Each year, more cases of degenerative scoliosis are diagnosed as people live longer and more active lives. Approximately six million Americans are living with this condition right now. At the EvergreenHealth Neuroscience, Spine & Orthopedic Institute, we provide a comprehensive care plan for patients with degenerative scoliosis.
Degenerative scoliosis is a side-to-side, often s-shaped, curvature of the spine caused by deterioration of the discs, facet joints, and other stabilizing structures of the spine.
Degenerative scoliosis can be due to a number of factors, including normal wear and tear of the body, aging, and injury to the spine.
Pre-existing conditions such as osteoarthritis and osteoporosis, which cause frail and brittle bones, may also lead to degenerative scoliosis.
Degenerative scoliosis typically affects people 65 years of age or older.
Adolescent scoliosis, which develops before puberty is reached, very rarely progresses during one’s middle years, but can progress in later years due to subsequent spinal degeneration.
Pain and stiffness are common in patients with degenerative scoliosis. Patients may experience pain in a variety of areas including:
Pain, stiffness, and instability can arise due to increased strain on the discs, facet joints, muscles and ligaments. Pain may be increased due to walking, standing, bending, and lifting. Scoliosis may lead to spinal nerve compression, which then causes radiating pain or numbness or weakness of the arms and legs. Though, many people with scoliosis do not have pain.
Diagnosis of degenerative scoliosis related to the scoliosis begins with a complete medical history and physical exam. Radiology tests such as an X-ray, CT scan or MRI can provide your doctor with images of your spine including your facet joints.
To better diagnose the source of your pain, your doctor may recommend diagnostic injections such as a medial branch block. During this procedure, an anesthetic is injected near the nerves that allow you to feel a specific facet joint. If a patient experiences significant pain relief right after the injection, then the facet joint is determined to be the source of the patient’s pain.
Our team believes in using non-invasive treatment options when possible. Initial treatment plans may include:
If non-invasive treatments do not reduce your pain and your doctor suspects you have facet joint pain, a spinal injection may be considered. These options may include:
Corticosteroid injections. Injections into the facet joints can reduce inflammation and pain.
Radiofrequency neurotomy. During this procedure, the medial branches which allow one to feel their painful facet joints are melted via radiofrequency energy, which blocks the pain. This procedure provides long-term relief and, if the pain returns, can be repeated to often eliminate the pain again.
The long-term prognosis for patients with degenerative scoliosis depends on the severity of the condition and how the body responds to treatment. If you are diagnosed with degenerative scoliosis, consult with your doctor to gain a better understanding of your specific diagnosis and individual prognosis.
Let us connect you with a physician who can help you get back to living with less pain.