Kinked Neck: Orthopedic Treatment In Frisco, TX

by Administrator 27. March 2017 11:13

Neck pain and injuries can occur as a result of daily wear and tear of bones that happens over a period of time. A kinked or stiff neck is one of the most common problems associated with the neck. The pain can range from minor to severe and even spread to other body parts such as shoulders and arms.

Causes

  • Improper neck position while watching TV or working on a laptop
  • Daily lifestyle stress and anxiety
  • Minor neck injury
  • Sports related injuries
  • Major trauma or accident that causes a direct blow to the neck
  • Sleeping on an improper pillow that is too high or too low
  • Sleeping on the stomach with the neck in a twisted position
  • Holding the neck in an abnormal position for prolonged periods
  • An underlying disorder of the cervical spine such as degenerative disc disease

Symptoms

  • Soreness in the neck
  • Difficulty in making neck movements
  • Discomfort while trying to turn the head on one side
  • Headache and shoulder or arm pain
  • Pain becomes worse after any strenuous activity

Diagnosis

  • The spine doctor will conduct a thorough physical examination of the patient’s neck and associated structures
  • The patient’s history of discomfort along with symptoms is noted down
  • The doctor will also ask the patient to perform certain neck movements to check the extent of discomfort
  • Imaging tests such as X-Rays or CT scans might be ordered to have a clear picture of the neck and cervical spine

Treatment

Most of the patients with a kinked neck benefit from conventional forms of treatment. Surgery is required in extreme cases where the cause of a stiffed neck is a disorder in the spine or spinal cord.

Non-surgical treatment

  • The patient is advised to take complete rest so as to reduce stiffness associated with a kinked neck
  • All physical activities that require twisting of head need to be completely avoided for few days
  • Application of ice packs can help in reducing inflammation caused by a kinked neck
  • Alternately, using heat packs can also promote healing
  • Non-steroidal anti-inflammatory drugs may be recommended by the spine doctor to reduce inflammation
  • Gradually the patient is advised to perform stretching exercises to regain normal range of motion of the neck
  • Low-impact aerobic activities such as walking are also recommended at a later stage of healing

Surgical treatment

  • Surgical intervention is required if all the above treatment methods fail to provide any relief
  • The most common surgical procedure is Anterior cervical discectomy and fusion (ACDF) in which the specialist doctor removes the problem-causing disc in the cervical spine
  • Another surgery to regain neck flexibility is known as cervical artificial disc replacement. The procedure involves removal of the damaged disc causing neck pain and replacing it with an artificial disc

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Fixed Sagittal Imbalance: Orthopedic Frisco

by Administrator 24. January 2017 19:44

Fixed Sagittal Imbalance (FSI) is a medical condition that affects the spine. Sagittal refers to the anteroposterior (front and back) view of the spine when observed from the side. The normal human spine has a slight curve which gives it an ‘S’ shape. The forward bend in the upper spine is called Kyphotic and the inward bend in the lower spine is called lordotic. These curves help in maintaining spinal balance besides positioning the center of gravity above the pelvis and hips. In some cases, either of the two curves may be exaggerated, causing the individual to bend either forward or backwards. This condition is termed as Fixed Sagittal Imbalance, implying that the sagittal balance is not correct and prohibits the individual from standing upright.

The condition can be categorized as follows:

  • Flatback Syndrome - In this case, the lower back loses the inward curve and the thoracic spine stands out prominently. This results in forward shifting of the center of gravity.
  • Kyphosis - It is characterized by an increase in the thoracic curve leading to the development of a hunch back

Causes

  • Osteoporosis- Weakening of the bones may affect spinal shape and stability
  • Surgical fusion of the lumbar vertebrae may result in FSI
  • Chronic Degenerative Disc Disease may result in loss of spine height and is a potential cause of Lordosis
  • Ankylosing Spondylitis is an inflammatory disease that makes the spine stiff and increases the risk for Kyphosis
  • Congenital defects in the spine
  • Direct trauma
  • Spinal implants such as rods used to correct problems like Scoliosis
  • Neuromuscular disorders such as Cerebral Palsy

