Fused spine and chiropractic treatment for a 14 year old scoliosiis

by Mike
(Michigan)



Dear Doctor,
I'm writing about my 14 year old grandaughter. Samantha was born with Epidermolysis Bullosa (EB) and congenital scoliosis. The two are not related as far as we know. Sam's aunt also has a mild form of scoliosis.

As a baby , Sam held her head cockeyed. At 4 or 5 she was diagnosed and has had at least three major back surgeries with various "hardware" inserted in an attempt to correct it.

Nothing has worked and so her last surgery was to remove some of the old hardware (first pic), insert adjustable rods and to fuse most of her vertebra.



Her back, hips, rib cage etc. are still "off" and there are pulmonary issues due to the abnormal growth of her rib cage due to the scoliosis. She is restricted physically (no phys Ed, for example) and has allowances to use the elevator at school, instead of the stairs. She uses a roller backpack and has other accommodations.

As a recipient of and believer in chiropractic medicine, I've tried to encourage her mother to take Sam in for treatment. I really don't know if she would be a candidate for treatment, but I worry that her other joints will suffer/deteriorate due to the scoliosis.

I've include a couple of X-rays to give you an idea of Sam's situation. If you have any suggestions, recommendations etc. regarding chiropractic treatment for Sam I would appreciate it.

Thank you in advance.

Mike

Hello Mike,
I have grandchildren of Sam's age and can identify with the pain you are feeling.

Whilst it's not conclusive, because it would appear the x-rays were taken lying down, is that Sam may have a severely short leg. Has there ever been mention of this, and is she wearing a lift in her shoe? It could make a huge difference.

You are right. A scoliosis of this nature, and the short leg causing it, in part let it be said, will have profound affect on other joints in her neck, but also in the hip and knee. These peripheral problems also need to be addressed.

The management of scoliosis is a specialty within chiropractic; the average DC, myself included probably should not be treating her. I would contact the state association to find the right person.

Perhaps of encouragement is that I have patient with a similar scoliosis, with a Cobb's angle of over 60* would be my guess, is still going well and nearly 90; she never had surgery and her parents chose to go the chiropractic route despite considerable criticism. See the scoliosis page at Chiropractic Help.

Suggest she keep as active as possible; swimming might be best. And sacroiliac joint and hip exercises; there must be troubles there as well, and they aren't fused. Done every single morning before getting out of bed, they will make a huge difference; done gently and stopping at the point of pain.

Thank you for your contribution; say your prayers for her, and I'll remember her too. I hope you can find someone with whom she 'clicks'.

Dr B



»
» Fused spine and chiropractic treatment for a 14 year old scoliosis





Click here to post comments

Join in and write your own page! It's easy to do. How? Simply click here to return to Chiropractic help Questions (General).





The EU law insists that we must place the following statement on our site, though we do not use cookies. “Our advertisers use cookies to personalise content and ads, to provide social media features and to analyse our traffic. They may also share information from your device with their social media, advertising and analytics partners.”


Did you find this page useful? Then perhaps forward it to a suffering friend. Better still, Tweet or Face Book it.


Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost painfree. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.

5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.  

10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.

13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.



Have a problem that's not getting better? Looking for a different slant on your pain? Want to pose a question?


Interesting questions from visitors

CLS writes:

Greetings, Dr B.
You helped me quite some time back with a soothing and professional response which turned out to be exactly correct. I now consult a local chiropractor. You write a superb newsletter, too.

Your own unresolved problem. Pose a question

Knowing that up to 70% of the time the correct diagnosis is made with no examination, no special tests, no xrays, but just from the history, there's a fair chance I can add some insight to your unresolved problem. But at least 30% of the time, I may be quite wrong! Give plenty of detail if you want a sensible reply.


You visited this chiropractic help site no doubt because you have a problem that is not resolving and want to know more about what chiropractors do.

The quickest and most interesting way is to read one of my ebooks of anecdotes. Described by a reader as gems, both funny and healthful, from the life and work of a chiropractor, you'll love them. Priced right at $2.99, though Kindle fiddles the price without telling me.