Doctor insights on:
What Are The Treatment Options For Thoracolumbar Scoliosis
What type of scolios: Idiopathic adolescent or neuromuscular or degenerative curve how old is patient? ...Read more
Prevention: Weight bearing exercise, proper nutrition and limited sun exposure helps to prevent osteoporosis. Even if present already, there are medications to help this condition. Osteopenia is not osteoporosis but a relative low bone mass that makes you a higher risk for osteoporosis. Finally, physical therapy and corrective posture devices will help scoliosis. Surgery is last resort for severe cases. ...Read more
Scoliosis is very 3D: Scoliosis is always a three dimensional deformity; the spine is not only curved when you look from the front, but it is also rotated. It is the amount of rotation that makes the curve the most visible when you bend forward and look at it. The rotation is what produces the 'so-called' rib hump. ...Read more
I have mild levoconvex thoracolumbar scoliosis and I was wondering if that could have been caused by the spinal tap for meningitis.
No, definitely not: No. Spinal tap can be you acute and subacute headaches but will not change the curvature of the spine. ...Read more
Can you tell me if a combined incidence of hiatal hernia, osteoporosis and thoracolumbar scoliosis, what to do?
Would be helpful for all the 3, as hh is usually seen with weight issues, so reducing the wt with activities/exercises would benefit it. The osteoporosis can be improved upon by such activities as well, + calcium/vit d. The tl scoliosis may also be affected in a good way with exercises. You will need to see an orthopod to ensure its stable/not progressing.
See the pcp.
Good luck. ...Read more
My disabled 13 years old son was diagnosed with thoracolumbar scoliosis to the left. It measures about 16, 5 degrees. And there is elevated position of the right iliac crest. Does he need to wear some brace or it would be enough to do some exercises?
Depends: On full examination and his ability to tolerate a rigid brace if indicated. A flexible brace will not be effective ...Read more
Treatment 42 yr congenital scoliosis hemi vertebrae L4 has lead to osteoarthritis in lumbar, fractured pedicles, stenosis + degeneratIve discs L4 l5?
M.D. Specialist: Dr armstrong's specialist recommendation. Remeber that the specialist needs to be a trained M.D. Alternative claims such as chiropractry does not help this degree of sco;iosis. ...Read more
Many: The answer depends on what exactly is causing your pain and where your pain is (back or leg or both). Not all herniated disks cause discomfort and not all back pain is caused by scoliosis. Your condition (and subsequent treatment options) would be best served by speaking with a spine surgeon to try discern what relation these anatomic findings have to do with your clinical symptoms. ...Read more
From don't worry: This depends on your age and the size of the curve and whether your bone density is normal and if there are any associated issues such as spinal stenosis, instability &/or degenerative changes. If still growing brace or observation & if an adult, is it progressing or large in size or associated with any other problems. You really need to see a spine specialist to get an opinion. ...Read more
Several options: If left untreated, scoliosis can lead to progressive disfiguring curve, pain and limited mobility. Some curves remain stable without progresson. Generally, treatment for scoliosis has included observation, bracing and/or surgery.Orthopedist specializing in scoliiosis can give advice. ...Read more
X-ray revealed moderate upper lumbar scoliosis and osteophytes in lumbar vertebrae. Possible cause of severe low back and hip pain? Treatment options?
Early arthritis: Not sure why a 34yo has these problems. Your description of X-ray sounds like back spasm causing some local splinting and curvature, not classic scoliosis. Osteophytes typically seen in degenerative arthritis. Do you have autoimmune disease? Lupus? Psoriasis? Rheumatoid? ...Read more
My flat feet and ankles rotate inward causing me to have knocked knees. What're my options for treatment of my misaligned knees? I also have scoliosis
Start with alignment: Excessive pronation is the motion you are describing and it causes poor alignment beginning at the feet creating problems with the knees, hips and lower back. Orthotic devices or braces (AFO) at the feet and ankles can begin to correct alignment which can improve knees, hips and back symptoms. A practitioner trained in biomechanics can provide a detailed exam. ...Read more
Is treatment different for c-shaped scoliosis vs. S-shaped? What is the difference, if any, in treatment for c-shaped and s-shaped scoliosis? .
Varies: It is a bit of a generalization, but usually when you talk about a c shaped curve, you are talking about a single curve. An s shaped curve usually refers to a double curve in which one curve is often compensating for the other. Treatment is more based upon the size of the curve and the skeletal age of the patient than whether it is c or s shaped. Thank you for the question. ...Read more
No: I let my patients out of the brace for physical activites sports and dance they are important as well. ...Read more
What is the most common treatment for a 49 degree curve in T8 & 42 degree in L1 scoliosis? My child is 12 and has severe pain to where she can't walk.
Expert consultation: Your child is suffering from effects of progressive scoliosis, and needs emergency evaluation and treatment. Free transportation, evaluation, and treatment is avaiilable at the Shriner's Hospitals. "For more information about a particular condition contact your local Shriners Hospitals for Children directly or call 800-237-5055 in the U.S., or 800-361-7256 in Canada"-- https://www. Shrinershospital ...Read more
Depends: The vast mjority of 21 year old patients are done with their growth, and the treatment is then based upon the size of the curve. It is generally felt that curve less than 45 degrees will not progress and really does not require treatment. Curvatures greater than 45 degrees will tend to slowly, but relentlessly progress and surgery is felt to be indicated in many cases. Thank you cor the question. ...Read more
My 14 years old daughter has 49 degrees scoliosis. Want to know what treatment is likely she should have? She is referred to sick kids in September.
Surgical correction: Is best option when curvature is over 40 degrees and growth spur not complete. ...Read more
I have bony island and mild scoliosis found on my xray results. Is it alarming? Appreciate your advice for treatment. Thanks
Not alarming: Both are known to cause no symptoms incidental findings feel free to consder ignoring them ...Read more