Overcoming Scoliosis: How I Excelled in Running Despite Spinal Deformities

Q: Overcoming Scoliosis: How I Excelled in Running Despite Spinal Deformities

Xuan Xuan： Scoliosis generally does not cause significant issues in terms of mobility, except for a few extremely severe cases. <br>1. <br>Scoliosis typically does not worsen after adulthood, but since your curvature is at 43 degrees, it is advisable to consult a spine specialist

Why can individuals with congenital spinal deformities still run 100 meters in 14.76 to 16.03 seconds?

Dear Dr.
Wang,
I feel like a lucky person! I have two areas of my spine that are curved, resulting in an S-shape (on the X-ray: the spine appears triangular at the two points of curvature; there are three triangular-shaped vertebrae at the first curve and two at the second).
However, I am puzzled as to why I have always been faster than my classmates in running since childhood, often placing first or second; I could even run 800 meters in just over 2 minutes (before the age of 22), and I felt fine afterward.
Therefore, I have always considered myself an athlete and did not undergo surgery (when I was 15, a doctor at Mackay Memorial Hospital measured a 43-degree angle and suggested surgery).

Now that I am older, I have noticed that my upper body is significantly shorter than that of normal individuals, and the curvature at my waist is less pronounced on the right side.
My sisters average over 167 cm in height, while I am only 157 cm.
I hope this information can provide you with some insights, Dr.
Wang, and I would appreciate your advice on the following:
1.
If I plan to get pregnant this year, will pregnancy cause further curvature of my spine?
2.
Among obstetricians, they are aware of my scoliosis and mentioned that they would assess whether my pelvis has severely deformed due to the excessive forces from the scoliosis when it comes time to give birth, which may necessitate a cesarean section.
In cases like mine, where there is a congenital spinal deformity, I am concerned about where the anesthesia should be administered on the vertebrae and whether there is a risk of lower body paralysis.
Thank you very much, Dr.
Wang! I feel fortunate yet anxious.

Xuan Xuan, 30~39 year old female. Ask Date: 2006/07/17

Dr. Wang Shouji reply Orthopedics

Xuan Xuan: Scoliosis generally does not cause significant issues in terms of mobility, except for a few extremely severe cases.
1.
Scoliosis typically does not worsen after adulthood, but since your curvature is at 43 degrees, it is advisable to consult a spine specialist.
2.
Generally, the injection site for a regional anesthesia does not lead to paralysis; the anesthesiologist at the hospital will provide you with the most appropriate care.
Wishing you all the best.

Reply Date: 2006/07/17

More Info

Dear Patient,
Thank you for sharing your experiences and concerns regarding your scoliosis and running capabilities. It’s indeed fascinating how individuals can excel in physical activities despite spinal deformities. Your story highlights the resilience of the human body and the potential for individuals with scoliosis to lead active lives.

To address your questions:
1. Pregnancy and Scoliosis: Pregnancy can indeed affect the spine, but the extent varies from person to person. Hormonal changes during pregnancy lead to increased laxity in ligaments, which can affect spinal stability. Additionally, as the baby grows, the center of gravity shifts, which may exacerbate any existing spinal curvature. However, many women with scoliosis have healthy pregnancies and deliveries. It’s crucial to maintain a strong core and back muscles to support your spine during this time. Regular check-ups with your healthcare provider can help monitor any changes in your condition.

2. Delivery Considerations: Regarding the delivery method, it’s essential to have a thorough evaluation by both your obstetrician and a specialist familiar with your scoliosis. They can assess your pelvis and spine to determine the safest delivery method. In some cases, a cesarean section may be recommended if there are concerns about the stress on your spine during vaginal delivery. As for anesthesia, an experienced anesthesiologist will take your spinal condition into account when planning for pain management during labor. They will assess the best approach for administering anesthesia, ensuring your safety and comfort.

Your concerns about potential complications, such as lower body paralysis, are understandable. However, with proper medical care and monitoring, the risks can be minimized. It’s essential to communicate openly with your healthcare team about your scoliosis and any worries you may have.

In addition to these considerations, maintaining a healthy lifestyle, including regular exercise tailored to your condition, can be beneficial. Strengthening your core and back muscles can provide better support for your spine, potentially alleviating some discomfort associated with scoliosis. Activities like swimming, yoga, or pilates can be excellent options, as they promote flexibility and strength without putting excessive strain on your spine.

Lastly, it’s worth noting that while you have excelled in running, it’s crucial to listen to your body. If you experience pain or discomfort while running or engaging in other physical activities, it may be beneficial to consult with a physical therapist who specializes in scoliosis. They can provide personalized exercises and strategies to help you continue your active lifestyle safely.

In summary, while scoliosis presents unique challenges, many individuals lead fulfilling, active lives. With proper care, monitoring, and a supportive healthcare team, you can navigate your pregnancy and delivery while managing your spinal condition. Please feel free to reach out with any further questions or concerns.

Best wishes for your health and future endeavors!
Sincerely,
Doctor Q&A Teams

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