Treatment FAQ

what treatment can be done for scoliosis

by Gerda Nicolas Published 3 years ago Updated 2 years ago
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Scoliosis treatments vary, depending on the severity of the curve. Children who have very mild curves usually don't need any treatment at all, although they may need regular checkups to see if the curve is worsening as they grow.
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Surgery
  • Spinal fusion. ...
  • Expanding rod. ...
  • Vertebral body tethering.
Aug 3, 2021

Procedures

This involves: Spinal weighting protocols (typically on the head, torso, or hips). Whole-body vibration therapy. Gait therapy which re-trains patterns of moving and walking.

Self-care

Physiotherapy scoliosis-specific exercises are increasingly used in conjunction with bracing in the treatment of progressive idiopathic scoliosis. The combination of the two may offer advantages over more simplified treatment plans. Scoliosis Research Society (SRS) supports pilot research studies for the role of exercises in scoliosis treatment.

Nutrition

Oct 24, 2017 · If the curve is increasing over time, or if it is between 25 and 40 degrees, treatment with bracing is used. When the angle exceeds 45 to 50 degrees, surgical correction may be necessary. Great progress has been made in recent years in treatment for that middle range of scoliosis to stop the progression and avoid the need for surgery.

What are the different ways of treating scoliosis?

What's the Treatment for Scoliosis? Observation. Mild curves, like those found in 90% of scoliosis cases, typically don’t require treatment. If your child... Back Brace. If your child’s curve measures between 20 and 40 degrees, their doctor might recommend that they wear a …

What is the best pain medication to take for scoliosis?

Aug 30, 2021 · The standard surgical treatment for scoliosis is a spinal fusion that corrects spinal deformity curves. The general idea is to move the bones of the spine (vertebrae) back into anatomical alignment and then fuse the bones in place to form a solid bone.

Does scoliosis always require treatment?

Some common medication options for degenerative scoliosis include: Pain relievers. Nonsteroidal anti-inflammatory drugs ( NSAIDs ), such as ibuprofen or medications that treat inflammation from arthritis (e.g. Celebrex) can help reduce pain. Acetaminophen (e.g. Tylenol) is another common option.

Can you cure scoliosis without surgery?

The outlook for adult scoliosis can vary depending on the type (idiopathic or degenerative) and severity of symptoms. Non-operative treatment, with modalities such as physical therapy, a regular exercise program, and over the counter anti-inflammatory medications is …

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What is the most effective treatment for scoliosis?

A scoliosis curve will not get straight on its own. Bracing will help to keep it from getting worse. Surgery — a spinal fusion — is the only thing that will straighten out the spine, but it will not make it completely straight. Surgery will also stiffen the spine and is therefore reserved for more severe deformities.

Can scoliosis can be corrected?

In moderate to severe cases, scoliosis may be corrected through bracing and/or surgery. If you suspect scoliosis, you should consult your doctor about an appropriate treatment plan.

What treatment is given for scoliosis?

The only effective treatment for severe scoliosis is spinal fusion surgery to reduce the severity of the curve and prevent further progression of the curve.Oct 5, 2020

What are 2 treatments for scoliosis?

Children who have mild scoliosis are monitored closely, usually with X-rays, to see if the curve is getting worse. In many cases, no treatment is necessary. Some children will need to wear a brace to stop the curve from worsening. Others may need surgery to straighten severe curves.Aug 3, 2021

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

Can you fix scoliosis without surgery?

Fortunately, most cases of scoliosis do not require any treatment and very few require surgical treatment. If your child's spinal curve progresses to more than 40-50 degrees, depending on location, or if your child's curve is advancing rapidly, your doctor might recommend surgery.Jun 2, 2020

What happens if scoliosis is left untreated in adults?

[Purpose] Untreated early-onset scoliosis may eventually progress to more than 90° after growth, cause severe health problems, and increase chance of mortality. Therefore, surgical intervention is often indicated prior to the development of a life-threatening deformity.Dec 27, 2016

What should I avoid if I have scoliosis?

Some examples of foods scoliosis patients should avoid include: Fast food or other highly processed varieties of “junk” food. Soda pop (even the “diet” varieties) Foods containing corn syrup in any form (high fructose, crystallized, etc.)

Can scoliosis be life threatening?

