Managing Long-Term Scoliosis: Seeking Relief and Treatment Options

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

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

I have had scoliosis for over ten years, currently at a 35-degree curvature. I have tried countless methods without success, and I feel very depressed?

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 that I learned about brace treatment, but by then my curvature had already reached 30 degrees, and I was increasing by about 2 degrees each year.
I wore the brace for three months, but due to unbearable skin itching that led to ulceration and no improvement in my scoliosis, I gave up on brace treatment.
Over the past ten years, I have consulted numerous chiropractors, but none have been effective.
My scoliosis is S-shaped, located at the lumbar vertebrae L4 and L5; I also have rotation (though I'm not sure how it rotates).
Additionally, due to this condition, my pelvis is tilted, and I have a leg length discrepancy.
In the past five years, my back has become severely uneven, with one side protruding (left) and the other side concaving (right) by more than 5 cm.
There was a period when I experienced such severe pain from working at night while attending classes that I could not get out of bed; every movement felt like it was stuck, and bending would cause pain.
After seeing a chiropractor, although my curvature has not decreased, I am no longer in pain; however, I cannot stand or sit for long periods, or else my lower back becomes sore and painful.
My lower back pain worsens during menstruation, but it improves slightly after applying heat.

Due to my uneven back, I often face questions from others, which has led to feelings of inferiority.
I have developed bipolar disorder (or depression; I am not sure) and have consulted a doctor and am taking medication.
I would like to ask you, Doctor, since my curvature has stabilized and sometimes does not worsen significantly within a year (I have heard that a measurement error of two degrees is normal), would it be advisable for me to wear a lumbar support brace? Additionally, my husband bought a bed with individually pocketed springs; will this have any negative impact on my spine? (I sleep on my side.) I understand that I can no longer correct my condition...
I just hope you can answer these two questions and let me know if my back's unevenness can be corrected through rehabilitation.
I would be immensely grateful for your response!

feiri, 30~39 year old female. Ask Date: 2006/08/09

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 pain symptoms.
In your case, you can focus on increasing physical activity and rehabilitation treatment.
Correction is not necessary, and a 30-degree curvature should not be very noticeable, so there is no need to worry too much.
Thank you!

Reply Date: 2006/08/09

More Info

Managing long-term scoliosis can be a complex and challenging journey, especially when it has been present for many years and has led to additional complications such as pain, postural imbalances, and psychological impacts. Your experience with scoliosis, particularly the S-curve and the associated symptoms, is not uncommon, and it’s important to approach this condition with a comprehensive understanding of treatment options and lifestyle modifications.

Firstly, regarding the use of a back brace, it is generally most effective in younger patients whose bones are still growing. Since you mentioned that your scoliosis was diagnosed at 20 and you have since stopped using a brace due to discomfort and lack of effectiveness, it is unlikely that a brace would provide significant correction at this stage. However, a brace may still offer some support and pain relief, especially if it is designed to accommodate your specific curvature and is fitted properly. It’s essential to consult with a specialist who can assess your current condition and determine if a brace could be beneficial for pain management rather than correction.

As for your question about the type of mattress, an independent pocket spring mattress can provide good support for your spine, especially if it conforms to your body’s contours. Since you sleep on your side, it’s crucial to ensure that your mattress is neither too firm nor too soft. A mattress that is too firm may not provide adequate cushioning for your shoulders and hips, leading to discomfort, while one that is too soft may not support your spine properly. You might also consider using a supportive pillow that keeps your neck aligned with your spine.

In terms of rehabilitation, physical therapy can be an effective way to manage scoliosis symptoms. A physical therapist can design a personalized exercise program that focuses on strengthening the muscles around your spine, improving flexibility, and enhancing overall posture. While these exercises may not correct the curvature, they can help alleviate pain and improve function. Additionally, exercises that focus on core stability can be particularly beneficial, as a strong core can help support your spine and reduce discomfort.

It’s also important to address the psychological aspects of living with scoliosis. The feelings of self-consciousness and the impact on your mental health, such as the development of mood disorders, should not be overlooked. Engaging in counseling or support groups can provide emotional support and coping strategies. It’s commendable that you are already seeking help for your mental health, and continuing this journey is vital for your overall well-being.

Lastly, regular follow-ups with your healthcare providers are essential to monitor the progression of your scoliosis and any associated symptoms. While it’s reassuring to hear that your curvature has not worsened significantly in recent years, ongoing assessment can help ensure that any changes are addressed promptly.

In summary, while complete correction of your scoliosis may not be possible at this stage, there are various strategies to manage your symptoms effectively. A combination of physical therapy, appropriate sleep arrangements, and psychological support can significantly enhance your quality of life. Always consult with your healthcare providers to tailor a treatment plan that best suits your individual needs.

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