Scoliosis: Symptoms, Signs, and When to Seek Help

Q: Scoliosis: Symptoms, Signs, and When to Seek Help

Hello： In response to your question, scoliosis can be classified into three main types： congenital, idiopathic, and neuromuscular. <br>The most common type is idiopathic scoliosis, which typically presents without symptoms and is most prevalent in adolescents, with a higher incid

Scoliosis

Hello, I would like to ask about the symptoms or warning signs of scoliosis.
I have heard that if one shoulder is higher than the other, it may indicate scoliosis.
Is this true? How can I determine if I might have scoliosis and should seek medical attention? Due to my studies, I spend long hours sitting at a desk, and sometimes I feel a lot of strain in my back and have difficulty standing up straight.
When we talk about the angle of curvature in scoliosis, does it refer to the internal curvature of the bones or the external appearance of hunching? Thank you for addressing my questions.

jean, 10~19 year old female. Ask Date: 2002/07/29

Dr. Li Wenlin reply Orthopedics

Hello: In response to your question, scoliosis can be classified into three main types: congenital, idiopathic, and neuromuscular.
The most common type is idiopathic scoliosis, which typically presents without symptoms and is most prevalent in adolescents, with a higher incidence in females than males.
Common findings include a noticeable hump on the back, especially when bending forward, as well as uneven shoulder heights or lateral deviation of the upper body.

Currently, there is a screening method to assess for significant scoliosis.
The procedure is as follows: the individual being examined stands upright and bends forward, while the examiner stands directly behind to compare the heights of the back.
If one side shows a prominent protrusion, it may indicate scoliosis.

For individuals under 65 years old who complain of back pain, about 90% of the cases are due to poor posture.
It is recommended to take breaks every half hour to an hour to move around or stand up to relieve muscle tension, which can help prevent back pain.

Additionally, there are various methods for measuring the angle of scoliosis, which require specialized techniques.
It is advisable to consult an orthopedic physician in a clinical setting for a more accurate assessment.

Finally, I wish you well and hope you no longer experience back pain.

Reply Date: 2002/07/29

More Info

Scoliosis, or spinal curvature, is a condition that can manifest in various ways, and understanding its symptoms and signs is crucial for early detection and management. The condition is characterized by an abnormal lateral curvature of the spine, which can occur in different degrees and can affect individuals of all ages, though it is most commonly diagnosed in children and adolescents.

Symptoms and Signs of Scoliosis
1. Uneven Shoulders: One of the most noticeable signs of scoliosis is uneven shoulders. If one shoulder appears higher than the other, it may indicate a spinal curvature.

2. Uneven Hips: Similar to shoulder asymmetry, if one hip is higher than the other, this could also be a sign of scoliosis.

3. Prominent Ribs: In some cases, the ribs may protrude more on one side of the body than the other, particularly when bending forward. This is often referred to as a "rib hump."
4. Back Pain: While not all individuals with scoliosis experience pain, some may report discomfort or pain in the back, especially after prolonged periods of sitting or standing.

5. Postural Changes: Individuals with scoliosis may exhibit changes in posture, such as leaning to one side or having a noticeable curve in the spine when viewed from behind.

6. Difficulty Standing Up Straight: Some individuals may find it challenging to maintain an upright posture, feeling as though they cannot fully straighten their back.

When to Seek Help
If you notice any of the above symptoms, particularly if you observe unevenness in your shoulders or hips, it is advisable to seek a professional evaluation. A healthcare provider, typically a primary care physician or an orthopedic specialist, can perform a physical examination and may recommend imaging studies, such as X-rays, to assess the curvature of the spine.

Understanding the Curvature
The "angle of curvature" in scoliosis refers to the degree of the spinal curve as measured on an X-ray. This angle is crucial for determining the severity of the condition and guiding treatment options. A curvature of less than 20 degrees is generally considered mild and may not require treatment, while curvatures greater than 40 degrees may necessitate more aggressive interventions, such as bracing or surgery.

Impact of Prolonged Sitting
As you mentioned, spending long hours sitting at a desk can contribute to back discomfort and may exacerbate any existing spinal issues. It is essential to maintain good posture while sitting and to take regular breaks to stretch and move around. Ergonomic adjustments to your workspace can also help reduce strain on your back.

Conclusion
In summary, if you suspect that you may have scoliosis due to symptoms such as uneven shoulders or hips, back pain, or difficulty maintaining an upright posture, it is important to consult a healthcare professional for a thorough evaluation. Early detection and intervention can significantly improve outcomes and help manage any discomfort associated with the condition. Remember, maintaining good posture and taking breaks during long periods of sitting can also contribute to spinal health.

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