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Dan
16-08-2012, 08:56 PM
I have idiopathic scoliosis. Am 39 and the thoracic curve is progressing. Whilst I understand fusion limits progression, where can I find help re bracing and exercises to fight the curve. Or is this pointless

Dr Scoliosis
17-08-2012, 07:55 PM
Thank you for your enquiry. I note you also made a post in the general forum on the same day.

Inasmuch as you say that you developed your curve at or about 14 years of age, in all probability you have adolescent idiopathic scoliosis.

You have not provided any figures for the degree of curvature and in adult life this is very much linked to the probability of progressive change.

You would be well advised to see a specialist for an opinion and a list of accredited specialists (http://www.scoliosis-australia.org/scoliosis/scoliosis_specialists.html) is given on our website.

Some general remarks which may be of assistance to you. Yes, in adult life the only way of limiting the progression is by spinal fusion but the indications to do that are quite precise. In adult life, bracing and exercises play no role in reversing the curvature. During the growth phase, brace treatment is effective in compliant patients where it holds a curve in an acceptable range. Bracing does not cure scoliosis.

I note that you are an active swimmer. However, respiratory impairment with curvature does not occur in adult life with curves until they get close to the 100 degree mark. With moderate curves spondylosis, which simply means wear and tear changes and which manifests on x-ray as osteophyte formation, is usually of little significance. One would not expect any change in the vertebral bodies with minor curvatures.

You should avail yourself of specialist advice and when you go for an appointment, to which you must be referred by your general practitioner, make sure you take all your previous x-rays.

I trust this information is helpful.

Dr Scoliosis