PDA

View Full Version : What's the big deal with 50 degrees?



rohrer01
03-16-2010, 04:52 PM
This may sound like a silly question, but why do most docs protocol call for a curve to be 50 degrees to be surgically significant? I understand that lung/heart impairment would likely play a part in this decision, but have also read that these functions aren't usually impaired until around 90+ degrees. I hear of people with 50+ degree curves having surgery when they have no pain. I also see people with smaller curves that have a lot of pain that the docs won't touch. It doesn't make sense to me. I have a 46 degree curve that my doctor will correct when my pain pattern gets more predictable. So confused. Is there something physiologically that happens to the nerves and spinal chord when the curve reaches 50 degrees? Thanks for any responses as I am still learning about this disease. :o

hdugger
03-16-2010, 04:57 PM
I *think* the issue is that, at about 50 degrees gravity starts working on the curve. So, a curve under that may stay stable, while one larger then that is likely to progress.

Pooka1
03-16-2010, 05:06 PM
Linda or others will know this better but I'll tell you what I think I know about this.


This may sound like a silly question, but why do most docs protocol call for a curve to be 50 degrees to be surgically significant? I understand that lung/heart impairment would likely play a part in this decision, but have also read that these functions aren't usually impaired until around 90+ degrees. I hear of people with 50+ degree curves having surgery when they have no pain. I also see people with smaller curves that have a lot of pain that the docs won't touch. It doesn't make sense to me. I have a 46 degree curve that my doctor will correct when my pain pattern gets more predictable. So confused. Is there something physiologically that happens to the nerves and spinal chord when the curve reaches 50 degrees? Thanks for any responses as I am still learning about this disease. :o

I think 50* is a statistical threshold wherein many/most curves at or above that degree can be expected to increase at least 1* per year and likely more.

Now I think there is a large variation and that there are people who reach that and higher who don't advance (we have 2-3 people in that category on this forum) and there are some who have a smaller curve whose curves advance more than 1* per year.

The reason I think they don't operate on smaller curves with pain is that PT might be as or more effective at pain relief than surgery. Nothing else is better than surgery for stopping progression and correcting extant curves with the exception of watching and waiting in some cases.

Good luck.

rohrer01
03-16-2010, 05:09 PM
Thanks, hdugger.
My curve has been stable for about 25 years and is now progressing. It's just a waiting game for me as I have always has pain with mine....sigh :(

rohrer01
03-16-2010, 05:13 PM
Yeah, mine is progressing at about 1* per year now (just started over the last 5 years). I feel like it's a waiting game and it's driving me nuts. I don't think there is a surgery out there that scares me more than this one, but some how I am feeling at peace with it. I just want to get it over with. You are all such a help and and inspiration to me.
;)

mamamax
03-16-2010, 05:35 PM
I have no idea. I suspect, it's many things and our doctors are looking down the road. I was once told that the spine with scoliosis "can" continue to progress a minimum of 2 degrees per year - as the human body ages, this "could" lead to serious complications: respiratory failure and congenital heart failure (thoracic curves), loss of bladder/bowl function and mobility (lumbar, thoracolumbar curves). So, if someone is at 50 degrees at a very young age, the possibility exists that continued progression could cause some serious complications along with all the other fun stuff in aging like arthritis and degenerative disc disease. Of course, that isn't going to happen to everyone - but there is no accurate predicting of who will and who will not have to suffer such things. So maybe a 50 degree cut off is precautionary in nature in some cases - and preventive medicine in others with a very aggressive progression. I don't know. I believe age as well as pain is a factor in this cut off number? Certainly chronic pain contributes to high blood pressure - so, another factor.

Good question yours, hopefully we'll get some better answers than my ponderings.

txmarinemom
03-16-2010, 05:45 PM
Yeah, mine is progressing at about 1* per year now (just started over the last 5 years). I feel like it's a waiting game and it's driving me nuts. I don't think there is a surgery out there that scares me more than this one, but some how I am feeling at peace with it. I just want to get it over with. ...

