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flerc
09-06-2016, 11:12 AM
http://news.streetroots.org/2016/08/16/famed-ballerina-paige-fraser-scoliosis-has-not-stopped-me-once

I have just seen it in ESPN. This is the Chiropractor http://www.spine-health.com/doctor/chiropractor/alex-eingorn-new-york-ny

burdle
09-06-2016, 11:40 AM
http://news.streetroots.org/2016/08/16/famed-ballerina-paige-fraser-scoliosis-has-not-stopped-me-once

I have just seen it in ESPN. This is the Chiropractor http://www.spine-health.com/doctor/chiropractor/alex-eingorn-new-york-ny

Not sure what your point is - there are many of these success stories and it is great news for this dancer. I doubt that the chiropractor had anything to do with it. She has obviously kept her back strong; she says herself she still has limitations and the scoliosis clearly was not the type to progress to a level where there was no option but surgery.

Pooka1
09-06-2016, 11:49 AM
The chiro did nothing obviously. Don't be so naive.

flerc
09-06-2016, 12:12 PM
She said that surgeons recommended her to take surgery but she refused it and this Chiropractor helped her to make possible her dream. It's what I saw in TV.

Pooka1
09-06-2016, 12:25 PM
Without radiographs it's all nonsense. Obviously. She is probably mistaken about what the surgeon actually said to her. Don't be so naive.

flerc
09-06-2016, 12:41 PM
I'm not so naive to think as you want, I have not any reason to be so sure that this girl is lying or confused with something so important for her. Also not to be sure that ESPN may be so irresponsible to allow to say something so important not being true.

burdle
09-07-2016, 04:38 AM
I'm not so naive to think as you want, I have not any reason to be so sure that this girl is lying or confused with something so important for her. Also not to be sure that ESPN may be so irresponsible to allow to say something so important not being true.

We all know that TV and the Papers present things slightly differently from the real 'sometimes prosaic' truth. I know countless people with untreated scoliosis who are told that 'if' it progresses to a certain level then surgery is an option.

This is not the same as 'surgeons saying you need surgery'. She is not lying - the story is 'worked' to make it newsworthy. Papers like a story! Cant believe you believe all you read in the papers and TV!

If the chiropractor did manual adjustments and fixed a scoliosis then he would be making millions. This chiropractor should talk to Scolismart. That would be a good conversation ( haha) . All the money and effort they spend promoting neurotransmitter re-training et al. and then they find one of their own kind letting this girl think that a basic chiro move( adjustment) is all that is needed ( haha)

Pooka1
09-07-2016, 07:30 AM
I saw a video of her dancing that showed her back. Without radiographs we can't know but it doesn't appear that she has a large curve. Her shoulders appear almost even. She mentions an "S" curve but we don't know that both curves are structural. If true that she doesn't now have a large curve, because chiro can't reduce the curve, she probably was never near surgical range.

There is ample evidence that patients and their parents misunderstand surgeons all the time. I have misunderstood our surgeon and written about it here. This is not news. Or I should say it shouldn't be news. The naivete exhibited in the OP is breath-taking.

burdle
09-07-2016, 10:26 AM
I'm not so naive to think as you want, I have not any reason to be so sure that this girl is lying or confused with something so important for her. Also not to be sure that ESPN may be so irresponsible to allow to say something so important not being true.

There is a serious point to be made here.

Articles like this do a lot of damage- it is difficult enough for sufferers of scoliosis to get any decent treatment; especially any non-surgical treatment. Articles like this that trivialise and suggest that doctors know nothing etc. are not doing any of us any favours. Their lack of clarity, confusion of terms and general inaccuracies do great harm. They lower morale, make it difficult for patients to communicate effectively and generally put back any willingness from the medical profession to advance treatment in general.

It is up to us patients to police such articles, in general this is what I see on forums such as these. In UK The Daily Mail is very fond of publishing articles such as these. The forum members post them but only to re-assure members that such claims are rubbish.

It is people with a 'hidden agenda' and who are not intelligent enough to see the full picture that promote them in the way that Flerc has. Do you seriously think (Flerc) with all your experience that this article is accurate and might actually help someone with scoliosis?

Pooka1
09-07-2016, 10:38 AM
Burdle, excellent post clearly written. Thanks.

boogaloo
09-07-2016, 12:27 PM
I agree this article is nonsense and agree with everything burdle said. Chiropractor did nothing and can't do nothing that other forms of massage can't. That is help with the pain, but structuraly they can't do nothing in terms of reducing or stoping progression of the curve. I even think they can make it worse by all that forcefull manipulation of vertebras. I would never as a person with scoliosis let any of these people touch my back.

