• question-icon

    What causes juvenile idiopathic scoliosis?

Posted on Tue, 29 Dec 2015 in Back Pain
Question: a 7 years old girl just currently noted and diagnosed having a lumbar levoscoliosis of about 25-30 degrees with mild thoracic ( believed compensatory curve . No pain. no noticeble leg's length descrepancy nor shoulder tilting. no detectable neuro deficit. No nutritional problem. No history of significant injury.
Physical activities; participate gymn at school, swimming, good horse back riding for her age.
Prognosis ? Is there any chance of resolving or self limiting progression ? What is the proper management and if ever possible non surgical ? Can putting her to sleep on her right side may reduce the curvature in a long run. Will horse back riding worsen due to the impact. Where is the best center for juvenile scoliosis ?
Appreciate and thank you for your advice in advance.
Answered by Dr. Prasanna Heijebu 7 hours later
Brief Answer:
Bracing is required.

Detailed Answer:
Hello, Sir.

I have worked through your query in detail.

I can certainly understand your concerns.

Juvenile idiopathic scoliosis is a subacute form of adolescent scoliosis.

This is a rapidly progressive form of scoliosis and under no circumstances, It is self resolving.

Only angulation under 20 degrees had to be observed with periodic imaging.

Values in between 20 to 25 degrees require bracing as a treatment option at the earliest.

This will only prevent further worsening and avoid surgery.

Horse back riding will not worsen scoliosis.

Putting her to sleep on the right side has no effect on the outcome.

I can provide you with a best center for therapy if you can provide me your residential address.

Post your further queries if any.
Thank you.
Above answer was peer-reviewed by : Dr. Yogesh D
Follow up: Dr. Prasanna Heijebu 6 hours later
Will bracing need to be 24/7. Can she take it off during night sleep. What kind of brace is more effective ? The soft or the hard one.
She lives in XXXXXXX XXXX.
Answered by Dr. Prasanna Heijebu 11 hours later
Brief Answer:
Boston's Brace is advocated.

Detailed Answer:
Hello, Sir.

I can certainly understand your concerns.

I apologize for the delayed response owing to my work schedule.

You have 2 kinds of braces- XXXXXXX and Boston's Brace.

The latter is more suitable and cosmetically acceptable for Lumbar levoscoliosis.

The Boston's brace is often prescribed to be worn for 23 hours a day for several years, or in some cases, permanently if there is significant delay or arrest of angle progression.

The brace is intended to minimize the progression to an acceptable level, not to correct the curvature. For corrective measures, special exercises or physical activities are used. If the curvature continues despite the brace, surgery may be required.

The indication for surgery is an angle exceeding 40 degrees and virtually all cases with an angle greater than 50 degrees.
XXXXXXX brace is made of high-density polypropylene lined with polyethylene foam.Pads are placed at the apex of the curves to provide pressure, and areas of relief from pressure are positioned opposite the curves.Hence, it is a kind of Soft brace.

For expert management, I advise you to go for the following center.



Monday - Thursday
9:00 a.m. - 12:00 p.m. / 3:00 p.m. - 7:00 p.m.

Friday / 9:00 a.m. - 12:00 p.m.

Post your further queries if any,
Thank you.

Above answer was peer-reviewed by : Dr. Sonia Raina
Answered by
Dr. Prasanna Heijebu

General & Family Physician

Practicing since :2010

Answered : 1422 Questions


The User accepted the expert's answer

Share on

Recent questions on  Scoliosis

doctor1 MD

hello, i was born with this condition kyphoscoliosis I had surgery when i was 9 years old, there was an improvement.I am now 21 years old.my left...

doctor1 MD

I am 20 years old i have scoliosis and also had a bulged disk at the bottom of my back, i suffer from quite a bit of pain but recently i have had a...

doctor1 MD

Hi I have a mild 35deg scoliosis in the lumber/ lower thoracic region. My spine feels bruised at the apex of the curve in my lower back and on one...

doctor1 MD

my daughter has scoliosis and she was measured at 32 degrees yesterday, so this is about 12 degrees worse than before...she started with 28 then...

doctor1 MD

Hello I am a 57 yr old woman that has been told in the last few yrs that I have Scoliosis . In 1984 I had an double compound fracture to my right...

doctor1 MD

I have a lot of problems with my back, degenerative disc disease , scoliosis . Spurs on 2 separate discs, lower lumbar pain . I work out on an...

doctor1 MD

Hello; I am a 25 year old male. I am living with the following symptoms and cannot get a diagnosis. These are my symptoms. Weakness in the arms and...

Get personalised answers from verified doctor in minutes across 80+ specialties

151 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Questions Answered By Dr. Prasanna Heijebu
  • Q - What causes severe and low vision in elderly?

  • Q - Is there any correlation between high chloride exposure and CIDP?

  • Q - Suggest treatment for viral diarrhea and stomach infection

  • Q - Suggest treatment for upper respiratory track infection

  • Q - What causes painful right hip in a person undergoing renal dialysis?

  • Q - Suggest treatment for swollen eyes along with pain

  • Q - What do heat sensation in abdomen along with weight loss and...

  • Q - Suggest treatment for severe hair loss

  • Q - What are the side effects of Glutathione capsules?

  • Q - Is it safe to have Dothiepin for sleeplessness during pregnancy?