Rohrer,

This is exactly why 50į is significant ... it typically does hint at a 1-2į per year progression.

There are always exceptions - like mine.

That said, I had surgery anyway ... and if I'd had equal amounts of faith in the technology and pain, I would have done it sooner. Pain was there ... faith in the technology wasn't. I waited until I hurt so badly I had no other choices (and I'd exhausted them ALL).

In retrospect, my ankle reconstruction (softball thing ... snapped the outer ligaments) was actually worse than fusion. I was IN bed for 5 weeks (and I mean IN bed) following that, and felt far more limited for a year afterwards. I guess we all form our perspective based on our past.

Regards,
Pam

rich1752
03-16-2010, 06:54 PM
Do not try to understand it!!!! I went to four different surgeons and got four different opinions. One said, surgery right away,one said my 52 was not enough and would wait until 60 degrees and a lot more pain. One said surgery at 57 degrees and above and the last surgeon said wait for two years with pain management. Pain and the fact that I wanted to have it done while I am still kind of young. good luck,


rich

txmarinemom
03-16-2010, 07:23 PM
Do not try to understand it!!!!

Sorry, but I think that's somewhat over-simplified.

titaniumed
03-17-2010, 01:10 AM
Its up to the individual surgeon........

Some will operate in the 40s and some will want to wait.

The one thing all surgeons have in common is that they donít like making mistakes. They also have to be comfortable with the projected outcome.

55MPH was what Nixon liked. Now its 65MPH. In Nevada, we like it at 75MPH.

Who knows, maybe in the future, the cobb angle "reference surgical angle" will be reduced as methods improve some more. Its funny, that cobbs do not show the whole picture. Itís a standard in the coronal plane. Its only one parameter of the decision.

I waited 34 years.
Good luck
Ed

jrnyc
03-17-2010, 03:08 AM
besides pain, i think another consideration may be loss of function and the impact of the curve on one's life....and work...

i think you said your curves come with pain...but you didnt say to what degree, or how much it is impacting your ability to function...

where do you live, if i may ask...and how many scoli surgeons have you consulted with for opinions...?

i wish you luck in your quest for answers & solutions...
also...have you tried pain management doctors to see if they have help to offfer you? even if only while you wait for answers?

jess

Singer
03-17-2010, 06:50 AM
My own curve progressed rather slowly until around the 50-degree mark; then the progression really took off until it hit 70 degrees at the time of my surgery. Both surgeons I consulted with told me that usually gravity does indeed take over once the spine hits the "point of no return" -- around 50 degrees. It was my understanding that this isn't a hard-and-fast scientific fact, but an observation that USUALLY holds true.

flerc
03-17-2010, 09:18 AM
I also believe that is a matter of gravity force and that this angle is determined only in a statistically way, but if in fact no other force exists increasing the curve, why not edf http://www.tesisenxarxa.net/TESIS_UB...TESISILVIA.pdf is being used in adults? As surgeon, could reduce the curve about a half or more, so gravity could not do a great force. Of course nobody could want to live with a rigid brace for a long time, but with someone else more comfortable as Spinecor? (Or Spincor could not be so strong an only a rigid brace could be used?) If the wedge is not so terrific as it seems supposed to be, ligaments could be restored, neuromuscular and biomechanical system could adapt to the new structure (as I believe it occurs at least in so many cases after surgery) and we can be sure (could it be?) that none not idiopathic cause exists, which could be the great force instead gravity, pulling again, or which could be the factors increasing it in such scale?
I believe that probably is a matter of shorts muscles in convex side too, tending to be more shorten over time.

