Scoliosis is diagnosed when a spinal deformity exceeds a curve of 10°, resulting in an “S” or “C” shape. While it is more commonly diagnosed in children and adolescents, it can persist or even develop in adults. This raises an important question: Can you fix scoliosis as an adult?
The answer is not as straightforward as a simple “yes” or “no.” Although scoliosis in adults can’t be completely cured in the traditional sense, there are many ways to manage it effectively. With the right treatment plan, adults with scoliosis can reduce symptoms, prevent the condition from worsening, and lead active lives.
What is Scoliosis?
Normally, the spine is straight when viewed from the front or back. In people with scoliosis, however, the spine curves to the side. This can happen at any part of the spine, though it’s most commonly seen in the thoracic (middle back) or lumbar (lower back) regions.
There are several types of scoliosis:
Idiopathic Scoliosis
This is the most common type that occurs without any known cause. It typically develops during adolescence. It can additionally be categorized based on the age of occurrence as infantile (ages 0–3), juvenile (ages 4–9), or adolescent (ages 10 until skeletal maturity).
Congenital Scoliosis
This is present at birth and is caused by a spinal defect.
Neuromuscular Scoliosis
This type develops as a result of neuromuscular conditions, such as cerebral palsy, muscular dystrophy, spinal cord trauma, or spina bifida. It can occur later in life.
Degenerative Scoliosis
This form of scoliosis occurs in adults and is usually a result of aging or wear and tear on the spine. For adults, scoliosis is commonly a result of degenerative changes in the spine, often developing in middle age or later. This is known as adult degenerative scoliosis.
Adults vs. Adolescent Scoliosis
Scoliosis in adults differs significantly from the condition in children and teenagers. The key difference is that, in adults, the spine has already finished growing, making it much more difficult to correct any curvature. The spine is still growing in children, so it is more adaptable and can often respond well to treatments such as bracing or surgery.
When scoliosis develops during adolescence, the goal is to stop or slow the progression of the curve before the child’s growth plates close. In contrast, adult scoliosis tends to be a progressive condition where symptoms such as pain and stiffness may worsen over time.
Adult scoliosis often comes with different complications, including nerve problems like numbness or weakness in the legs. These complications can make managing the condition more difficult.
How To Fix Scoliosis As An Adult?
The term “cure” can be misleading regarding scoliosis in adults. Once the spine has fully developed, it’s unlikely that a full “correction” of the curve will occur naturally. The curvature of the spine doesn’t simply go away on its own, and there’s no guaranteed treatment to straighten it entirely.
However, just because scoliosis can’t be “cured” in the traditional sense doesn’t mean that it can’t be managed. Through proper treatment, many adults with scoliosis can experience significant improvement in their symptoms and quality of life. The primary goal is to reduce pain, prevent further spinal deformity, and maintain the spine’s function as much as possible.
What are the Treatment Options Available for Adults with Scoliosis?
Treatment for adult scoliosis depends on how severe the curve is, the degree of pain, and whether or not the condition is causing other health problems. In many cases, the condition can be managed without surgery, especially if the curve is mild to moderate. Below are some common treatment methods:
Physical Therapy
Physical therapy is one of the first lines of defense against scoliosis-related pain. A physical therapist can help develop a personalized exercise program that strengthens the muscles around your spine, improves posture, and enhances flexibility. These exercises aim to reduce pain and stiffness while promoting better spinal health.
Physical therapy often includes:
- Postural training: Teaching the proper alignment of the spine to prevent strain and reduce pain.
- Core strengthening exercises: These exercises target the muscles around the abdomen and lower back, providing better support for the spine.
- Stretching: Stretching exercises help relieve tightness in muscles and improve flexibility.
Regular physical therapy can be effective in managing the pain and discomfort associated with scoliosis. In some cases, it may be all that’s needed to keep symptoms at bay.
Bracing
Bracing or spinal brace is a common treatment for scoliosis in children and teens. In adults, however, braces are generally not used to correct the curve but may be used for pain relief or stabilization. A brace might be prescribed to alleviate pressure on the spine or provide support if the curve is mild to moderate.
Braces can help adults with scoliosis by:
- Providing extra support to the spine and reducing strain on muscles and joints.
- Reducing pain and stiffness during daily activities.
However, wearing a brace is typically a short-term solution and not a permanent fix. It is often used as part of a larger pain management strategy.
Medications
Pain medications are commonly used to manage scoliosis-related discomfort. For minor pain, over-the-counter anti-inflammatory drugs like ibuprofen or acetaminophen may provide relief. If pain is more severe, a healthcare provider might prescribe stronger painkillers or muscle relaxants.
In some cases, if nerve compression is an issue, treatments like epidural steroid injections can help reduce inflammation and alleviate pain. While these treatments can be effective for managing pain, they are typically not long-term solutions and should be used in conjunction with other therapies.
Surgical Treatment
In cases of severe scoliosis, surgery may be the most effective option. Surgery is typically recommended when the curvature of the spine is greater than 45-50 degrees or when symptoms significantly affect daily activities.
Several types of surgery may be used to treat adult scoliosis:
- Spinal Fusion: This procedure involves fusing two or more vertebrae using bone grafts or metal rods, which helps straighten the spine. This surgery stabilizes the spine and prevents further curvature.
- Decompression Surgery: If the curvature is causing nerve compression, decompression surgery may be necessary to relieve pressure on the nerves and restore function.
While surgery can provide significant relief and prevent further spinal deterioration, it comes with risks and a long recovery time. Therefore, it is usually considered only after other treatment options have been explored.
Lifestyle Changes
Maintaining a healthy lifestyle can also help manage scoliosis. Staying active and engaging in regular exercise can keep the muscles supporting the spine strong, which reduces pain and improves function. Low-impact activities like swimming or walking are particularly helpful.
In addition, practicing good posture throughout the day can reduce the strain on your back. Ergonomic chairs, supportive mattresses, and using proper lifting techniques can also help minimize discomfort.
Alternative Treatments
Some adults with scoliosis may find relief from alternative treatments like acupuncture, chiropractic care, or massage therapy. These therapies can help alleviate muscle tension, improve flexibility, and reduce pain. It’s important to consult with a healthcare provider before pursuing these treatments to ensure they are appropriate for your condition.
Living with Scoliosis As An Adult
While scoliosis may not be curable, adults with this condition can manage it successfully with the right approach. It’s important to work closely with your doctor to find a treatment plan that addresses your specific needs. Whether through physical therapy, medication, or surgery, there are many ways to reduce symptoms and improve quality of life.
Living with scoliosis may require some adjustments, but with proper care and lifestyle changes, many adults can lead active, pain-free lives.
To Conclude
Scoliosis in adults may not be “curable” in the traditional sense, but it can certainly be managed effectively. By focusing on pain relief, improving spine function, and preventing further progression, adults with scoliosis can improve their quality of life. The right treatment plan will vary from person to person, but with the right approach, it’s possible to live a fulfilling, active life despite the condition.
If you are an adult living with scoliosis, seek advice from a healthcare provider to develop a treatment plan tailored to your needs. There are many options available to help you manage the condition and reduce its impact on your life. Hopefully, you enjoyed the article. Thanks for visiting Edhacare.com.