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What Do These X-ray Findings Indicate?
Question: What is the likelihood of progression for the attached xray images and report.
I am an active 36 yr old no previous xrays . No symptoms.
Can this be idiopathic if there is a mild stenosis or do you believe it is degenerative ?
Doctor did not request and MRI but i want to know what is the risk of preogression . ( i have no osteoporosis and i am healthy and active) .
Thanks for your medical feedback as this is making me worried.
I am an active 36 yr old no previous xrays . No symptoms.
Can this be idiopathic if there is a mild stenosis or do you believe it is degenerative ?
Doctor did not request and MRI but i want to know what is the risk of preogression . ( i have no osteoporosis and i am healthy and active) .
Thanks for your medical feedback as this is making me worried.
Brief Answer:
Its not a cause of worry.
Detailed Answer:
Hi XXXXXXX XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.
I have gone through your X-ray spine.
Lumbar scoliosis is likely to be idiopathic as you are asymptomatic and healthy.
L2-L3 disc space is mildly reduced with osteophytes which are spondylotic changes.Spondylotic changes are degenerative in nature though,but are extremely common as the age increases.If these are not resulting into symptoms,they are not a cause of worry.MRI could have been sought for,if you would have been symptomatic.
For now,you should not worry at all.Further,you should visit a physiotherapist who can teach you spinal exercises,which will prevent further damage.
He will also advise you about posture training.Be strict with his advice.
Don't have much concerns.You are just fine.If you have some further questions,I shall be glad to have you in follow up.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Its not a cause of worry.
Detailed Answer:
Hi XXXXXXX XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.
I have gone through your X-ray spine.
Lumbar scoliosis is likely to be idiopathic as you are asymptomatic and healthy.
L2-L3 disc space is mildly reduced with osteophytes which are spondylotic changes.Spondylotic changes are degenerative in nature though,but are extremely common as the age increases.If these are not resulting into symptoms,they are not a cause of worry.MRI could have been sought for,if you would have been symptomatic.
For now,you should not worry at all.Further,you should visit a physiotherapist who can teach you spinal exercises,which will prevent further damage.
He will also advise you about posture training.Be strict with his advice.
Don't have much concerns.You are just fine.If you have some further questions,I shall be glad to have you in follow up.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Deat Dr. XXXXXXX
Thank you for your informative answer.
I have been told by other doctor that since there is stenois which is degenerative the scoliosis i have is degenerative adult scoliois and which progresses 2 to 6 degrees per year. When it will reach 30 degrees then spinal fusion is necessary. The other doctor made his assumption based on the same xray and report i gave you .
I am seeking you for advice. In the absense of osteoporosis do you believe that this scoliosis would likely to progress and is it really degenerative ( how can this be determined? )
I am fit and exercise a lot ... Should i take it easy now that i have this ?
Never experienced pain in my back ..
Sorry for the very long follow up but i need your kind response and medical advice! Thanking you .
Thank you for your informative answer.
I have been told by other doctor that since there is stenois which is degenerative the scoliosis i have is degenerative adult scoliois and which progresses 2 to 6 degrees per year. When it will reach 30 degrees then spinal fusion is necessary. The other doctor made his assumption based on the same xray and report i gave you .
I am seeking you for advice. In the absense of osteoporosis do you believe that this scoliosis would likely to progress and is it really degenerative ( how can this be determined? )
I am fit and exercise a lot ... Should i take it easy now that i have this ?
Never experienced pain in my back ..
Sorry for the very long follow up but i need your kind response and medical advice! Thanking you .
Brief Answer:
Serial X-Rays can say about progression.
Detailed Answer:
Hi XXXXXXX XXXX,
Thanks for being in follow-up.
I must say that its with your follow-up query only, that I got to understand your concerns completely.
Being a clinical neurologist,I have come across a large number of cases of young onset scoliosis who did not have any symptoms and their scoliosis being non-progressive when followed up over time. So,scoliosis if progressive-degenerative or even idiopathic for that matter,is definitely a cause of concern and needs correction/intervention. However, large number of scoliosis cases are non-progressive and do not require a surgery.
As you mentioned,that you do not have any symptoms-SO, at the age of 36 years without osteoporosis in a female,degenerative scoliosis is unlikely.Regarding stenosis factor,I am of the opinion that MRI of Spine will be a better determinant of the same.
To conclude, without any past history of known scoliosis(no known progression-so far) and in absence of symptoms-it is early to say that it is progressive scoliosis and will definitely need a surgery. Serial X-rays over time,can help to determine progression,if any.
If you have any further questions,I shall be glad to have you in follow-up.
Further,you can meet a spine surgeon and have his opinion on the same.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Serial X-Rays can say about progression.
Detailed Answer:
Hi XXXXXXX XXXX,
Thanks for being in follow-up.
I must say that its with your follow-up query only, that I got to understand your concerns completely.
Being a clinical neurologist,I have come across a large number of cases of young onset scoliosis who did not have any symptoms and their scoliosis being non-progressive when followed up over time. So,scoliosis if progressive-degenerative or even idiopathic for that matter,is definitely a cause of concern and needs correction/intervention. However, large number of scoliosis cases are non-progressive and do not require a surgery.
As you mentioned,that you do not have any symptoms-SO, at the age of 36 years without osteoporosis in a female,degenerative scoliosis is unlikely.Regarding stenosis factor,I am of the opinion that MRI of Spine will be a better determinant of the same.
To conclude, without any past history of known scoliosis(no known progression-so far) and in absence of symptoms-it is early to say that it is progressive scoliosis and will definitely need a surgery. Serial X-rays over time,can help to determine progression,if any.
If you have any further questions,I shall be glad to have you in follow-up.
Further,you can meet a spine surgeon and have his opinion on the same.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Can the presence of a milf stenosis make the scoliosis degenrative ?
I have no access of physiotherapy these 2 months can i contine exercise doing pushups and swimming and aerobic exercisd till i start physiotherapy ? ( this my last follow up and thank you for clarifying ) ?
I have no access of physiotherapy these 2 months can i contine exercise doing pushups and swimming and aerobic exercisd till i start physiotherapy ? ( this my last follow up and thank you for clarifying ) ?
Brief Answer:
Stenosis can be due to spondylotic changes/MRI needed.
Detailed Answer:
Hi XXXXXXX XXXX,
Thanks for being in follow-up.
Stenosis can be due to age related spondylotic changes.It should not be taken as a hallmark of adult degenerative scoliosis.However,MRI is a better modality to comment upon the degree of stenosis instead of X-ray.I can't really stress upon stenosis on basis of this X-ray.
Regarding what exercises to do and what to avoid,I would suggest you to please have a word with an expert Physiotherapist.He is a better placed to give expert opinion on this as this query belongs entirely to his domain.
Hope that I have answered your query.If you have some further questions,I shall be glad to have you in follow-up else please close the thread,rate it and write a review.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Stenosis can be due to spondylotic changes/MRI needed.
Detailed Answer:
Hi XXXXXXX XXXX,
Thanks for being in follow-up.
Stenosis can be due to age related spondylotic changes.It should not be taken as a hallmark of adult degenerative scoliosis.However,MRI is a better modality to comment upon the degree of stenosis instead of X-ray.I can't really stress upon stenosis on basis of this X-ray.
Regarding what exercises to do and what to avoid,I would suggest you to please have a word with an expert Physiotherapist.He is a better placed to give expert opinion on this as this query belongs entirely to his domain.
Hope that I have answered your query.If you have some further questions,I shall be glad to have you in follow-up else please close the thread,rate it and write a review.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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