Pooka1
09-07-2016, 01:29 PM
Agreed.

Chiro is not a science. It sits on a thrown of imaginary concepts.

flerc
09-09-2016, 08:37 PM
Articles like this do a lot of damage- it is difficult enough for sufferers of scoliosis to get any decent treatment; especially any non-surgical treatment. Articles like this that trivialise and suggest that doctors know nothing etc. are not doing any of us any favours. Their lack of clarity, confusion of terms and general inaccuracies do great harm. They lower morale, make it difficult for patients to communicate effectively and generally put back any willingness from the medical profession to advance treatment in general.

It is up to us patients to police such articles, in general this is what I see on forums such as these. In UK The Daily Mail is very fond of publishing articles such as these. The forum members post them but only to re-assure members that such claims are rubbish.

It is people with a 'hidden agenda' and who are not intelligent enough to see the full picture that promote them in the way that Flerc has. Do you seriously think (Flerc) with all your experience that this article is accurate and might actually help someone with scoliosis?

I have posted this article only because I saw what it says in ESPN and I cannot post that TV program. Of course I would not have posted nothing of this if ESPN would not have done that. Is difficult to me to imagine them doing something so serious as you say they did. Are you really sure that they can do something so serious as you are saying? If you think that I'm wrong, you may look for this TV program.

Anyway is great to be in a forum with people so wise and intelligent. I think that during growth, if a great flexibility as I heard that some Chiropractors are able to achieve and using a brace like it seems that this girl did, surgery may be avoided, but it seems that you are sure chiropractors cannot do that or it would be useless anyway. Of course you must to know the scientist explanation about why this is not possible, I hear you.
Thanks in advance.

flerc
09-11-2016, 06:45 AM
I have posted this article only because I saw what it says in ESPN and I cannot post that TV program. Of course I would not have posted nothing of this if ESPN would not have done that.

To post something in favor of Chiropractic in this forum without nothing to support it, would be like entering to the wolf cave with a revolver but without bullets.

Pooka1
09-11-2016, 07:58 AM
According to this, she had a 32 degree curve. Obviously she wasn't told she needed surgery then but may need surgery if it progresses. Maybe the chiro said she needed surgery for a 32 degree curve. LOL


Paige Fraser, a company member with Visceral Dance Chicago in Chicago, IL, was diagnosed with a 32-degree curve when she was a freshman in high school. One orthopedist suggested she undergo surgery. “But my dad wasn’t comfortable with that,” Fraser says. “We found a chiropracter who dealt specifically with dancers and scoliosis. I saw him twice a week for a few months, and wore a back brace throughout high school. My spine responded well to that treatment.”

http://www.dancespirit.com/your-body/health/lets-get-things-straight/

-------------

At 1:44 is a picture of her back showing the curve. It is hard to eyeball but she appears to be highly rotated now and I am guessing the curve now is much larger than 32 degrees.

http://www.wciu.com/videos/youandme/paige-fraser-overcame-scoliosis-to-become-a-professional-dancer

Pooka1
09-11-2016, 09:17 AM
And just to spell things out a little more, if her curve increased as appears, that counts as a failure of the bracing all through high school and of the chiro "treatments".

To Paige Fraser's credit, if she has a large curve, she has shown that while she couldn't stop progression, she has maintained a phenomenal amount of function. That's dedication like Martha Hawes has shown dedication to using PT.

titaniumed
09-11-2016, 11:35 AM
she has maintained a phenomenal amount of function. That's dedication like Martha Hawes has shown dedication to using PT.

It’s the stretching.....

I had my Chiropractors order me a professional stretching chair. It was around $1600, and I used it quite often for my scoliosis.

I also stretched for skiing which is extremely important. I would say I stretched 50% for my scoliosis, and 50% for my skiing.

This girl is doing just fine.....

Ed

Pooka1
09-11-2016, 12:31 PM
I think you are correct about the benefits of stretching.

Of course we need to point out here that stretching is a concept within the science of physiology as applied within the scientific field of physical therapy. The fact that some chiros may use stretching doesn't make it chiro and certainly doesn't make chiro science-based.

The only benefits to chiro that have ever been demonstrated are for pain relief in the lower back. But in that regard it is no better than PT. So the chiros are probably stealing whatever works withing PT and calling it chiro.

