Often, by the time these adolescents have reached adulthood and skeletal maturity, their condition has progressed in severity and starts to show noticeable symptoms, such as postural changes and pain. Ostgaard et al. Just as a person’s overall health has the power to impact multiple areas of life, the same can be said of a person’s scoliosis. The pain could increase as the center of gravity shifts with the growing belly, and you … In these cases, a pregnant patient could find out they have scoliosis before or after a pregnancy, but the condition’s development would have nothing to do with their pregnancy as their scoliosis was pre-existing. So here’s all you need to know about scoliosis in pregnancy and if it’s possible for women with this condition to have a baby safely. In some cases, adolescent scoliosis may develop symptoms with aging and require treatment. "The New York Times" reports that due to weakened immune function, it's not uncommon for women to develop allergies after giving birth. Your doctor will discuss any specific activity limitations with you. The flip side of that perspective is that as we know progression is the natural tendency of scoliosis, a spine that’s softened by the pregnant body’s relaxants and hormones would be that much more likely to progress. That being said, there haven’t been many studies done on the subject due to the obvious risks of conducting studies on pregnant women. As it’s the pelvic region that’s engaged during pregnancy, not the spine, in most cases, pregnancy doesn’t impact a patient’s scoliosis and vice versa. This approach is ideal for all scoliosis patients, and for scoliosis patients that are pregnant, it is even more ideal. The better shape a person is in when they are diagnosed with scoliosis, the better their chances of successfully responding to treatment are. Scoliosis can sometimes be hereditary. Pain relief is a big component of many childbirth experiences. Due to the lack of studies done on pregnancy and scoliosis, there is no conclusive evidence that finds correlations between pregnancy complications and scoliosis. For those pregnant scoliosis patients undergoing our conservative approach here at the Center, it is perfectly safe to continue treatment throughout their pregnancy; this is because our approach is integrative, natural, and 100-percent customized so is easily adjusted to respond to the evolving needs of our pregnant patients. That being said, just as there is much we still have to learn about scoliosis in general, there is a lot we don’t fully understand about the effects of pregnancy on scoliosis and scoliosis on pregnancy. I learned everything I could about the condition, its progression, and its treatment. You might notice you have developed new allergies after pregnancy. An injury prompted a visit to a chiropractor, who strongly believed my pregnancy had increased the curve's severity. When scoliosis develops due to these known causes, the scoliosis is a secondary complication of another medical issue, so treatment would include addressing the primary medical condition or issue that caused the scoliosis. With rapid progression comes postural changes characteristic of the condition. Most of the time, the cause is unknown. The other main form of adult scoliosis, degenerative scoliosis, is common in older individuals aged 40+. There are rare genetic conditions that can cause problems with fertility that can be associated with scoliosis. Congenital scoliosis is the result of malformation of part of the spine, and this malformation happens sometime in the third to sixth week of a pregnancy—that's when the spine starts to develop. Scoliosis can be an incredibly debilitating condition even at the best of times, but when the person with the curved spine is also pregnant… Our team, under the leadership of Dr. Tony Nalda, is focused on treating your scoliosis in the most patient-centered, effective manner possible. In most cases, you should be able to have an epidural if you want one, although this can potentially be more of a problem if you’ve had previous spinal surgery. As a doctor who treats scoliosis patients conservatively, I’m biased towards this approach, but that bias comes from years and years of training, certifications, and experience. Pain relief is a big component of many childbirth experiences. When multiple disciplines are included in a treatment plan, those tools can be apportioned accordingly. In terms of a pregnant patient ‘passing on’ scoliosis to their unborn child through genetics or the process of childbirth, the answer is no, you can rest assured that just because you have scoliosis does not mean your child is guaranteed to develop it as well. Treating Scoliosis Back Pain During Pregnancy. We also know a spine that is more malleable is easier to treat and manipulate out of an unhealthy curvature and back into a natural healthy one. Let's discuss the other two types of scoliosis before explaining the muscle retraining. Any adult, male or female, with an untreated major curvature may experience a progression after skeletal maturity. Pregnancy causes the body’s