Can a 9-Degree Scoliosis Cause Uneven Shoulders and Discomfort? - Orthopedics

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A 9-degree scoliosis can lead to shoulder asymmetry, commonly referred to as high and low shoulders?


Hello Dr.
Wang,
I have some questions regarding scoliosis.
Can a 9-degree curvature cause shoulder asymmetry or an uneven body structure? I have a condition where my right shoulder is higher than my left.
The measured angle is 9 degrees, but I'm not clear on the details.
I also experience difficulty exerting force with my shoulders, along with tightness and soreness in both shoulders.
After bending over for a while, I feel like I can't lift myself up.
Do I need to go to the hospital for a more detailed examination? I read online that a 9-degree curvature is considered mild, so I would like to ask you these questions.
Can someone with a 9-degree curvature experience these symptoms? However, I do not have habitual back pain or lower back pain issues.

jason, 20~29 year old female. Ask Date: 2006/05/06

Dr. Wang Zikang reply Orthopedics


Hello: Obvious symptoms of scoliosis include uneven shoulders and pelvis, as well as a protruding back.
However, an angle of only 9 degrees is considered mild and should not cause significant shoulder height discrepancies.
It is advisable to pay attention to posture and to have regular follow-ups to monitor the angle.
If you have any questions, you may visit our orthopedic outpatient clinic for further examination and treatment.
Thank you!

Reply Date: 2006/05/06

More Info


Scoliosis, defined as a lateral curvature of the spine, can indeed lead to a variety of physical manifestations, including uneven shoulders and discomfort, even in cases classified as mild, such as a 9-degree curvature. While a 9-degree scoliosis is generally considered mild, it can still result in noticeable asymmetries in the body, particularly in the shoulders, which may appear uneven. This is due to the way the spine's curvature can affect the alignment of the shoulders and the overall posture.

In your case, the observation of a right shoulder being higher than the left is a common presentation in individuals with scoliosis. The curvature can cause one side of the body to compensate for the imbalance, leading to muscle tightness and discomfort. The tightness and soreness you experience in your shoulders may be attributed to muscle strain as your body attempts to maintain balance and function despite the spinal curvature. Additionally, the feeling of weakness or difficulty in exerting force with your shoulders can be linked to muscle fatigue or imbalance, which is not uncommon in individuals with scoliosis.

Regarding your question about whether you should seek further medical evaluation, it is advisable to consult a healthcare professional, especially if you are experiencing discomfort or functional limitations. While a 9-degree curvature may not warrant aggressive treatment, the symptoms you describe—such as shoulder tightness, discomfort, and difficulty standing up after bending—suggest that further assessment could be beneficial. A healthcare provider can perform a thorough physical examination, assess your posture, and possibly recommend imaging studies, such as X-rays, to evaluate the curvature and its impact on your musculoskeletal system.

Physical therapy may also be a valuable option for you. A physical therapist can design a tailored exercise program to address muscle imbalances, improve posture, and alleviate discomfort. Stretching and strengthening exercises can help relieve tightness in the shoulders and improve overall function. Additionally, they can provide guidance on ergonomic adjustments in your daily activities to minimize strain on your body.

In summary, while a 9-degree scoliosis is considered mild, it can still lead to uneven shoulders and discomfort. Your symptoms warrant further evaluation to determine the best course of action. Consulting with a healthcare professional, such as a physical therapist or orthopedic specialist, can provide you with the necessary insights and interventions to manage your condition effectively. Remember that early intervention can often lead to better outcomes, so seeking help sooner rather than later is advisable.

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