rich1752
03-17-2010, 01:19 PM
I did not know I had scoliosis, until August of 2009. I was pretty even, body wise. I did notice that I lost 2 1/2 inches in height, but doctors would not do an x-ray. I would go in to my doctor for the last five years, but he would just give me anti-inflamatory pills and say it's just sore muscles. The last surgeon I saw, said that 2 1/2 inches in 3 years, is way too much and didn't believe it. He made me feel like I was lying to him.

rich

rohrer01
03-18-2010, 12:18 AM
Thanks so much for all you replies!!:D I had a really detailed reply but it got lost somehow. So to make a long story short, I had a very, very bad night at the ER last night. I'm alrealdy on fentanyl, percocet, and klonopin daily to control the pain ( my doctor thinks my lower pain is due to spondilolysis -aka- a fracture of L5). I got some sort of nasty bacterial infection and "snorted" to get the mucous out of the back of my throat and that's all she wrote. I ended up in the ER with the WORST neck and upper back pain ever. Definitely a 10. It took a shot of valium, and 4 shots of fentalyl through the IV to get the pain down to about a 4 so I could go home. They also added soma to my pain meds. I made a new appt with my doctor here and am going to beg him for the surgery. I tend to "underestimate" my pain levels. But I'm a 41 year old woman and was crying uncontrollably. I felt like I couldn't breathe. It was just aweful. I had so much more to say. But my typing skills are getting the better of me and I thought I would just give you the highlights. I see Dr. Clifford Tribus in Madison, Wisconsin. He is the ONLY spine doctor that has ever believed me that I have pain with my scoliosis. His bedside manner is great, too. I just hope he can help me. I LOVE you all so much, you have been a great help to me! Anyone else see Dr. Tribus? Again, I'm functioning on about zero sleep topped with narcotics, so I'll say good night to everyone. You all hang in there!

LynetteG
03-18-2010, 05:30 AM
rohrer01 - I'm really sorry to hear about the pain you're enduring right now, let us know how it goes with your doctor. I hope and pray for you that you can get your surgery very soon, so that you can enjoy your life again.

rohrer01
03-18-2010, 09:59 PM
Thanks, Lynette.
My pain is mostly controlled now, but with a ton of meds. I HATE being on them because they mess with my mind. I hate always having to ask what day it is or feeling foggy headed. I like having my MIND about me. But I'm hoping this is temporary and I'll get the surgery soon. I hear that a lot of doctors have waiting lists. I don't know about mine in particular. Maybe someone else out there knows. Thanks again!:)

titaniumed
03-18-2010, 10:22 PM
Sorry about your pain. Been there done that.

LynnMarie74 used Dr Tribus. Send her a Pm, tell her Ed says hi.

Ed

rohrer01
03-22-2010, 09:26 PM
Sorry,
I didn't answer some of the other questions. I have been on different types of pain management, from PT, chiropractic, TENS unit, external muscle stimulation (similar to TENS only physician supervised), medications including NSAIDS for most of my life, but also the heavy stuff. I am an active person. I like to swim, hike, ride bike. Lately, I'm feeling "good" about myself if I can get a mile walk in every day. I feel extremely inhibited. I can't even hold my 18 month old grandson for more than a few minutes before I have to put him down (by then It's pretty excruciating). He doesn't understand why grandma doesn't want to hold him and now he is starting to act funny around me. I think that hurts worse than anything. :(

I was too old when my scoliosis was discovered (16), so I never could try bracing, but I did do traction for years. Nothing helps, and it seems over the last couple of months I've been going downhill FAST. I'm usually very optimistic but this is starting to depress me. That's why I don't want to wait until the magical 50* (although my current doctor never mentioned that magical angle, he's more concerned about outcome).

