Scoliosis: Back Pain and Knee Issues Explained - Orthopedics

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Scoliosis


Hello Doctor,
I would like to ask a few questions:
1.
Does scoliosis affect back pain? Recently, I have been experiencing sharp pain in my left upper back, sometimes even affecting my breathing.
I have had scoliosis for many years without any back pain, but recently I have been experiencing this discomfort and I'm unsure what might be causing it.

2.
A while ago, I bumped my right knee, and although the wound healed, I noticed that my knee becomes sore when I squat.
Later, I developed a hard, bony protrusion in the knee area.

I would appreciate your insights.
Thank you!

Hui Ling, 30~39 year old female. Ask Date: 2007/07/09

Dr. Wang Shouji reply Orthopedics


Hui-Ling: 1.
Yes, but the situation varies for each individual, so a detailed evaluation by a spine surgeon is recommended.
2.
It is important to check for any patellar injuries; I suggest going to the orthopedic department for further examination.
Wishing you a speedy recovery.

Reply Date: 2007/07/09

More Info


Scoliosis, or spinal curvature, can indeed have a significant impact on back pain and other related issues, including knee pain. Let's break down your questions and concerns regarding your symptoms.

1. Does scoliosis affect back pain?
Yes, scoliosis can lead to back pain, even if you have not experienced it before. The curvature of the spine can alter the biomechanics of your back, leading to uneven stress on muscles, ligaments, and joints. This can result in muscle fatigue, strain, and pain. The fact that you are experiencing sharp pain in your left upper back, especially during breathing, is concerning. It could indicate muscle strain or irritation of the nerves in that area. In some cases, scoliosis can lead to conditions such as thoracic outlet syndrome, where nerves or blood vessels are compressed due to the abnormal curvature. It is essential to consult with a healthcare professional who can perform a thorough examination, possibly including imaging studies, to determine the exact cause of your pain.

2. Knee pain and the hard bump on your knee:
The incident you described, where you bumped your knee, could have caused a few different issues. The hard bump you are feeling could be a result of several conditions, such as a bone spur, a ganglion cyst, or even a form of bursitis. When you squat and feel pain, it may indicate that the joint is not functioning correctly, possibly due to inflammation or mechanical issues related to the bump.
Injuries to the knee can lead to changes in how the knee joint functions, which can cause pain during activities like squatting. If the bump is indeed a bone spur, it may be causing friction in the joint, leading to pain. Alternatively, if it is a cyst or inflammation of the bursa, it could also lead to discomfort during movement.

Recommendations:
- For your back pain: It is crucial to seek a consultation with a specialist, such as an orthopedic surgeon or a physical therapist, who can assess your scoliosis and provide targeted treatment options. Treatment may include physical therapy to strengthen the muscles supporting your spine, improve flexibility, and address any postural issues contributing to your pain. In some cases, bracing or surgical options may be considered, depending on the severity of the curvature and associated symptoms.

- For your knee issue: You should also consult a healthcare provider regarding the bump on your knee and the associated pain. They may recommend imaging studies, such as an X-ray or MRI, to assess the underlying structures of your knee. Treatment options may include rest, ice, compression, elevation (RICE), physical therapy, or even corticosteroid injections if inflammation is present. In some cases, surgical intervention may be necessary if conservative treatments do not alleviate the symptoms.

In summary, both your back and knee issues warrant professional evaluation to determine the underlying causes and appropriate treatment strategies. Early intervention can help prevent further complications and improve your quality of life.

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