Scoliosis
Hello, doctor: May I ask if I can still develop scoliosis after puberty? I am a middle-aged woman.
Thank you.
Xiao Xiao, 20~29 year old female. Ask Date: 2003/01/19
Dr. Luo Zhongwei reply Orthopedics
Dear 小小; Scoliosis often worsens rapidly during puberty, and it is still possible for it to progress slowly into the twenties.
It is necessary to have an X-ray every three months to monitor the angle for any signs of deterioration.
Reply Date: 2003/01/19
More Info
Scoliosis, a condition characterized by an abnormal lateral curvature of the spine, typically develops during the growth spurts of adolescence. However, it is important to note that scoliosis can indeed develop or worsen after puberty, even in middle-aged women. This phenomenon can be attributed to several factors, including degenerative changes in the spine, osteoporosis, and other underlying health conditions.
In adults, scoliosis may not always be diagnosed during adolescence, and some individuals may develop symptoms later in life. For middle-aged women, factors such as hormonal changes associated with menopause can lead to a decrease in bone density, making the spine more susceptible to deformities. Osteoporosis, a condition where bones become weak and brittle, is particularly prevalent in postmenopausal women and can contribute to the development of scoliosis or the worsening of an existing curvature.
Additionally, conditions such as degenerative disc disease, arthritis, or previous spinal injuries can also lead to the onset of scoliosis in adulthood. These conditions can cause changes in the alignment of the spine, resulting in a curvature that may not have been present earlier in life. Therefore, it is entirely possible for a woman in her middle age to experience the onset of scoliosis or a progression of an existing condition.
If you are experiencing symptoms such as back pain, uneven shoulders, or a noticeable curvature of the spine, it is advisable to consult a healthcare professional. They may recommend imaging studies, such as X-rays or MRI, to assess the curvature of your spine and determine the best course of action. Treatment options may include physical therapy, bracing, or, in more severe cases, surgical intervention.
In summary, while scoliosis is most commonly associated with adolescence, it can develop or worsen in middle-aged women due to various factors, including hormonal changes, degenerative conditions, and osteoporosis. If you have concerns about scoliosis or any related symptoms, seeking medical advice is crucial for proper diagnosis and management.
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