joyfull
03-22-2010, 10:03 PM
I don't understand why your doctor would not want to operate to get you some relief and better quality of life. Does he not think that the scoliosis is causing your pain? There are countless examples here of people who had surgery and are so much better. Does your doctor routinely operate on adults? I have a 90 degree thoracic curve and have not had surgery because I have had no pain. The technology is so much better now that in some ways I'm glad I waited. There are doctors out there getting amazing results. Good luck. Joy

rohrer01
03-23-2010, 10:48 AM
My pain has not been constant to the extent that it is debilitating. It has been really getting worse the last couple of months. My pain is definitely scoliosis related and my doctor understands that. I just happened to have a "good" day when I saw him last and actually had full range of motion of my head, which I usually don't. Go figure! He is also really concerned that he doesn't make me WORSE because my curve starts in my neck and I am a very thin person. He's afraid I'll lose range of motion in my arms. He basically told me that when I have my surgery I will be committing to two surgeries because he feels the hardware will cause me problems. My curve is not usually tender to the touch, it is the muscle spasms that are my biggest problem. I am going back to see him next month and just MAYBE he can do something about it. At this point, I'm willing to go through the pain of two surgeries. I look at it this way, if the surgeries go well, I'll get off all these drugs and can have my life back. If it doesn't, I will still be on the drugs. As it stands now, I'm stuck on the drugs. I feel it's my chance of freedom.

I would like to get a job some day. I made it through university as an adult, but was on heavy narcotics. I'm thinking an employer wouldn't be liking that situation and the fact that I would probably be calling in a LOT. I don't want to go on disability (wouldn't even qualify if I could - not enough work history). If you saw me, you would never know that there was anything wrong with me. I stand symmetrical. It's my own private misery. My family is suffering, too. Sometimes I know that they just can't understand the pain I have. Now I have this lower back thing going on so it's a real double whammy! I'm seeing a different doctor for that on the 30th who is going to try to get the insurance company to let me see "one" doctor for my whole spine. I hope it works!

Thanks for all your care and concern.
:D

rohrer01
03-23-2010, 10:57 AM
Oh, and yes he specializes in adult scoliosis. It's just a matter of where to draw the line with me. As far as I'm concerned, I've already crossed that line. My husband and I tried to have a baby and it seemed that when I conceived I was always on the wrong pain meds and we lost them all (4). Went to fertility specialist to try to "time" conception with the right meds and never got pregnant. Now I feel I'm too old (41) and will be at least 43 by the time I'm better. That, too, is depressing. We really wanted a child of our own and having to wait for scoliosis really stinks!

jrnyc
03-24-2010, 12:00 AM
did your doctor say what levels you need fused..sounds like it would start at the top...

i too am on heavy pain meds...and i LOOK straight & tall...except to scoli doctors & to my tailor! now the the pain management doctor has prescribed a pill to give me energy (not amphetamine..but something with the same effect, supposedly)...havent taken them yet...the pharmacy is ordering them..dont know if i will take it...it upsets me..that i need a pill to counteract the effect of the pain meds! soooo...i am finally ready to discuss surgery seriously...but i want minimal invasive...dr anand doesnt take my insurance...dont know if the dr in chicago who also uses that newer method takes it...i see dr lonner on april 12th to discuss it..and to ask if he thinks any doctors in manhattan will start using the minimal method for lumbar surgery...i know lots of them use it for thoracic....

i hope you can find a doctor who will go ahead with surgery for you, if that is what you think will work...

have you tried botox shots to freeze the muscles so they cant spasm? that is what works for my thoracic pain...i get the shots every 3-4 months at pain doctor's office....

did you say how many opinions you've gotten...cause i dont remember reading that...

best of luck to you...
jess

rohrer01
03-24-2010, 01:22 PM
jrnyc,
I don't have a lot of money to get many opinions, as I'm sure many of us don't. I searched the internet a few years back to find Dr. Tribus in Wisconsin when the Twin Cities Spine Center would no longer accept my insurance. I have been seen by many scoli specialists over the years and they ALL (except Dr. Tribus) told me that my pain was NOT due to the scoliosis. My current insurance is an HMO and they made me see the head of neurosurgery at their hospital who also insists my pain is from the scoli. Since they don't treat adult scoli at the hospital where I live he had to give me a referral to see Dr. Tribus, as he is the only one (I'm told) who can do my kind of surgery in Wisconsin. At first my HMO denied coverage twice so my dear hubby said, fine, we'll pay out of pocket if we have to lose everything. But since the HMO doctor agreed that I needed to see Dr. Tribus, it's finally covered. To make a short story long. There's just no way I can afford to travel around the country getting second opinions, especially when I've seen so many doc's already over the years. I'm happy with Dr. Tribus.

