News & Updates
December 6, 2019
Posted by Dr. Richa Gandhi
Common Types of Adult Scoliosis and Treatment Options
Adult scoliosis is the presence of a lateral deviation in the spine which measures at a Cobb angle of 10 degrees or more in a skeletally mature patient. There are 2 common types of adult scoliosis:
Type 1: Adult Degenerative
Also referred to as Adult “De Novo” scoliosis is present in adults due to arthritis in the spine. This leads to vertebral body asymmetry which in turn causes an abnormal curvature of the spine. Most often patients present with back pain and joint stiffness. This type of curvature is most commonly located in the lumbar spine (low back).
Type 2: Adult Idiopathic Scoliosis
This curvature was present when the patient was an adolescent and has progressed into adulthood. You can think of it as a continuation of adolescent idiopathic scoliosis. Patients commonly complain of low back pain and stiffness, radiating pain down the leg and muscle fatigue. This type of curvature is most commonly located in the thoracic spine (upper back) and lumbar spine (low back) and can be shaped like an S-curve or C-curve.
The goals of non-operative treatment for adult scoliosis is to provide pain relief and strengthen core and spinal muscles to improve overall function and quality of life. This can be achieved through:
Surgery should be considered if non-operative treatments have been unsuccessful or for severe cases which will not respond well to conservative treatments.
December 4, 2019
Scoliosis is a deformity of the spine that is highly common among children who are going through puberty. Though it is most common with children, it is not unusual for adults to have a curvature in the spine as well.
Some adults may not even be aware that they already have scoliosis until they start to feel symptoms like numbness, difficulty in walking, and uneven shoulders, among others. If you are experiencing such symptoms, know that scoliosis can be controlled with regular exercise and a healthy lifestyle. Surgery is not always an option to treat adult scoliosis and may only be considered when the patient experiences pain with incapacitating symptoms.
Below are two common types of scoliosis:
Structural scoliosis – this is considered as the more serious type because it does not straighten on its own and may also lead to more deformity in the spine. The spine’s structure is affected, and if left untreated, it will become permanent.
Non-structural scoliosis – also known as functional scoliosis, this type does not affect the structure of the spine.
Causes and symptoms of adult scoliosis
Know that many adults who are suffering from scoliosis actually had them from a younger age. Adults may develop scoliosis because the bones in their spine become weaker and can get easily damaged as they age. Most often, the first symptom you feel when you have scoliosis as you age is back pain. However, in some cases, the presence of pain is minimal. Below are several other symptoms of scoliosis:
- Height loss
- Uneven alignment of the hips and pelvis
- Shortness of breath
- Numbness or weakness of the legs
- Feeling full when scoliosis is pressuring the abdomen.
How is adult scoliosis diagnosed?
Scoliosis is often diagnosed through a physical exam wherein the doctor will check your spine and its curvature. There will be nerve tests by checking your reflex, sensations. The doctor will also check your muscle strength.
The doctor may request X-rays to view a full image of your spine. There may be instances also where they will request an MRI to rule out any possibilities of a tumor. It is also important that you inform your doctor regarding your lifestyle and daily activities so that they will know how scoliosis affects your quality of life.
How is adult scoliosis treated?
Typically, adult scoliosis is treated without surgery. It is recommended that you regularly visit your doctor, and they will most likely prescribe over-the-counter pain medications.
With conservative treatment, exercise routines and physical therapy are recommended to improve the curvature of the spine, to manage the pain, and to strengthen the spine.
There are times that the pain cannot be managed by over-the-counter pain relievers. In such instances, the doctor will inject epidurals near the spine area or nerve block injections for more effective pain management.
In more severe cases, surgery will be recommended to manage adult Scoliosis. However, surgery is not a popular treatment because of the higher risk of complications. Yet, it is needed when the pain is severe on the legs and back and does not respond to conservative treatment. If the spine is imbalanced, and it begins to affect the quality of life of the patient, the doctors will recommend you to undergo surgery as well.
If you are looking for a scoliosis chiropractor in NYC to help you treat scoliosis, get in touch with us today to see how we can help.
February 21, 2018
- Is clinically shown to reduce joint stiffness within 3 days*
- Is clinically shown to reduce joint discomfort within 5 days*
- Is clinically shown to increase range of motion and physical function within 7 days*
- Supports joint health through a multi-pronged mechanism of action*
- Backed by two randomized, double-blind human clinical trials
- Is proven safe through dozens of safety studies and long-term human consumption
- Provides potent antioxidant activity*
- Promotes healthy aging and overall wellbeing*
- Undergoes stringent QA processes for guaranteed purity and potency
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Turn off the Cytokine Flow to stop scoliosis progression and degeneration with scoliosis nutrition.
Research is pointing towards the immune response as the mechanism responsible for trophic (tissue) changes associated with scoliosis curvature progression. Through the process of inflammation, cytokines (proteins that are released when tissues are damaged) mediate a pro-inflammatory response that can be switched on without limitation, which ultimately leads to fatty infiltration of the concavity musculature in particular, through an immune muscle cross talk, and progressive bone and joint deformity via an immune bone cross talk.
