Chiropractic Care for Scoliosis: Expert Insights and Local Resources

Chiropractic adjustment

Dear Doctor: I recently saw a report on television regarding "chiropractic adjustments." I have a scoliosis issue.
While it does not significantly affect my daily life, I have been wanting to restore the normal curvature due to the asymmetry in my lower back.
However, I am hesitant to seek treatment from general practitioners of chiropractic care.
Therefore, I would like to ask you: 1.
What are the effects of chiropractic adjustments? 2.
I live in the southern part of Taiwan; are there qualified chiropractors in the Chiayi, Tainan, or Kaohsiung areas? 3.
How often should I have follow-up appointments for monitoring the degree of my scoliosis? Thank you!

alice, 20~29 year old female. Ask Date: 2000/12/27

Dr. Su Yiren reply Orthopedics

1.
Regarding the effects of spinal manipulation, it does not influence the angle of lumbar scoliosis.
As for pain and functional impairment, the evidence is inconclusive, as every treatment has a so-called placebo effect of 5-10%.

2.
There is a significant difference between spinal manipulation and the work of a general chiropractor.
A qualified practitioner refers to a chiropractor who performs medical procedures under the guidance of traditional Chinese medicine or Western medicine.
Without a license in either field, such practices are legally considered folk therapy and do not qualify as medical treatment.
Consequently, many individuals experience worsening conditions due to excessive force during spinal manipulation, with some even suffering strokes.
Since folk therapy is not recognized legally as medical treatment, compensation cannot be sought.
3.
A spinal curvature of 20 degrees or more is considered significant, and those with a curvature of 35 degrees or more may require surgery or the use of a corrective brace.
For patients aged 10-16 years, due to the potential for worsening of the curvature, follow-up appointments should be scheduled every three months.
4.
Please consult a reputable orthopedic spine specialist, such as Dr.
Lin Rui-mo at National Cheng Kung University Hospital, Dr.
Hsieh Po-chin in Chiayi City, or Dr.
Chen Shan-chih at Chiayi Christian Hospital.

Reply Date: 2000/12/27

More Info

Chiropractic care is a popular alternative treatment for various musculoskeletal issues, including scoliosis. Scoliosis is a condition characterized by an abnormal lateral curvature of the spine, which can lead to discomfort and postural issues. While chiropractic care can be beneficial for some individuals with scoliosis, it is essential to understand its effectiveness, the qualifications of practitioners, and the importance of regular monitoring.

1. Effectiveness of Chiropractic Care for Scoliosis: Chiropractic adjustments aim to improve spinal alignment and function. For individuals with scoliosis, chiropractic care may help alleviate discomfort, improve mobility, and enhance overall spinal health. However, it is crucial to note that chiropractic treatment does not "cure" scoliosis. The effectiveness of chiropractic adjustments can vary based on the severity of the curvature, the age of the patient, and the presence of any associated symptoms. Some studies suggest that chiropractic care can help manage pain and improve quality of life for individuals with scoliosis, but it should be part of a comprehensive treatment plan that may include physical therapy, exercise, and, in some cases, surgical intervention.

2. Finding Qualified Chiropractors: When seeking chiropractic care, it is essential to choose a qualified practitioner. In the United States, chiropractors must complete a Doctor of Chiropractic (D.C.) degree from an accredited institution and obtain a state license to practice. In the Chiayi, Tainan, or Kaohsiung areas, you can look for licensed chiropractors through local chiropractic associations or health care directories. It is advisable to check the chiropractor's credentials, experience, and any specialties they may have, particularly in treating scoliosis. Additionally, seeking recommendations from healthcare providers or individuals who have undergone chiropractic treatment can be beneficial.

3. Monitoring Scoliosis: Regular monitoring of scoliosis is crucial, especially if there are changes in symptoms or if the curvature worsens. The degree of curvature is typically measured using X-rays, and the frequency of follow-up appointments can vary based on individual circumstances. For mild scoliosis that does not cause significant discomfort, a follow-up every six months to a year may be sufficient. However, if the curvature is more pronounced or if the patient experiences pain or functional limitations, more frequent evaluations may be necessary. Your healthcare provider can help determine the appropriate schedule for monitoring your condition.

In addition to chiropractic care, it is essential to engage in exercises that strengthen the core and back muscles, as these can support spinal health and potentially improve posture. Physical therapy may also be recommended to develop a personalized exercise program tailored to your specific needs.

Lastly, it is crucial to approach chiropractic care with an informed mindset. While many individuals find relief through chiropractic adjustments, it is essential to maintain open communication with your healthcare providers and consider a multidisciplinary approach to managing scoliosis. This may include consultations with orthopedic specialists, physical therapists, and other healthcare professionals to ensure comprehensive care.

In summary, chiropractic care can be a valuable component of managing scoliosis, but it should be approached with caution and in conjunction with other treatments. Always consult with qualified healthcare professionals to determine the best course of action for your specific situation.

Similar Q&A

Understanding Chiropractic Care: Risks and Benefits for Spinal Health

Hello doctor, I have had scoliosis since I was in the first year of junior high school until the first year of high school. When I was in the third year of junior high, I went to the hospital for rehabilitation, but they didn't mention anything about my cervical spine. Later...

Dr. Zhang Junwei reply Neurosurgery
The quality of chiropractic care varies widely; if it has already caused you discomfort, it's best to stop.

Managing Long-Term Scoliosis: Seeking Relief and Understanding Treatment Options

Hello Doctor: Thank you very much for taking the time to respond. I have been diagnosed with scoliosis since I was 20 years old, but the doctor advised to monitor it first. At that time, I was not informed that a brace could be used for correction. It wasn't until I was 25 t...

Dr. Shi Qiming reply Orthopedics
Hello: Scoliosis that develops during adolescence is classified as idiopathic scoliosis. Generally, after growth is completed around the age of 16-17, the curvature does not increase significantly. Engaging in appropriate exercises, such as swimming, typically results in minimal ...

Managing Scoliosis in Seniors: Non-Surgical Options for Relief

My grandmother is 70 years old and has had noticeable scoliosis for several years, often experiencing back pain. She goes to physical therapy every day, but recently her back has become more hunched, and she needs to rely on a cane to walk. What can be done to prevent further det...

Dr. Chen Xianchang reply Rehabilitation
Hello, Miss: Thank you for your inquiry. Here are my responses and suggestions: 1. It is important to enhance the intake of calcium and collagen through food and supplements, such as glucosamine. 2. The use of assistive devices should be considered based on the degree of curvatur...

Managing Scoliosis: Tips for Daily Life and Pain Relief

Hello Dr. Kang: About a month ago, I was diagnosed with scoliosis at the Veterans General Hospital, with a curvature of approximately 10 degrees. Generally, I feel fine, but I experience severe pain in my neck and shoulders every morning upon waking. I have not been able to impro...

Dr. Pan Yingda reply Rehabilitation
A spinal curvature of 10 degrees is unlikely to have any adverse effects, especially if it is functional scoliosis (caused by posture or habits). If you feel particularly uncomfortable in the morning, pay attention to your mattress and pillow (especially the height). Maintaining ...