In the United States, severe scoliosis is defined as a curvature with a Cobb angle measurement of 40-plus degrees in adolescents and 50-plus in adults. A slight curve is generally considered to be between 10 and 20 degrees of scoliosis. With functional treatment at this stage, the goal is to address the underlying structural nature of the condition by working towards a curvature reduction and lessening related symptoms, such as pain, along with it. If you’re an adult with degenerative scoliosis, your doctor … Adult idiopathic scoliosis is, in essence, a continuation of adolescent idiopathic scoliosis. I would continue our proactive treatment plan based on the information provided by the patient’s scoliosis X-ray, including the location of the curvature, causation (if known), and most importantly, the degree of curvature. While scoliosis can be caused by conditions such as cerebral palsy and muscular dystrophy, the cause of most scoliosis is unknown. Welcome to Scoliosis Reduction Center. Traditional treatment: in the traditional approach, the reaction is passive. As a progressive condition, virtually every patient’s scoliosis is going to progress, at varying rates, so I don’t see a point to watching and waiting; I see this as wasting valuable treatment time. Degrees of scoliosis are measurements used to numerically record how severely an individual’s spine is curved. The goal is to always stay ahead of progression, which is why we order X-rays frequently to observe how the spine is responding to treatment/growth and assess how the treatment disciplines should be apportioned. With scoliosis, the spine rotates and develops a side-to-side curve. It was previously thought that progression only happens for people with … A positive diagnosis of mild scoliosis requires the angle of the spine curvature to be greater than 10 degrees. When a patient has severe Adult Degenerative Scoliosis or a spinal curvature over 40 degrees, they might not be able to perform these exercises and various movements fully at first. A patient would be told that as the condition is mild, it should be observed to see how/if it progresses. Traditional treatment: along the traditional treatment route, two likely responses to this moderate degree of curvature would be continuing to watch and wait, or using a traditional scoliosis brace (Boston brace) in an attempt to stop the condition from progressing further. Degrees of scoliosis ranging between 20 and 50 are considered moderate scoliosis, and can usually be treated with a back brace. All Rights Reserved. At this stage, postural changes can become very noticeable, and the potential for causing related adverse symptoms is increased. Adults with scoliosis tend to have more pain. In degenerative scoliosis, this form is most common in adults over the age of 40. Scoliosisreductioncenter.com - Treatment by Age, Scoliosisreductioncenter.com - Scoliosis Surgery: Risks, Alternatives, and Costs of Surgery, Clear-institute.org - Adult Scoliosis Treatment with Dr. Nalda, Clear-institute.org - Treatment for Adult Scoliosis. The shortness of breath is due to the affect on lu… If your child has a small curve, i.e. A Scoliosis diagnosis is given when an abnormal curvature is measured at 10+ degrees and includes rotation, which is what makes scoliosis a 3-dimensional condition. This is because once the spinal bend extends beyond 40 degrees, it can put pressure on the heart … Spinal fusion, however, is invasive and carries heavy side effects and numerous risk factors. Functional treatment: in the functional approach, active treatment is started as close to the time of diagnosis as possible, as early intervention is one of the keys to treatment success. This brace has to be worn virtually all the time (18 - 23 hours a day), and as you can imagine, compliance with this is a big challenge. We would continue our combination of scoliosis-specific therapy, exercise, and chiropractic to address any pain and discomfort in a less invasive and more effective way. The insertion of steel rods into the spine is a surgical method used for correcting severe cases. For instance, surgery is recommended as an option to treat scoliosis only if the spinal curvature crosses an angle of about 40-45 degrees, also termed as the Cobb angle in young adults. Traditional treatment: with severe scoliosis, the two earlier responses of watching and waiting or using a Boston brace to stop progression would be continued. At a Cobb angle measurement of 40 - 60+ degrees, we are into the ‘severe scoliosis’ classification. While scoliosis is far more commonly diagnosed during adolescence, adults are also diagnosed with the condition. The goal is to try and stay ahead of the condition’s progressive nature. It makes up 80 percent of diagnosed cases in the United States. At a Cobb angle measurement of 10 - 25 degrees, this is considered ‘mild scoliosis’, and depending on what treatment approach a patient chooses, active treatment can be started, or delayed, during this stage. Usually, when it comes to scoliosis in adults, surgery is only prescribed as a last resort option when the spinal curvature extends beyond 40 degrees. In adults with scoliosis, X-rays … Most cases of scoliosis are mild and don’t need treatment. Adults with large curves may have symptoms of back pain, and if it progresses above 80 degrees in the thoracic spine, they may complain of shortness of breath with activity. Any spinal curve greater or equal to 10 degrees is considered to be scoliosis. At a Cobb angle measurement of 25 - 40 degrees, this degree of curvature is classified as ‘moderate scoliosis’. 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