Columnists

Ahead Of The Curve – Do I Have Scoliosis?

Issue 30.15

If you thought that scoliosis was a spine disease that only affected growing teens, you might be surprised at what you read in the next few paragraphs. Scoliosis, or a sideways curvature of the spine, is fairly common as we age. Degenerative scoliosis is the most common form of scoliosis in adults and is most often a result of wear and tear over the years, similar to arthritis.  You may have degenerative scoliosis if you or someone notices that you have a curvature of the spine, uneven shoulders or a protruding of one shoulder blade, an uneven waistline, or having one hip sit higher than the other. Also, notice if pain seems to be worsening over time instead of getting better, tends to occur in the mornings and then worsens throughout the day, feels better with sitting and worsens with standing or walking, or whether there is leg pain with standing or walking.

Given the change in the stability of the spine, there are some obvious complications that may be related to scoliosis at any age. A significant degree of curvature can compress the lungs or heart by changing the normal position of the ribs. Spine and back pain are also a complication of degenerative scoliosis because the facet joints (joint created by the back of the spine bones that sit on top of each other and allow your back to bend and twist) are gradually deteriorating. This is the same process that causes osteoarthritis of the spine. However, in scoliosis, the facet joints themselves also begin to shift. The spine begins to curve to the side and can compress the nerve roots that are exiting from the spinal cord. These nerve roots are the supply lines for sensation and muscle movement. The pain is similar to osteoarthritis pain and might include aching, numbness, or possibly weakness in the legs and feet.

The progression of degenerative scoliosis is generally about 1 to 2 degrees per year and continues with each passing year.  In addition, bones may become more brittle or thin. Because of this, the goals for treatment should include strengthening the back with modified core exercises, and keeping flexibility and range of motion intact through physical therapy or home exercises. These help support the spine. Reducing pain is essential to be able to engage in exercise and do daily activities. Medications that help with inflammation can also help, as well as epidural or facet injections. Our office specializes in spine interventions and pain management, ranging from recommending over the counter medications to chronic pain support and management. We are dedicated to helping you find options that work for you while focusing on your safety and health. We would love to meet with you and discuss your concerns.

If you experience chronic pain or spine issues, our office can help you get back on your feet. Please call Desert Pain Specialists @ (435)216-7000 to schedule a visit with us.

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