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View Full Version : a few questions...



Jimbo
06-22-2008, 10:56 PM
Gday my fellow scolastics, a quick question.

My lumbar curve is bigger (38) than my thoracic (25). However I feel alot more pain in my thoracic. Feels like I have an ape sitting on my shoulders all day. Very tiring. Any ideas why this is happening?

Also my xrays were taking prone/supine, I have a feeling they should have been taking with me standing up? The curves would probably be bigger in upright position. One more, does anyone know if fusing just the thoracic curve would be an option. It may lower that lumbar curve and releave that upper spinal pressure I so hate! Oops I am late for work. See ya!

ladare
06-22-2008, 11:53 PM
Hey Jimbo, my prone MRI vs. my standing MRI showed about an 18* difference in the curve, and my doc confirmed it was because the curve flattened out laying down. That explains why I feel better laying down... I don't have any experience re: a thoracic fusion only. I'm sure you'll get great input here though.

Jimbo
06-23-2008, 06:34 AM
:eek: 18 percent difference, WOW. That's amazing! That is a major difference. I wonder if this has anything to do with the flexibility of the curve. I am thinking the more flexibile it is, the more it would curve. Has anyone else experienced this increase in curvature in an orthostatic position?
Just thinking that even a slight increase in my scol would boost me above 40 degrees, but to think that it could be as high as 50 degrees or more is a sobering thought.

Susie*Bee
06-23-2008, 07:04 AM
Jimbo-- the x-rays need to be taken standing up. They do not measure the true curve if they are taken lying down. And yes, like ladare, that is why I always felt better before my surgery when I could lie down and get relief from the pressure just standing up/gravity made on me. That always got worse and worse throughout the day... which makes me wonder if the curves show different if the x-ray were to be taken after a long day rather than when you're feeling fresh in the morning.

It actually concerns me for you that your doctor wouldn't realize the difference. I am sure that it's standard practice to take scoli x-rays from a standing position-- and with your legs straight, etc., so you aren't tilted any. And without shoes too, since they can tip you a little forward...

debbei
06-23-2008, 08:20 AM
I agree with the others. In all my years of having Xrays for scoliosis, they were always standing up. I also feel better when I'm lying down. If I'm doing too much housework and my back gets tired, I lay down for 30 minutes or so and then I feel a lot better.

briarrose
06-23-2008, 08:25 AM
A couple of years ago I had x-rays taken lying down by mistake. My curve measured 25 degrees lying down when it was actually 37. I had x-rays taken lying down after my surgery and my curve measured 5 to 7 degrees when it is actually 15 so yes, x-rays should be taken standing up.

Shell

JamieR
06-23-2008, 07:55 PM
Everyone is right, you need to be standing up. The first doctor I was seeing always took my x-ray laying down so we always thought my back was not as bas as it actually was. I was seeing a spine surgeon, but not someone that specialized in scoliosis. I switched doctors !!