Episode 146: What Is Moderate Scoliosis?

In this episode of Scoliosis Treatment with Dr. Tony Nalda, we break down one of the most common diagnoses of scoliosis: moderate scoliosis. Dr. Nalda explains what moderate scoliosis means, how it’s measured, and why taking a proactive approach to treatment is so important. From understanding the risks of progression during growth spurts to exploring different treatment methods, this episode equips you with the knowledge to make informed decisions about scoliosis care—whether for a child or as an adult.

Key Topics Covered:

✅ What is Moderate Scoliosis? – Defined as a curve measuring 25-40 degrees using the Cobb angle.

✅ How Scoliosis Progresses – Why growth spurts (ages 11-13 for girls and 12-15 for boys) are critical, and why post menopause can also trigger progression in adults.

✅ Common Symptoms – Uneven shoulders, hips, rib changes, postural shifts, back pain (especially in adults), headaches, digestive issues, and sleep disturbances.

✅ Traditional Treatment Options:

• Observation: “Watch and wait” approach, common but risky during growth phases.
• Bracing: Boston brace or nighttime brace, aimed at preventing worsening but not reducing the curve.
• Symptom Treatment for Adults: Medications, injections, or addressing secondary issues like digestive discomfort—without focusing on the curve itself.

✅ Functional Approach to Scoliosis Care:

• Focus on reducing the curve size and restoring spinal function to prevent progression and improve overall health.
• Why early intervention is key—especially in children—to achieve the best long-term results.

Key Takeaways:

➡️ Moderate scoliosis can progress into severe scoliosis, especially during growth spurts or later in life.

➡️ Monitoring growth signs (e.g., pants getting shorter, shoes getting tight) is crucial for timely evaluation.

➡️ Reducing the curve—not just watching or bracing—gives the best chance of slowing progression and avoiding surgery later.

➡️ There’s no benefit in waiting. Proactive, curve-focused treatment is always better than delaying care.

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