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  • Adult Onset Scoliosis

    In the majority of cases, the cause of scoliosis is either unknown (idiopathic) or benign in nature, such as degenerative changes in the discs or joints. Idiopathic scoliosis, which occurs in adolescents, is the most common form of scoliosis, accounting for about 80% of cases. It typically develops during the growth spurt just before puberty and may progress during adolescence.

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    <p>&nbsp;<a href="">Rheumatologist</a>, discusses Why is a Diagnosis of Scoliosis Important?</p>

     Rheumatologist, discusses Why is a Diagnosis of Scoliosis Important?

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    <p>&nbsp;<a href="">Rheumatologist</a>, discusses treatment &amp; prognosis of scoliosis.</p>

     Rheumatologist, discusses treatment & prognosis of scoliosis.

  • Why is a Diagnosis of Scoliosis Important?

    It’s important to have scoliosis diagnosed. It’s in two settings. For adolescents, it’s important to have it diagnosed because if it’s the ones that progress and the ones that you can prevent through simple treatments, either with bracing or in more rare cases, orthopedic surgery, it can have a profound impact later on in life, in both cosmetic appearance of that person, and also in terms of function, heart or lung ability to expand, participation in sports.


    Yes, you are correct. If curvature of the spine, such as in the case of scoliosis, is severe enough to put pressure on nerves and cause weakness or neurological symptoms in the arms or legs, it is important to diagnose and treat the condition to prevent further complications. Early detection and ongoing follow-up are crucial in managing spinal curvatures.

    A thorough diagnosis typically involves a physical examination, medical history review, and imaging studies such as X-rays, MRIs, or CT scans. This helps in determining the severity of the curvature and identifying any nerve compression or other related issues.

    Treatment options for severe spinal curvature with neurological symptoms may include:

    1. Bracing: In some cases, especially for growing children and adolescents, wearing a brace can help slow down or stop the progression of the curvature. However, bracing is typically not effective in correcting an existing severe curve.

    2. Surgery: When the curvature is severe and causing neurological symptoms, surgery may be recommended. The goal of surgery is to correct the curvature, relieve pressure on the nerves, and stabilize the spine. Various surgical techniques, such as spinal fusion or instrumentation, may be used depending on the specific situation.

    Regular follow-up appointments with healthcare professionals are essential to monitor the progression of the curvature and assess the effectiveness of the chosen treatment method. Physical therapy and rehabilitation may also be recommended to help regain strength and improve overall function.

    It is important to consult with a medical professional, such as an orthopedic specialist or a spine surgeon, for an accurate diagnosis and to discuss the most appropriate treatment options based on the individual's specific condition.

    In the case of the adult onset scoliosis, it’s important because it could potentially be a serious condition, be it a tumor or a mass or a neurological problem that has brought this on. And so if it’s not diagnosed, it could even be potentially life threatening or put a patient at risk of serious injury or long-lasting effect. So even though scoliosis is extremely common, even though the vast, vast majority, with proper diagnosis by an expert, don’t need any treatment, don’t need any investigation, there are ones that do need investigation, and do need specific treatment in the right setting, so it’s important to see someone who is specializing or comfortable with treating this condition.

    If you think you have a scoliosis, either because you’ve seen asymmetry of your posture yourself, or of someone has commented that you may have an abnormal curve in your spine, see your family physician. They can examine you and answer your questions.  Often seeing a local family physician or a physiotherapist in conjunction with a registered dietitian and athletic therapist is a great option to take control of this condition. You might visit a rheumatologist for information on what is, conditions, side effects, symptoms and treatments related to scoliosis diagnosis, spinal disorders and genetic conditions in adults and children.

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  • In terms of prognosis, the cause of scoliosis can play a role in determining the potential outcomes and management options. Generally, idiopathic scoliosis tends to have a better prognosis compared to scoliosis caused by underlying medical conditions or congenital abnormalities.

    Factors that can influence the prognosis of scoliosis include:

    1. Age at onset: Scoliosis that develops in childhood or adolescence usually has a better prognosis compared to scoliosis that appears in adulthood.

    2. Magnitude of the curve: The degree of spinal curvature is a significant factor. Mild curves are less likely to progress and cause problems compared to moderate or severe curves.

    3. Progression: The rate of curve progression can affect prognosis. Rapidly progressing curves may require more aggressive treatment to prevent further deterioration.

    4. Underlying medical conditions: If scoliosis is caused by an underlying medical condition, the prognosis may depend on the specific condition and its management.

    5. Treatment: Early detection and appropriate treatment can improve outcomes. Regular monitoring, bracing, physical therapy, and, in some cases, surgery can help manage scoliosis and prevent further progression.

    It's important to note that while scoliosis can vary in severity and progression, most cases are mild and do not cause significant health issues or limitations. Regular monitoring and appropriate medical care can help individuals with scoliosis lead active and fulfilling lives. Consulting with a healthcare professional specializing in scoliosis is crucial for accurate diagnosis, determining the cause, and developing an appropriate management plan based on individual circumstances.

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