I asked my general practitioner about the botox injections (I think I saw it on one of your posts). He's afraid it may cause more harm in the long run because of muscle atrophy. He is of the opinion that I just need the surgery and is keeping me on high doses of pain killers until I can get it.

I see Dr. Tribus again next month because the pain is getting worse. I just have a VERY hard time expressing how much pain I am in and when. I always say, "I'm fine". WRONG... that get's me no where. I am now keeping a pain journal and I'm hopeful that will help.

I hope I answered all your questions, as I can't see your original post while I am writing my reply. Thanks so much for your concern. ;)

rohrer01
03-24-2010, 01:28 PM
jrnyc,
What is your degree of curvature and where? Mine starts in the neck. He said the lowest he could start the fusion and get any correction at all would be T2to probably L1. I think I would want him to start higher to get better correction, since I am apparently sensitive to the "curve" aspect of the disorder. My worst curve is only 46*. As far as the low back issue, no diagnosis, yet. He thinks it's a hairline fracture of one of the lower vertebrae. I have spina bifida occulta in L5, so that wouldn't surprise me at all. I don't know what the treatment for that would be, if I would need more fusion or not. If anyone else has that (spondylolysis) and had it treated, I'm all ears???

jrnyc
03-24-2010, 05:37 PM
Hi Rohrer
as of this past October, thoracic was measured at 40 degrees, lumbar at 61...i am seeing Dr Lonner April 12th, so i should have new measurements then...i suspect both areas have worsened, but dont know for sure yet...

i have heard the talk about muscle atrophy, but am not convinced it will happen...and the relief i get is well worth any risk...which i personally doubt...in the past, all surgeons, and i've consulted with 5, including Boachie & Anand, recommend fusing L4-S1 and T11-sacrum...but if my thoracic gets worse, i guess they would consider starting fusion higher up.....fortunately, most of the consults were covered by my insurance, except for Boachie & Anand...and i flew out to CA for Anand!! my insurance is also an HMO...

it would be great if your HMO would cover a pain management doctor! i just wouldnt want to go by what a G.P. told me about something so specialized...

just a note...i learned a long time ago, with Lyme disease, that one does NOT minimize one's pain with doctors! if you have to do anything, emphasize it!!

i hope you get the relief you seek with the surgery!

best regards...
jess

rohrer01
03-24-2010, 05:54 PM
Yes, they do have a pain clinic here. I went to it when it was first starting out. I was SOOOO NOT impressed. I saw a pain psychologist who basically told me that people don't want to hear about my pain, so stop talking about it. When he asked me what my pain was at the time I said a 1, but I was on heavy narcotics. He just brushed me aside and said he wished he could feel that good. What a jerk! That's why I don't want to go back. I think if they could offer botox injections at the pain clinic, which they say has been improved (I certainly hope so), I would go for it if my curve wasn't progressing. But as it stands, I will need the surgery eventually anyway and I just want to get it out of the way while I'm still somewhat young and healthy. As far as muscle atrophy, I would think that muscles building up in the wrong way could be just as detrimental. I mean having very powerful muscles where they are not needed and very weak ones where you need them to be stronger.
Anyway, I just got back from the doctor and he upped my fentanyl. I hope it helps until I can get in to see the specialists. Thanks again!!
((((HUGS))))

rohrer01
03-24-2010, 05:57 PM
Jess,
Are you having surgery? Your lower curve is pretty intense.