The pro inflammatory cytokines also have an effect on the non-endcoded nuclear DNA responsible for switching genes on and off. We know this as the epigenetic response. Epigenetics factors have been shown to be controllable through nutritional changes. Below is a list of nutrients we recommend for our patients.
Univestin: A combination of botanicals clinically shown to reduce joint pain but more importantly for scoliosis patients is the mechanism in which it works. These botanicals have been shown to reduce the influence of pro-inflammatory cytokines.
Univestin Address the COX-2, 5-LOX, prostaglandins, oxidative stress and ROS production*
Joint discomfort and stiffness is caused by a complex cascading reaction to thinning joint cartilage. Many joint health ingredients attempt to tamp down the body’s natural “reaction cascade” by addressing a single mechanism-of-action (MOA), but research has shown that the body often adjusts to such single-channel solutions by activating activity in other channels.
Univestin’s patented multi-channel approach combines flavonoid-enriched plant extracts that have been clinically shown to balance activity across multiple “prongs” of the reaction cascade, soothing joint discomfort and relieving stiffness.* Scoliosis progression has been shown to involve these same metabolic pathways and clinically should be managed in a similar way.
Nutrition has been shown to be an effective way to modify cytokines levels and thereby effectively blunting the downstream effect which ultimately could lead to progression and or degeneration. Specifically Tumeric and Grape Seed Extract have been shown to reduce pro inflammatory cytokines when given in clinically significant amounts.
Quercetin Dihydrate is a Flavonoid polyphenol which is most beneficial for down-regulating inflammatory cytokines or suppressing inflammatory pathways and functions. Quercetin is considered the most diffuse nature-derived flavonol there is, showing strong effects on immunity and inflammation caused by leukocytes and other intracellular signals. Scoliosis progression is reliant on these same pathways.
Grape Seed Extract has been shown to improve bone health in animal studies, as well as being a powerful antioxidant.
Changes of Selenium, Copper, and Zinc Content in Hair and Serum of Patients with Idiopathic Scoliosis has also been reported.
Ingredients: d-a-Tocopheryl Acet 700iu, Quercetin Dihydrate, Tumeric, Grape Seed Ext ,Vit D 3 2000IU, Selenomethionine, Copper Citrate, Manganese chelazome zinc glyciate chelate citric acid fine granular anhydr Vit K2, Sunflower Lecithin, aquamin (Marine Algae)
*these statements have not been evaluated by the Food and Drug Administration, furthermore this product is not meant do diagnose or treat any condition and should not be taken without the consultation with your physician.
October 24, 2017 • Sticky Post
Blood Chemistry and Nutritional Virtual Consultation
How it Works
- Video Consultation– Review your health history during a 1 hour video consultation with your new doctor
- Lab Testing– Receive a custom lab kit mailed to your home or a Blood Requisition form which can be brought to any local laboratory. The test results are sent directly to your doctor.
- Analysis– Schedule a Review of your test results with your doctor.
- Treatment Plan– Your doctor develops a personalized plan addressing your unique diagnosis. This may includes planning for follow up testing.
Schroth Exercise Virtual Consultation
How it Works
- Video Consultation– Review your health history during a 1 hour video consultation with a Scoliosis Expert. During this time your doctor can advise you on whether or not you’re a good candidate for Virtual Exercise Classes. Buy your Home Schroth Exercise kit at this time. Also Learn what you shouldn’t do and how you can protect your back during typical daily activities
- X-rays- Receive a prescription for the exact x-rays to be taken at your local radiology center.
- Analysis– Schedule a Review of your results
- Treatment plan– Your doctor develops a personalized plan addressing your unique needs.
- Virtual Schroth Exercise training Sessions are typically 30 minutes, 3 times per week for 6 weeks.
Do you Take insurance
We care not contracted with any insurance providers at this time. Preventative healthcare expenditures and specialty lab tests are not typically reimbursable under most health plans. However, you may be able to use a HSA.FSA account to pay for our services.
How much are the lab tests and X-rays
Most labs accept insurance as direct payment. X-ray requests may require a referral from your doctor depending upon your individual medical plan.
How long are consultations?
The initial consultation is 60 minutes ($199). However, follow-up appointment could be as low as 30 minutes, depending upon the number of tests to be reviewed and the time required to adequately instruct patients on their care plan.
What comes in the home Schroth Exercise Kit ($199)
The Schroth method is low tech, but does require a few items. Your home Schroth Exercise kit includes
- 6 Eye Bags with Schroth Instructions for use. Choose your favorite colors, Scented vs Non Scented.
- Breathing Band or Breathing Caliper with Instructions for use
- Breathing Ap for you Smartphone (Third party Free)
- Suspension straps (High Quality)
- Nu-schroth website access for 1 month (Customized)
July 7, 2017
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.