What is the Main Cause of Scoliosis?

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What causes scoliosis? This is one of the most common questions patients ask me.
In this video, we’ll discuss the main causes of scoliosis. And, why knowing the cause is virtually irrelevant.

Scoliosis isn’t well understood. There are many theories about what causes it. It can be brought on by neuromuscular issues, congenital conditions, or physical trauma. But this represents only a small portion of cases.

In over 80% of cases, the cause of scoliosis is completely unknown. This is called idiopathic scoliosis. Idiopathic is a general term for any medical condition that arises spontaneously or has an unknown cause.

Idiopathic scoliosis is a multifactorial problem. There are many issues that can trigger it. Some may be hormonal, genetic, or environmental. However, neurological stress is likely the main cause for most scoliosis.

The progression of scoliosis is associated with growth. The spinal cord stretches to accommodate the growing body. During times of rapid growth and development, it can reach its maximum stretch capacity. This physically stresses the spine.

When the spinal cord’s growth rate doesn’t keep up, the body has to shorten the distance from the skull to the sacrum. It does this by creating curvatures.

That’s why the faster the person grows, the faster the curve develops. This is why hormones related to growth and development can also be considered a cause of scoliosis.

We can think of scoliosis as being a kind of defense mechanism, protecting the spinal cord during intense, rapid growth. In this way, it’s similar to other neurological symptoms like fevers.

The body creates fevers to fight off infections. When we develop fevers, they eventually go away and we’re fine. Unfortunately, that’s different for scoliosis. The problem that caused the scoliosis may go away, but the physical curvature still remains.

There are three other kinds of scoliosis, with known causes. These are neuromuscular, congenital, and traumatic.

Neuromuscular scoliosis is quite common. Soft tissue conditions are widespread. There are dozens of them. These syndromes are associated with the development of neuromuscular scoliosis.

Neuromuscular scoliosis can be difficult to take care of. This is because the soft tissue disorder causing the scoliosis, often can’t be resolved. These syndromes also come with many different symptoms, which each need individual specialist treatment. The spine is usually treated separately from the syndrome.

Congenital scoliosis happens when the patient is born with a malformed bone in the spine. This bone causes a curvature to occur. Only around 5% of scoliosis patients have this.

Traumatic scoliosis occurs from physical trauma to the spine. The spine can shift, then develop scoliosis over time. Some cases of idiopathic scoliosis were actually caused by earlier trauma. However, it’s difficult to determine this after five to ten years.

Regardless of what caused the scoliosis, here’s the question… does it matter once scoliosis develops and treatment is needed?

You’re still left with structural damage that needs to be corrected.

Knowing the cause won’t undo the damage. “Rebalancing” neurotransmitters with pricey nutritional therapies won’t correct a spinal curve.

By the time scoliosis is discovered, the cause is usually irrelevant. The key is to be proactive with scoliosis treatment.

00:00 - Main Cause Of Scoliosis
00:25 - Idiopathic Scoliosis
01:44 - Scoliosis Is Multifactoral
02:28 - Familiar Scoliosis
02:45 - Hormones And Scoliosis
03:18 - Adolescent Idiopathic Scoliosis
05:06 - Neuromuscular Scoliosis
06:19 - Congenital Scoliosis
07:04 - Traumatic Scoliosis
08:07 - Does Knowing The Cause Influence Treatment?
10:16 - What Is Relevant Once Diagnosed With Scoliosis?

