Should I See an Orthopedic Specialist for My Scoliosis?

Health check-up issues

Hello, Dr.
Chen.
My physical examination report indicates that I have scoliosis.
Since it doesn't significantly affect my daily life, should I see an orthopedic specialist? Will this require surgery, or can it be managed with physical therapy? Thank you.

Miss Pan, 20~29 year old female. Ask Date: 2016/06/14

Dr. Chen Yongxue reply Orthopedics

Generally, scoliosis tends to worsen during puberty.
After puberty, a curvature angle of less than 40 degrees typically does not progress.
For patients with a curvature greater than 40 degrees, surgical correction may be considered.
Thank you.

Reply Date: 2016/06/14

More Info

When it comes to scoliosis, the decision to see an orthopedic specialist largely depends on the severity of the curvature and any associated symptoms you may be experiencing. Scoliosis is a condition characterized by an abnormal lateral curvature of the spine, and it can vary significantly in terms of severity and impact on daily life.
If your scoliosis is mild and you are not experiencing any pain or functional limitations, it may not be necessary to seek immediate treatment. Many individuals with mild scoliosis lead normal, active lives without intervention. However, regular monitoring is essential, especially during periods of growth, as scoliosis can progress over time.
Here are some key points to consider when deciding whether to see an orthopedic specialist:
1. Severity of Curvature: Scoliosis is typically classified based on the degree of curvature measured in degrees. Curvatures less than 20 degrees are generally considered mild and may not require treatment. Curvatures between 20 and 40 degrees may warrant closer observation, while those over 40 degrees often require more active management, which could include bracing or surgery.

2. Symptoms: If you are experiencing pain, discomfort, or any functional limitations (such as difficulty with movement or balance), it is advisable to consult an orthopedic specialist. They can assess your condition and determine if any interventions are necessary.

3. Age and Growth: If you are still growing, it is crucial to monitor scoliosis closely, as curves can worsen during growth spurts. In such cases, an orthopedic evaluation is recommended to determine the best course of action.

4. Treatment Options: Treatment for scoliosis can vary widely. For mild cases, physical therapy and exercises may be sufficient to strengthen the muscles around the spine and improve posture. In more severe cases, especially if the curvature is progressive, bracing may be recommended to prevent further curvature. Surgical options, such as spinal fusion, are typically considered for severe curves (usually over 40-50 degrees) or if the curvature is causing significant pain or functional impairment.

5. Consultation: If you decide to see an orthopedic specialist, they will likely conduct a physical examination, review your medical history, and may order imaging studies (like X-rays) to assess the curvature of your spine. Based on their findings, they will discuss the best management plan tailored to your specific situation.

In summary, while mild scoliosis may not require immediate intervention, it is essential to have a professional evaluation to ensure that the condition is monitored appropriately. If you have any concerns about your scoliosis or if you notice any changes in your symptoms, it is always best to consult with an orthopedic specialist. They can provide guidance on whether treatment is necessary and what options are available to you. Regular follow-ups can help manage the condition effectively and prevent potential complications in the future.

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