ligaments to naturally soften and stretch in preparation for delivery. Severe migraines as a young teen introduced Dr. Nalda to chiropractic care. Our approach is natural, non-invasive, and as it’s integrative, can easily be adjusted to suit the different needs of our pregnant patients. The research on pregnancy and scoliosis tells us that it is only is very large curves above 60 degrees that there is the likelihood of progression during pregnancy. Let's discuss the other two types of scoliosis before explaining the muscle retraining. Women with scoliosis may have several apprehensions about motherhood – fearing that a pregnancy could somehow worsen the condition or perhaps that the condition itself may not allow for a normal, healthy pregnancy. In some cases, your doctor may recommend conservative treatment that does not involve surgery. The genetics may or may not be “expressed” and the person may or may not even develop scoliosis. About scoliosis. This puts extra strain on the pelvis and the joints of the lumbar spine (lower back). Find out how we the Scoliosis SOS Clinic can help pregnant patients using exercise-based therapy. Request an Appointment at Mayo Clinic . However, other than making sure the doctor is aware of your condition, there are no known additional risks to getting an epidural if you have scoliosis. A measurement of 25 degrees or less is considered mild scoliosis; moderate scoliosis indicates curvatures measured between 25 and 40 degrees; severe scoliosis is present when a patient’s Cobb angle measurement is 40+ degrees. Tell your birth team about any past spinal health issues, especially if you've had scoliosis fusion surgery, which can very rarely impact the administration of epidural anesthesia. Scoliosis can affect children or adults. Cursory internet research has suggested that pregnancy and scoliosis aren't as entwined as they felt to me, so what gives? For people wondering if scoliosis-related exercise and a scoliosis-friendly diet alone can impact scoliosis on a structural level, the answer is no. Scoliosis can develop at any age, so classifying it by age tells us a lot about the patient and their condition. In most women, scoliosis does not adversely impact pregnancy. For a pregnant patient with this form of scoliosis, back pain is likely going to be an issue, either due to their scoliosis, their pregnancy, or a combination of both. Monday, August 17, 2009 Scoliosis may worsen with age, but exercise can help. Any childbirth comes with risks, just as any surgery, no matter how minor, always carries risks; for pregnant women with scoliosis, there is no direct relationship between scoliosis and an increase in childbirth complications. This explains why the condition’s most common form is adolescent idiopathic scoliosis diagnosed between the ages of 10 and 18. They found no significant change in the scoliosis after pregnancy. While this distinction seems subtle, it’s quite important to understand, especially in the context of scoliosis and pregnancy. If a patient has struggled with scoliosis-related back pain prior to getting pregnant, there is a good chance that back pain will continue to be an issue throughout the pregnancy, possibly at elevated levels. The same can be said of pregnancy for women with or without scoliosis. Sitting hunched at your desk all day isn't going to "give" you scoliosis. Scoliosis is a spine condition that occurs when the spine curves or twists to the side. One theory suggests that the hormones and relaxants that course through a pregnant body could soften the spine, making it better able to withstand weight gain without progressing, and making it more responsive to treatment; conversely, there are other theories that suggest a softened spine could be more vulnerable to progression as that’s the condition’s natural tendency. When it comes to the context of scoliosis and pregnancy, while there aren’t a lot of studies that make conclusive claims of how one affects the other, the general consensus is that scoliosis is unlikely to cause notable complications throughout pregnancy or delivery. What you can do. Most moms-to-be with scoliosis will find their condition doesn’t impact their pregnancy at all. This type of adult scoliosis is far more common because adolescent idiopathic scoliosis can be hard to diagnose. Even women who have had spinal fusion surgery can get pregnant. Scoliosis affects the ability of the central nervous system to help muscles contract and shorten. What I do think is that there might be an indirect correlation between a patient’s overall health, which can be affected by their scoliosis, and their experience of pregnancy. Getting an epidural is one of the most common delivery methods for pain-relief medication, and it is administered through a needle injected near the spine at a precise location, which then results in numbing the lower half of the body. It is still possible to continue treatment and achieve a curvature reduction safely during pregnancy. Almost anyone breathing, male or female, can tell you that the physical changes experienced during pregnancy are significant. Copyright © 2020 - Scoliosis Reduction Center. A scoliosis patient’s pregnancy experience is likely to be guided by their overall health and fitness level going into the pregnancy, and scoliosis severity can be a factor in that. The more severe a curvature is, however, the more likely it is to cause related issues and complications; the same can be said of pregnancy and scoliosis. Scoliosis is a sideways curvature of the spine that occurs most often during the growth spurt just before puberty. All of a sudden, I felt like my body was foreign, as if I underwent the procedure and woke up to find the surgeon had given me a new body. While scoliosis can be caused by conditions such as cerebral palsy and muscular dystrophy, the cause of most scoliosis is unknown. Can You Get an Epidural if You Have Scoliosis? As is likely the case with most medical conditions, a person’s overall level of health and fitness will play an important role in how their body responds to the condition and its treatment. When we get into degenerative scoliosis, we’re talking about adult scoliosis, and there are two main forms: adolescent scoliosis that was carried, undiagnosed, into adulthood, or adult ‘de novo’ scoliosis. When people discuss natural approaches to treating scoliosis and scoliosis during pregnancy, in addition to meaning treatment that avoids invasive procedures, they are often also referring to diet and exercise. A patient’s Cobb angle is a measurement taken that indicates, in degrees, how far their spine deviates from a straight alignment. This is important to address because, clearly, surgery isn’t an option for pregnant patients, even if that was the treatment path they were choosing prior to their pregnancy. A healthy body responds better to treatment, pregnancy, and quite simply has more resources available to draw from to deal with what comes at it. Even without corrective bracing as an option, our other disciplines complement one another and have the power to impact scoliosis structurally. Over time, the curves can grow. "The additional weight of the fetus places increased strain upon imbalanced muscles and joints, which can increase the risk of back pain, hip pain, and leg pain." When a condition is classified as ‘adolescent’, we know that a big focus in treatment is going to be monitoring for progression and designing a treatment plan that stays ahead of it. Scoliosis is a medical condition in which a person's spine has a sideways curve. An epidural is a means by which pain medication is delivered during labor that numbs the lower half of the body. It helps to develop arm and shoulder strength, preparing you for other inversions such as Headstand. After pregnancy, I confronted an annoying specter from my childhood — a mild case of S-curve scoliosis, or a sway in the spine that often causes back pain. We also know that in younger patients, pain is not likely going to be an issue, but the older a patient is, the more likely they are to experience scoliosis-related pain. However, if those regimes are integrated as aspects of a conservative treatment approach that includes other disciplines such as chiropractic, therapy, rehabilitation and corrective bracing, they can all work together to strengthen the body and achieve a curvature reduction. Unfortunately, adults with scoliosis are at higher risk for pain and disability. Fertility and pregnancy. We know that hormones are released in the pregnant body to soften joints and ligaments in preparation for delivery, and we know that this includes the spine and pelvis. One physical effect that may be a concern for those with scoliosis is the hyper-elasticity of supportive connective tissues during pregnancy. In adult de novo scoliosis, the condition has developed fresh in adulthood with no prior history of scoliosis in adolescence. While the most common form is adolescent idiopathic scoliosis, which has no known single cause, there are other forms of the condition that necessitate different types of treatment. August 03 2016. The most common form is called late-onset idiopathic scoliosis. It was one of the strangest feelings I have ever experienced.The next day, I felt like Bambi on ice. To re-cap, there aren’t any known correlations between scoliosis and pregnancy-related problems such as difficulty conceiving, causing complications during pregnancy/ delivery, or noticeably affecting the condition’s progression. As touched upon earlier, part of the complex nature of scoliosis is how much it can differ from one patient to the next. When it comes to pregnancy, this is why scoliosis rarely causes complications because the pregnancy involves the pelvis, not the spine. If you are now having pain, then yes, I suggest you seek out care to eliminate the pain before pregnancy. When I say ‘tools’, I mean ‘disciplines’. This means that any effective treatment, first and foremost, has to address and treat the structural component of the condition. The curvature of the spine can make passage through the birth canal more difficult and painful. If you have idiopathic scoliosis, you can touch your back and waist and feel how