jrnyc
03-24-2010, 08:46 PM
Hi again Rohr
havent scheduled anything...yet...i really want to find a surgeon who does minimal invasive, which is relatively new for LUMBAR curves...it has been used alot for thoracic curves...and who takes my insurance!!...am waiting to see Dr Lonner in NYC April 12th to ask him about the minimal invasive procedure.....he has been talking surgery with me for at least 4 years! i was actually ready to do it in 2007..but several things got in the way (discovering a benign tumor in left femur, getting married & moving to CT, etc)

i am soooo sorry that you had to see a "pain psychologist"...never even heard of such a creature...and i am a licensed social worker...i would NEVER dismiss anyone's pain...but really, rohr...never EVER minimize your pain to anyone, especially doctors....i actually had an idiot doctor at the infamous Stonybrook Hospital in Long Island tell me that i didnt need pain meds cause "Lyme doesnt hurt that much"!! it does...the arthritis, the headaches, the joint pain, etc...believe me, untreated Lyme disease(undiagnosed for a year and a half) really does hurt that much!!

hope you get the relief that you seek & need!

jess

rich1752
03-24-2010, 08:59 PM
hey Jess, I know we spoken before, but no sure if I told you about my fusion. If I remember right you have degenerative disc just like me. When my surgeon went in for surgery, he found out that I had two disc which were completely gone and my disc were already fused in that area. I didn't know that they could fuse on their own. They didn't fuse straight, but in a curve. My correction was less then most. He could only correct it 35 degrees (57 degrees before).

rich

jrnyc
03-24-2010, 09:27 PM
Hey Rich
yup, degenerative disc..that's so freaky that discs can fuse by themselves....i guess they cant see that on an xray, huh...?
hope you are doing well since the surgery...and dont have any pain.....

jess

rohrer01
03-25-2010, 07:24 AM
Hmmm,
I thought they could see it on x-ray if your vertebrae fused themselves. I have a friend that I'm pretty sure that's what happened to her. She doesn't have scoliosis, but a whole lot of other things like spondolisthesis, stenosis, 4 herniated discs, severe degenerative disease, and the list goes on. When she was early enough on in her spinal disease she was so afraid of the surgery that she refused it and opted for pain meds. I see what the narcotics have done to her over the years and it totally frightens me. I don't want my brain affected like that. She just sits in her apartment literally in the dark all day long and does nothing. I love LIFE too much to let that happen! She is so far progressed that no amount of surgery could help her. She's completely disabled and in a wheelchair. I feel so badly for her, but do not want to end up like that. I think if we could remember just ONE thing, that would be to take care of ourselves and what we do have. We might have bad spines, but there are always other people worse. I have another friend who is actually dying of her scoliosis. She had a 90+ degree curve fixed with Harrington rods over 30 years ago. She has asthma and smokes and drinks heavily. She is on oxygen and has been given only several months to live. I can't judge her at all. She is such a sweet person who has had so many difficult personal problems over the years, but I could just "shake" her for destroying her heart and lungs. She, of course, has progressed again like many others with the infamous Harringtons. There is so much that could be done to help her if she wasn't so sick from her disease/lifestyle. I see these people and am determined NOT to repeat their mistakes. That's why I love this forum so much. I see so much bravery on here. I see so many fine people doing positive things with their lives, be it surgical or not. I really look up to you all. Keep up the positive thinking, faith, or whatever it is that helps you. I personally think my faith in God and positive thinking has helped me the most over the course of my life. I pray you all continue to get well and thank you for all the encouragement!!
:D

Pooka1
03-25-2010, 11:10 AM
You can definitely see a natural two level fusion on a radiograph. I have one in my lumbar that is likely due to a repetitive riding injury (not sitting the trot correctly) several years ago. There is no space between the two vertebra like with all the other vertebra. I don't have scoliosis to my knowledge.

