Treatment FAQ

what is the treatment for degenerative scoliosis

by Prof. Harley Langosh Jr. Published 3 years ago Updated 2 years ago
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What are the best treatments for Mild scoliosis?

Jun 25, 2020 · What is the nonsurgical treatment for degenerative scoliosis? acupuncture spine manipulations oral medication injected medications

What is the best pain medication to take for scoliosis?

The treatment type chosen for the Scoliosis patient is often determined by this angle: Scoliosis-specific exercises (15 – 25° Cobb) Bracing (20 – 40° Cobb) Spinal fusion surgery (> …

What are the different ways of treating scoliosis?

The treatment of degenerative scoliosis will depend on a variety of factors. The surgeon will determine the best treatment for each patient and each situation. Nonoperative treatment, including physical therapy, strengthening and stretching exercises, or pain management, may be an option for some patients.

Can you cure scoliosis without surgery?

For those willing to commit to a proactive alternative and functional treatment plan, an integrative approach combining scoliosis-specific chiropractic adjustments, bracing, stretching and exercises can work to slowly replenish the intervertebral discs and restore the …

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How do you fix degenerative scoliosis?

What is the surgery for degenerative scoliosis? A patient may require a spinal fusion, spinal decompression surgery, or both. If the patient's pain is restricted to the back and degenerative changes in the facet joints, fusion in the affected area may be recommended.Jun 25, 2020

Does degenerative scoliosis get worse?

Degenerative scoliosis symptoms can worsen over time and eventually interfere with daily activities. When spinal degeneration and/or the curve progresses enough, the following could start to occur: Radicular symptoms.

Does degenerative scoliosis require surgery?

There are three surgical options for adult degenerative scoliosis: decompression alone; decompression and limited short fusion; and long fusion with correction of deformity. Decompression alone is not usually recommended due to curve progression after surgery. Limited short fusion is performed in decompressed segments.

Is degenerative scoliosis a disability?

This sideways curvature of the spine can have many side effects and health problems. So, the Social Security Administration (SSA) offers benefits for scoliosis disorder. If you are wondering whether scoliosis is a disability, the answer is YES! It is a disability, and you can get disability benefits for it.

How do you know if scoliosis is degenerative?

Degenerative scoliosis may cause the following symptoms:back pain that is worse with standing.back pain that is relieved by lying down.electric shock-like pain in one or both legs.numbness in one or both legs.weakness in one or both legs.

Can degenerative scoliosis be cured?

Since there is no non-surgical cure for joint degeneration in the spine, treatment focus on managing pain in order to maintain daily activities as opposed to becoming completely pain-free. If the patient's pain continues to significantly hamper and reduce daily activities, surgical options may be considered.

When does scoliosis stop progressing?

In most cases of idiopathic scoliosis, the curve develops around the time the patient hits puberty, then continues to progress throughout their adolescence until their spine has finished growing (usually at age 16-18).May 30, 2017

When does adult scoliosis need surgery?

Curve Surgery may be suggested if the curvature continues to worsen and the curve gets beyond 40 to 45 degrees to prevent problems that come with severe scoliosis. Surgery will usually be recommended for curves above 60 degrees, as the twisting of the torso can lead to serious lung and heart conditions.

What kind of doctor treats scoliosis in adults?

After your scoliosis diagnosis, you'll be referred to an orthopedic doctor, who will work with you to determine the best way to treat your curved spine. How your condition is managed depends on your age, the type of scoliosis you have, the measurement of your back's curve, and your other medical conditions.Dec 19, 2020

Will scoliosis get worse with age?

Scoliosis is a progressive condition – it does tend to get worse as you age. However, scoliosis is somewhat unusual in that it does not have what we might call a “predictable trajectory” – this is to say that you cannot simply assume that after X years, scoliosis will have increased by X degrees.Mar 2, 2020

How common is degenerative scoliosis?

Mild to moderate spinal deformity is common in older adults, but it can also affect adults in their 50s and younger. An estimated 60% of people over age 60 may have mild degenerative scoliosis [1].

Is a chiropractor good for scoliosis?

A chiropractor for scoliosis can develop a non-invasive, drug-free scoliosis treatment plan that addresses multiple symptoms. While chiropractors are unable to straighten your spine completely, studies have shown a marked improvement in spine curvature, pain, and disability rating among those with scoliosis.May 8, 2020

What is degenerative scoliosis?

Degenerative scoliosis is a sideways curve in the spine that measures 10 degrees or greater and that develops in a grown adult as a result of spina...

What causes degenerative scoliosis?

The precise causes of degenerative scoliosis or associated spinal osteoarthritis are not known, but the condition is clearly aggravated by daily we...

What are the symptoms of degenerative scoliosis?

Patients with degenerative scoliosis usually seek medical attention when they experience pain or other symptoms in the back, hip, buttocks, or legs.

How is degenerative scoliosis diagnosed?

An orthopedic surgeon will get the patient's history, conduct a physical exam and order full spine X-ray images, low-dose radiation EOS images or,...

What is the treatment for degenerative scoliosis?

