Hello Doctor
I hope this message finds you well. I have some concerns about my recent diagnosis of lumbar scoliosis, and I was hoping you could provide some clarity for me. Is lumbar scoliosis always progressive, and does it inevitably lead to breathing issues? I'm 26 years old and feeling quite anxious about what this diagnosis means for my future. Additionally, I've noticed that my dad has uneven shoulders at the age of 62, but he hasn't received a diagnosis. Should I be worried about my future health? Your insights would be greatly appreciated.
Hello
Thank you for reaching out to Dr.Galen. Please find the below response to your query.
Lumbar scoliosis, is a condition characterized by a rotational growth anomaly, typically defined by a minimum curve of 10 degrees according to the Cobb method. To accurately assess the severity of the condition, it's essential to conduct X-rays while standing, ensuring a comprehensive view of the spine with the pelvic iliac crest. It's important to realize that scoliosis affects the entire body, from the head down to the toes.
Regarding your concern about progression, it's crucial to note that scoliosis progression is closely linked to growth maturity. Given your age of 26, it's unlikely that further growth will occur, which often means that the condition will not progress. Pure lumbar scoliosis is relatively uncommon and can present challenges in accurate diagnosis.
As for long-term care, it's essential to focus on managing the effects of uneven growth in your daily activities. This includes activities such as driving, sitting, working at a desk, using a computer, and sleeping. Maintaining proper posture is key to minimizing discomfort, and incorporating exercises like yoga or tai chi can be beneficial. However, it's important to approach certain gym activities with caution, as activities like squatting and deadlifts can exacerbate spinal imbalance.
Breathing issues may arise in severe cases of thoracic scoliosis, particularly when the Cobb angle exceeds 40 degrees. In such cases, surgical intervention may be necessary to prevent interference with internal organs. However, it's essential to note that such cases are relatively rare.
Overall, lumbar scoliosis in adults is manageable with proper care and attention to posture and daily activities. Consulting with a healthcare provider can provide you with valuable techniques for managing spinal imbalance and optimizing your overall well-being.
Please remain positive and proactive about your health. Feel Free to reach out for futher inquiries.
Thanks
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