scoliosis, as these exercises can worsen back and lower extremity pain. ...Read more
No: No, this would be considered a relatively small curve. If the person still had growth left, they would still need to be followed to make sure it did not get bigger. If the person was skeletally mature, it would not even need to be followed. Thank you for your. Question. ...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
What type of surgery is involved for a person with severe scoliosis and how long is the recovery.
Neurosurg/ortho: The answer depends a lot on whether nerves/spinal cord are affected or not and how you mean "severe" (major deformity versus major pain). Talk to a neurosurgeon or/and ortho spine specialist to get the names of potential surgical procedures for your situation and then study them on the net. ...Read more
How can I fully recognize when severe scoliosis is beginning to become possibly life threatening?
Should not happen: It is unlikely that your doctor would let scoliosis progress to a life threatening degree. Severe scoliosis would be significant enough to interfere with breathing thereby raising the risk for pneumonia. Do not go without treatment if you feel you are approaching this point. ...Read more
Which conditions associated with severe scoliosis are also associated with marrow failure? Thanks
Congenital disorders: Forms of dwarfism and other rare congenital disorders ...Read more
Possibly: The normal curvature of the spine does change a bit as a result of pregancy. Normally the thoracic and lumbar spine curves become more prominent during pregnancy - and usually returns to normal after delivery. It would be reasonable to expect that your scoliosis would respond similarly to the stresses of pregnancy and worsen some as well - then also possibly return to the prepregnancy state. ...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
Idiopathic scoliosis: Idiopathic (spontaneous without a cause) scoliosis is not a painful condition. Back pain in scoliosis is similar to that of people with a straight spine unless lumbar curves exceed 30-50 degrees and thoracic curves exceed 50-70 degrees. Curve progression occurs with aging by about. 5 degree per year. It is not likely to "compress organs" or cause breathing, heart or neurologic probs unless severe. ...Read more
What to do if I am a 16 year old apprentice mechanic with severe scoliosis. Will surgery make me lose my apprenticeship?
I have scoliosis, wore boston jacket ages 8-14 23hr/d now at age 23 I'm in severe pain a lot and painful to do everyday task could it be getting worse?
Scoliosis changes: The curve associated with scoliosis can change even after puberty but the changes occur more slowly. Ask your primary care doctor to refer you to a spine surgeon specializing in scoliosis surgery. They will likely start with conservative physical therapy to strengthen you core muscles. But it is good to get established in case the curvature of your spine changes and surgery is needed. ...Read more
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
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