Doctor insights on:
Yes but: Sonetimes there is an apparent leg length change due to the scoliosis affecting the pelvis and othertimes a true large leg length discrepancy can lead to a pelvic tilt and a scoliosis that occurs to compensate for this keeping the head centered over the body. You need to see which is the case for the appropriate treatment. ...Read more
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
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 ›
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'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
Treatment 42 yr congenital scoliosis hemi vertebrae L4 has lead to osteoarthritis in lumbar, fractured pedicles, stenosis + degeneratIve discs L4 l5?
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. ...Read more
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. ...Read more
Yes: Scoliosis can be "treated" with medications, exercise, physical therapy, chiropractic treatment, and occasionally steroid injections to help relieve the symptoms of back pain and/or lower extremity pain. However these alternative treatments will not correct the spinal curvature. Bracing can help prevent worsening of scoliosis in certain cases but only surgery can correct the curve. ...Read more
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. ...Read more
It depends: It depends. Small curvatures do not need surgery, or even any treatment at all. Curvatures over 45-50 degrees will usually tend to relentlessly progress, potentially leading to even heart and lung problems. Surgery is the only way to really change this natural history in traditional medicine. Thank you for the question. ...Read more
Can certain exercises prevent or treat scoliosis? Are there stretches or exercises that can be done to prevent or help correct scoliosis? .
Is breaststroke swim technique bad for your scoliosis? Why is that? And if it is bad which swim technique will you recommend to help treat scoliosis? Thank you
Not particularly: No particular exercise has been proven to help or hurt structural curves. Exercise is however healthy and can be helpful to decrease pain ...Read more
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. ...Read more
Depends: Scoliosis treatment depends on the severity of the curve, as determined by clinical examination and scoliosis XR. Minor curves are followed to skeletal maturity while more severe curves are treated with bracing or surgery. The shoulder pain may it not be related. The boy should be evaluated by a children's scoliosis specialist ...Read more
Could a chiropractor or osteopath treat scoliosis, and which would be more effective? Would either be covered by insurance?
Either: However Osteopathic physicians (DO) have an unlimited license in which they can provide additional care, the same as an MD alongside their manipulation options. Most treatments are covered by insurance to an extent, some insurances cover treatments fully, others only cover part or the treatment. ...Read more
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