Scoliosis
Hello, Doctor Shi: I have a 17-degree scoliosis.
When I visited the doctor, I was prescribed muscle relaxants.
I used to experience constant lower back pain, but after taking the medication, the pain subsided.
However, if I stop taking it, the pain becomes unbearable within two days.
The doctor advised me to continue taking it, and I have been on it for almost six months.
At that time, the doctor did not mention any side effects, but now I feel like I have no muscle; my body feels soft to the touch, and I can't handle even a little exercise.
Could you please explain the purpose of the muscle relaxants? Is there a way to address the root cause? I am currently unable to tolerate exercise, and can I still build muscle? What kind of exercises would be beneficial? (I am currently in rehabilitation) Thank you!
beeth, 20~29 year old female. Ask Date: 2001/06/05
Dr. Shi Guozheng reply Orthopedics
Surgical treatment for scoliosis is typically considered only when the curvature exceeds 40 degrees.
Generally, if the curvature is below 20 degrees and the patient is still in their adolescent years, only monitoring is required.
Patients with scoliosis usually do not experience back pain; if back pain occurs, it should be attributed to other causes.
If the underlying cause cannot be identified, symptomatic treatment may be necessary.
Muscle relaxants can help alleviate symptoms of muscle spasms.
You may seek consultation with other physicians or pursue physical therapy.
Reply Date: 2001/06/05
More Info
Scoliosis, or spinal curvature, can lead to various musculoskeletal issues, including muscle pain and discomfort. In your case, with a 17-degree curvature, it seems that muscle relaxants have been prescribed to alleviate your pain. Muscle relaxants are medications that help reduce muscle tension and spasms, providing temporary relief from discomfort. However, they do not address the underlying structural issues associated with scoliosis.
The primary function of muscle relaxants is to inhibit the nerve signals that cause muscle contractions. This can be particularly beneficial for individuals experiencing acute muscle spasms or chronic pain related to muscle tension. While these medications can provide symptomatic relief, they are not a long-term solution for managing scoliosis or its associated symptoms. Prolonged use of muscle relaxants can lead to muscle weakness, as you have experienced, where your muscles feel "soft" and lack the strength needed for physical activity.
In terms of rehabilitation, it is essential to adopt a comprehensive approach that includes physical therapy, exercises, and lifestyle modifications. Physical therapy can help strengthen the muscles surrounding the spine, improve flexibility, and enhance overall posture. A physical therapist can design a tailored exercise program that focuses on strengthening the core, back, and abdominal muscles, which are crucial for supporting the spine.
Exercises that may be beneficial include:
1. Core Strengthening: Engaging in exercises like planks, bridges, and abdominal crunches can help build core stability, which is vital for spinal support.
2. Stretching: Incorporating stretches for the back, hips, and legs can improve flexibility and reduce muscle tension. Focus on stretches that target the hamstrings, quadriceps, and lower back.
3. Postural Exercises: Exercises that promote good posture, such as wall angels or shoulder blade squeezes, can help align the spine and reduce discomfort.
4. Low-Impact Aerobic Activities: Activities like swimming, walking, or cycling can improve cardiovascular fitness without putting excessive strain on the spine.
5. Yoga or Pilates: These practices emphasize body awareness, flexibility, and core strength, which can be beneficial for individuals with scoliosis.
It is crucial to consult with your healthcare provider or physical therapist before starting any new exercise regimen, especially given your history of muscle relaxant use and current rehabilitation. They can assess your condition and provide guidance on safe and effective exercises tailored to your needs.
In summary, while muscle relaxants can provide temporary relief from pain associated with scoliosis, they do not address the root cause of the condition. A comprehensive rehabilitation program focusing on strengthening, flexibility, and posture is essential for long-term management. With the right approach, it is possible to regain muscle strength and improve your overall function. Remember to communicate openly with your healthcare team about your concerns and progress as you navigate your rehabilitation journey.
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