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I have been told by a doctor that I have scoliosis but haven’t had anything done to fix it since (it’s been three years since I was told) I’m going to the doctors soon in hope to get it checked out again since it’s causing me so much pain… idk anything about my scoliosis so watching your videos are a great help for me to learn. Thank you so much!

remiremington
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I just returned home after two successful surgeries in three days to help my advanced Scoliosis, an ALIF and an XLIF. It's a long recovery, a lot of physical therapy to come, but I'm ready for it.

martin
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Thank you so much for such a thorough and honest explanation.

alfsearching
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My dad had scoliosis and my identical twin sister and me have almost the same curve(s). Very similar .

lt
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I have a severe case of Scoliosis, at least that’s what my GP says. So I went to a back doctor who did an MRI and was surprised to find out that my spine is not only curved far to the right, but the disks, nearly all of them, are gone. Can the loss of disks cause this? Also, I’m in severe pain in my legs, and my doctor at Mayo clinic in Minnesota thinks nerves going to the legs are being pinched. Does this whole ailment decrease my spinal fluid? I’m also told that my only option is replacing all of the discs after starting the medication Alendronate, which I’m scared to death of because of the possibility of getting Osteonecrosis of the jaw

martin
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As someone who had severe adolescent scoliosis I went through a period when I was around 13 years old in which my growth curve increased dramatically from the projections I'd been given at birth. I find it funny if my spinal cord couldn't keep up with the rate at which my body was growing. After fusion I grew an inch literally over night. I think I was projected to be around 70 something percentile but I ended up going to 85th percentile in the span of a year. I was tested for things such as ethlos danlos and marfans syndrome but the results were inconclusive with them basically just calling me lanky XD, what a time to be alive. I think we are all just severely limited to the technology of our time in properly fixing mechanical issues like this which is a shame for us. Harrington rods are not exactly the most elegant solution believe me, I think of my spine as more of a plank these days. Workout videos make me laugh when they talk of flexion for example.

Powerofeven
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Thank you for the video. My 9yo, whom has LGS (and other diagnoses), has been having a seemingly fast progression of scoliosis (not yet officially diagnosed). At birth, she had pectus excavatum but has not seemed to have any issues. My curiosities are: Can the pectus excavatum contribute to the scoliosis? From a physical development standpoint, could the body enduring hundreds of drop seizures per day cause her body to compensate by curving the spine? Additionally, how do her spine issues possibly affect her feet becoming terribly supinated? Thank you!

rissabiagi
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nice ty for educate us scoliosis very much effecting my life quality this days ty for content

aligrd
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I think that if you have a scoliosis diagnosis, you should be automatically tested for things like Ehlers Danlos syndrome. There is a Kyphoscoliotic type: it's not just hypermobile. Even if the curve is already there structurally, that be a heads up to design your lifestyle accordingly. People's bodies are more than their scoliosis

lizallen
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My Dr as a child said : it may connected to the fact my mom had polio as a child but was one of the first to get the vaccine in the 50s .

kevinray
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I have mild scoliosis, can you please help to cure it. I'm so stress now. I dunno what to do.

jossetteannepenol
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Hip muscle and trapezius muscle lock is the main problem for scoliosis

SenthilKumar-rnte
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...well, so much for the old adage, "the shortest distance between two points is a straight line"....

stevearttus
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I have a back jolt against a car hood in a fight. I endeed Up winning at least but, could that worsen my scoliosis? I remember having a little pain on my back for like a week but nothing more. I'm more worried about It and I need to close that book. I would apreciate your opinion, thank you

Krack
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Do you know of anybody in Arizona that does treatment for scoliosis?

chrispolvani
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Hii sir my spine is bend right side my left shoulder is down nd right shoulder upper so wich side streching exercise plz rlp me

pasunurimounika
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do you know of anyone in Australia that does what you do ? recommendations ? my daughter has just been diagnosed and just unsure of where to go from here . thank you kindly

michelejohnston
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I have scoliosis .cobbs angle 15 ° I am nursing officer working at cath lab so i am wearing led apron its just like 4 kg weight .is that okey sir . any risk that my future

madushiamarasinghe
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i have scoliosis at a 40° angle back 11 months ago, i attend physio therapy however everything planned with surgery had been stopped due to the coronavirus. i am a 16 year old and it effects school a lot, should i be going private to a doctor as the doctors how have a long waiting list?

lucygrace
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I have scoliosis on the left side of the spine whether stretching is good and what exercises doctors would recommend to me.Greetings to you.👋

sanidamukovic