7 Mar 2025   |   By : Dr. Albert Winandar, D.C.

Understanding Lower Back pain and Scoliosis

Understanding Lower Back pain and Scoliosis
                                               Introduction
Lower back pain is one of the most common health complaints, affecting million of people worldwide.  Similarly, scoliosis is a medical condition characterized by an abnormal curvature of the spine affects a significant portion of the population, particularly adolescents.  While scoliosis may initially seem unrelated to common back pain at first, there is a strong connection between the two.  Scoliosis can contribute to or exacerbate lower back pain due to the misalignment of the spine, leading to uneven pressure on muscles, joints, an nerves.  Understanding both conditions and their interplay is essential for managing pain effectively.

                                               Understanding Lower Back Pain

What is Lower Back Pain?  Lower back pain refers to discomfort or pain in the lower portion of the back, typically between the ribs and the hips, a common issue for many individual.  The pain can range from mild discomfort to severe, debilitating pain that affects day-to-day activities.  it can be caused by a variety of factors, including physical strain, injury, or degenerative conditions.  Chronic lower back pain can significantly impact daily activities, making it difficult to perform routine tasks, work, or engage in exercise.
Common Causes of Lower Back Pain:
Strain or Injury, overuse or injury to the muscles, ligaments, or tendons in the lower back.
Poor Posture during sitting or standing incorrectly for extended periods, leading to strain on the spine.
Herniated discs, when a disc between the vertebrae slips out of place, causing pain or nerve compression.
Lifestyle Factors such as lack of physical activity, obesity, and prolonged sittig can all contribute to lower back pain.

Symptoms of Lower Back Pain can vary fro a dull, aching pain to sharp, shooting discomfor.  Other common symptoms include muscles stiffness, limited range of motion, and pain that worsens with certain movements or positions.

                                                What is Scoliosis?
Scoliosis is a medical condition in which the spine curves abnormally to the side forming either an "S" or "C" shape and rotating at the same time.  This curvature can vary in severity, and in some cases, the curve may worsen over time,potentially leading to complications in posture, breathing issue, and mobility challenges.  

There are several causes of scoliosis:
Idiopathic Scoliosis, the most common form, which typically develops during childhood or adolescence without any know cause.
Neuromuscular Scoliosis, this type of scoliosis cause by underlying conditions such as cerebral palsy, DMD, or NeuroFibromatosis.
Congenital Scoliosis, is resultgin from abnormal vertebrae development in utero.
Injury or degenerative Scoliosis, trauma or degenerative conditions can lead to scoliosis later in life.

Impact on the Spine and Posture
Scoliosis alters the natural alignment of the spine, placing uneven pressure on the muscles, joints, and nerves. This misalignment can lead to issues such as muscle imbalances, limited flexibility, and chronic pain. The curvature may also affect posture, causing an uneven distribution of weight and increased strain on specific areas of the back.

                                                The Link Between Scoliosis and Lower Back Pain
Scoliosis as a Contributor to Back Pain.
The curvature of the spine in scoliosis places additional stress on muscles and ligaments that are already working to stabilize the spine.  Over time, this misalignment can lead to muscle imbalances, inflammation, and even nerve compression, all of which contribute to lower back pain.  The abnormal curvature can also alter the body's natural posture, creating addtional strain in areas that may not have been directly affected by scoliosis.

Spinal Curvature and Pain Distribution
The way the spine curves can influence how pain is distributed throughout the lower back.  In some cases, the curvature may lead to an overloading of muscles on one side of the spine while under-loading muscles on the other side.  This imbalance can cause pain to radiate to different areas of the back and even the legs, depending on the severity and location of the curve.

Non-Surgical Treatment Options for Lower Back Pain Due to Scoliosis

Physical Therapy
Targeted exercises:
A spine expert can create an exercise plan that targets the muscles reponsible for supporting the spine, particularly the core.  Strengthening these muscles helps alleviate pressure on the lower back.  For example:  Stretching and mobility exercise to help improving flexibility in the spine and increase mobility; Postural education to build awareness during sitting, standing, and moving to minimize strain on the back.
Chiropractic Care
Spinal Adjustments:  Chiropractors specializing in treating scoliosis use specific spinal manipulation to adjust the spine and improve alignment, which can give pain relief and muscle tension reduction that may also relieve nerve compression and improve function.
Pain Management Techniques
Myofacial Release Technique can help with inflammations and muscle spasms.  The purpose is to increase blood flow and helps relax tight muscles.
Scraping using oil such as coconut oil, Magnesium oil can reduce inflammation on the tight muscles.  
Bracing and Support
Scoliosis Braces:  A specially designed brace can help provide additional spinal support, especially during movement or physical activity.  While typically used for children, some adults with scoliosis may benefit from bracing during certain activities.
Insoles:  Custom heel lift can help improve posture and weight distribution, providing support and potentially reducing lower back pain.

Lifestyle Modifications and Preventive Measures
Exercise and Stretching Routine:
  Regular physical activity such as swimming, walking, or strength training can keep the muscles around the spine strong and flexible, reducing the risk of pain.
Proper Posture and Ergonomics to help maintaining a neutral spine position during daily activities and using ergonomic furniture can help prevent additional strain.
Weight Management to help keeping a healthy weight which will reduce stress on the spine and improving overall back health.
Avoiding Prolonged Sitting can worsen lower back pain.  Taking breaks to stand, stretch, or walk can relieve pressure on the spine.

Mind-Body Approaches
Specific core muscles exercises design to activate muscles around our waist will help building strong pilar to our body.  Mindfulness and Relaxation Techniques can help release stress and tension on the back pain.  Techniques such as deep breathing, meditation, and mindfulness can help alleviate stress and improve pain management.

Conclusion
While scoliosis related lower back pain can be a significant challenge, non-surgical treatments offer various ways to manage the discomfort and improve quality of life.  Through physical therapy, chiropractic care, pain management techniques, and lifestyle modifications, many individuals find relief and are able to maintain active, fulfilling lives.  It's crucial to work with healthcare professional to create a personalized treatment plan that addresses both scoliosis and lower back pain.  Tailored approaches can help improve spinal alignment and reduce pain, leading to better long-term outcomes.  By taking proactive steps, people with scoliosis can continue to enjoy an active lifestyle while minimizing discomfort.