In its most severe form, scoliosis can affect the heart and lungs, limiting their ability to function and leading to complications that can potentially result in death.Mar 10, 2017

Can a chiropractor fix 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 are the 3 types of scoliosis?

Most experts feel there are three categories of scoliosis. idiopathic, congenital, and neuromuscular. Idiopathic is the most common type of scoliosis. This means that the cause is unknown or that there is no single factor that contributes to the development of the disease.Oct 20, 2021

What problems can scoliosis cause?

In particularly severe cases of scoliosis the ribcage can be pushed against the heart and lungs, causing breathing problems and making it difficult for the heart to pump blood around the body. This can also increase the chances of lung infections, such as pneumonia, and lead to problems such as heart failure.Feb 14, 2020

What is the best treatment for scoliosis?

If your child's curve is between 25 and 45 degrees, bracing may be required.

When is scoliosis surgery recommended?

In adults, surgery is recommended when the curve is 50 degrees and you have nerve damage to your legs and/or bowel or bladder problems. The goal of having a scoliosis surgery is to correct (i.e. straighten) the curve and to prevent it from progressing any further.

Does chiropractic help with scoliosis?

Sadly, many believe this treatment can straighten out their spines. As far as evidence-based medicine goes, there's little if any proof that chiropractic is an effective scoliosis treatment.

What is fusion in spine?

(Fusion, according to the AANS, is the knitting together of the spinal elements. ) 1 .

How often should a child have a curve measured?

If your child has a small curve, i.e. between 10 and 24 degrees, she may only need to measured a few times per year. This is called "observation.". The idea behind observation is that should the curve measurement increase to 25 degrees or higher, a different type of treatment may be initiated.

Who is Anne Asher?

Anne Asher, ACE-certified personal trainer, health coach, and orthopedic exercise specialist, is a back and neck pain expert. Jonathan Jassey, DO, is a board-certified private pediatrician at Bellmore Merrick Medical in Bellmore, New York.

What are the consequences of scoliosis?

Another terrible consequence of untreated scoliosis is disability. You lose your freedom to do the things that you love to do and can become less and less independent. Some severe scoliosis sufferers cannot even stand or walk because their condition is so degenerative.

How do you fix scoliosis?

Surgery to correct scoliosis involves placing one or two metal rods stabilized by hooks and screws along the spine in an effort to prevent further curvature. The surgeon uses pins and bone grafts to keep the rod in place next to the spine. This is called “fusion surgery.” The spinal bones are fused together, destroying the joints of the spine.

When does degenerative de novo scoliosis start?

Degenerative De-Novo Scoliosis is scoliosis that starts later in life, around age 45 and older. This type of scoliosis often deteriorates more rapidly and less predictably than Adult Idiopathic Scoliosis. It often comes about as a result of some other issue, such as arthritis or the deterioration of discs and joints.

Is there a difference between adolescent and adult scoliosis?

If you’ve been a scoliosis patient for a long time, you may wrongly believe that your condition will be no different in the future than it was to this point.

What is ASA in adulthood?

Adolescent Scoliosis in Adults (ASA) is the adult version of scoliosis that presented during adolescence. Once skeletal maturity is reached (your bones have finished developing – typically around 16-18 years of age), a patient with Adolescent Idiopathic Scoliosis is now said to have ASA. There is typically a slow increase (about 0.5-2.5 degrees per year) in the curvature that began during teenage years in an otherwise healthy individual that becomes progressive during adult life. Where does that put you 10 years from now? 30 years from now?

How long does it take to see results from Strauss method?

If it sounds too good to be true that a week or two of intensive treatment can lead to permanent changes in your scoliosis condition, that’s because it is: the nature of the Strauss Method requires at-home exercises once or twice daily in order to see results. The treatment process is one that must be actively and consistently followed by the patient. Together, office treatments and at-home exercises will allow you to see improvement in your scoliosis that you thought was not possible. It takes between 300 and 350 repetitions of the home program to make the changes permanent.

Can scoliosis cause back pain in teens?

Though it is rare for scoliosis to cause pain in adolescence, pain is a common symptom of scoliosis in adults. The patients in my office receiving adult scoliosis treatment all say the same thing. They were told they had scoliosis as children and teens and advised to “watch and wait.” Then around middle age, quite often sooner, they begin to experience back pain, hip pain, or other symptoms only to discover that scoliosis is the underlying culprit.

What is the treatment for scoliosis?

