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Conditions

Scoliosis FAQs

In adult-onset scoliosis, pain often arises from pressure on the spinal discs, facet joints, or surrounding muscles. However, scoliosis can cause discomfort in other ways as well. The spinal curvature may irritate or stretch nerves and put stress on joints, leading to inflammation. Additionally, scoliosis impacts posture, which can result in muscle tightness or fatigue, contributing to pain.

When managing scoliosis, it’s important to avoid activities that compress the spine, strain it unnaturally, create tension, worsen muscle imbalances, or increase the likelihood of injury. Instead, focus on staying active with low-impact exercises, strengthening the core to reduce spinal stress and support proper alignment, and addressing the condition proactively through appropriate treatment. Incorporating resistance training into an aerobic exercise regimen can significantly enhance functional exercise capacity and improve respiratory outcomes.

Severe scoliosis can restrict lung function, sometimes leading to respiratory failure in adulthood. The abnormal curvature of the spine reduces lung volume, limits diaphragm movement, weakens chest wall muscles, narrows airways, and compresses the bronchi, all of which can make breathing difficult. This spinal deformity often distorts the ribs, preventing them from expanding fully for deep breaths, and may cause breathing challenges, especially during sleep.

Scoliosis can be treated in ways to help correct the curvature such as reducing the angle of the curvature and improving the spinal alignment. Since scoliosis cases can vary greatly person-person, there is no single best approach.

It’s never too late to address scoliosis, but detecting the condition and intervening early is ideal. Treating scoliosis in childhood and adolescence can help prevent its progression and minimize the need for invasive treatments later in life.

Mild cases of scoliosis may not require treatment, but moderate to severe cases should be addressed to prevent pain and further deformity.

Those with untreated scoliosis are more likely to experience an increase in back discomfirt/pain

References:

  • Czaprowski D, Stoliński Ł, Tyrakowski M, Kozinoga M, Kotwicki T. Non-structural misalignments of body posture in the sagittal plane. Scoliosis Spinal Disord. 2018;13:6. Published 2018 Mar 5. doi:10.1186/s13013-018-0151-5
  • Fontes RB, Fessler RG. Lumbar Radiculopathy in the Setting of Degenerative Scoliosis: MIS Decompression and Limited Correction are Better Options. Neurosurg Clin N Am. 2017;28(3):335-339. doi:10.1016/j.nec.2017.02.003
  • Koumbourlis AC. Scoliosis and the respiratory system. Paediatr Respir Rev. 2006;7(2):152-160. doi:10.1016/j.prrv.2006.04.009
  • Xavier VB, Avanzi O, de Carvalho BDMC, Alves VLDS. Combined aerobic and resistance training improves respiratory and exercise outcomes more than aerobic training in adolescents with idiopathic scoliosis: a randomised trial. J Physiother. 2020;66(1):33-38. doi:10.1016/j.jphys.2019.11.012
  • Johnson AN, Lark RK. Current Concepts in the Treatment of Early Onset Scoliosis. Journal of Clinical Medicine. 2024; 13(15):4472. https://doi.org/10.3390/jcm13154472
  • Halaç, O., & Aygün, Ü. (2024). The Effects of Early-Onset Scoliosis on Morbidity and Mortality of Untreated Patients. Orthopedic Research and Therapy, 123.
At A Glance

Dr. Kern Singh

  • Minimally invasive and endoscopic spine surgeon
  • Inventor and surgeon innovator with multiple patents in spinal surgery and instrumentation
  • Author of more than 10 textbooks in minimally invasive spinal surgery
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