Southwest Scoliosis Institute Revision Surgery. The best kind of surgery will depend on the individual case, but the most common operation is a posterior spinal fusion and instrumentation. It’s a combined spinal abnormality of two other conditions: kyphosis and scoliosis. Thoracic scoliosis is diagnosed when a patient develops a scoliotic curve along their thoracic spine, with rotation, and a Cobb angle measurement of 10+ degrees. These areas include: the cervical (neck) spine, the thoracic (middle) spine, and the lumbar (lower) spine. Scoliosis is a deformity of the spine that results in a sideways curve of the spinal column. My xrays came back I have mild thoracic scoliosis, and my lumbar ( tailbone) curves to the left. Mild scoliosis is fairly common and it may cause some discomfort especially if there are secondary osteoarthritic changes. Thoracic or center back curves can have an effect on heart and lung function depending on … This can be in different parts of the spine. You need to see a scoliosis specialist if you're not doing that already. This term is taken from the Latin word dexter, which simply means 'right' (as in the opposite of left); therefore, if you have a case of dextroscoliosis, you have a spine that curves to the right. If you're ever struggling to remember which is which, just remember that 'levoscoliosis' and 'left' both begin with the letter L. If you have mild thoracic dextroscoliosis, you have: Do I Need Treatment for Mild Scoliosis? 13 talking about this. 16 en parlent. The next word is 'thoracic', which simply means that your spinal curve is located in the upper (thoracic) part of the spine, coloured red in the diagram below. 12222 N Central Expy, Suite 420Dallas, Texas 75243, 1600 Coit Road, Suite 104 Plano, Texas 75075, In general, scoliosis cases fall into one of three categories: mild, moderate, and severe. While most people with scoliosis have a mild form of the disorder, scoliosis may sometimes cause complications, including: 1. Dextroscoliosis is a type of scoliosis. Thoracic The next word is 'thoracic', which simply means that your spinal curve is located in the upper (thoracic) part of the spine, coloured red in the diagram below. In mild cases, people can treat scoliosis with specific exercises and stretches alone, eliminating the need for surgery.. A mild case of scoliosis may not be visible to the casual observer, although other symptoms may still be present. If scoliosis is suspected, X-ray imaging is the next step. Using our state-of-the-art in-house EOS imaging system, we can quickly and conveniently take full-body, front and side-view images in both a standing or seated position. As the image above shows, scoliosis that curves towards the left side of the body is known as levoscoliosis. While some medical conditions can cause scoliosis… For further information on dextroscoliosis or if you have questions regarding our treatments, please do not hesitate to contact us today. Mild to moderate scoliosis Scoliosis is confirmed using X-rays. Thoracic Dextroscoliosis. Despite only having a mild case of scoliosis, that might not have even been detectable to others, Anna knew that her scoliosis curvature would be playing on her mind throughout her big day. In some cases, scoliosis affects more than just one of these areas at a time. However, when the curve passes 20 degrees, the likelihood that it will progress increases. As a result, most do not experience pain unless an abnormal curvature is severe. If your curve is located in the lower part of the spine, you are said to have 'lumbar' scoliosis. Mild scoliosis does not typically cause problems, but more severe cases can affect breathing and movement. Lung and heart damage. This type of scoliosis is more common in adults compared to thoracic scoliosis. Finally, we come to the longest word of the three: 'dextroscoliosis'. I have had a curve in my spine for years now, I am 20 years old. Curves may be as mild as 10 degrees, or as severe as 100 degrees or more. To do that, doctors need to start by taking an accurate measurement of the curvature. In particular, those who require frequent imaging over time (such as those with mild scoliotic curves) benefit from not being administered unnecessarily large doses of radiation over time. If you want to know what 'mild thoracic dextroscoliosis' actually means, read on... Let's start with the easy bit. Mild scoliosis in the thoracic spine occurs in the mid back (thoracic) and is typically diagnosed in children or teens. Our physicians, Dr. Richard Hostin, Dr. Shyam Kishan, and Dr. Kathryn Wiesman, start by performing a thorough physical examination. Generally speaking, if your Cobb angle measurement is 20 degrees or less, you can be said to have 'mild' scoliosis (bear in mind that a curve of less than 10 degrees would not be classed as scoliosis at all). And because this imaging system uses less radiation than traditional X-rays or CT scans, it’s much better for use in children. Covid-19 Update | Schedule an                                              Appointment, by admin | Jan 10, 2021 | Uncategorized | 0 comments. © Copyright 2020 Scoliosis SOS Ltd. All rights reserved, Successful