I have back pain, stiffness in elbows, shoulders and knees. Is it due to scoliosis?

Question

Hello doctor,

I am a 15-year-old cheerleader who experiences bad back pain. I was diagnosed with scoliosis at the age of 10, but everyone that I have met with scoliosis did not have pain like me. I have tightness and pain in my elbows, shoulders, ankles, knees, and hips but the back pain is excruciating. I wake up at least two times every night in pain, sometimes in tears. I cannot take this pain anymore. I have been experiencing it for as long as I can remember. I used to be insanely flexible but now I cannot arch my back without getting lightheaded. Last year, I consulted a doctor to find out what was wrong with me and the doctor did not believe my pain. Please tell me whats wrong with me.

Answer 1

Hello doctor,

Sorry to hear that you have pain for such a long time. I am sure you understand that I cannot fully answer your queries without seeing you and examining you. But it sounds as though you have joint hypermobility with scoliosis. This can cause severe pain because your muscles have to work much harder than people without hypermobility to keep your joints in the correct position. So your muscles become tired much more quickly than other people. You have probably already researched hypermobility but a good source of information is the Arthritis Research UK website. The good news is that the condition is benign and does not lead to arthritis in later life. It sounds as though you need a comprehensive physiotherapy program with someone who understands hypermobility and scoliosis. You may also need an MRI (magnetic resonance imaging) scan of your back to ensure there are no nerves being pressed on the back, and finally, perhaps you need to take some painkillers such as anti-inflammatories, Paracetamol, or a neuromodulator such as Amitriptyline. You will always need to pace your activities more than other people to prevent excess muscle fatigue.

I hope this helps.

Thank you.