Understanding Degenerative Scoliosis
Introduction
As a spine surgeon, my primary goal is to provide you with the knowledge and understanding you need to make informed decisions about your spine health. In this blog post, we will delve into the topic of degenerative scoliosis, a condition that can affect the curvature of your spine as you age. We'll explore what it is, its causes, symptoms, and treatment options. So, let's get started on our journey to understanding degenerative scoliosis!
Degenerative Scoliosis: What is it?
Degenerative scoliosis is a spinal condition that typically develops later in life. It's characterized by an abnormal sideways curvature of the spine due to the wear-and-tear of the discs, bones, and joints in the spine. Unlike adolescent idiopathic scoliosis, which occurs during growth spurts in teenagers, degenerative scoliosis is linked to the aging process and the gradual breakdown of spinal structures.
Causes and Risk Factors
The primary cause of degenerative scoliosis is the natural aging of the spine. Over time, the discs between the vertebrae lose their cushioning ability, and the facet joints that connect the vertebrae can deteriorate. As these changes happen, the spine may curve sideways, leading to the development of scoliosis.
Several risk factors can increase your likelihood of developing degenerative scoliosis, including:
Age: The risk increases as you get older, typically after the age of 40.
Genetics: A family history of scoliosis or spine issues can predispose you to degenerative scoliosis.
Osteoporosis: Weakening of the bones due to osteoporosis can contribute to the curvature of the spine.
Gender: Women are more commonly affected than men.
Previous Spine Injuries: Previous injuries or surgeries to the spine can alter its structure and increase the risk.
Recognizing the Symptoms
Degenerative scoliosis may present with various symptoms, including:
Back Pain: Persistent lower back pain is a common symptom due to the altered spinal curvature.
Leg Pain: Nerve compression resulting from the curvature can lead to leg pain, numbness, or tingling (sciatica).
Changes in Posture: A visible sideways curvature of the spine or changes in posture might be noticeable.
Reduced Mobility: Limited range of motion and difficulty in performing daily activities.
Treatment Options
Treatment for degenerative scoliosis depends on the severity of the condition and the symptoms you're experiencing. Here are some potential approaches:
Non-Surgical:
Physical Therapy: Exercises can help strengthen muscles and improve flexibility, potentially reducing pain and improving function.
Pain Management: Medications, injections, and other non-invasive techniques can manage pain and inflammation.
Surgical:
Spinal Fusion: In severe cases, surgery may be recommended to stabilize and straighten the spine.
Laminectomy: This procedure involves removing part of the vertebra to alleviate pressure on nerves.
Prevention and Self-Care
While you can't completely prevent degenerative scoliosis, certain lifestyle choices can help maintain spine health:
Stay Active: Regular exercise can strengthen the muscles supporting your spine and improve overall flexibility.
Maintain a Healthy Weight: Excess weight can strain the spine, so aim for a balanced diet and exercise routine.
Practice Good Posture: Being mindful of your posture can alleviate unnecessary strain on your spine.
Avoid Smoking: Smoking can impair blood flow to the spine, hindering its ability to heal and function properly.
Conclusion
Remember, your spine is a remarkable and complex structure that deserves your attention and care. If you suspect you may have degenerative scoliosis or are experiencing any of the symptoms mentioned, don't hesitate to consult a medical professional. With the guidance of medical experts and your commitment to a healthy lifestyle, you can make informed decisions and take steps to maintain the well-being of your spine.
If you have any questions or need evaluation regarding your spinal condition please feel free to contact us and we will be happy to schedule an in person or virtual appointment to discuss your situation and answer any questions you might have. Your spine health journey is unique, and you have the power to make choices that support a strong and healthy back for years to come.
Farbod Rastegar, MD
