How can adult scolisis be treated? I have a very crooked spine at 80yr

Posted by oldpilot @oldpilot, Jan 8, 2025

I first noticed a knot in my back, then listing to the right.I ave had pain in my back for years. I think it all goes back to a helicopter crash landing into trees. The reason for this was that we were on fire after an internal fuel tank blew up. Now this occurred back in 1973 and I have had problems with my neck and back ever since, My spine did not noticeably go crooked until just the last 3 or 4 years and the pain is getting worse.

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Profile picture for srquser @srquser

I guess Yin & Yang.Went to a neurosurgeon to look into options for my Scoliosis, affecting L3-L4, L4-L5, and L5-S1. Looked at the MRI, did a physical exam, and said that there is nothing he could do. He pointed out that surgery, such as a Laminectomy, or even spacers, using minimally invasive techniques, would not be advisable given my age (late 70's) and the extent of the scoliosis. He basically said I should continue doing what I am doing - exercises, acupuncture and steroid injections - since they seem to be somewhat effective, lessening my pain from tear inducing excruciating pain, to just "ouch", and almost no pain at the start of the day which increases as the day goes on. We'll see how that goes though once I restart my docent work, where I will be on my feet for about 4 hours.BUT - we did have a nice chat about baseball as we grew up in same neighborhood & fans of same teams(Go Phillies!).

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I also have scoliosis with a 33 degree curvature and severe kyphosis. I am 69 years old with Parkinson's Disease.
I am planning to try a spine stimulator for the pain. Any feedback would be welcome.

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Profile picture for kathy2hilltop @kathy2hilltop

I'm in early mid 70s and dealing with same L-3 thru S-1 scoliosis, stenosis, degenerative osteoarthritis. Spine specialist suggested 2 options to relieve varying extreme to moderate pain. Most extreme is fusing the 3 areas, but he suggested I try bilateral nerve ablation of facet joints and referred me to pain specialist. Insurance requires 2 "diagnostic block injections" to determine if successful (temporary relief only). I just had 2nd test last week and will be proceeding within a month with nerve ablations. Current use of Aleve, occasional codeine with acetaminophen and wear back support brace when on my feet a lot.

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@kathy2hilltop Do you have a back brace you would recommend?

Isn't ibuprofen better than Aleve for back pain? And ibuprofen along with acetaminophen at the same time work better together than each one separately. My wife went thru with the 24 injection nerve ablations (she had it done 2 or 3 times), but it wears off quickly. If it were me, I'd try fusing the 3 areas. All the less invasive options just seem to be like band aids.

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Profile picture for laughlin1947 @laughlin1947

@kathy2hilltop Do you have a back brace you would recommend?

Isn't ibuprofen better than Aleve for back pain? And ibuprofen along with acetaminophen at the same time work better together than each one separately. My wife went thru with the 24 injection nerve ablations (she had it done 2 or 3 times), but it wears off quickly. If it were me, I'd try fusing the 3 areas. All the less invasive options just seem to be like band aids.

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@laughlin1947
Yes, ablations have varying success and longevity rates. I'd prefer to try less invasive first as does my spinal specialist/surgeon. Aleve (naproxen) taken once a day as needed works better for me than ibuprofen that only gave 4-6 hrs. relief. Sorry, no recommendation on back brace as they were my mom's from MANY years ago for similar back issues. Perhaps your doctor has a recommendation he can prescribe that maybe Medicare would cover as "durable equipment"? I haven't looked into that yet.

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Profile picture for srquser @srquser

I guess Yin & Yang.Went to a neurosurgeon to look into options for my Scoliosis, affecting L3-L4, L4-L5, and L5-S1. Looked at the MRI, did a physical exam, and said that there is nothing he could do. He pointed out that surgery, such as a Laminectomy, or even spacers, using minimally invasive techniques, would not be advisable given my age (late 70's) and the extent of the scoliosis. He basically said I should continue doing what I am doing - exercises, acupuncture and steroid injections - since they seem to be somewhat effective, lessening my pain from tear inducing excruciating pain, to just "ouch", and almost no pain at the start of the day which increases as the day goes on. We'll see how that goes though once I restart my docent work, where I will be on my feet for about 4 hours.BUT - we did have a nice chat about baseball as we grew up in same neighborhood & fans of same teams(Go Phillies!).

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Many thanks for your reply, but my PCP has no experience with back braces, and I get the impression she does not want to bother with it, since the time she would devote to the issue is not billable.

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Profile picture for laughlin1947 @laughlin1947

@kathy2hilltop Do you have a back brace you would recommend?

Isn't ibuprofen better than Aleve for back pain? And ibuprofen along with acetaminophen at the same time work better together than each one separately. My wife went thru with the 24 injection nerve ablations (she had it done 2 or 3 times), but it wears off quickly. If it were me, I'd try fusing the 3 areas. All the less invasive options just seem to be like band aids.

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@laughlin1947
For my experience and years of back pain, naproxen AND Tylenol, both at their full dose, provided the best relief.
Best wishes, Sherry

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