This happened in the early 1990s and I had no trouble until recently. So it was very stable for a very long time. Lately I am getting not only exquisite lower back pain similar though not as bad as when I was fusing but I am getting "bonus" mid-back muscle spasms which I think are related but may not be.

My back was killing me last night before my riding lesson but I tried anyway because I never have had back pain while riding. And indeed I had no pain on the horse, even doing sit trot, but did have pain before and right after if you can believe it.

My main symptom is I cannot stand still for more than ~10 minutes before my lower back starts hurting. What might that map to given I don't have scoliosis (to my knowledge)? Would it be the fusion propagating up and down my lumbar?

I hope this isn't a hijack.

rohrer01
03-25-2010, 01:10 PM
If it's a hijack, there is no offense taken. You are still dealing with scoliosis with your daughters and you can relate to back pain for sure. Sometimes I think the topics kind of evolve. I would definitely have your back checked out. Injuries of the spine can lead to scoliosis and if your girls have it, who's to say that you don't have the propensity to develope it, even from an injury. I'm starting to think I should have labeled this thread "Why 50* over pain for surgical intervention?" ;)

Pooka1
03-25-2010, 05:50 PM
If it's a hijack, there is no offense taken. You are still dealing with scoliosis with your daughters and you can relate to back pain for sure. Sometimes I think the topics kind of evolve. I would definitely have your back checked out. Injuries of the spine can lead to scoliosis and if your girls have it, who's to say that you don't have the propensity to develope it, even from an injury. I'm starting to think I should have labeled this thread "Why 50* over pain for surgical intervention?" ;)

I'm glad you took it that way. :)

I intended to only make the point that you can easily see a natural fusion on radiogragh but then I figured I try and pick people's brains about my symptoms. If it doesn't settle down in a month or two (the time my fusion took to settle) I will need to get a radiograph.

Maybe you are right that I have some sort of curve developing from that old fusion.

Thanks.

LindaRacine
03-25-2010, 10:12 PM
My back was killing me last night before my riding lesson but I tried anyway because I never have had back pain while riding. And indeed I had no pain on the horse, even doing sit trot, but did have pain before and right after if you can believe it.

My main symptom is I cannot stand still for more than ~10 minutes before my lower back starts hurting. What might that map to given I don't have scoliosis (to my knowledge)? Would it be the fusion propagating up and down my lumbar?.
Bummer! Hope the symptoms are temporary

dailystrength
04-02-2010, 07:34 PM
Do not try to understand it!!!! I went to four different surgeons and got four different opinions. One said, surgery right away,one said my 52 was not enough and would wait until 60 degrees and a lot more pain. One said surgery at 57 degrees and above and the last surgeon said wait for two years with pain management. Pain and the fact that I wanted to have it done while I am still kind of young. good luck,


rich
Wow, Rich, that is incredible. My Dr. has said he would not do surgery. I am wondering what the next one would say. It is so crazy confusing!!!

dailystrength
04-02-2010, 07:47 PM
I have a 90 degree thoracic curve and have not had surgery because I have had no pain. The technology is so much better now that in some ways I'm glad I waited. There are doctors out there getting amazing results. Good luck. Joy
Joy, thank you for that testimony. I am going to hang in there as my pain does not disable me, if I move properly, do my stretches, and relax (not tense up), and breathe. At 34T, 49L, I am right on that threshold. I will just follow my Dr's advice (no surgery), and hang in there day by day. Christina

Syd
04-07-2010, 12:59 PM
hey im syd,
i had 59 degrees when i was born and have been liveing with almost a 100degree curve the reason why they want to operate is because it depends on what type of curve that you have with your back because a lumber curve can get bad when you grow and mess with your kidneys and walking posibly and i have a curve in my neck and by my shoulder blades and they mess with my rib cage like alot of people scoliosis does and they want to operate so the curve does not get worse and so you will not get any pain in the future sense the curve might grow and they just want everyone to be healthy :) hope evrything works out with your scolisis ! wish you the best of luck !!!