Adolescent Idiopathic Scoliosis

Adolescent idiopathic scoliosis is a type of scoliosis that develops in late childhood or adolescence. Instead of growing straight, the spine develops a side-to-side curvature, commonly in the shape of an “S” or “C” with the spine’s bones twisted or rotated slightly. During the adolescent growth spurt, when youngsters are rapidly growing, adolescent idiopathic scoliosis develops in the lumbar spine.

Lumbar Spine

The lumbar spine (lower back) consists of five vertebrae located between the ribs and the pelvis in the lower section of the spine. When the spine curves, it often causes lumber spinal stenosis, a narrowing of the spinal canal, which in turn can cause nerve compression and pain in the lower back and legs.


The three primary types of treatment for adolescent idiopathic scoliosis (observation, bracing, and surgery) are chosen by the probability of the curve growing. Patients with curves less than 25º who are still growing, or curves less than 40º in patients who have completed their growth, are usually just observed. Bracing helps patients who have curves ranging from 25 to 40 degrees during their growth phase. For patients with curves larger than 45 degrees, we recommend surgery. In addition, surgical treatment falls into two categories.  First, to prevent curve progression, and second to fix an excessive curve.

Medical Advice:

The majority of adolescent idiopathic scoliosis cases can get treated without surgery.  With regular doctor’s exams, over-the-counter pain relievers, and core-strengthening activities to strengthen the stomach and back, will definitely help stop the curvature from expanding. Therefore, we recommend that our patients keep moving, stay active, stretch and strengthen muscles, maintain good posture, keep a healthy weight, and know which OTC medicines can help manage lumbar pain.

Use of Imaging to Identify Causes of Lower Back Pain (LBP):

If you have symptoms of nerve damage or a significant disease such as cancer or spinal infection, it’s a good idea to take an imaging test. Patients with severe neurologic impairments or signs or symptoms that point to a serious or specific underlying illness should undergo diagnostic imaging for low back pain. More testing does not imply better care in this area. Choosing a selective approach to low back imaging, as proposed by the scoliosis institute’s low back pain guideline, will improve patient care, reduce costs, and improve outcomes.

When do imaging tests make sense?

The following are some “red flags” that may require imaging:

  • Cancer history
  • Weight loss
  • Recent Infection
  • Lack of control over one’s intestines or bladder
  • Abnormal reflexes, or a decrease of muscle power or sensation in the legs.

Patients generally don’t require an imaging test if none of these other symptoms are present.

How Should You Treat Lower Back Pain?

Your doctor can help you figure out the best way to treat your lower back pain. Most people recover from back pain in a couple of weeks, and following these simple steps can help:

  • Keep yourself active.
  • Apply moderate heat.
  • Take a look at over-the-counter medications.
  • Get plenty of rest.
  • Consult with your medical professional.

Medical Advice:

Lower back pain can often get treated at home by resting, using hot or cold therapy, taking over-the-counter pain medicines, and gently stretching. Lower back pain that does not improve, or comes at the same time as other symptoms should get examined by one of our doctors.

Health Information:

Ankylosing spondylitis (AS) is inflammatory arthritis that affects the spine. Back pain, stiffness, and limited spine motion are all symptoms of AS. The sacroiliac joints are frequently affected by ankylosing spondylitis.


Nonsteroidal anti-inflammatory drugs (NSAIDs) including naproxen (Aleve, Naprosyn, and others) and ibuprofen (Advil, Motrin IB, and others) are the most widely prescribed therapies for ankylosing spondylitis. These drugs can help with inflammation, pain, and stiffness.

National Institute of Arthritis and Musculoskeletal and Skin Diseases:

Exposure to certain infections, chemicals, and pollutants, as well as injury to affected joints, changes in the bacteria in your colon, and bowel inflammation, are all environmental risk factors for ankylosing spondylitis. Genetic race, family history, inflammatory bowel disease, and uveitis are among the other risks.  To further understand how such factors influence the incidence and severity of Adolescent Scoliosis, more research is needed.  The National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS) is one of the institutes and centers that make up the National Institutes of Health, a Department of Health and Human Services agency. Diseases of the bones, joints, muscles, and skin impact almost every home in America. NIAMS strives to study and treat such diseases and disorders. Through its extramural and intramural projects, the National Institute of Allergy and Infectious Diseases supports research.

The NIAMS’ mission is to fund research into the causes, treatment, and prevention of arthritis and musculoskeletal and skin diseases.  In addition, they support the need to get well-trained clinical scientists to conduct important research. NIAMS also supports the dissemination of information on research progress in these diseases.

Deep Breaths:

Deeply inhale and slowly exhale for a few minutes, allowing yourself to sink into your twisted position. Then switch to the opposite side by bringing your head and legs back to the middle. You don’t have to attend a class to learn how to breathe with ankylosing spondylitis.


We’re here to help STOP THE PAIN
If your loved one suffers from Adolescent Idiopathic Scoliosis or another complex spine condition, hope exists. We can help. Call Southwest Scoliosis and Spine Institute at 214-556-0555 to make an appointment today.



Southwest Scoliosis and Spine Institute Specializes in Performing Complex Spine and Revision Surgery

If you think you or a loved one might need surgery to correct scoliosis or any other kind of complex spine surgery, you should contact a surgeon who performs these kinds of complicated and specialized procedures. Finally, the Southwest Scoliosis and Spine Institute’s board-certified, fellowship-trained orthopedic surgeons, Richard Hostin, MDDevesh Ramnath, MDIshaq Y. Syed, MDShyam Kishan, MD, and Kathryn Wiesman, MD, have the expertise and surgical skills necessary to diagnose and treat these cases.

In fact, they’ve performed more than 16,000 successful spine surgeries.  They have also helped more than 100,000 patients get back to living a normal, pain-free life.

So, if you have been told that there is no hope, call Southwest Scoliosis and Spine Institute.   Call us for an evaluation at 214-556-0555 or visit our contact page today!