Scoliosis-Adult

Scoliosis-Adult

Definition

Scoliosis is an abnormal curvature of the spine. It has a C or S shape instead of being a straight line from the neck to the buttocks.

Adult scoliosis may be a progression of childhood scoliosis or something that happens later in life.

Scoliosis

Nuclus factsheet image
Copyright © Nucleus Medical Media, Inc.

Causes

Idiopathic scoliosis is the most common form of this problem in adults. This means there is no known cause. It can result in premature aging of the spine. This can worsen the curvature.

Scoliosis that starts in adulthood may be from wear and tear injuries of the spine, also known as degenerative diseases.

Risk Factors

Scoliosis that starts in adulthood is more common in people who are 60 years of age and older. It may be present with other problems, such as:

Symptoms

A person may have hips or shoulders that are not even. People with severe curves may lean forward or to one side to try to stand upright.

Other problems depend on where the curve is and its severity. Some people may not have problems. Others may have:

  • Back pain or stiffness
  • Numbness, weakness, or cramping in areas or limbs around the curvature
  • Changes in bowel or bladder habits—if the curvature is in low back

Diagnosis

The doctor will ask about your symptoms and health history. A physical exam will be done. It will focus on the spine.

Images of the spine may be needed. This can be done with:

Treatment

People without symptoms may not need treatment. They may only be watched for any changes.

For others, the goal of treatment is to ease symptoms and stop the curve from worsening. Choices are:

  • Treating underlying causes
  • Wearing a brace in the short term to ease pain
  • Physical therapy to help with strength, flexibility, and range of motion to ease stress on the spine
  • Medicines to ease pain and swelling, such as:
    • Over the counter or prescription pain relievers
    • Muscle relaxants
    • Nerve block injections

People who are not helped by these methods may need surgery. A spinal fusion connects two or more bones of the spine with rods or metal plates. This can help straighten and ease pressure on the spine.

Prevention

There are no current guidelines to prevent this health problem.

Resources:

Ortho Info—American Academy of Orthopaedic Surgeons
http://orthoinfo.org
Scoliosis Research Society
http://www.srs.org

Canadian Resources:

Canadian Spine Society
http://www.spinecanada.ca

References:

Chronic low back pain. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/chronic-low-back-pain. Accessed February 2, 2021.
Qaseem A, Wilt TJ, et al, Clinical Guidelines Committee of the American College of Physicians. Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians. Ann Intern Med. 2017 Apr 4;166(7):514-530.
Scoliosis in adults. Hospital for Special Surgery website. Available at: https://www.hss.edu/conditions_scoliosis-adults-overview.asp. Accessed February 2, 2021.
Last reviewed December 2020 by EBSCO Medical Review Board Teresa Briedwell, PT, DPT, OCS, CSCS
Last Updated: 2/2/2021

EBSCO Information Services is fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation.

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

To send comments or feedback to our Editorial Team regarding the content please email us at healthlibrarysupport@ebsco.com. Our Health Library Support team will respond to your email request within 2 business days.

Home |Terms and Conditions |Concerned About Privacy? |Accessibility |Careers |For Employers and Medical Plan Providers

You may also be looking for: CVS/pharmacy | MinuteClinic | Specialty Pharmacy | SilverScript | Accordant