Scoliosis: Symptoms, Diagnosis, and Military Concerns - Orthopedics

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Scoliosis


Hello, doctor.
I am a college student who is about to enlist in the military, born in 1994, so I only have four months left.
I previously had an orthopedic examination that revealed I have scoliosis, but I didn't ask about the degree of curvature.
Later, during my physical examination, I did not undergo a follow-up check.
Is there any way I can get re-evaluated? I have been experiencing pain on the right side of my lower back after standing or sitting for long periods, and the only relief I find is by lying down.
I am a bit worried that the intense physical activity during military service might worsen my back pain.

Dong Yan, 20~29 year old female. Ask Date: 2017/05/10

Dr. Chen Yongxue reply Orthopedics


Hello, scoliosis generally does not affect mobility.
The regulations for military service are also quite strict.
If you are concerned and would like to have another examination, you can visit an orthopedic clinic for an X-ray examination.
Thank you.

Reply Date: 2017/05/10

More Info


Scoliosis is a medical condition characterized by an abnormal lateral curvature of the spine. It can manifest in various degrees of severity, and understanding its implications is crucial, especially for individuals like yourself who are preparing for military service.

Symptoms of Scoliosis
Common symptoms of scoliosis include uneven shoulders, a noticeable curve in the spine, and back pain. In your case, you mentioned experiencing pain on the right side of your lower back after prolonged sitting or standing. This discomfort could be related to the scoliosis, as the uneven distribution of weight and stress on the spine can lead to muscle fatigue and pain. Additionally, scoliosis can sometimes lead to complications such as reduced lung capacity or nerve compression, depending on the severity and location of the curvature.


Diagnosis
To assess the degree of your scoliosis, a follow-up examination is essential. The most common diagnostic tool is an X-ray, which can provide a clear view of the spinal curvature and help determine its Cobb angle—a measurement used to quantify the degree of scoliosis. If you have not had a recent X-ray, I recommend scheduling an appointment with an orthopedic specialist or a physical therapist who can perform a thorough evaluation. They may also conduct a physical examination to assess your posture and range of motion.


Military Concerns
Regarding your concerns about military service, it is important to understand that the military has specific medical standards. If your scoliosis is mild and does not significantly impair your physical abilities, you may still be eligible for service. However, if the curvature is severe or if it causes chronic pain that limits your physical activity, it could affect your ability to perform military duties.
It is advisable to communicate openly with your military recruiter about your condition. They can guide you on the necessary documentation and evaluations required for your medical assessment. Additionally, if you have a diagnosis of scoliosis, it may be beneficial to obtain a letter from your orthopedic doctor detailing your condition, any treatment you have received, and how it affects your daily activities.


Management and Treatment
In terms of managing your symptoms, physical therapy can be highly beneficial. A physical therapist can design a personalized exercise program aimed at strengthening the muscles around your spine, improving flexibility, and alleviating pain. They may also teach you proper body mechanics to reduce strain on your back during activities.
In addition to physical therapy, consider incorporating low-impact exercises such as swimming or cycling into your routine, as these can help maintain your fitness without putting excessive stress on your spine. If your pain persists, over-the-counter pain relief medications like ibuprofen or acetaminophen may provide temporary relief, but it’s essential to consult with a healthcare provider before starting any medication.


Conclusion
In summary, scoliosis can lead to discomfort and may raise concerns about military service. It is crucial to seek a follow-up evaluation to determine the severity of your condition and explore management options. Open communication with military officials and healthcare providers will help ensure that you receive the appropriate support and care as you prepare for your upcoming service. Remember, taking proactive steps now can help you manage your condition effectively and maintain your overall well-being.

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