The central claim of chiro is subluxations of the spine. But these subluxations have been proven to be imaginary... no two chiros can point to the same spot on the radiograph as to where the subluxation exists. Unless chiros can demonstrate a treatment that they didn't steal from PT, it will remain a non-science.

flerc
09-11-2016, 05:39 PM
According to this, she had a 32 degree curve. Obviously she wasn't told she needed surgery then but may need surgery if it progresses. Maybe the chiro said she needed surgery for a 32 degree curve. LOL



http://www.dancespirit.com/your-body/health/lets-get-things-straight/

-------------

At 1:44 is a picture of her back showing the curve. It is hard to eyeball but she appears to be highly rotated now and I am guessing the curve now is much larger than 32 degrees.

http://www.wciu.com/videos/youandme/paige-fraser-overcame-scoliosis-to-become-a-professional-dancer

'One orthopedist suggested she undergo surgery. “But my dad wasn’t comfortable with that,” Fraser says. “We found a chiropracter who dealt specifically with dancers and scoliosis.'
Clearly was a surgeon not a chiropractor who suggested surgery. Is exactly what they said in the Tv program.. it seems I'm the only one here feeling respect for ESPN. If she really had only 32º, it would not be honest what they did. Sure is full of cases like this with chiropractors, braces or nothing. It would be really very strange and suspicious, they even gave the name of the chiropractor.. is difficult to believe. If really a surgeon decided to go against the protocol, is not a reason to make a program about a girl not giving up and avoiding surgery.
I think is more logic to believe that this article is wrong and 32º is what she has now after the treatment. In the video she seems to have even less degrees.

Pooka1
09-11-2016, 05:50 PM
I think is more logic to believe that this article is wrong and 32º is what she has now after the treatment. In the video she seems to have even less degrees.

Wrong.

"Paige Fraser, a company member with Visceral Dance Chicago in Chicago, IL, was diagnosed with a 32-degree curve when she was a freshman in high school."

This is where she is not remembering correctly... "One orthopedist suggested she undergo surgery."

Her and her family probably just heard the word "surgery" and assumed she needed it right away. They would not be the first to misunderstand out of fear and shock.

It is hard to tell but it is a very good bet that her curve is much larger now than the 32 degrees when it was diagnosed in high school. It appears to be very rotated also. Because her shoulders are fairly even, I am guessing she has either a double major or false double.

titaniumed
09-11-2016, 06:32 PM
The only benefits to chiro that have ever been demonstrated are for pain relief in the lower back. But in that regard it is no better than PT. So the chiros are probably stealing whatever works withing PT and calling it chiro.



Physical therapists don’t use thrusts or thrusting.

My lower spine would get so tight, it would take several thrusts to get it to release. The pain relief would only come after the joint or joints released. One Chiropractor I used was a small guy. He would try, and try, only to set me into laughter, I would joke and say I need a heavier Chiropractor, or 2 at a time. They would also adjust my thoracic face up with knuckles under my spine. They would adjust all levels except my SI joints in which I had an Osteopath do with a leveraged leg motion. That removed 25 years of SI pain away immediately.

I never believed the theories behind Chiropractic, wondering what a subluxation is, or the curing of many diseases. All I knew is that it works for pain and it also kept me from having surgery for many years. Stretching, pulling, and traction just wasn’t enough for me. I tried all of these techniques over many years....

My surgeons and doctors did not specifically warn me to not use Chiropractic. I also wasn’t about to start taking medications. (Until I was diagnosed with 4 lumbar herniation’s in Jan 2002.) I then started with various NSAID’s. and using massage more often. That’s where I learned about the benefits of hot water.

If I didn’t degenerate, I wouldn’t have had surgery. Degeneration can be a disaster in which only surgery can help.

Ed

titaniumed
09-11-2016, 06:40 PM
Degeneration can be a disaster in which only surgery can help.

Ed

Actually, this is wrong because my neck has been under control after the Medrol pack and Diclofenac. April 2013. I took the Diclofenac for 30 days and terminated except for one plane trip to South America.

It would have been nice if meds could have handled my whole spine....but that wasn’t the case.

Ed

flerc
09-11-2016, 06:59 PM
I think you are correct about the benefits of stretching.

Of course we need to point out here that stretching is a concept within the science of physiology as applied within the scientific field of physical therapy. The fact that some chiros may use stretching doesn't make it chiro and certainly doesn't make chiro science-based.