Treatment may either be surgical or nonsurgical, on a case-by-case basis. Many patients can avoid surgery and achieve pain relief from non-operativ...

What is the nonsurgical treatment for degenerative scoliosis?

Nonsurgical treatments include: avoidance of activities that worsen symptoms, physical therapy, pilates or yoga to strengthen muscles, moist heat o...

What is the surgery for degenerative scoliosis?

A patient may require a spinal fusion, spinal decompression surgery, or both. If the patient’s pain is restricted to the back and degenerative chan...

What are the results for degenerative scoliosis treatments?

For the majority of patients with degenerative scoliosis, pain relief or reduction can be achieved with aggressive use of nonsurgical measures. In...

How do discs help the spine?

To understand how this process occurs, it is helpful to think of the spine as a series of bony blocks, the vertebrae, which are connected by facet joints that permit movement in the spine. discs sit between the vertebrae and provide cushioning and protection. The spinal cord runs through the spinal canal, a passage created by the vertebrae.

What is spondylolisthesis in spine?

Spondylolisthesis suggests instability of the spine and can produce stenosis (abnormal narrowing of the spinal canal), pain, and sometimes nerve injury. Figure 7 (left): X-ray showing a lateral view (from the side) of a normal spine. Figure 8 (right): X-ray showing anterior spondylolisthesis, also known as anterolisthesis.

What is a sideways curve in the spine?

Degenerative scoliosis is a sideways curve in the spine that measures 10 degrees or greater and that develops in a grown adult as a result of spinal degeneration.

What is the spinal cord?

The spinal cord runs through the spinal canal, a passage created by the vertebrae. Degenerative changes can occur in the discs or the facets. When arthritis develops in the facet joints, it is very similar to the process that occurs in the other joints of the body, with thinning of the joint cartilage and rubbing together of the bone ends.

What is fusion surgery?

In fusion surgery, the vertebrae are essentially "welded" together, with screws or other instrumentation being used to secure and immobilize the bone.

What is the inner part of the disc called?

Disc degeneration includes the inner part of the disc: a jelly-like substance called the nucleus pulposis that begins to dry out as it ages, or the outer part of the disc: the thickly ligamentous annulus fibrosis, which develops rips and cracks as it wears.

What is the best medication for back pain?

For back pain, the orthopaedic surgeon may recommend either a nonsteroidal anti-inflammatory drug (NSAID) such as ibuprofen or naproxen, or a drug from the COX-2 inhibitor class of medications, such as celecoxib.

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Symptoms

Patients with degenerative scoliosis may experience no symptoms, have only mild complaints, or be severely disabled. Degenerative scoliosis may cause the following symptoms:

Diagnosis

A complete medical history and physical examination are the first steps in diagnosing degenerative scoliosis. The doctor performing the diagnosis will ask questions about the specifics of any pain: where it is located, what it is like, whether anything makes it better or worse.

Treatments

The treatment of degenerative scoliosis will depend on a variety of factors. The surgeon will determine the best treatment for each patient and each situation.

Patient Stories

In spite of having problems with her spine as a child, Elizabeth Sachs lived a pretty active, pain-free life. When she was 65 she began to have pain, and some trouble walking.

What is degenerative scoliosis?

Degenerative scoliosis is one of the most common forms of adult scoliosis; it’s caused by a weakening of the spine, and its parts, caused by the cumulative effect of lifestyle choices and aging . It is most common in adults over the age of 40. Before we move on to discussing the specifics of degenerative scoliosis and what causes it, ...

What is scoliosis caused by?

The former is an extension of adolescent idiopathic scoliosis that remained undiagnosed until reaching adulthood; the latter is caused by the natural degenerative effects of aging and the cumulative effect of lifestyle choices. While scoliosis most commonly develops during adolescence, adults can also develop the condition.

Why do women have scoliosis?

Degenerative scoliosis is most common in adults over the age of 40, and women are more prone to it due to changes in bone density and hormones that accompany menopause.

Why does my neck ache?

Neck Ache and Headaches. Neck ache can be a common complaint of people living with degenerative scoliosis as the neck is the connection point between the spine and the skull. When scoliosis develops, it shifts the spine more in one direction, and this shift can result in extra pressure on that connection point, ...

Is scoliosis an extension of AIS?

The majority of cases of adults with scoliosis are extensions of AIS. While it can seem hard to imagine that a spinal condition marked by an abnormal sideways curvature could go unnoticed, this is indeed often the case.

Why do I have limited range of movement?

This is partially caused by pain as it often results in people becoming less active and less likely to engage in physical activity that can exacerbate their discomfort.

What age is scoliosis diagnosed?

The most common form of scoliosis is diagnosed between the ages of 10 and 18 as adolescent idiopathic scoliosis (AIS). The ‘idiopathic’ designation means there is no single known cause that we can attribute its onset to. It is, instead, considered to be multifactorial, meaning it’s caused by multiple factors, or the combination of certain factors.

What does it mean when a doctor finishes a schedule of treatment for degenerative scoliosis?

When doctors finish a schedule of treatment for Adult Degenerative Scoliosis, they will try to determine if the patient is feeling or seeing any improvement in their symptoms. These improvements can range from physical pain to cosmetic misalignments and differences.