tight your muscles are. Will your slightly parenthetical spine cause health problems in the future, or will the scoliosis fairy spare you complications? Around 30% of adolescent idiopathic scoliosis (AIS) patients have a family history of the condition. "Many women report that their scoliosis seems to become more painful during their pregnancy, especially in the low back," explained Dr. Josh Woggon, executive director of the CLEAR Scoliosis Institute and author of the CLEAR blog, in an email interview with Romper. However, some of the symptoms of severe scoliosis might get more painful during pregnancy (1). The better shape they are in and the healthier their overall body is prior to getting pregnant, the less likely they are to struggle with aspects of their pregnancy, withstand the rigors of delivery, and to recover from it afterwards. As is the case with any medical procedure, regardless of how minor or unlikely, there are always risks involved, and getting an epidural is no exception. Anesthesiologists only refused to perform an epidural due to the presence of scoliosis three times throughout the duration of the study. There is an alternative to spinal fusion that can help you avoid these problems—find out about an innovative new procedure that’s healthier for your spine. Clear-institute.org - Pregnancy Complications: A Look at the Research. Knowing the location of the curvature tells us where our treatment efforts need to be concentrated, as well as some likely symptoms. That seemed right to me, especially when I looked back on a pregnancy riddled with sudden headaches, back pain, and a diagonal baby bump that grew within the cozy indent in my left side. We recognize that there is no one-size-fits-all treatment for scoliosis because scoliosis is a complex condition that can take many forms and develops across a wide severity spectrum. Other factors include facet joint arthritis and collapse of the disc spaces. Scoliosis is a sideways curving and turning of the bones of a child’s spine. What many people wonder about scoliosis and pregnancy is whether or not scoliosis would cause excessive back pain during pregnancy. As we’ll discuss further shortly, scoliosis develops across a wide severity spectrum, ranging from mild to severe. Hiya, with fused curves of 110/60 degrees I have two children aged 7 and 5.I had no hesitation in having my second child despite some intermittemt problems.perhaps my pain was very minor when compared to yours but pregnancy related back pain is common whether or not you have scoliosis.It depends on how badly you want another child and how much you're willing to cope with. I felt patients deserved a better option, one that was more natural, safer, less costly, and more corrective. In younger patients, we know that scoliosis-related pain is less likely, so if they start developing back pain throughout pregnancy, we know it’s more likely due to the pregnancy, and not the scoliosis. That being said, there does seem to be an increase of scoliosis incidence within a family, but one thing that many people forget is that families share a lot more than just genetics. In fact, exercise is encouraged as it can help with strengthening the core and back muscles and reducing pain. When it comes to the theories regarding progression and pregnancy, there are two interesting answers to the question of how scoliosis progression is affected by pregnancy. Can my baby inherit scoliosis? Scoliosis can affect a person’s appearance because when the spine bends to the side, the small bones that make up the spine (called vertebrae) can become twisted. As a spine with scoliosis has an abnormal bend and twist that causes a misalignment to occur, it is important that the anesthesiologist performing the epidural is aware of your condition. Physical examinations prior to sports participation often detect scoliosis. It’s also important to monitor your bone density and seek treatment if you have osteoporosis. 2021 Bustle Digital Group. It’s the softening of the ligaments that leads to an interesting debate about scoliosis treatment during pregnancy and progression. "As these ligaments loosen, it can increase the chances the scoliosis will get worse," he writes. Scoliosis causes the spine to become misaligned, meaning it doesn’t bend in the same direction as an average person, pregnant or otherwise. Animals can have scoliosis! In older patients, having reached skeletal maturity, their spines are vulnerable to the compressive forces of the curvature and affect the spine and its surrounding nerves and muscles. The big challenge of treating scoliosis is staying ahead of its nature to progress. Congenital scoliosis is a birth defect that occurs early in pregnancy and is usually not noticeable at birth. Treatment for scoliosis in adults can depend on the type, location, and symptoms associated with the deformity. It can develop at any age, but is most common in children aged 10-15. In the pregnant scoliosis patients that I have treated here at the Scoliosis Reduction Center, our conservative approach is safe and effective, and as far as I have seen, there is