Symptoms Of Fixed Sagittal Imbalance

  • Difficulty in standing straight
  • Daily activities may be hampered due to loss of balance
  • Shoulder and head may lunge forward
  • Hips may be pushed backwards while moving or standing
  • Abnormal gait
  • Pain may be felt in the lower back
  • Fatigue sets in easily
  • Numbness in the limbs as the spinal nerves may get stressed

Diagnosis Of Fixed Sagittal Imbalance

  • X-ray imaging to analyze the changes in the spine
  • MRI may be done to evaluate the soft tissue structures and degree of curvature
  • CT scans may be required to check for infections in the spine and get a detailed image of the anatomical structures
  • Physical examination may be conducted to assess the loss of function, change in gait and posture
  • The patient’s medical history may be taken into consideration to confirm the diagnosis

Treatment For Fixed Sagittal Imbalance

  • Osteotomy or surgical removal of a piece of bone to improve the flexibility of the spine
  • Spinal instrumentation- Surgery may be done to stabilize the spine using a bone graft and promote stability
  • Screws, rods and pins may be inserted surgically to hold the spine in correct position. This is called spinal fixation
  • Physical therapy may be recommended post-surgery to help the patient regain spine movement and flexibility as well as strengthen the supporting muscles.

For treatment of Fixed Sagittal Imbalance, visit OrthoTexas, Frisco. To schedule an appointment with the spine specialists, you can call at (214) 618 - 5502.

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Stiff Neck: Causes, Symptoms And Treatment

by Administrator 24. December 2016 09:01

The cervical spine consists of bones, cervical vertebrae and muscles. Due to overuse or maintaining a poor posture for prolonged periods, the muscles in the neck may become stiff and painful. This may result in limited motion and severe discomfort. The symptoms may last from a few weeks to months depending upon the severity and lifestyle of the patient. In some cases, the pain may radiate to arms, upper back and shoulders.

Causes

  • Slouching in the chair while sitting
  • Keeping the head hung forward while staring at a computer screen
  • Sleeping in an improper position
  • Using a pillow that is either too hard or soft
  • Neck injury due to an automobile accident
  • Falling from a height
  • Conditions like Osteoarthritis, Herniated Disc or Bone spurs
  • Infection in the cervical spine

Symptoms

  • Pain and stiffness in the neck
  • Headache
  • Inflammation in the neck and shoulder muscles
  • Bruising due to an injury
  • Numbness or tingling
  • Weakness in the neck muscles

Diagnosis

The doctor may ask the patient to describe the extent of pain and its location. The patient may explain if he is experiencing pain in the shoulders, arms or the upper back. The patient’s daily schedule may be noted such as if he uses a computer for prolonged periods, or suffered a neck injury.
A physical exam may help the doctor to check for muscle spasms. He may palpate the neck as well as shoulder and ask the patient to move the head to examine the range of motion.
A cervical X-Ray or an MRI scan may be conducted to detect fracture, bone spurs, slip disc or damaged muscles.

Treatment

Non Surgical Treatment

  • Rest: The patient may be advised to refrain from any type of activities that may lead to pain and stiffness. These may include sports or heavy-weight lifting.
  • Exercises: The doctor may suggest some stretching as well as strengthening exercises that help to condition the muscles, improve flexibility and allow smooth movement of the neck.
  • Medication: NSAIDs and pain relieving medicines may be prescribed. Certain topical medications may be recommended to relieve pain. Steroid injections may be administered in severe cases.
  • Cervical Pillows: They may help to realign the spine, support the neck and improve the symptoms of Stiff Neck.

Discectomy: The procedure involves removal of a damaged disc from the cervical spine. To fill the gap and regain stability of the neck, the doctor may perform spinal fusion or insert an artificial disc. In case the pain is caused due to a bone spur, it may be surgically removed to provide relief.

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Low Back Pain: Orthopedic Treatment In Frisco

by Administrator 21. September 2016 14:47

Lower back pain is a common ailment which generally affects people between 35 and 60 years of age due to various extrinsic and intrinsic factors. However, people in the younger age group may also be affected. Lower back pain can be limited to a particular portion in the spine or may radiate to other parts of the body, particularly the extremities. It can be physically limiting and should be given timely medical attention.