How often should I see a doctor for back pain?

A back brace is often recommended for patients who want to be able to deal with their symptoms at home, as it's not always possible to see a doctor or another medical professional several times a week.

Why does my knee hurt when I walk?

This pain in non-back areas occurs because the nerves along the spine can be pinched, sending waves of pain to various parts of the body. When a patient goes in to see the doctor, they tend to focus solely on the problem area.

What causes ad syndrome?

Genetic traits are also a common factor that causes ADS. Look through your family tree to see if anyone else has scoliosis, ADS, AIS, or any other form of the condition.

Who is Dr. J Hartley?

Dr. J Hartley, known as Dr. J, was diagnosed with scoliosis as a young teenager. In the 1970’s, the options given were watch and wait, or surgery. Faced with these two options, no treatment was provided. Not until his own 12-year-old was faced with progressive scoliosis did he find the CLEAR Institute. His daughter visited the CLEAR Institute in St. Cloud, MN for Intensive Care and had good results. She could return to running and soccer. Dr. J decided to return for Intensive Care for himself and the rest is history. He has now been focused on scoliosis detection, prevention, and reduction for over 6 years. Dr. J graduated from the Palmer College of Chiropractic, Davenport, Iowa in 1992. He became a Board Chiropractic Neurologist in 1995 and a Board Certified Intensive Care Scoliosis Doctor in 2015.

Why does my neck hurt when I have ADS?

Neck Pain and Headaches. Nagging neck pain might accompany ADS because the neck is where the spine connects to the base of the skull. This connection point can be put under pressure when scoliosis shifts the spine in one direction. Headaches are also a symptom that goes with neck pain in ADS patients.

What causes pain on one side of the body?

Hip, knee, leg, and foot pain on one side of the body is another frequent symptom of Adult Degenerative Scoliosis. ADS causes the spine to slide in one direction, so the slump mentioned throughout this article can cause excruciating pain for the patient. Depending on which vertebra is affected, different parts of the body might experience pain.

What is the difference between degenerative and degenerative scoliosis?

Degenerative means the arthritic wear and tear we all get as we age. Scoliosis means a side bend in the spine. Hence, degenerative scoliosis is when arthritis and degenerative disc disease cause the spine to bend sideways. This is also known as adult-onset scoliosis to differentiate it from the type of scoliosis commonly seen in adolescents ...

What is the best treatment for nerve pain?

As discussed above, a few non-surgical options are available, so let’s go over the most common ones offered: Epidural Steroid Injections – An injection of a high dose steroid into the area around the nerves to reduce nerve swelling and irritation.

What are the risks of lumbar fusion?

Lumbar fusion is a major surgery that carries with it significant risks of complications. As discussed above, a few non-surgical options are available, so let’s go over the most common ones offered: 1 Epidural Steroid Injections – An injection of a high dose steroid into the area around the nerves to reduce nerve swelling and irritation. 2 Steroid injections into facet joints – In this procedure a high dose steroid is injected into one or more painful and arthritic facet joints. 3 Radiofrequency ablation – A probe is used to burn away the nerves that take the pain from the facet joints (1).

What happens when the spine bends?

A New Approach to Treating Degenerative Scoliosis. When the spine side bends, there is one side that’s compressed and one side that gets stretched . Hence, on the side of the compression (concavity), the joints and holes for the nerves (foramina) get extra forces which cause the joints to become big and arthritic and the spinal nerves ...

Is spinal surgery a last resort?

Spine surgery should be a last resort for anyone, due to the cascade of negative effects it can have on the areas surrounding the surgery. And epidural steroid injections are problematic due to their long-term negative impact on bone density. Herniated, Bulging, Protruding Discs. Degenerative Disc Disease.

What are the most common sports injuries?

Knees . Knees are the target of many common sports injuries. Sadly, they are also the target of a number of surgeries that research has frequently shown to be ineffective or minimally effective. Knee arthritis can also be a common cause for aging athletes to abandon the sports and activities they love.

Can degenerative scoliosis cause back pain?

Degenerative scoliosis tends to cause not only back pain but also nerve pain down the leg. This happens when the facet joints on the inside of the curve get big and arthritic and the discs bulge, which can irritate nerves and cause sciatic symptoms down the leg. The back pain is often worse on one side and extends into the ribs.

When does scoliosis develop in children?

This normally happens in the middle of their growth-spurt years, from ages 10 to 18.

What to do after spinal surgery?

After spinal surgery, you’ll need plenty of time to recover, many follow-up visits to your doctor, and physical therapy. Before your operation, talk with your family and friends about the kind of support you’ll need as you get better.

What happens when your curves are between 45 and 50 degrees?

When curves are between 45 and 50 degrees, they’re usually expected to get worse and may even affect how the lungs work. In cases like this, your doctor may recommend spinal fusion surgery, which has been shown to stop the increase of curves.

How long should a child wear a brace?

The kind your child needs will depend on how severe their curve is and where it’s located. They may wear the brace between 16 and 23 hours a day , until they finish growing. The goal is to control the curve so they won’t need surgery.

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