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Scoliosis can affect individuals of all ages, and the age of the patient plays a crucial role in determining the appropriate treatment and assessing the risk of progression.
Infantile Scoliosis: Some babies are born with scoliosis, known as congenital scoliosis, due to abnormal vertebrae development in utero. It may not be diagnosed until later in life.
Juvenile Scoliosis: Diagnosed between ages three and eleven or pre-puberty.
Adolescent Scoliosis: Typically diagnosed between ages ten and skeletal maturity (usually between fourteen and twenty).
Adult Scoliosis: Occurs when the patient is fully skeletal mature.
The most common type of scoliosis is idiopathic scoliosis, which constitutes about eighty percent of all cases. It lacks a known cause, typically diagnosed in adolescence but can persist into adulthood. The remaining twenty percent have associated causes, such as congenital scoliosis, neuromuscular conditions (like cerebral palsy), or degenerative scoliosis.
In children, scoliosis often presents as postural deviation or mild asymmetry, which may go undiagnosed. In contrast, adults with scoliosis commonly experience back pain, particularly low back pain radiating to the extremities. Pain in adults is primarily attributed to the compressive effects of scoliosis, as their bodies cannot adapt as well as growing children.
Pain and progression in adults are not solely dependent on the curve's size but on how much it progresses in adulthood. A smaller curve with adult progression can cause more pain than a larger, stable curve. The compression due to gravity becomes a source of discomfort.
Treatment goals differ for adolescents and adults. In adolescents, the aim is to reduce the curve below surgical thresholds to avoid surgery. However, in adults, surgery may not even be an option due to the invasiveness and potential recovery challenges. Treatment for adults focuses on slowing progression, reducing the curve, and managing pain and function over their lifetime.
Conservative treatment is preferred for adults because surgery is invasive, particularly for older patients. Specific scoliosis-focused conservative treatment includes a multi-modal approach involving therapy, rehabilitation, corrective bracing, and chiropractic care. These therapies aim to reshape the curvature and stabilize the new shape to achieve long-lasting results.
While scoliosis is often associated with children, the largest population with scoliosis is adults. Regardless of age, earlier treatment yields better results. Adult scoliosis patients usually don't progress rapidly, providing some time to explore treatment options. However, waiting for prolonged periods can lead to a less favorable outcome. Treating scoliosis sooner rather than later is advisable, as early intervention enhances the chances of a positive outcome.
In summary, scoliosis treatment varies depending on the patient's age, and adults with scoliosis can experience back pain, necessitating a specific approach to manage their condition effectively. Early intervention and tailored conservative treatments can help adults with scoliosis improve their quality of life and alleviate discomfort.
You can learn more about this topic here:
https://www.scoliosisreductioncenter.com/blog/how-to-treat-scoliosis-in-adults?utm_source=youtube&utm_medium=video&utm_content=how_to_treat_scoliosis_in_adults
Ready for a consultation or want more information? You can contact us here:
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00:00 How to Treat Scoliosis in Adults
00:10 Age of Patient & Different Scoliosis Diagnosis
02:53 Symptoms Associated with Scoliosis
04:18 Why Does Scoliosis Cause Pain?
05:48 Most Common Type of Adult Scoliosis
07:10 Adult Degenerative Scoliosis
09:23 Treatment Variations: Children, Adolescents & Adults
11:23 Conservative Treatment for Adult Patients
12:40 Scoliosis-Specific Treatment Is A Must
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