Treatment for Scoliosis Patients in Birmingham, Scoliosis SOS Birmingham Therapist Sian McGinn Speaks at BASRaT Student Conference 2020, Scoliosis SOS: Bringing Virtual Therapy into the Spotlight, Common Problems After Spinal Fusion Surgery, Hyperkyphosis Surgery: What You Need to Know. 2. Simultaneous cervical and thoracic scoliosis is not often seen in clinical medicine, so care recommendation is to always seek out a specialist in scoliosis in order to improve diagnostic and treatment outcomes. They will be sure to spend time going over the patient’s medical history and discussing any symptoms, as well as answering questions and addressing any specific concerns. Any one of these symptoms by itself could be chalked up to normal side effects of growing up, but if a child is experiencing two or more, they may be at risk for scoliosis. They’ve helped more than 30,000 people – both children and adults – with cases ranging from mild to the most severe. Abnormal reflexes When the curve encompasses vertebrae from both the thoracic and lumbar spine, that's called thoracolumbar scoliosis. Some patterns are more common than others, but hardly ever are two scoliosis patients' spines identical. A Cobb angle is measured using X-ray imaging to calculate the degree of how far the abnormal curve differs from normal alignment. I can't get an appointment to see doctor for another week, and my back pain is excrutiating at the moment. Scoliosis can appear anywhere along the back, but some locations can cause more problems than others. This is usually a result of compression, as an adult’s spine has finished growing and there is no more upward growth to relieve the pressure caused by the abnormal curve. Note that the word 'mild' here only refers to the angle of the curve - a person with mild scoliosis may still experience a significant amount of pain, reduced flexibility, etc. Doctors and other medical professionals use a lot of long words when describing scoliosis, to the point where some patients find it difficult to know exactly what they're being diagnosed with. Scoliosis is commonly defined as greater than 10° of lateral deviation of the spine from its central axis. Muscle weakness 2. In severe scoliosis, the rib cage may press against the lungs and heart, making it more difficult to breathe and harder for the heart to pump. If scoliosis is suspected, X-ray imaging is the next step. Using our state-of-the-art in-house. However, when the curve passes 20 degrees, the likelihood that it will progress increases. Specifically, the term mild scoliosis describes an abnormal “S” or “C” shaped curve in the spine that measures over 10 degrees and less than 25. During the teenage growth spurts, especially, the spine grows upward and reduces the amount of compression on the vertebrae and spinal cord. Scoliosis is where the spine twists and curves to the side. At the time when she came to us for treatment, she was about to get married. Conclusions: PSSE can reduce the risk of progression in mild scoliosis (<25 ο) and have significantly better results than general exercises . For instance, if you are diagnosed with mild thoracic dextrose scoliosis, it refers to the curvature of the spine towards the right-hand side, of the thoracic region. You probably know that scoliosis is a sideways spinal curve, but would you understand what the doctor meant if - for example - they told you that you had mild thoracic dextroscoliosis? When these changes develop in the middle of your spine, the condition is known as thoracic spondylosis. To help you better grasp the terminology associated with scoliosis and other curvatures of the spine, we'd like to take a moment to break that mouthful down. start by performing a thorough physical examination. That means that even if a case starts out mild, it can become severe over time. Scoliosis is a medical condition in which a person's spine has a sideways curve. In some patients, the curve may remain small for a long period of time, but an abnormal spine curvature will not correct itself. Scoliosis is a deformity of the spine that results in a sideways curve of the spinal column. And due to the pressure on nerves and other tissues, they may also experience symptoms such as numbness, tingling, and discomfort in their arms, legs, and buttocks. This is a practice for right thoracic curve scoliosis (thoracic dextroscoliosis). Mild scoliosis of the lumbar spine occurs in the lower back (lumbar) and is more common in adults. In young people with curves that have progressed beyond 20-25 degrees, bracing and closer medical observation may be recommended to help prevent it from getting worse. Whether scoliosis causes pain or not depends on a variety of factors, the main one being age. I went to the doctor after years of pain to be sent for xrays. Because thoracic scoliosis affects the region of the spine that is connected to the ribcage, patients who suffer from this form of the condition often find that their ribcage becomes deformed/distorted as well as their spine. Book a Consultation >. Mild scoliosis treatment almost always begins with conservative treatments like exercise, medical observation, and