Scoliosis Pain

Scoliosis is a common occurrence that presents itself as an abnormal curve in the spine and "is about two times more common in girls than boys," according to Jason C. Eck, DO, MS. Pain is not often the most common symptom of scoliosis itself. Other conditions that can cause scoliosis is typically the culprit of associated back pain.

Effects

• Patients that experience pain with scoliosis are commonly effected by "a muscular type of pain which occurs because the muscles on the convexity of the curve are working overtime trying to control the curve" according to Dr. Robert Winter, former president of the the Scoliosis Research Society. Several other patients may also be experiencing what is known as the nocebo effect (a negative impact on the mind).

Causes

• The cause for scoliosis is often undetermined or unknown. In this situation scoliosis is known as idiopathic scoliosis. A functional cause of scoliosis is generally "caused by one leg being shorter than the other or by muscle spasms in the back" says Dr. Eck, and may be a cause for pain. Degenerative and neuromuscular types of scoliosis occur when the spine fails to completely form in cases such as cerebral palsy and birth defects, or when changes in the spine occur, bone spurs and weakened ligaments. All of these causes can lead to back pain.

Symptoms

• The most common symptoms of scoliosis is the abnormal curve itself. This curve can range from mild to severe. In some cases, a severe curve may cause back pain associated with scoliosis without the presence of other causes. Severe cases of scoliosis can make it difficult to breathe, difficult for the heart and lungs to work properly, cause shortness of breath and chest pain.

Diagnosis

• Patients complaining of back pain related to scoliosis will have to be diagnosed by their doctor to determine whether the cause is actually related to scoliosis or another factor as a result of scoliosis. A physical examination of the spine will be performed along with a detailed report of past and family medical history. A doctor may request an X-ray to determine whether a patient truly is suffering from scoliosis and to see how severe the curve of the spine is.

Treatment

• Once a doctor has diagnosed you with scoliosis and pinpointed the exact cause of your back pain, there are several treatment options that he may recommend. Surgery may be an option, particularly in cases where the curve is the cause for pain or when the curve is severe. A brace may be needed to attempt to correct the curve and keep the back as straight as possible if the curve is not yet severe. Physical therapy and exercise are also recommendations that are usually made by your doctor.