The treatment options for scoliosis fall into three main categories: Observation of scoliosis . Observation is for curves that have a small degree measurement when patients are growing (adolescent scoliosis), or for moderate size curves (< 40-45 degrees) when patients are done growing. For adults, observation and physical therapy are ...

Is physical therapy effective for scoliosis?

However, there is little evidence to show that physical therapy is more effective than doing nothing in stopping the curve from getting worse during growth. If you have spinal problems in addition to your scoliosis (such as back pain), your doctor may prescribe physical therapy to address your specific needs.

Does insurance cover chiropractic care?

Patients who have scoliosis and choose chiropractic treatment should be referred to a spinal orthopaedist or neurosurgeon if their curves keep increasing. Insurance may or may not cover chiropractic treatment.

Does insurance cover acupuncture?

There is no scientific evidence that proves this theory or that its use helps in treating back problems or back pain. Insurance usually does not cover such treatment.

Does yoga help with back pain?

Most yoga systems are intended to improve muscles through stretching, holding positions, and breathing exercises. Some yoga systems also include meditation. How much it will help with back problems is not proven, but those with back pain may be helped. Insurance may or may not cover treatment.

What is the most common form of scoliosis?

The most common form is idiopathic scoliosis (in which the cause is unknown), and it most commonly occurs between the ages of 10 and 18.

Who is Jennifer Winell?

Jennifer Winell, MD, an attending surgeon at Children's Hospital of Philadelphia (CHOP) who specializes in non-surgical scoliosis treatment, explains. “Braces hadn’t changed much in 20 or 30 years. Some of us in the field began to look for innovative alternatives.

What is Schroth exercise?

And, most importantly, it provides three-dimensional correction, where traditional braces only provided side-to-side pressure. The second element in treatment is a new type of physical therapy, called Schroth exercises, developed in Germany and refined over time by therapists around the world.

When does scoliosis develop in children?

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

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.

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 is the best treatment for scoliosis?

Sometimes medications can help eliminate pain or at least reduce pain enough so that a physical therapy program can move forward. Some common medication options for degenerative scoliosis include: 1 Pain relievers. Nonsteroidal anti-inflammatory drugs ( NSAIDs ), such as ibuprofen or medications that treat inflammation from arthritis (e.g. Celebrex) can help reduce pain. Acetaminophen (e.g. Tylenol) is another common option. Avoidance of narcotic pain medication is generally recommended except in rare circumstances when all else has failed to alleviate the symptoms. 2 Injections. Epidural steroid injections can reduce inflammation, or a facet block injection can block pain signals from reaching the brain. These types of injections deliver the anti-inflammatory medication directly to the affected area in the back via needle and X-ray guidance.

Why do you need a brace for scoliosis?

Since the possibility of a curve worsening is unlikely in patients with degenerative scoliosis, the goal of a brace is to restrict motion to relieve pain enough to participate in daily activity and, ideally, to partake in physical conditioning. See Types of Scoliosis Braces.

How long does it take to recover from scoliosis surgery?

The recovery time after surgery is significant, ranging from 3 to 12 months, so the patient’s symptoms should be severe enough to necessitate such a decision. See Scoliosis Surgery.

Why is buoyancy important in water?

The body’s natural buoyancy in water helps counteract the effects of gravity, enabling patients to condition muscles while putting less stress on the facet joints. Some people might find other treatments also help, such as massage therapy to help boost blood circulation and loosen muscles and joints.

What is the best way to strengthen muscles?

A physical therapist or other qualified medical professional can help develop an exercise and stretching routine to meet the patient’s specific needs. Physical therapy can help keep the soft tissues and joints limber as well as strengthen the targeted muscles. Pool therapy.

How to reduce back pain?

Typically, treatments can be used alone or in combination to decrease back pain.

How to treat a sprained thigh?

In most cases, your doctor will recommend some forms of physical therapy, to both maintain strength and relieve pain. These may include: 1 Working to improve posture 2 Doing low-impact exercises, such as swimming 3 Daily stretching 4 Staying active

What is a scoliosis curve?

What is adult scoliosis? Scoliosis is an abnormal curvature of the spine (backbone). There is a natural, forward-and-backward curve to the spine. With scoliosis, the spine rotates and develops a side-to-side curve. Curves may be as mild as 10 degrees, or as severe as 100 degrees or more.

How severe is a spinal curve?