The only benefits to chiro that have ever been demonstrated are for pain relief in the lower back. But in that regard it is no better than PT. So the chiros are probably stealing whatever works withing PT and calling it chiro.

The central claim of chiro is subluxations of the spine. But these subluxations have been proven to be imaginary... no two chiros can point to the same spot on the radiograph as to where the subluxation exists. Unless chiros can demonstrate a treatment that they didn't steal from PT, it will remain a non-science.


Sure we may say that PT stold very much from milenary practices like yoga. Streching of course exists since many thousands of years before the PT birth few years ago.
An Indian practice is extremely similar to Chiropractic and was another very similar in Tibet.. probably more similar to the german Dhorn method. Now there is a revolutionary gymnastic The Hypopressive gymnastic of French, who seems to be too much similar to the bandhas of yoga.
I think that same concepts are discovered again through ages and cultures.
I really don't know which chiropractors can achieve flexibiliyt but some of them can. If this chiropractor is one of this, then it should to not surprise too much this ESPN story.

Pooka1
09-11-2016, 07:58 PM
Chiropractic was founded in 1895 by Daniel David Palmer, a grocer with an intense interest in metaphysics.

https://www.sciencebasedmedicine.org/chiropractic-a-brief-overview-part-i/

flerc
09-11-2016, 08:29 PM
Wrong.

"Paige Fraser, a company member with Visceral Dance Chicago in Chicago, IL, was diagnosed with a 32-degree curve when she was a freshman in high school."

This is where she is not remembering correctly... "One orthopedist suggested she undergo surgery."

Her and her family probably just heard the word "surgery" and assumed she needed it right away. They would not be the first to misunderstand out of fear and shock.

It is hard to tell but it is a very good bet that her curve is much larger now than the 32 degrees when it was diagnosed in high school. It appears to be very rotated also. Because her shoulders are fairly even, I am guessing she has either a double major or false double.

Why are you so sure? Yes, is possible what you said, also is possible they wanted to say 42º instead of 32º.. also probably the orthopedic surgeon never said nothing about surgery and the father imagined all because he was too worried. Is difficult (only for me?) to believe but is also possible that ESPN don't tests nothing and trusts blindly in parents's stories about achievements of their sons going against what doctors says. If this is the case, we might see some miracle the next. But is also possible that they are not so irresponsibles and it was as they said and the surgeon who recommended surgery was not a criminal and had reasons to recommended it.
It not proves nothing but I doubt too much this curve may be over 30º.. only 1 or 2 degrees more.

flerc
09-11-2016, 09:05 PM
https://www.sciencebasedmedicine.org/chiropractic-a-brief-overview-part-i/

Probably this man may found similar inconsistences in Hipopresive gymnastic theory and then he may conclude that this gymnastic and then also Yoga is usleless.

flerc
09-11-2016, 10:40 PM
An Indian practice is extremely similar to Chiropractic and was another very similar in Tibet.. probably more similar to the german Dhorn method.
Certainly Sohier is really similar to Chiropractic.. with very much solid concepts but is also vertebral manipulation..

Pooka1
09-12-2016, 07:25 AM
Why are you so sure?

We can never be sure. All we can do is reject things that don't make sense and suggest things that we see over and over and over again.

The most likely scenario here BY FAR is that she was diagnosed with a 32 and she and her family misunderstood the surgeon.

What I am less sure of is her progression. The spine appears highly rotated such that the prominent parts that face straight back disappear completely to the left. Also, we probably wouldn't notice a 32 in that photo. Curves have to get very large to be noticeable like that. I would bet she is north of 50 degrees and maybe north of 60 degrees in that photo.

Your scenarios are not likely and come across as contrarian and you just reflexively disagreeing even in the face of overwhelming odds against what you are saying.

The saying, "If it doesn't make sense then it probably isn't true" works for most people. But it doesn't work for you because your sense often does not match reality and you tend to be naive.

rohrer01
09-12-2016, 02:05 PM
Flerc,
To be fair I haven't read any other comments on this thread. I read the article and looked at her pictures.
She obviously still has a significant deformity. Many people live with their scoliosis even though they are well above the surgical threshold. There is a woman in my town that has a significant s-curve that can be seen very distinctly and refuses surgery. I know that she refuses surgery because I know her mother.