Causes

  • Poor posture
  • Sitting or standing for too long
  • Herniated Disc
  • Injury or trauma to the spinal cord
  • Degenerative Disc Disease which can damage the intervertebral discs and create instability in the lower spine
  • Strain caused to the ligaments or tendons due to overuse injury or weight lifting
  • Sudden increase in intensity of physical work/exercise
  • Stress caused due to sports injuries or strenuous physical activities
  • Mental or psychological stress can lead to backache
  • Isthmic Spondylolisthesis which involves slipping of a vertebrae in the lower back and consequent compression of the disc or nerve roots below it
  • Arthritis
  • Infrequent or excessive movement of the sacroiliac joint which connects the base of the spine (lower back) to each side of the hip joint
  • Spinal Stenosis
  • Compression fractures of the spine

Symptoms

  • Persistent dull ache to a sudden sharp pain in the lower back
  • Muscle spasms
  • Difficulty in walking, bending or lying down
  • The lower back may feel tender and sore when touched
  • Stopping an activity or changing the position may provide relief from pain
  • Pain may radiate into the hips and legs
  • Numbness and tingling sensation may be felt in the back or legs
  • Change in gait

Diagnosis

  • The movements and activities that aggravate pain may be analyzed
  • Assessment of the medical history and past injuries
  • Tests to evaluate the loss of motion and sensation
  • X-ray imaging to study the bone structure damage
  • MRI or CT scan to evaluate the damage to nerves and soft tissue structures
  • Myelogram test ay be recommended in some cases

Treatment

  • In most cases, the back pain may subside with conservative methods of treatment within 4-6 weeks. In the other cases, surgical intervention may be required.
  • Taking rest for a few days may reduce the stress on the spine as well as help the muscles and tissues recover
  • Heat and ice therapy may be recommended by the doctor to reduce pain and inflammation. They can be used in conjunction or alternately, as advised by the spine specialist
  • Prescription of pain killers or anti-inflammatory medicines
  • Light intensity exercises can be performed as to improve mobility and flexibility
  • Severe cases may require injecting steroids into the spine
  • Surgical fusion of the vertebrae to improve spine flexibility
  • Removal of damaged parts of the bone and soft tissue
  • A soft removable back brace can be worn for added support

The spine specialists at OrthoTexas, Frisco provide surgical and non-surgical treatment for low back pain. Patients in Frisco, TX can call at (214) 618 – 5502 to schedule an appointment with the doctors.

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Sciatica: Orthopedic Treatment In Frisco, TX

by Administrator 21. June 2016 09:11

Sciatica refers to pain in the lower extremity (that includes hip, thigh, leg, ankle and foot) caused due to irritation of the sciatic nerve. The pain originates from the lower back area and may radiate down to the buttock and the large sciatic nerve at the back of each leg. In most cases, the condition affects only one side of the body.

Causes

  • Medical conditions such as Lumbar Herniated Disc, Pinched Nerve, Spondylolisthesis, Degenerative Disc Disease etc.
  • Nerve compression due to a Spinal Tumor
  • Infection in or around the lumbar spine
  • Carrying the weight of the fetus during pregnancy may cause irritation of the sciatic nerve
  • Muscle spasms
  • Being overweight
  • Sedentary lifestyle
  • Wearing high heels
  • Sleeping on too soft mattress

Symptoms

  • Severe pain along the path of sciatic nerve, i.e. from the lower back to the leg
  • Pain may aggravate while coughing or sneezing
  • Burning sensation or inflammation in the lower limb
  • Weakness, numbness or tingling sensation in the foot
  • Difficulty standing up from a sitting position

Diagnosis

The spine specialist may ask the patient to walk on the toes, lift the leg while lying down or stand from a squatting position. This may help to check the reflexes and muscle strength. Imaging tests such as X-ray, MRI, CT scan or EMG may be conducted to identify the underlying medical condition that may be causing pain in the sciatic nerve.

Treatment

  • For acute Sciatica, application of heat pads or ice packs may be helpful in relieving pain
  • Muscle relaxants and anti-inflammatory medications may be prescribed to provide relief from discomfort
  • In case of severe pain, the spine specialist may also recommend administering an epidural injection for immediate relief
  • Once the pain subsides, physiotherapy may help to improve flexibility and strengthen the back muscles.
  • Surgery may be required if the patient is experiencing severe pain, loss of bowel/bladder control or if the condition does not respond to conservative treatment. The spine surgeon may remove the bone spur or Herniated Disc to release compression from the sciatic nerve.

