Scoliosis is the abnormal curvature of the spine that typically occurs during adolescence. Most people with scoliosis have no symptoms. However, some may experience back pain and discomfort, as well as loss of sleep. One way to diagnose this condition involves observing patients from behind using the Adam’s Forward Bend Test. If this test is positive, your doctor may order an X-ray to confirm the diagnosis. Treatment of scoliosis typically includes wearing a back brace for 12 hours per day to prevent spinal curvature from worsening without surgery, which has many potential risks and complications associated with it. It would be best if you discussed your treatment options with a Studio City scoliosis specialist.
The main symptom of scoliosis is a sideways (lateral) curvature of the spine. This may result in one shoulder being higher than the other or one hip protruding more. Scoliosis does not cause any problems with breathing, but it can cause back pain and discomfort and loss of sleep due to having to sleep with the curve.
Symptoms are related to the severity of scoliosis. While mild cases of scoliosis may not have any symptoms, moderate and severe forms may cause some trouble breathing, as well as pain in the back or hips.
The Adam’s Forward Bend Test is typically used for diagnosing scoliosis, especially in adolescents. In the procedure, a patient bends forward with their back to a doctor. The point of initial contact between the patient’s back and the examining table is the axis about which a doctor can judge any spine curvature. This test may also indicate scoliosis if the doctor notices a lateral deviation of the spine. If this test is positive, a doctor may order an X-ray to confirm the diagnosis.
Treatment typically includes wearing a back brace for 12 hours per day to prevent spinal curvature from worsening. This may be all that is needed for mild cases, while moderate and severe cases will likely require surgery with many potential risks and complications associated with it. Surgery is recommended if the curvature exceeds 45 degrees to avoid serious complications later in life.
Surgical treatment options for scoliosis include spinal fusion, where the vertebrae are fused with a titanium alloy or bone grafts. Your doctor may also recommend vertebral body tethering, where a device ties together the straightened section of your spine to the curved one to prevent further curvature. Another surgical option is the expanding rod treatment, where metal rods are attached to the spine and extend outwards on each side of the problem area, resulting in straightening of the spine.
Surgical treatments come with risks, including infection, bleeding, blood clots, or reactions to anesthesia. Some patients also experience increased pain during movement after surgery.
In summary, scoliosis is the abnormal curvature of the spine that typically occurs during adolescence. The main symptom of scoliosis is a sideways (lateral) curvature of the spine. A doctor may recommend Adam’s Forward Bend Test to diagnose the condition. For mild cases, you may need to wear a back brace. However, more severe cases may require surgery.