The woman in this article is one that chooses to live with it, too. According to the article, it appears that she is still using her brace as it stated, "13 years of ... bracing". I may be incorrect as that may just be thrown in there as one of her treatments. The HUGE factor in this is the fact that she is ultra athletic, especially with her back muscles. This probably acts to keep her from progressing at this point.

The fact that she saw a chiropractor for treatment is irrelevant to me and probably irrelevant to her avoidance of surgery. The chiropractor is just one member of her self-made "team" that gives her support and advice on her body mechanics. That's probably the extent to which s/he has helped her. Undergoing spinal manipulations has never been shown to be effective in anything other than relieving pain. This, of course, could have helped her to continue on in her course but is certainly not a source of prevention or cure. Pain could have stopped her, so I will admit that the chiropractor may have helped in this aspect as well.

The big question now is: What's going to happen when she quits active ballet?
If she ever stops her vigorously active ballet exercises she will quite likely experience what most of us do ... a worsening of her scoliosis and the pain and disfigurement that goes with it.

But, for now she works around it. They don't ask her to do moves that she physically can't do. She was very fortunate to find a ballet company that will work with her.

It irks me a little bit that she frowns upon the term "disabled" so much. There are millions who are disabled that can't do anything about it. Just because she is able to work around her deformity and has a company the allows compensation for this doesn't mean that she's conquered it. Her statements seem to imply that others that are disabled are somehow at fault for not being strong enough to overcome their disability. There are varying degrees of disability. Her ballet company works around hers. She could have found herself in a company that wouldn't work around her disability. In that case she wouldn't have been employed very long. She's just very fortunate that she has a good and understanding employer. I'm happy she's been able to live her dream, but she's still very young and age is a game changer.

Rohrer01

flerc
09-12-2016, 02:38 PM
We can never be sure. All we can do is reject things that don't make sense and suggest things that we see over and over and over again.

The most likely scenario here BY FAR is that she was diagnosed with a 32 and she and her family misunderstood the surgeon.

What I am less sure of is her progression. The spine appears highly rotated such that the prominent parts that face straight back disappear completely to the left. Also, we probably wouldn't notice a 32 in that photo. Curves have to get very large to be noticeable like that. I would bet she is north of 50 degrees and maybe north of 60 degrees in that photo.

Your scenarios are not likely and come across as contrarian and you just reflexively disagreeing even in the face of overwhelming odds against what you are saying.

The saying, "If it doesn't make sense then it probably isn't true" works for most people. But it doesn't work for you because your sense often does not match reality and you tend to be naive.

Wrong
Of course is more logic to suppose that that article is wrong and not ESPN. Certainly in the article they are saying that a surgeon recommended surgery with 32º, something surely wong, the surgeon should to demanding them. What do you think need to be more serious, this article that you find and sure I'm the only one in my country reading it or a tv program that sure was seen for millons of persons around the world, not only in Argentina?
Make it more simply, just only say that non surgical methods, specially chiropractic, cannot avoid a surgery and then everything you say would be a consequence.. even that ESPN team is irresponsible and really very much naive. It don't surprise you?
I'm almost sure she is not over 30º. I perfectly know how a curve over 50º may looks, you know it.

LindaRacine
09-12-2016, 09:54 PM
You cannot tell how large someone's curve is by how they look. I had a 50+ degree thoracic curve before my surgery and my back did not look as deformed as this woman's curve. In fact, the first time I had an appointment with a surgeon, he looked at my back and said that my scoliosis was not large enough to be seeing a surgeon. He was surprised when he looked at my xrays.

Pooka1
09-12-2016, 10:05 PM
You cannot tell how large someone's curve is by how they look. I had a 50+ degree thoracic curve before my surgery and my back did not look as deformed as this woman's curve. In fact, the first time I had an appointment with a surgeon, he looked at my back and said that my scoliosis was not large enough to be seeing a surgeon. He was surprised when he looked at my xrays.

Yes I agree with that. I have been tentative in talking about her curve other than I think it is very big.

Smaller curves escape detection frequently for this reason. When you can easily see the curve and rotation in Fraser's back, it is an indication that the curve is truly large. Given you comment about your back, I am going to suggest her curve has to be north of 60 or more degrees.

If she was 32 as a freshman and it is about 10 years later (not sure) then she might be progressing at about 3 degrees a year. Of course that is VERY speculative!

Pooka1
09-13-2016, 12:37 PM
Okay I re-read the original article and I think I understand the timeline.

She did NOT say the surgeon told her she needed sugery when she was first diagnosed with a 32 degree curve. I think the surgeon suggested surgery when it progressed into surgery territory a few years later.

