Scoliosis: Symptoms and Concerns in Adolescents - Orthopedics

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Scoliosis


Hello Doctor: I am 15 years old and about two years ago, I was diagnosed with moderate scoliosis (26 degrees).
I had a follow-up X-ray, and the comparison showed that the curvature had decreased.
For the past six months, I have been experiencing a difficult-to-describe sensation in my right upper body that feels somewhat numb, along with a pulsating feeling, as if something is moving inside.
The affected areas include my armpit, axillary tissue, the side of my breast, and the rib area of my right upper body.
My scoliosis curves to the right.
Since I am unsure of the cause, I would like to ask the doctor if this could be related to my scoliosis.

Selina, 10~19 year old female. Ask Date: 2021/02/05

Dr. Chen Bochen reply Orthopedics


Numbness in one side of the upper limb may be caused by compression of specific spinal nerve roots.
It is advisable to consult a neurologist or orthopedic surgeon to clarify the cause.
You can Google "central cord syndrome" to see if it resembles your symptoms.

Reply Date: 2021/02/05

More Info


Scoliosis, a condition characterized by an abnormal lateral curvature of the spine, is particularly concerning in adolescents as it can affect physical development and overall health. Your situation, being 15 years old and having been diagnosed with moderate scoliosis (26 degrees), raises several important considerations regarding symptoms and concerns related to this condition.

Firstly, it is encouraging to hear that your follow-up X-ray showed a decrease in the curvature of your spine. This suggests that your scoliosis may not be progressing, which is a positive sign. However, the symptoms you describe—tingling sensations, a feeling of movement, and discomfort in the right upper body, including areas like the armpit and ribcage—are worth investigating further.

These sensations could potentially be related to your scoliosis, especially since the curvature is directed to the right. Scoliosis can lead to uneven distribution of weight and pressure on the spine and surrounding muscles, which may cause nerve compression or irritation. This could explain the tingling or "jumping" sensations you are experiencing. Additionally, muscle imbalances due to the curvature can lead to discomfort or pain in the affected areas.

It is also important to consider that while scoliosis can contribute to these symptoms, they could also arise from other conditions unrelated to your spinal curvature. For instance, nerve issues, muscle strain, or even anxiety can manifest as physical sensations in the body. Therefore, a thorough evaluation by a healthcare professional is essential to determine the exact cause of your symptoms.

Here are some steps you can take to address your concerns:
1. Consult a Specialist: It would be beneficial to see an orthopedic specialist or a spine specialist who has experience with scoliosis. They can conduct a comprehensive examination, including a physical assessment and possibly additional imaging studies, to evaluate your spine and the surrounding structures.

2. Discuss Symptoms in Detail: When you meet with the specialist, be sure to describe your symptoms in detail. Mention when they started, how often they occur, and any activities that seem to exacerbate or alleviate them. This information will help the doctor understand the context of your symptoms.

3. Physical Therapy: If your symptoms are related to muscle imbalances or nerve irritation due to scoliosis, physical therapy may be recommended. A physical therapist can design a program tailored to your needs, focusing on strengthening and stretching exercises that can help alleviate discomfort and improve posture.

4. Monitor Changes: Keep track of any changes in your symptoms, including the intensity and frequency of the sensations. This information can be valuable for your healthcare provider in assessing your condition over time.

5. Emotional Support: Dealing with scoliosis and its symptoms can be emotionally challenging, especially during adolescence. Consider speaking with a counselor or therapist if you find that your symptoms are affecting your mental health or self-esteem.

In summary, while your symptoms may be related to your scoliosis, it is crucial to have a thorough evaluation to rule out other potential causes. Early intervention and appropriate management can significantly improve your quality of life and help you navigate the challenges associated with scoliosis. Remember, you are not alone in this journey, and there are resources and professionals available to support you.

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