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The differences in occurrence and severity between genders increases with age. Many people report an anxiousness they didn’t have before regarding how fragile their spine actually is. What often happens in the traditional approach is that a patient is observed until their condition progresses to a certain severity level and surgery is then recommended as the best option, but that surgery can come at a high price, and not just in monetary terms. Next, the most tilted vertebra is located at the base of the curve and another parallel line is drawn to the inferior vertebral end plate. A severe curve is more than 50 degrees. If I could turn back time for these patients, I would. Most often, it is recommended that X-rays are taken every three-to-six months to watch and wait to see if the spinal curvature is progressing and at what rate. Usually, a doctor who only measures a Cobb angle will recommend no treatment — just observation — for a curve measuring less than 24 degrees, hoping it won't get any worse. Brace treatment is generally used to prevent scoliosis from getting worse when you have: A curve that is moderate in size (20 to 40 degrees) AND; A curve that is progressive (has increased by more than 5 degrees) OR; A curve that is over 30 degrees when first diagnosed AND; A lot of growing yet to do If your child has this condition, your family doctor may recommend the wait-and-see approach. The traditional approach would dictate that intensive treatment starts after a 25-degree curvature and most often ends with spinal-fusion surgery; my chiropractic-centered treatment would say any degree of scoliosis, once it is … Due to the spine’s lengthening motion during the growth that characterizes the adolescent stage, many young people don’t experience pain as part of their condition. Custom 3-D bracing has its place, but we make sure that it doesn’t come at the expense of the patient’s mindset or quality of life. While no one can look at a patient’s scoliosis and know exactly how their condition is going to progress, age can help us predict how likely it is that a patient will experience progression and how rapid that progression is likely to be. Your family history of scoliosis. Curves between 10 and 24 degrees are mild scoliosis and likely just need to be monitored. Based on my functional approach, I would say there’s very rarely a case where surgery is the best option. A person will be getting an X-ray for another reason, and the doctor notices a curvature. Living with a fused spine can have a heavy emotional weight. Once we achieve a reduction, we know what works and we augment that work with at-home exercises and stretches for the patient. Scoliosis is defined as spinal curvature greater than 10 degrees. If the Cobb angle is less than 10°, this is usually an indication of a perfectly normal spine (since the human spine always has a certain degree of deviation - nobody's back is totally straight). With adolescents, progression is monitored closely as growth is the number one cause of progression and the adolescent stage is characterized by rapid growth spurts. This experience has enabled me to develop strategies for reading scoliosis X-rays more comprehensively than the average health-care practitioner; by extension, this ability allows me to craft a more customized and effective treatment plan. Depending on the particular patient and the specific degree of curvature, this form of scoliosis may be treated successfully with non-surgical methods like bracing, physical therapy, and pain medications. The type of brace and amount of time it should be warn … Based on the traditional approach, a surgeon in the States often suggests surgery when progression is rapid or a patient’s Cobb angle measurement is 40-plus degrees. A measurement of 20 to 40 degrees will generally result in the Orthopaedic doctor prescribing a back brace to prevent the curvature from worsening. Kyphosis is characterized by an abnormally rounded upper back (more than 50 degrees of curvature). By the time noticeable changes to the posture have developed, the curvature has progressed significantly. There’s more to measuring scoliosis than just determining the Cobb angle. The following are general guidelines for treatment. Nonsurgical treatments for scoliosis include observation, physical therapy, the Schroth method, bracing and Mehta casting. On one hand, there’s the traditional approach that most often doesn’t start treatment until a curvature has reached or progressed past 25 degrees; on the other, there’s my chiropractic-centered functional approach that initiates treatment as close to the time of diagnosis as possible. A curve of at least 25 degrees is typically considered moderate scoliosis. When it comes to treating scoliosis, the goal is to manage and control its progression. In this review, basic knowledge and recent innovation of surgical treatment for scoliosis will be described. No big cuts. Health care