Should You See a Specialist for Scoliosis or Herniated Discs? - Rehabilitation

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When considering whether to see a specialist for scoliosis or herniated discs, it's essential to understand the implications of these conditions and the appropriate avenues for treatment. Both scoliosis and herniated discs can lead to various complications, including changes in height, pain, and neurological issues.

Scoliosis and Height Changes
Scoliosis is a condition characterized by an abnormal lateral curvature of the spine. In moderate to severe cases, scoliosis can lead to a reduction in height over time. This happens because the curvature can compress the vertebrae and alter the normal alignment of the spine, potentially leading to a decrease in the overall height of the individual. Additionally, if the curvature progresses, it can lead to further complications, such as respiratory issues due to reduced lung capacity.


Herniated Discs and Height Changes
A herniated disc occurs when the soft inner gel of the disc bulges out through a tear in the tougher exterior. This can lead to nerve compression, resulting in pain, numbness, or weakness in the limbs. While a herniated disc itself may not directly cause a decrease in height, the associated pain and muscle spasms can lead to poor posture, which may contribute to a perceived reduction in height. Chronic pain can also lead to a more stooped posture, further affecting height.


Which Specialist to See
1. Orthopedic Surgeon: If you are experiencing significant pain, discomfort, or functional limitations due to scoliosis or a herniated disc, an orthopedic surgeon specializing in spinal disorders is a good choice. They can provide a comprehensive evaluation and discuss surgical options if necessary.

2. Neurosurgeon: For herniated discs, particularly if there is nerve involvement, a neurosurgeon can offer specialized care. They can perform surgeries to relieve pressure on the nerves if conservative treatments fail.

3. Physiatrist (Rehabilitation Specialist): A physiatrist focuses on rehabilitation and can help manage pain and improve function through non-surgical means. They can develop a comprehensive treatment plan that may include physical therapy, medications, and injections.

4. Physical Therapist: If your condition is mild or you are looking for non-invasive treatment options, a physical therapist can help. They can design a program to strengthen the muscles around the spine, improve flexibility, and alleviate pain.

5. Chiropractor: Some individuals find relief through chiropractic care, which focuses on spinal manipulation and alignment. However, it’s essential to ensure that the chiropractor is experienced in treating scoliosis or herniated discs.

6. Traditional Chinese Medicine (TCM): If you are interested in alternative therapies, TCM practitioners can offer acupuncture and herbal remedies that may help alleviate pain and improve overall well-being.


Conclusion
In summary, both scoliosis and herniated discs can potentially lead to changes in height, particularly if they progress or are not managed appropriately. The choice of specialist depends on the severity of your symptoms and your treatment preferences. If you are experiencing significant pain or functional limitations, starting with an orthopedic surgeon or a physiatrist may be beneficial. For conservative management, physical therapy can be an excellent first step. Always consult with a healthcare provider to determine the best course of action tailored to your specific condition and needs.