Can Scoliosis Happen Suddenly? How Fast Does It Develop? Mild, Moderate, and Severe Scoliosis Scoliosis has a huge severity range, which is why treatment plans need to be fully customized to address the uniqueness of each patient and their condition. In terms of condition severity, scoliosis is classified as mild, moderate, or severe.
The latter is the more likely scenario, and this leads us into the next section: progression. Adult Idiopathic Scoliosis When idiopathic scoliosis is present in adults, these patients had AIS in their younger years, but were unaware. Degenerative Scoliosis Most common in adults over the age of 40, degenerative scoliosis develops due to natural degenerative changes experienced by the spine that can accompany aging.
Conclusion When a condition is classified as progressive, this means that it is bound to get worse over time. More About Me Contact Us.
Nalda to chiropractic care. After experiencing life changing results, he set his sights on helping others who face debilitating illness through providing more natural approaches. After receiving an undergraduate degree in psychology and his Doctorate of Chiropractic from Life University, Dr.
His experience with patients suffering from scoliosis, and the confusion and frustration they faced, led him to seek a specialty in scoliosis care. Our team, under the leadership of Dr. Tony Nalda, is focused on treating your scoliosis in the most patient-centered, effective manner possible. Search for:. Celebration, FL. All Rights Reserved. Curves exceeding 45 to 50 degrees are considered severe and often require more aggressive treatment.
A standard exam that is sometimes used by pediatricians and in grade school screenings is called the Adam's Forward Bend Test. During this test, the patient leans forward with his or her feet together and bends 90 degrees at the waist. From this angle, any asymmetry of the trunk or any abnormal spinal curvatures can easily be detected by the examiner.
This is a simple initial screening test that can detect potential problems, but cannot determine accurately the exact type or severity of the deformity. Radiographic tests are required for an accurate and positive diagnosis. Scoliosis in children is classified by age: 1. Infantile 0 to 3 years ; 2.
Juvenile 3 to 10 years ; and 3. Adolescent age 11 and older, or from onset of puberty until skeletal maturity. Idiopathic scoliosis comprises the vast majority of cases presenting during adolescence. In children with congenital scoliosis, there is a known increased incidence of other congenital abnormalities.
These are most commonly associated with the spinal cord 20 percent , the genitourinary system 20 to 33 percent and the heart 10 to 15 percent. It is important that evaluation of the neurological, genitourinary and cardiovascular systems is undertaken when congenital scoliosis is diagnosed.
Scoliosis that occurs or is diagnosed in adulthood is distinctive from childhood scoliosis, since the underlying causes and goals of treatment differ in patients who have already reached skeletal maturity. Most adults with scoliosis can be divided into the following categories: 1.
Adult scoliosis patients who were surgically treated as adolescents; 2. Adults who did not receive treatment when they were younger; and 3. Adults with a type of scoliosis called degenerative scoliosis. In one year study, about 40 percent of adult scoliosis patients experienced a progression. Of those, 10 percent showed a very significant progression, while the other 30 percent experienced a very mild progression, usually of less than one degree per year.
Degenerative scoliosis occurs most frequently in the lumbar spine lower back and more commonly affects people age 65 and older. It is often accompanied by spinal stenosis, or narrowing of the spinal canal, which pinches the spinal nerves and makes it difficult for them to function normally. Back pain associated with degenerative scoliosis usually begins gradually and is linked with activity.
The curvature of the spine in this form of scoliosis is often relatively minor, so surgery may only be advised when conservative methods fail to alleviate pain associated with the condition. When there is a confirmed diagnosis of scoliosis, there are several issues to assess that can help determine treatment options:.
In many children with scoliosis, the spinal curve is mild enough to not require treatment. However, if the doctor is worried that the curve may be increasing, he or she may wish to examine the child every four to six months throughout adolescence.
In adults with scoliosis, X-rays are usually recommended once every five years, unless symptoms are getting progressively worse. Braces are only effective in patients who have not reached skeletal maturity. If the child is still growing and his or her curve is between 25 degrees and 40 degrees, a brace may be recommended to prevent the curve from progressing.
There have been improvements in brace design and the newer models fit under the arm, not around the neck. There are several different types of braces available. While there is some disagreement among experts as to which type of brace is most effective, large studies indicate that braces, when used with full compliance, successfully stop curve progression in about 80 percent of children with scoliosis.
For optimal effectiveness, the brace should be checked regularly to assure a proper fit and may need to be worn 16 to 23 hours every day until growth stops. In children, the two primary goals of surgery are to stop the curve from progressing during adulthood and to diminish spinal deformity. Most experts would recommend surgery only when the spinal curve is greater than 40 degrees and there are signs of progression.
Back Pain in Kids and Teens. Controversy Over Whether Bracing Works. Lumbar Spinal Fusion Surgery. You are here Conditions Scoliosis. Scoliosis: Symptoms, Treatment and Surgery share pin it Newsletters. Peer Reviewed. Adolescent Idiopathic Scoliosis. National Library of Medicine. Genetics Home Reference. Reviewed September Accessed November 15, Epidemiology of adolescent idiopathic scoliosis.
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