The spine specialists at OrthoTexas, Frisco provide comprehensive treatment for Sciatica. Patients can call at (214) 618 – 5502 to schedule an appointment or visit 5757 Warren Pkwy, Suite 180, Frisco, TX 75034.

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Burst Fracture: Causes, Symptoms And Treatment

by Administrator 26. March 2016 11:08

The spine comprises of seven cervical bones, twelve bones in the thoracic spine and five lumbar spine bones. A burst fracture is a condition which involves crushing of any of these vertebrae due to excessive pressure. The broken pieces may smash into the surrounding tissues and lead to compression of the spinal canal. Burst fractures generally occur between the thoracic and lumbar spine region.

Types of burst fractures:

  • Stable Burst Fracture:  A fracture in which there is no neurologic injury is termed as a stable fracture.
  • Unstable Burst Fracture: It involves damage to nerves and may cause spinal deformity.

Causes

  • Fall from a height: Falling from a great height can cause sudden impact on the spine which can lead to breaking of the vertebra.
  • Motor vehicle accident: Direct trauma to the spine can be caused by motor vehicle accidents.
  • Sports injury: Injury while playing sports such as football, basketball etc. can also cause a burst fracture.

Symptoms

  • Severe back pain
  • Swelling
  • Numbness
  • Weakness
  • Pain in the legs
  • Inability to walk

Diagnosis

The doctor may conduct physical examination by evaluating the symptoms experienced by the patient. Imaging tests such as X-rays, CT scan and MRI may be suggested to determine the severity of the condition. Nerve testing may also be done to assess the movement and motion reflexes of arms as well as legs.

Treatment

Non-surgical Treatment

  • Brace:  The doctor may recommend wearing a brace to prevent rotational movement or bending of the spine. If the fracture does not cause any deformity in the spine, a full body brace may be worn to provide support to the back and reduce pain.
  • Rest: Taking sufficient rest may provide relief from pain and discomfort. Activities that involve strenuous back movements must be avoided.  
  • Physical Therapy: After the cast has been removed, the doctor may recommend physical therapy to strengthen the spine muscles and restore flexibility.
  • Medication: Specific medications may be prescribed by the doctor to relieve pain.

Surgical Treatment

If non-surgical treatment does not provide relief, a surgery may be recommended.

  • Spinal Fusion: It involves fusing two or more vertebrae with the help of a bone graft.  
  • Bone Replacement: In this procedure, the burst vertebra is replaced with an artificial bone.
  • Spine Decompression: It aims at relieving pressure from the spinal nerves.

OrthoTexas, Frisco provides treatment for burst fractures and various other spine conditions. To schedule an appointment with the spine surgeons, you can call at (214) 618 – 5502.

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Spinal Injuries: Treatment In Frisco, TX

by Administrator 24. February 2016 11:50

Spinal injuries occur when damage is caused to the vertebrae, ligaments or discs. These may be a result of falls, accidents, sport injuries and medical conditions such as Polio, Cancer, Arthritis, disc degeneration etc.

There are mainly two types of spinal injuries i.e. complete and incomplete. When the spinal cord is not able to perform its functions, it is known as a complete injury whereas an incomplete injury maintains some movement and sensation in the spine.

Some of the spinal cord injuries are:

  • Anterior Cord Syndrome: When the front of the spinal cord gets damaged, it leads to Anterior Cord Syndrome causing pain and sensations. The condition may occur due to a direct trauma to the aorta i.e. largest artery of the body.  
  • Central Cord Syndrome: Injury to the middle of the spinal cord, known as Central Cord Syndrome may cause loss of movement in arms. It may also affect the brain’s ability to send and receive messages from the body.
  • Posterior Cord Syndrome: When the back of the spinal cord gets injured, it results in Posterior Cord Syndrome. The condition may cause sensory and motor impairments in organs below the site of the injury.
  • Brown Sequard Syndrome: In this condition, one side of the spinal cord may get damaged. It may lead to loss of movement in one side of the body, without affecting the other side.
  • Spinal Contusions: The condition may be characterized by bruising of the spinal cord, causing inflammation and bleeding near the site of injury. It is usually a result of swelling in the spinal canal or pressure due to displaced vertebrae.  The condition may lead to paralysis of arms and legs.    
  • Lumbar Spinal Cord Injury: Damage or stress to the lower back is referred to as Lumbar Spinal Cord Injury. The patient may experience loss of movement in the hips and legs. It may also lead to loss of control over the bladder. Surgery may be required in severe cases.
  • Cervical Spinal Cord Injury: Also known as Tetraplegia, the injury may affect the functionality of the arms and legs. It may be accompanied by loss of physical sensation, bladder dysfunction and sexual problems.
  • Thoracic Spine Injury:  These injuries are less common but can affect the ability of the spinal cord to transmit signals to the back and abdomen muscles. It may also cause bladder, bowel and sexual dysfunctions.
  • Triplegia: In this condition, there is loss of movement in three extremities, both on a single side and one on the other. It is a type of incomplete spinal injury.
  • Sacral Spinal Cord Injury: These types of injuries cause problems in the bowel and may lead to weakness and sexual problems. They may also cause partial paralysis.   

