In this podcast episode, we focus on the severity of scoliosis and its impact on individuals. Scoliosis is characterized by a curvature in the spine associated with rotation, with a minimum threshold of 10 degrees for it to be considered scoliosis.
As the curvature of scoliosis increases, it is categorized into different severities. Mild scoliosis ranges from 10 to 25 degrees, and in such cases, observation is often the recommended approach. However, among adolescents, curves can progress rapidly, and delays in monitoring and treatment can be risky. When the curvature surpasses 25 degrees but remains below 40 degrees, it is termed moderate scoliosis.
The progression within this 15-degree range can be alarmingly fast, as demonstrated by a recent patient who experienced a 25-degree progression within six weeks without treatment.
Once the curvature increases beyond 40 degrees, it is now classified as severe scoliosis. In some cases, patients are instructed to return for evaluation after a period of six months, but if the curve rapidly progresses during this time, inadequate instructions for monitoring and managing the condition may pose challenges. And when the curve is over 80 degrees, the condition can now be called extreme or very severe scoliosis. Improper management, delayed intervention, or inadequate treatment options can contribute to the development of scoliosis of this magnitude.
Effects of Extreme Scoliosis
Extreme or very severe scoliosis can manifest differently in individuals. While not all patients may experience organ function impairment at this stage, concerns may arise as the curvature starts to affect the organs. Additionally, extreme scoliosis can lead to severe postural issues, significant cosmetic concerns, chronic pain, limited activity, mobility issues, and emotional struggles such as self-esteem issues and depression.
What to do if you have extreme scoliosis?
When it comes to addressing extreme or very severe scoliosis, surgery is often refused by patients due to concerns about risks, long-term effects of spinal surgery, personal preferences, or religious reasons. In some cases, surgeons themselves may decline to operate on these patients due to the high surgical risks involved.
In managing extreme scoliosis, the primary goal is to prevent further progression of the curve. While massive reductions are not typically achievable, interventions can focus on improving posture, cosmetics, and overall well-being. At the Scoliosis Reduction Center, there is an approach called the functional chiropractic-centered approach, addressing the root causes of scoliosis rather than merely treating its symptoms. At the heart of this is chiropractic care. It is specifically designed the cause of the problem. This approach may involve chiropractic adjustments, in-office therapy and rehabilitation, customized home exercises, and the use of braces.
It is important to recognize that treatment for extreme scoliosis requires a long-term commitment. Taking proactive steps to work with scoliosis is crucial, as the condition is likely to progress more rapidly at this advanced stage. However, there are options available to help manage the condition and minimize the associated consequences.
To know more about how to deal with extreme scoliosis, check out Dr. Tony Nalda’s podcast.
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