That makes the most sense of what has been posted about this.

flerc
09-13-2016, 03:14 PM
I think it would be compatible with what I have heard in Tv.

flerc
09-14-2016, 11:49 PM
The big question now is: What's going to happen when she quits active ballet?
If she ever stops her vigorously active ballet exercises she will quite likely experience what most of us do ... a worsening of her scoliosis and the pain and disfigurement that goes with it.


Maybe or not. I think she has not a big curve and for 'most of us', I suppose you are referring to people on this forum, but I know people who are fine even having really a big curve and they don't write in any forum. Maybe anyway she will need to do some physical but not necessary hard activity all her life, who knows? but which is your point? Do you think that her father was wrong refusing what her surgeon recommended her?

LindaRacine
09-15-2016, 01:16 AM
I don't think it's ever really wrong to avoid surgery, as long as the curve(s) aren't in a high danger area (>40 degrees and skeletally immature, >80 degrees and skeletally mature, rapid progression, etc.). Every case has to be judged on its individual merits. We often see semi-professional athletes and dancers who are in what is widely considered to be a surgical range. The majority of our surgeons will recommend surgery, but at least one conservative surgeon usually tells the athletes to try to avoid surgery by getting involved in a good program like yoga or Pilates for scoliosis. If the person is outside of said "danger area", there's relatively little risk to waiting. And, while some athletes and dancers do just fine if they can get away with a limited thoracic fusion, there's no guarantee that they'll be able to continue competing. This particular group of people are probably more likely to be successful with a long-term exercise program, as they're already used to that way of life. If I were in their shoes, I would almost certainly choose to wait.

With that said, I also don't think it's wrong for someone to go ahead with the surgery if that's what they want.

I think all we can do is give everyone as much information as possible so they can make an informed decision that's right for them. Unfortunately, I think that so many of the charlatans that are discussed here are clouding the issues. I seriously doubt that any chiropractor is going to keep someone whose natural history is going to give them a large curve, from having that large curve. I do think it may be possible for a good exercise program to potentially help someone avoid surgery. That's just an educated guess. There's absolutely no proof that any alternative program can help someone avoid surgery in the long term.

--Linda

Pooka1
09-15-2016, 07:42 AM
I don't think it's ever really wrong to avoid surgery, as long as the curve(s) aren't in a high danger area (>40 degrees and skeletally immature, >80 degrees and skeletally mature, rapid progression, etc.). Every case has to be judged on its individual merits.

It's an interesting question about is it ever wrong to avoid surgery. I think Linda has set out some examples where the consensus of medical opinion would be that it is probably better to have surgery than not. Certainly there is a overwhelming consensus to fuse the "typical" large thoracic curves in adolescents when there is growth remaining. That is the clear standard of care as far as I can tell.

Beyond that, I think the answers are different for an adult making the decision for themselves or a parent making a decision for their child.

For me as a parent, besides the consensus on fusing large progressing T curves in growing adolescents, I think it is wrong to avoid surgery for a child if they are likely to need a fusion or longer fusion into the lumbar if you wait. There is at least one testimonial on this site about a surgeon operating on a kid below the surgical threshold for the purpose of saving more of the lumbar. That's the surgeon I would seek out.

For a parent or a patient, I think it is always right to delay lumbar fusion and TL fusion that is expected to be extended to through the lumbar unless there is the potential for permanent nerve damage. I think it is right to delay fusion even if the later fusion will extend further into the thorax for waiting.

For a patient like Paige Fraser, I think it is correct to delay surgery to have a dance career but she should be completely debriefed on whether or not that will require a longer fusion into the lumbar at a later time or not. It might be a rational choice to trade a career in dance now for losing your lumbar later. It is her decision and there is no right or wrong answer. And she should be absolutely clear on the outcome if she ignores radiculopathy if she develops it. Some things have time windows and lay people have no clue about that.

flerc
11-23-2016, 02:29 PM
Is not possible to be sure if she would need surgery (not necessarily fusion) or not regardless if it would be long or not. Some old people with big curves never needed surgery and younger people with not big curves are worse. Surgeons and nobody may ensure her nothing. Some lay people have no clue about that.

flerc
11-23-2016, 03:07 PM
And of course the decision should be taken not only because her career but her life! What if now she have not pain and after surgery she begin with pain that never she felt? What if she feel rigidity, if she wants to have again the body that she had?