Treatment of lumbar scoliosis

Lumbar scoliosis is also common among the adult population. It has both physiological and disease reasons, including degenerative scoliosis, idiopathic scoliosis, etc. When scoliosis occurs, it must be treated in time. Most patients do not need surgery. Conservative methods, such as lumbar and back muscle exercises, can all improve the condition. Of course, if the condition is severe, surgical treatment can be performed.

Treatment of lumbar scoliosis

1. Non-surgical treatment methods Most patients do not need surgical treatment. Conservative treatment is often effective and includes heat therapy, analgesics, non-steroidal anti-inflammatory drugs, and back muscle exercises. Although bracing does not improve the deformity, it often helps relieve pain.

Clinical manifestations

Typical clinical manifestations: back pain, scoliosis, reduced lumbar lordosis or even kyphosis, and trunk imbalance. Almost all patients with degenerative scoliosis experience back pain that worsens when standing or walking. The pain often occurs at or below the top vertebra of the scoliosis. It is often accompanied by radiating pain, especially when there is severe degeneration, and radicular symptoms are often present, more commonly on the concave side. Most patients (about 70%) have lower limb symptoms such as intermittent claudication. Compared with spinal stenosis without scoliosis, the pain relief when bending forward is often not obvious in this type of patients. 45% of patients had neurological symptoms such as paresthesia. For other types of adult scoliosis, pain is often caused by biomechanical changes caused by deformity or intervertebral disc degeneration and facet joint hyperplasia. When collecting medical history, questions should be comprehensive and detailed, and attention should be paid to the description of the patient and his or her family. Previous x-rays and photographs may help determine the progression of the deformity, as may changes in the patient's height, paravertebral bulges in the lumbar spine, or clothing that becomes less fitted due to changes in appearance. A detailed neurological examination should be performed to check for tilt of the pelvis, lumbar spine, entire trunk, and shoulders, and to measure the range of motion of the spine and the length of the lower extremities.