no direct relationship between scoliosis and negative childbirth outcomes. Some kids are born with it. Still, it is important for pregnant women with scoliosis to discuss epidurals and pain management with their doctor before going into labour. The conservative approach has gained more and more respect over the years and is backed by impressive results. It's a curving of the spine that for no apparent reason strikes otherwise healthy children after … Before alternative methods of scoliosis treatment were explored and implemented, I saw patient after patient being told to watch and wait while their condition got worse, only to be told, when it reached a certain point, that they now had to undergo invasive spinal-fusion surgery: this seemed crazy to me. The cause of adult scoliosis varies depending on the type of scoliosis. The curve is usually "S"- or "C"-shaped over three dimensions. There’s another form of scoliosis that starts in adulthood. Understanding that scoliosis and pregnancy don't always play nicely can help you care for your spine, and prevent problems down the line. The most common form of adult scoliosis is degenerative (spine curves as you age). If you have questions or concerns, ask your healthcare provider for more information. The GP will examine your back and can refer you to a hospital doctor for help with diagnosis if they suspect scoliosis. Traumatic scoliosis can occur as a result of an accident or surgery. What I do believe is that a person’s overall health has more to do with their pregnancy experience than their scoliosis would. Most often, these cases are the result of one of the aforementioned known causes and often is degenerative. The best way to address scoliosis-related back pain during pregnancy is also the best way, in my opinion, to treat scoliosis generally: with a more natural, less-invasive conservative approach. First off, for those who have yet to experience one, what exactly is an epidural? Can You Get Scoliosis at Any Age? Breathlessness – Pregnant women may also undergo periods of breathlessness. … If you have scoliosis, you are probably concerned if it will affect your baby, pregnancy and/or delivery. This is especially the case with mild and moderate forms of the condition. Knowledge is power, as they say, and if you become pregnant, scoliosis may become more than just a quirk of your past. Regardless of arthritis type, joint pain and fatigue can affect pregnancy and child-rearing. Scoliosis is rare at birth, but it can occur if the bones in the spine develop abnormally when the fetus is growing. A conservative approach is so effective in treating scoliosis because it’s integrative, meaning it combines the benefits of multiple forms of treatment. In cases where a curvature is considered mild and moderate, just as in non-pregnant scoliosis patients, they’re not known to cause many functional issues. Unfortunately, pregnancy can cause increased back pain in someone with scoliosis. There is, however, a large gap in scoliosis research documenting the effects of pregnancy on scoliosis, and vice versa, due to the obvious challenges of conducting tests on pregnant women. A curved spine can cause pain, impaired mobility, and postural problems, and these issues are frequently compounded by other complaints that tend to arise later in life. Some adults who have this condition have had it since they were teenagers. All rights reserved. When Scoliosis is first diagnosed, it’s classified based on a number of its most important characteristics: age of patient, location of curvature, type of curvature, and its severity. Most of the time, when an adult comes in to see me with indicators for scoliosis, the condition didn’t develop recently, but was carried with them from adolescence into adulthood. Conservative Treatment Approach During Pregnancy. This condition gets worse in about 75 percent of children. The genetic weakness that predisposes a person to scoliosis needs to be activated or “turned on” by something. Doctors call this growth imbalance a hemivertebra, and it causes the spine to grow crooked. However, I do regret assuming my scoliosis was down for the count when I could have visited a chiropractor or physical therapist from the get go. When a patient’s condition is being classified, it’s rated as mild, moderate, or severe, and that classification is based on the X-ray results and a measurement taken known as the ‘Cobb angle’. Giving birth is famously painful. While there has been a lot of focus on the debate of whether there is a genetic component to scoliosis or not, the general consensus amongst experts is that scoliosis is considered ‘familial’, rather than ‘genetic’. Scoliosis mostly doesn’t affect pregnancy and will not stop you having a normal birth. Might have scoliosis, the better their chances of successfully responding to treatment are earlier or later in life depending! Form is adolescent idiopathic scoliosis, the cause is unknown during delivery that were.... Pain relief certainly do n't always play nicely can help you care for your spine and. 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