Living with adult scoliosis can feel overwhelming, as it often brings challenges like chronic pain and limited mobility that disrupt everyday life. But the journey does not have to be faced alone.
The right scoliosis specialist can make all the difference, offering tailored solutions to help you regain comfort and confidence. Let us discuss what adult scoliosis is, its impact, and how a scoliosis specialist can help.
Understanding Adult Scoliosis
Adult scoliosis occurs when the spine develops an abnormal sideways curve of 10 degrees or more. This condition differs from adolescent scoliosis in several important ways. While teenage scoliosis rarely causes pain, adult scoliosis typically results in significant discomfort and functional limitations.
The spine naturally has curves when viewed from the side. However, when viewed from behind, a healthy spine should appear straight. Adult scoliosis disrupts this normal alignment, creating visible and painful changes in posture and movement.
Types of Adult Scoliosis
There are two main types of adult scoliosis that require different treatment approaches:
Adolescent Scoliosis in Adults
This type begins during teenage years but continues into adulthood. The curve may worsen over time, especially in women after menopause. These cases often require monitoring by a scoliosis specialist to prevent progression.
Degenerative Scoliosis
This develops in adults due to wear and tear on the spine. Age-related changes like disc degeneration and arthritis cause the spine to curve sideways.
This type typically appears after age 50 and progresses more rapidly than adolescent-onset cases.
Common Symptoms and Warning Signs
Adult scoliosis symptoms vary depending on the severity and location of the curve. Many adults experience a gradual onset of symptoms that worsen over time without proper intervention from a qualified specialist.
Physical Symptoms
Back pain is the most common complaint among adults with scoliosis. The pain typically worsens with prolonged standing or walking. Many patients describe a deep, aching sensation that radiates from the curved area of the spine.
Leg pain and numbness can occur when the curved spine compresses nerve roots. This condition, called radiculopathy, may cause shooting pains down one or both legs. Some patients experience weakness in their legs, making walking difficult.
Breathing problems may develop if the curve affects the ribcage. Severe thoracic curves can reduce lung capacity and cause shortness of breath during physical activity.
Visible Changes
Uneven shoulders or hips are common signs of adult scoliosis. Family members often notice these spine changes before the patient does, as one shoulder blade may appear more prominent than the other.
Changes in posture become more noticeable as the condition progresses. Patients may lean to one side or develop a forward head position. These changes can affect balance and increase fall risk.
Diagnostic Process
Proper diagnosis requires a comprehensive evaluation by an experienced scoliosis specialist. The diagnostic process typically involves several steps to determine the severity and type of scoliosis.
Physical Examination
A thorough physical exam includes assessment of posture, balance, and flexibility. The specialist will check for uneven shoulders, hips, and ribcage prominence. Neurological testing evaluates muscle strength and reflexes in the legs.
The Adams forward bend test helps identify spinal curves and ribcage rotation. This simple test involves bending forward while the doctor observes the spine from behind. Significant asymmetry indicates the need for further testing.
Imaging Studies
Imaging studies that can help with scoliosis diagnosis are:
X-Rays
X-rays remain the gold standard for diagnosing and monitoring adult scoliosis. Full-length spine X-rays taken while standing show the complete curve pattern. The specialist measures the curve angle using the Cobb method.
MRI
Magnetic resonance imaging (MRI) may be ordered if nerve compression is suspected. MRI provides detailed images of soft tissues, including discs and nerves. This test helps plan surgical interventions when necessary.
CT Scans
CT scans offer detailed bone structure images and help evaluate complex curves. These scans are particularly useful for surgical planning in severe cases.
Treatment Options for Adult Scoliosis
Treatment for adult scoliosis depends on curve severity, symptoms, and overall health status. A qualified scoliosis specialist will develop an individualized treatment plan based on your specific needs.
Non-Surgical Treatments
Non-surgical treatments for scoliosis are:
Physical Therapy
Physical therapy forms the cornerstone of conservative treatment for adult scoliosis. Specialized exercises help strengthen core muscles and improve flexibility.
Proper muscle conditioning can reduce pain and slow curve progression.
Pain Management Techniques
Pain management techniques include medications, injections, and alternative therapies. Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Advil) help reduce inflammation and pain.
Prescription medications may be necessary for severe symptoms.
Bracing in Adults
Bracing is less common in adults but may help certain patients. Soft braces can provide support and pain relief during daily activities. These devices do not correct curves but may prevent progression in some cases.
Surgical Interventions
Surgery becomes necessary when conservative treatments fail or the curves progress significantly.
Spinal Fusion
Spinal fusion is the most common procedure for adult scoliosis. This surgery connects vertebrae with bone grafts and metal hardware.
Decompression Surgery
Decompression surgery may be needed if nerve compression occurs. This procedure removes bone or tissue pressing on nerves. Combined with fusion, it can provide lasting pain relief and improved function.
Minimally invasive techniques reduce recovery time and surgical risks. These procedures use smaller incisions and cause less tissue damage. Recovery time is typically shorter compared to traditional open surgery.
Scoliosis Specialist Near Me in Rochester Hills, Bad Axe, and Royal Oak, Michigan
If you are experiencing symptoms of adult scoliosis, schedule a consultation with our board-certified Dr. Ahlgren at Ahlgren Spine. Our experienced team specializes in comprehensive adult scoliosis care using the latest diagnostic and treatment techniques. We provide personalized treatment plans designed to reduce pain and improve function.
Contact our office today at (248) 215-8080 or use our appointment request form to schedule your evaluation and take the first step toward better spinal health.
We look forward to serving you!
