Mild lumbar scoliosis deformity causing pain both during the day and at night, with increased pain upon waking up – what should be done?

Aug 13, 2024 Source: Cainiu Health
Disease description:

Due to poor sitting posture, there is a slight lumbar scoliosis, causing difficulty falling asleep both during the day and at night. What should I do?

Doctor's answer (1)
Dr. Chen Jian

For the condition of "mild lumbar scoliosis deformity with pain both day and night, and increased pain upon waking up," the following are some routine recommendations:

1. Confirm the diagnosis: Perform a lumbar CT scan to accurately determine whether issues such as lumbar disc herniation have caused the lumbar scoliosis. This step is very important for determining subsequent treatment plans.

2. Physical therapy: Heat application can improve local blood circulation and reduce pain; cold compresses can alleviate acute inflammation; massage can relax muscles; and traction can help widen the intervertebral space.

3. Medication: Oral non-steroidal anti-inflammatory drugs, such as ibuprofen capsules or celecoxib capsules, can effectively reduce inflammation and relieve pain, suitable for patients with mild to moderate pain.

4. Use of orthopedic devices: Wearing braces or supports can provide stability and support for the waist, assisting in correcting postural abnormalities.

5. Lifestyle modifications: Maintain proper sitting, standing, and sleeping postures, and avoid prolonged sitting or lying down to reduce pressure on the lower back.

If symptoms persist or worsen after non-surgical treatment, surgical intervention may need to be considered. Spinal surgery can directly repair or correct structural abnormalities, although surgery should be decided based on a comprehensive evaluation of the patient's specific condition.