The spine specialists at OrthoTexas, Frisco, provide effective treatment for spinal injuries. To schedule an appointment, call at (214) 618 – 5502 or visit 5757 Warren Pkwy, Suite 180, Frisco, TX 75034.

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Spinal Stenosis: Orthopedic Treatment In Frisco, TX

by Administrator 23. October 2015 13:48

Spinal Stenosis is a degenerative medical condition that involves narrowing of the space between the discs, which exerts pressure on the spinal cord and nerves. The condition often results due to compression of the nerve roots and may affect the adjacent structures in the spinal column, causing the ligaments to thicken. In some cases, the vertebra may even slip out of its place.

Causes

  • Age related changes in the spine
  • Overgrowth of the bone or tissues
  • Nerve compression
  • Rheumatoid Arthritis or Osteoarthritis of the spine
  • Congenital deformities in the spine structure
  • Spondylolisthesis
  • Spinal instability
  • Tumor or abnormal growth of soft tissues
  • Dislocation of vertebra due to trauma or fracture

Symptoms

  • Lower back pain that may radiate to legs
  • Inability to walk
  • Reduced or loss of sensation in the legs
  • Tingling sensation
  • Numbness
  • Muscle cramps after long periods of standing or walking
  • Falling frequently
  • Weakness

Diagnosis

Diagnosing Spinal Stenosis is often difficult as the symptoms are usually associated with other age related back problems. The spine specialist may recommend imaging tests such as, X-ray, CT scan or MRI, to determine the exact cause and severity of the symptoms.

Treatment

  • Postural Changes: The doctor may suggest the patient to flex the spine by leaning forward while walking. This may help to relieve pain and ease the symptoms of the condition. Lying with the knees drawn up to the chest can also be helpful.
  • Rest: The patient may be advised to take proper rest and avoid indulging in any activities that aggravate the symptoms. Performing light aerobic activity, such as bicycling, may also be recommended.
  • Medication: The spine specialist may prescribe non-steroidal, anti-inflammatory medicines to provide relief from pain. Muscle relaxants can also be recommended to soothe the cramps that may occur with Spinal Stenosis.
  • Steroid Injections: If the patient is experiencing severe pain due to irritated or swollen nerve roots, injecting a steroid medication directly into the affected area may provide relief.
  • Surgery: If non-surgical treatment does not provide relief, surgery may be required. It aims to increase the space in the spinal canal and relieve compression on the nerves. Following the surgery, the patient may have to undergo proper rehabilitation program to recover completely and resume daily activities.

We, at OrthoTexas, Frisco, provide comprehensive diagnosis and treatment for Spinal Stenosis. To schedule an appointment with our spine surgeons, you can call at (214) 618 – 5502 or visit 5757 Warren Pkwy, Suite 180, Frisco, TX 75034.

