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Adult degenerative scoliosis is a condition where a right-left or lateral curve develops in a previously straight spine. This curvature occurs as a result of deterioration of the disk space and joints in the back of the spine. As the joints degenerate, they create a misalignment in the back, resulting in a bend or curvature. This misalignment of the spine can cause back and/or leg pain due to muscle fatigue and nerve impingement and may lead to a condition known as lumbar (lower back) stenosis. Adult degenerative scoliosis is more common in the lower back and most frequently occurs in people over 65 years of age.
Diagnosing adult degenerative scoliosis:
Your doctor will perform a physical examination to identify areas of pain and weakness and will evaluate your balance and the overall movement of your spine. Your doctor will also collect information about the history of your symptoms, including medicine you have taken for your condition. After your examination, your doctor may use tests to help establish his or her diagnosis. Some of these tests include X-ray, CT (computed tomography) scan and MRI (magnetic resonance imaging). Together, all of these techniques help to confirm a diagnosis of adult degenerative scoliosis.
SYMPTOMS
- Pain in the back and/or legs
- Spinal deformity
- Pain may occur on one or both sides
- Pain that worsens when standing or walking
- Lying down relieves pressure on the spine and reduces pain
- Uneven shoulders or waist
- Shoulder blade protrusion