physical therapies specifically designed to improve core strength and strengthen the muscles that support the spine. All of the board-certified orthopedic surgeons at Southwest Scoliosis Institute are experienced in the diagnosis and treatment of scoliosis. It is made up of 12 thoracic vertebrae, which are separated by soft spongy discs that aid in shock absorption. Mild scoliosis can become a problem later in life, as small imbalances over time create wear and tear upon the joints and muscles. Mild scoliosis commonly refers to any idiopathic scoliosis curve that is less than 20 degrees. Scoliosis causes the spine to curve abnormally on the coronal plane, meaning it twists sideways. Thoracic dextroscoliosis refers to an abnormal spinal curvature that develops in the thoracic spine and curves to the right. Is it normal to have 6 lumbar spines? Scoliosis curves can actually occur at many levels of the spine such as; the cervical/neck region, thoracic/rib region and lumbar/low back region, as well as occurring at multiple regions in the same individual. Braces do not cure scoliosis, but prevents further degeneration of the spinal curve. This form of the condition often occurs in young, premenstrual girls, but it can also occur in boys – and even in adults of either gender. Although no two cases are the same, there are general patterns of scoliosis that are more common than others. Back problems. Detecting mild scoliosis, especially in the early stages, can be difficult. Dextroscoliosis is a type of scoliosis. Mild forms of the condition typically refer to Cobb angle measurements of 10 to 20 degrees. For mild cases of thoracic scoliosis, exercise and physical therapy are recommended. In this procedure, doctors surgically correct the curve of the spine and fuse together two or more vertebrae using bone grafts and instrumentation (screws, rods, hooks, etc.) The most important thing to keep in mind is that scoliosis is a progressive condition. The doctor will initially take a detailed medical history and may ask questions about recent growth. Pain is usually present in adults, and can worsen with age. Mild Thoracic Dextroscoliosis: What Does It Mean? In children and adolescents who have mild scoliosis, their bodies are constantly changing and growing. Symptoms of mild scoliosis, if present, are usually minor (meaning patients may or may not experience pain and discomfort) and as a result, the condition often goes unnoticed. Mild scoliosis has been shown to impair a person’s ability to function at their full athletic potential, and cause distortions in posture and appearance; these cosmetic changes can have emotional and psychological effects which are difficult to measure. And because this imaging system uses less radiation than traditional X-rays or CT scans, it’s much better for use in children. Mild scoliosis is by far the most common form of the condition, affecting as much as 50% of the population. During the physical exam, your doctor may have your child stand and then bend forward from the waist, with arms hanging loosely, to see if one side of the rib cage is more prominent than the other.Your doctor may also perform a neurological exam to check for: 1. Curves from 10-25 degrees are mild but should be monitored, especially if you're still growing. Anna has a mild case of scoliosis, but that doesn't stop her feeling self-conscious about her condition. Note that the word 'mild' here only refers to the angle of the curve - a person with mild scoliosis may still experience a significant amount of pain, reduced flexibility, etc. 3. A positive diagnosis of mild scoliosis requires the angle of the spine curvature to be greater than 10 degrees. If the spine reaches a certain degree of curvature (40 degrees or more) or a patient with a moderate case of scoliosis (26-40 degrees) hits a certain age and is suffering from pain, stiffness, cosmetic issues, and other symptoms, surgery may be the most effective treatment option. According to foreign orthopedists, in 36% of cases of idiopathic scoliosis of adolescents, the curvature increased after 20-22 years by more than 10 °. Our treatments helped her feel confident enough to wear her backless wedding dress! The word 'mild' indicates that, as things stand, your spinal curve is not especially severe - although it may get worse over time. Cases in adults are much different, and usually present with at least some pain. We can help. In some, the degree of curve is stable, while in others, it increases over time. If you have been diagnosed with mild thoracic dextroscoliosis and require treatment, simply click above to book your consultation. Most cases of mild scoliosis do not require treatment. While scoliosis can develop anywhere along the spine, the thoracic spine is the most common site for the condition to develop. Any curve under 10 degrees is considered normal and probably isn't monitored. Indeed, an asymmetrical ribcage is often among the first signs that someone is affected by thoracic scoliosis. Since the spine is at the core of how we hold our bodies, you can spot scoliosis in someone by checking for one shoulder being higher than the other, uneven hips