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Risk Factors For Neck Pain

by Administrator 19. August 2015 11:01

The neck, or cervical spine, consists of several bony vertebrae, ligaments, tendons and muscles. An injury or excessive pressure on any of these structures can lead to neck pain. Symptoms that may accompany the condition include stiffness, spasms, difficulty in moving the neck, numbness, reduced range of motion and inability to move the head. Although neck pain has varied causes, however, there are certain factors that can make an individual more susceptible. Some of these have been discussed below:

  • Poor Posture: Keeping the neck in a wrong posture constantly can lead to neck pain. Working on a desk that is either too high or low can strain the neck. Sleeping on a hard mattress or using too many pillows also increases the probability of suffering from neck pain.   
  • Age: As age increases, the discs in the cervical spine may suffer gradual wear and tear, thus, causing pain. This may also reduce the strength of neck muscles which increase the chances of injuries.  
  • Repetitive Activities: Constant bending of the neck, extending for long stretches, tilting to one side or putting weight on the head may increase the incidence of neck pain. Repetitive use of the shoulders and upper back can also lead to the condition.
  • Inadequate Warm Up: Working out or playing a sport without proper warm up may lead to neck pain. Warming up increases laxity in your muscles and prepares them to handle the pressure.  
  • Medical Conditions: Certain medical conditions such as Spondylitis, Pinched Nerve, Herniated Disc etc. can also lead to neck pain. An individual suffering from any of these conditions must undergo proper treatment to avoid severe neck pain.
  • Excessive Workout: Intense or heavy workout can lead to pulling a muscle or damage the ligament and tendons in the neck. It is essential to start light while gradually increasing the intensity of a workout. Performing strenuous activities without knowing the right technique also increases the risk of injuring the neck.
  • Heavy Lifting: This can cause neck pain due to the extra pressure exerted in order to lift an object. In order to minimize pressure on the neck, one must follow a proper stance of bending the knees and elbows while anything from the ground.

For diagnosis and treatment of neck pain, visit OrthoTexas, Frisco. To schedule an appointment with the spine specialists, you can call at (214) 618 – 5502.

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Scoliosis: Causes, Symptoms And Treatment

by Administrator 12. August 2015 10:54

Scoliosis is a chronic orthopedic condition in which the spine twists or curves abnormally and gets the shape of the alphabet S or C. The condition may range from moderate to severe and is more prevalent in children as well as adolescents during the growth years, just before puberty.

Causes

The causes can be classified according to different types of Scoliosis.

  • Congenital Scoliosis: This type of Scoliosis occurs due to bone abnormality, that is, the spine forms improperly during the development of a child in the womb.
  • Neuromuscular Scoliosis: It occurs because of diseases such as Cerebral Palsy or muscular dystrophy, in which the muscles that support the spine are pulled unevenly.
  • Degenerative Scoliosis: This condition occurs due to trauma, a fracture or illness such as Osteoporosis. A person with previous back surgery is also susceptible to this type of Scoliosis.
  • Idiopathic Scoliosis: This category of Scoliosis is the most common. Although its exact cause is not known, It is believed that Idiopathic Scoliosis is inherited.

Symptoms

  • One shoulder appears lower than other
  • Asymmetrical chest shape or ribcage
  • Rounded shoulder
  • One leg appears shorter than the other
  • Curved spine that sways back
  • Drowsiness
  • Leaning on one side
  • Uneven leg strength
  • Shortness of breath and chest pain, in severe cases

Diagnosis

The orthopedic doctor performs a physical examination of the spine, hips, ribs and shoulder to find any abnormalities. He may recommend imaging scans, such as X-ray, to confirm the diagnosis of Scoliosis and determine the location, shape, direction as well as angle of the curve. He may also recommend MRI or bone scan for further investigations.

Treatment

If Scoliosis is mild, it is necessary for you to monitor the curve after regular time intervals to see if the condition is worsening. For severe cases, the spine specialist may recommend non-surgical or surgical treatment, depending upon the age of the patient, the location of the curve, the severity of spinal curvature and the type of Scoliosis.

Non-Surgical Treatment

In this, the spine is realigned into its normal position using braces which may need to be worn all the time. It will prevent further deterioration of the condition and the need of surgery at the later stage. In children, the cast may need to be changed regularly depending on their physical growth.

Surgical Treatment

In severe cases of Scoliosis, you may be advised to undergo a surgical procedure, called spinal fusion. It helps to reduce the spinal curvature and control the progression of the condition. The spine surgeon may use hooks, metal rods, screws or wires to straighten the spine. It may take a few months to a year to recover completely after the surgery. Physical therapy may be helpful for proper rehabilitation.

For treatment of Scoliosis, visit OrthoTexas, Frisco. To schedule an appointment with our spine specialists, you can call at (214) 618 – 5502.

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