I am not a surgeon, so you would have to ask a surgeon that question.
Hope this helps....
I would try exercise, physical therapy, chiropractic care, trigger point therapy, etc., before I would try surgery. If you have any questions, or want to schedule, my office number is 412.681.4747
Dr. Joshua cohen
or is surgery necessary? Always try conservative care first.
I hope this information is helpful.
Take care and be well.
Dr. Eric Miller
I believe if you are able to correct something in the body without surgery, it should be your first option. Surgery of scoliosis for many patients usually involves the use of steel rods to get the bones of the spine into an aligned position. Placing the rods onto the spine will also limit the range of motion for the patient which would then interfere with the patient's normal daily habits such as bathing, dressing, or grooming themselves.
Also because there has been a time of 13 years that the scoliosis has been present, a sudden change to the patient's body can affect the function of the muscles, tendons, and ligaments. What I mean by this is that, the muscles have been developing in their current positions for 13 years. Changing the structure of the body suddenly through surgery is a type of traumatic event that the body must overcome before normal everyday functions can successfully be performed.
Surgery is also not a 100% guarantee that symptoms will be corrected. Many complications can arise post surgery, such as more interference to the nerves and nervous system from the bones being forced into the new positions. Also, the muscles will be stretched and forced to work harder to help increase the stability of the body.
Chiropractors are trained to correct the alignment of the spine with the use of adjustments. Many times, the misalignments of the bones can cause interference onto the nerves and the nervous system which leads to pain and inflammation for the body. Many chiropractors have been successful with decreasing the degree of the curve for the patient's spine. Decreasing the angle of the scoliosis can help take the pressure off the nerves and muscles which will then help to decrease the symptoms that are associated with scoliosis.
Yours in Chiropractic,
I would suggest you talk to your family doctor or local chiropractor regarding your pain. Chiropractic care can likely manage your symptoms depending on the degree of curvature. Surgery is usually done earlier in life. However, discuss this with your physician for confirmation. Without an X-ray, I am unable to determine severity or prognosis.
Best of luck,
Dr. Caitlin Zietz, B.Sc., D.C.
Depending on the angle, this will essentially provide the practitioner as how to proceed. A Cobb angle of 10 degrees or less is always considered mild and would be a great candidate for strictly alternative therapies (chiropractic, physiotherapy and/or acupuncture). Cobb angle between 10-15 degrees is also a candidate for alternative therapy, however, the practitioner may want to consider an Orthopedic consult depending the the rate of progression over time, the character and frequency of symptoms. If the Cobb angle is greater than 15 degrees, this is an absolute indication for an Orthopedic consult because it is possible that the curvature is severe enough that it will start to impinge on and affect certain internal organs.
For example, if it is a mid thoracic scoliosis with a Cobb angle of 22 degrees, the thought is that it could theoretically affect the lungs. And so the typical patient in this situation could present with dyspnea with or without exertion, shortness of breath and cyanosis. If the scoliosis is in the lumbar region, the areas of concern would be the kidneys, liver, intestines and reproductive organs.
So, it all depends on the Cobb angle and the only way to appropriately arrive at the correct angle is via a standing scoliosis screening x-ray.