Curves may be as mild as 10 degrees, or as severe as 100 degrees or more. Most cases of scoliosis are mild and don’t need treatment. In adults, the degree of the spinal curve may or may not determine treatment. Treatment is geared towards relieving symptoms, and not necessarily fixing the curve.

When is surgery needed for scoliosis?

Surgery may be needed if back and leg pain from the scoliosis becomes severe and ongoing, and doesn’t respond to conservative treatment. Spinal imbalance. Whether the spine remains balanced is important in assessing the scoliosis’ progression and the need for surgery.

Is scoliosis painless?

Though scoliosis itself is painless, the normal age-related degeneration of the spine may lead to symptoms. These symptoms are treated the same whether there is scoliosis or not. Scoliosis only becomes a factor when surgery is being considered.

What are the signs of scoliosis?

Presence and location of pain, if any. Any bowel, bladder, or motor dysfunction, which may be signs of more serious nerve damage or pressure caused by scoliosis. In a physical exam your doctor will examine your back to check the shape of your spine and see how you move around.

How to treat scoliosis in adults?

Maintaining an ideal body weight and maintaining a regular exercise program are excellent ways to minimize symptoms associated with adult scoliosis. Surgical treatment of adult scoliosis can improve a patient’s quality of life and deal with pain connected to the condition.

What is Cobb angle?

Cobb angle is a measurement, expressed in degrees (via X-ray), that determines how scoliosis is classified on the severity scale. The higher the Cobb angle, the more severe the condition is, ...

Is scoliosis common in adolescents?

This is commonplace because, as you can see from the accompanying chart, scoliosis develops across a wide spectrum of severity; in addition, scoliosis in adolescents is rarely a painful condition, making early detection challenging. In degenerative scoliosis, this form is most common in adults over the age of 40.

What age is AIS most common?

Adolescent idiopathic scoliosis (AIS) is by far the most common form of the condition and is diagnosed between the ages of 10 and 18. It makes up 80 percent of diagnosed cases in the United States.

What is functional approach?

Functional treatment: in the functional approach, active treatment is started as close to the time of diagnosis as possible, as early intervention is one of the keys to treatment success. Even at 10 degrees, a functional approach would involve a customized combination of therapy, rehab, exercises, and chiropractic.

What is a Cobb angle of 10 - 25 degrees?

At a Cobb angle measurement of 10 - 25 degrees, this is considered ‘mild scoliosis’ , and depending on what treatment approach a patient chooses, active treatment can be started, or delayed, during this stage.

What degree of curvature is scoliosis?

Traditional treatment: at a 25 - 40 degree of curvature, those following the traditional treatment approach would still not be engaged in active treatment; instead, continued pain medications/injections would likely be prescribed to deal with any scoliosis-related pain or discomfort. Functional treatment: at a 25 - 40 degree of curvature, ...

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Treatment

Clinical Trials

Lifestyle and Home Remedies

Alternative Medicine

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
The condition can be treated by braces, surgery or spinal fusion techniques.
Procedures

Spinal fusion: Bones are fused by preventing their movement and fixing them with metal rods, hooks or screws.

Self-care

Always talk to your provider before starting anything.

  • Visit your doctor regularly
  • Take your medicines, if any, as indicated by the doctor
  • Wear the braces as suggested by the doctor
  • Take part in sports
  • Remain socially active
  • Exercise regularly
  • Join a support group

Nutrition

Foods to eat:

  • Foods rich in calcium like milk
  • Foods rich in vitamin D like eggs, fish and cereals
  • Foods rich in vitamin E like walnuts, hazelnuts, olive oil, mayonnaise and sunflower seeds

Foods to avoid:

  • Fried Foods
  • Foods containing excess salt like pickles
  • Foods that contain preservatives like packaged meat
  • Alcoholic and carbonated beverages

Specialist to consult

Neurologist
Specializes in treating diseases of the nervous system, which includes the brain, the spinal cord, and the nerves.
Orthopedic surgeon
Specializes in the surgery of bone and joint disorders.

Coping and Support

  • Scoliosis treatments vary, depending on the severity of the curve. Children who have very mild curves usually don't need any treatment at all, although they may need regular checkups to see if the curve is worsening as they grow. Bracing or surgery may be needed if the spinal curve is mo…
See more on mayoclinic.org

Preparing For Your Appointment

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

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