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I was diagnosed with mild scoliosis. Can you tell how bad the curvature is?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Sumit Chawla

Medically reviewed by

iCliniq medical review team

Published At January 21, 2017
Reviewed AtAugust 3, 2023

Patient's Query

Hello doctor,

I am a 30-year-old male. I was diagnosed with minor scoliosis. I have attached my X-ray results. I would like to know how bad is that. I only get occasional pain after standing for too long or lifting heavy stuff. Can you tell how much the curvature is? Is this something I need to worry about? I am currently in physical therapy.

Answered by Dr. Sumit Chawla

Hello,

Welcome to icliniq.com.

Evaluation of scoliosis involves both CT scan to look for bony anatomy and MRI to rule out cord compression.Please revert once the investigations have been done to get an appropriate management plan.

Patient's Query

Hi doctor,

How much can you tell just by looking at the spine x-ray? I was told that it is minor scoliosis and need only physical therapy.

Answered by Dr. Sumit Chawla

Hello,

Welcome back to icliniq.com.

From your X-ray (attachment removed to protect patient identity), it appears to be mild scoliosis, and the L5 vertebral body is not visible either due to collapse or developmental anomaly. To comment on L5, lateral view x-ray is required. Secondly, since there is only one curvature with no secondary curvature or changes, a physical examination is required to evaluate whether the scoliosis is either permanent (fixed) or temporary (positional). This cannot be determined from the X-ray. Treatment in case of no MRI abnormality with minimal changes in CT at the L5 level fixed scoliosis will be conservative only. If it is positional, then other factors causing scoliosis are to be evaluated and treated accordingly.

Patient's Query

Hi doctor,

I have attached some more X-ray images. Kindly let me know about my condition.

Answered by Dr. Sumit Chawla

Hi,

Welcome back to icliniq.com.

I had gone through the reports (attachments removed to protect the patient's identity). You have mild scoliosis, as mentioned in my previous answer. The L5 vertebra and SI (sacroiliac) joint appear normal. Physical examination is required to rule out other spinal causes of scoliosis and to see whether the scoliosis is fixed or positional. If it is positional, then there are more chances of preventing the progression and early treatment. Do you have any examination findings or other medical records with you? I cannot provide any further advice without more information about your condition.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sumit Chawla
Dr. Sumit Chawla

Orthopedician and Traumatology

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