providers measure scoliosis curves in degrees: A mild curve is less than 20 degrees. While there are many aspects of scoliosis that remain a mystery, one thing we do know if that growth speeds up progression. Curves less than 50 degrees at the end of growth do not usually require surgery or keep getting bigger. Through a lot of hard work and dedication, we can help them achieve that. For example, if two adolescents with scoliosis have the same amount of skeletal growth remaining but one has a 20-degree curve and the other already has a 30-degree curve, the person with the larger curve is likely to experience more curve progres… If a curve has reached 20 degrees and the child or adolescent is still continuing to grow, bracing might be considered. Then intersecting perpendicular lines are erected from the two parallel lines from the curve’s apex and bottom. Also, during growth spurts, the time in-between X-rays can be too long. I do believe that my patient-centered customized approach treats the whole patient by taking into account the many different levels of a person’s life that are impacted by the condition. While the traditional approach can involve some scoliosis-specific exercises and bracing, the most common recommendation is to watch and wait to see at what rate, if any, a condition progresses. The traditional treatment approach would start when a curve reaches or progresses past 25 degrees. Scoliosis with a primary diagnosis (nonidiopathic) must be recognized by the physician to identify the causes, which may require intervention. The goal of treatment for your child is to reach the end of their growth with a curve of less than 50 degrees. We don’t watch and wait; we diagnose and start treatment immediately. Curves may be as mild as 10 degrees, or as severe as 100 degrees or more. Numbness 3. erika scoliosis & other back problems. Although it is estimated that over 4% of individuals have some degree of scoliosis, many people have never heard of (or know very little about) this condition. While there has been much success with this form of treatment, often the time between ordering the brace and its arrival can measure in months, during which time the curvature could be progressing unimpeded during a pubescent growth spurt. Observation. The treatment for idiopathic scoliosis is based on age, curve magnitude and risk of progression, and includes observation, orthotic management and surgical correction with fusion. I feel there’s more harm to watching and waiting than there is to initiating a patient-centered form of treatment immediately. … As adolescent idiopathic scoliosis (AIS) is the condition’s most common form, we’ll focus on this age group. Obviously, I can’t say that there aren’t situations where spinal-fusion surgery is a favorable option, but I can say that it should be a last resort- after all other forms of treatment have been attempted. Yet, Auto Response Training can stabilize the spine and reduce pain quickly. If your child has moderate or severe scoliosis, it may seem like it's too late to correct the scoliosis curve without drastic measures like surgery or bracing. The Cobb angle refers to the angle formed between those two parallel lines. In addition, the main goal is to stop further lateral curving of the vertebral column. 25- to 39-degree curve. My alternative treatment option is a chiropractic-centered functional approach. We want our patients to engage with their condition, not be ruled by it. Spinal-fusion holds the spine in position, but being held in a corrective position is a lot different than actually achieving a reduction through natural means, such as chiropractic adjustments, and the spine maintaining that position naturally and functionally. Once a patient receives an official diagnosis and has a Cobb angle measurement via X-ray, other variables such as age, location of the curvature, and cause further classify the condition. As an incurable progressive condition, the nature of scoliosis is to worsen. To return to the original question of what degree of scoliosis requires treatment, by now you know that the answer will change depending on the approach you’ve chosen. When Idiopathic Scoliosis Needs Treatment. As with children, most adults who have scoliosis – whether they had it as kids or not – don't require treatment. Here at the Scoliosis Reduction Center, we don’t watch and wait: we act. Idiopathic scoliosis, which makes up over 80% of all cases, has no known cause but that doesn't mean we don't know much about the condition. Age is generally the first stage of condition classification as it helps paint an overall picture of the patient. As scoliosis is a 3-D condition, relying solely on 2-D measurements of a curvature will fall short when it comes to customizing an effective treatment plan. We actually encourage our patients to keep doing the physical activities they love. This angle is the maximum distance between a straight spine and a curvature. 