Doctor insights on:
Link Between Scoliosis Subluxations Disc Herniations
Do you need to consider scoliosis and subluxations in the back when getting treated for herniated disk?
Potentially: If the condition is mild, then simple and conservative treatments don't necessarily require a lot of specifics; such as for example rest or medications. Once you get beyond that, however, it becomes more important to identify all the specific conditions that are contributing to a patients problem. ...Read moreSee 2 more doctor answers
X-ray: mild left convex cervicothoracic scoliosis w/reversal of upper cervical lordosis. Minimal subluxation is evident at c3-4 level. Should i worry?
Scoliosis : Mild scoliosis, min subluxation may not mean anything depending on actual numbers. Many people can have very small spinal asymmetry. Reversal of lordosis may be a sign of spasm. Either way i think you are getting the idea that one would need to see the actual films. An even more important question is why you got the films in the first place: your symptoms and your neuro exam. ...Read moreSee 1 more doctor answer
Can scoliosis and mild disc herniations cause one leg to be skinnier than the other. Its clearly skinnier but emg ruled out atrophy. Dr doesn't know y?
Measure leg: Start by measuring the leg circumference a fixed distance from an anatomic land mark. If the numbers are off by a lot get another opinion. ...Read more
Herniated disk, scoliosis, degenerative disk disease and sciatica. In pain what's the best treatment?
Start w conservative: Start w conservative treatment including physical therapy, epidural injection at the site of the nerve root irritation, and bracing as needed for pain relief. Core strengthening is very important. Surgery may be needed if all else fails. A good physical exam, history, and review of various imaging studies go into deciding what surgery you may need. Please keep us updated. ...Read more
Ortho / neurosurgeon: Orthopedists treat both scoliosis & herniated discs. However, you want to see and ortho-spine specialist & not just any ortho. Neurosurgeons also specialize in the treatment of back problems, particularly herniated disc's. It's usually just pt preference. In your case with a history of a meningioma it would be prudent to discuss these issues with your neurosurgeon first & then decide on the doc. ...Read more
Treatment 42 yr congenital scoliosis hemi vertebrae L4 has lead to osteoarthritis in lumbar, fractured pedicles, stenosis + degeneratIve discs L4 l5?
Short answer:: No. It cannot cause subluxation in the neck or back as a bulging or even herniated disc. What you're talking about occurs after a traumatic blow or fall occurs against the joint in question or the neck. Questions: www.healthtap.com/drsaghafi Key Code: PDXFNR in order to make appointment. ...Read more
Hmmm: The biggest key here to answer two questions. One...what are your symptoms and two.....do you have dynamic instability. Dynamic instability is abnormal motion of the bones that could pinch the nerves. People with subluxation are prone to this problem. The best way to detect this is to do flexion/extension films of the neck. That may help in determining if the finding is significant or not. ...Read more
Possibly: Consider PT, mild anti- inflammatory medication and passive range of motion exercises. Consult your orthopedic expert. ...Read more
I have 2 mm of subluxation in my neck with a mild disc bulge but no disc protrusion. What's causing this?
No cause: This is not an abnormal finding or considered a problem but often a normal finding on a MRI -disc bulges are considered normal findings and cause no symptoms as do small subluxations as yours. Many findings seen on a MRI are usually not the source of pain and should be correctly assessed with a comprehensive clinical evaluation by a trained professional ...Read more
I have 2 mm of subluxation & bulging disc in C7-T1. Do I have hyperflexion or hyperextension in my neck?
Bulged cervical disc: apparently you've had an MRI or ct to evaluate the C7-T1 disc. Need more info as to why you may have hyperflexion or hyper extension in your neck. Will need upright X-rays with flex - ext and a chance to review the prior studies. Please see the ordering physician to review the findings from your study, and obtain second opinion if you want. ...Read more
I have 2 mm subluxation in my C7-T1 with mild bulging disc. I've had a couple bad stingers. I also play football. what's the cause of this?
Arm stretch zingers: the brachial,plexus, carrying nerves down the arm can be irritated by a rapid stretch of the arm on the base of the shoulder, causing the zing you describe. Doubt the neck stats you list caused,this problem, BUT a warning that you are causing trauma there that will get worse. You will remember this note in 10-15 years after it becomes symptomatic. Keep your pain docs number handy. ...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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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