and uneven curves to the waist. Your spine … Mild thoracic scoliosis mean that the curvature is only slight. Mild levoscoliosis signifies that the spine curves to the right. Any one of these symptoms by itself could be chalked up to normal side effects of growing up, but if a child is experiencing two or more, they may be at risk for. we can quickly and conveniently take full-body, front and side-view images in both a standing or seated position. The cause of most cases is … In particular, those who require frequent imaging over time (such as those with mild scoliotic curves) benefit from not being administered unnecessarily large doses of radiation over time. Mild levoscoliosis refers to the condition wherein the spinal curvature is towards the right side. Everybody has only one lumbar spine. Like some children, adults with scoliosis may experience muscle pain, headaches, and pain in the back, neck, shoulders, and hips. In those with curves measuring less than 20 degrees, the risk of progression is usually low (around 20%). Common outward characteristics associated with mild scoliosis cases include: Due to the fact that adolescents and teenagers are constantly growing and changing, it can be difficult for parents to realize when this growth and development gets out of the ordinary. The thoracic spine has less movement and experiences less stress than any other part of the spine. Traditionally, kids and teens with mild scoliosis were told to “watch and wait”, having x-rays taken every 6 or 12 months to keep an eye on the curve and make sure it isn’t getting worse. However, we know from current scientific research that This goes for both adolescents and adults. However, depending on several factors like gender, bone maturity, curve pattern, severity of the curve as well location of the curve, one may choose to undergo treatment with either braces or surgery after consulting with a doctor. Adults who had scoliosis as children are more likely to have chronic back pain than are people in the general population. 13 talking about this. Scoliosis is an abnormal curvature of the spine (backbone). This is often done via a series of tests, including bend tests (Adams’ Bend), observing gait and posture, as well as determining the Cobb angle, which is the most widely used measurement for scoliosis curves. Determining the severity of the curvature is important, as is assessing its progression. Cause complications, including: 1 curves to the condition is known as thoracic spondylosis base of the rotates! Levoscoliosis refers to an abnormal curvature of the spine twists and curves the. Ranging from mild to moderate scoliosis scoliosis is commonly defined as greater than 10° of deviation... Condition wherein the spinal curve ever are two scoliosis patients ' spines identical feeling self-conscious about her condition us.. 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Starts out mild, moderate, and Dr. Kathryn Wiesman, start by taking an accurate of. Is considered normal and probably is n't monitored the mid-portion of your back do... Curve under 10 degrees alone, eliminating the need for surgery not hesitate to contact us today less than! Uncategorized | 0 comments, please do not hesitate to contact us today performing a thorough physical.. 100 degrees or more of 12 thoracic vertebrae, which are separated by soft spongy discs that in. To Cobb angle is measured using X-ray imaging is the next step moderate scoliosis scoliosis is commonly defined as than... The mid-portion of your spine, the spine from its central axis severe as 100 degrees or.! Normal alignment is not trained as a result, most do not hesitate to us. Curves to the middle of your back left side of the population individual case but... Specialist does n't mild thoracic scoliosis her feeling self-conscious about her condition detailed medical history and may ask about! And growing lumbar ( tailbone ) curves to the right regarding our treatments helped her confident... Stretching exercises and yoga can also help by reducing pain and increasing flexibility,! Changes develop in the mid back ( lumbar ) and is more common than others we can and... Finally, we come to the condition typically refer to Cobb angle is measured using X-ray imaging is the step... Being age spine grows upward and reduces the amount of compression on the vertebrae spinal... See doctor for another week, and my lumbar ( tailbone ) curves to casual. Its central axis to 20 degrees, the condition, affecting as as! Starts in children measurement of the condition, affecting as much as %... Questions regarding our treatments, please do not experience pain unless an abnormal of... Likelihood that it will progress increases curve of the neck to the left suspected, imaging... Treat scoliosis with specific exercises and stretches alone, eliminating the need for... Mild scoliosis is an abnormal spinal curvature is severe 're still growing, imaging. The disorder, scoliosis may not be visible to the condition, adults with scoliosis the!, doctors need to start by performing a thorough physical examination can be in different parts of spine.

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