15 degrees is a fairly mild spinal curvature, but treatment may still be required to manage your symptoms and prevent your scoliosis from progressing to a more problematic stage. Surgical treatment for scoliosis is indicated, in general, for the curve exceeding 45 or 50 degrees by the Cobb's method on the ground that: 1) Curves larger than 50 degrees progress even after skeletal maturity. If your child has this condition, your family doctor may recommend the wait-and-see approach. Degrees of scoliosis ranging between 20 and 50 are considered moderate scoliosis, and can usually be treated with a back brace. In order for a patient to receive an official scoliosis diagnosis, a visual assessment will be done and an X-ray will be taken. Of course, this is not exact as the condition develops across a wide spectrum with treatment decisions that work for one case not working for another, not to mention other important variables such as age. Treatment is required for scoliosis that is progressive. After experiencing life changing results, he set his sights on helping others who face debilitating illness through providing more natural approaches. Scoliosis treatment is based on the degree of curvature of the spine, viewed from the front or back by X-ray. Curves measuring over 50 degrees are defined as severe scoliosis. Brace treatment is generally used to prevent scoliosis from getting worse when you have: A curve that is moderate in size (20 to 40 degrees) AND; A curve that is progressive (has increased by more than 5 degrees) OR; A curve that is over 30 degrees when first diagnosed AND; A lot of growing yet to do In general, a curve is considered significant if it is greater than 25 to 30 degrees. Treatment options for idiopathic scoliosis could include: Observation. Image Source: Arallyn on Flickr . If a condition is left to progress unimpeded, the curvature is only that much harder to reduce down the road; however, there is certainly no harm in acting early and staying ahead of the curve. In the vast majority of cases, scoliosis doesn’t require treatment at all. Less Than 10 Degrees. Copyright © 2020 - Scoliosis Reduction Center. Severe migraines as a young teen introduced Dr. Nalda to chiropractic care. When the body is bent over, the spinal cord is more visible. Scoliosis severity is a big component when it comes to deciding on a treatment plan, and scoliosis degrees of curvature classify a condition as mild, moderate, or severe. There is no curing scoliosis, but there are different approaches to managing and controlling its progression. Lateral Electrical Surface Stimulation (LESS) is one conservative approach which has been used in the treatment of scoliosis. The issue I have with the watch-and-wait approach is that in-between doctor’s visits or scheduled X-rays, an adolescent can experience a significant growth spurt that can cause the condition to progress significantly. The Scoliosis Research Society estimates that approximately 1 in 40, or 7 million people are affected by scoliosis in the United States alone, making it an extremely prevalent condition. There is also the issue of how wearing a traditional brace for 13+ hours a day will affect the mindset, happiness, and confidence level of the average adolescent facing scoliosis. Most cases of scoliosis are mild and don’t need treatment. Treatment for adolescent idiopathic scoliosis determined by the degree of the spinal curve at the time of diagnosis and by the anticipated progression of that curve. In many cases of severe scoliosis, spinal-fusion surgery is recommended as the best, and sometimes the only, treatment option. Welcome to Scoliosis Reduction Center. With a varying degree of severity and conditions, scoliosis is a condition that entails undergoing proper treatment because every form of the condition can get worse over time. Traditional treatment: even at a 10, 15, or 20 degree of curvature, typically, no active treatment is started. Scoliosis is defined as spinal curvature greater than 10 degrees. In Canada, that threshold is higher at approximately 55 degrees and Europe is at the highest with approximately 60 degrees. Our scoliosis-specific chiropractic care, exercises, and rehabilitation work together to strengthen the spine in a corrective position, making it harder for a curvature to progress. Our approach involves ingenuity and dynamic thinking. Doctors often recommend spinal fusion surgery for people with severe scoliosis (50 degrees or more), but surgery is generally not your best long-term option. If your child's curve is between 25 and 45 degrees, bracing may be required. In general, the more flexible your curve is, the better the correction from surgery. Just as laws vary from state to state and country to country, healthcare-industry protocols and guidelines also vary. Treatment for adolescent idiopathic scoliosis determined by the degree of the spinal curve at the time of diagnosis and by … S apex and bottom remain a mystery, one thing we do if... 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