What Can Cause Your Scoliosis To Progressive Rapidly?


pedist consider that once a child stops growing the risk for progression of their scoliosis goes away, the fact is that this is only partially true. While the risk for rapid progression diminishes greatly at skeletal maturity, it is not the only time in life that scoliosis can progress. In fact, for a woman with scoliosis there are 3 times in her life that she risks rapid progression of her scoliosis curves, if she’s not doing anything to stabilize her spine.

3 Times of Life A Woman’s At Risk For Scoliosis Progression

  • Puberty – Rapid Growth & Hormonal Changes
  • Pregnancy – Hormone Relaxin Relaxes Ligaments
  • Menopause – Bony Changes

Additional Risk for Slow Progression of Scoliosis

In addition to the risk for rapid progression scoliosis research shows that once a curve reaches a certain tipping point (generally considered around 30°) gravity really starts to takes advantage of the imbalanced spine. Gravitational pull can cause a slow progression of about 1° per year. At that rate it would mean a 14 year old girl with a 30° curve, if she did nothing to help stabilize her spine, could end up with a 50° curve by the time she is 34 years old.

Keys to Scoliosis Correction & Stability

Moving the Body More Towards the Mid-Line – Reduces imbalanced gravitational forces
Strengthen Specifically Weakened Muscles in the Spine and Trunk – Relieves muscle strain to the other side
Improve Patterns of Movement and Postural Awareness – Keeping your spine from collapsing into the downward spiral of scoliosis

Are Low Levels of Phosphorus Protective Against Scoliosis Progression?

Calcium and Phosphorus are at normal levels in Adolescent Idiopathic Scoliosis (AIS):

Calcium and Phosphorus are both important for normal bone mineralization, and can be mobilized to and from the blood stream and into the bone depending upon body homeostasis.  Hormones (Parathyroid hormone and Estrogen) are mostly responsible for signaling when the minerals should be stored or released.

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Scoliosis, Osteoporosis and Vertigo in Clinical Practice

Do you have one or more of  the following; Scoliosis, Osteoporosis or Vertigo?  Clinicians and Researchers have long reported that all three of these conditions can occur simultaneously. And now, new research may answer at least in part why patients with Scoliosis also have Osteoporosis and Vertigo.

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Dr. Gary Deutchman is now seeing patients in Dubai Healthcare City offering advanced scoliosis diagnosis and management programs which include intensive schroth scoliosis exercise classes and Spinecor Custom Flexible Brace fittings. For more information, contact us. The office is located in Dubai, Healthcare City, Building 64, Block E, Ground Floor

Presentation: A 62 year old female presented herself without referral for the examination. Her medical history included multiple recent falls, adult progressive scoliosis and a possible diagnosis of Multiple Sclerosis from her medical neurologist.

Observations posture reveal chronic towing of the spine to the right, shuffling gate with wide stance and the need to constantly hold on for stability.

Exams: a comprehensive neurological exam was performed including a sensory motor exam, a cerebellar and brainstem cranial nerve exam with appropriate testing of vestibular and oculomotor function. Clinical findings were nomometric in regards the motor examination. Ranges of motion were restricted in an age appropriate manor and sensory exam was further unremarkable. Vidoe Electronystagmography allowed for the evaluation of the vestiublar Cranial nerve portion, and as well as oculomotor testing. Upon vision denial testing in the upright seated posiition the patient presented with a non fatiguing right beating nystagmus with not tornsional or vertical component. The nystagmus was not visible without vison denial goggles. Oculomotor testing revealed findings of an adduction lag in the left eye during optokinetic stimulus. Xrays of the spine revealed an atypical towering scoliosis with severe lumbar disc degeneration and hyperostosis of the weight bearing joints.

Chiropractic evaluation included stereo views of the full spine posture and radiological views of along the X,Z, and the Yz axes and were reviewed in clincial context to recent MRIs provided by the patient. An occipito-atlanto-axial misalignment was measured. Reflexive retraction of the lower limb in non weight bearing supine posture was observed, and nerve root swelling with associated allodynia was localized by palpation at the c1 nerve root region. furhtermore, nucheal rigidity on the ipsilateral posterior neck musculature ws observed.

Differential Diagnosis: Cerviical Subluxation complex, Adult progressive scoliosis and associated osteoarthritis, left unilateral vestibulopathy, demeyelenating of the medial longitudinal fasicular tract from the right adbucens nucleus to the left oculomotor nucleus. CSF flow disruption.

Plan: Follow up clincial testing is necessary. Xrays, caloric testing as well as repeat oculomotor testing is necessary to reproduce earlier findings. Chiropractic intervetion can begin immediatelyto reduce upper cervical spine dysfunction and C1 nerve root irritation. The patient is recommended to wear a spinal orthosis designed to improve dynamic control of the trunk and spine. Conservative treatment for vestibular and oculomotor findings.