Scoliosis is a condition characterized by a lateral curvature of the spine. Back and lower back pain are among the frequent complaints in individuals with this condition. However, there is no definitive and clear data indicating that scoliosis always causes pain.
A significant portion of the back and lower back pain observed in scoliosis patients is not actually specific to scoliosis; similar pains are also seen in individuals without scoliosis. However, in some scoliosis patients, severe pain can occur in the back and lumbar regions due to excessive rotation in the spine. Particularly when leaning backward while sitting or reclining, the load on the spine increases and the muscles are forced to overwork. Due to this increased load, a feeling of crushing in the muscles, pain, and fatigue can be experienced.
The asymmetric posture of the spine causes the muscles around the spine to work unevenly. Since the muscles in these areas constantly expend extra effort, they become more fatigued over time and pain becomes noticeable. These complaints become more pronounced, especially when remaining in a static position for a long time.
We observe that back and lower back pain decrease significantly in post-operative scoliosis patients. The reason for this is that the surgery allows the spine to achieve better alignment and prevents muscle imbalance. A more symmetrical and balanced spinal structure allows the muscles to work without excessive strain and reduces the intensity of the pain.
Furthermore, among patients who visit clinics with only back and lower back pain complaints, there are also many individuals who do not have scoliosis. Therefore, not every back pain is caused by scoliosis, but back and lower back pain complaints are seen in most scoliosis patients.
In conclusion, scoliosis is not the sole cause of lower back and back pain, but it is a significant factor that can increase the severity and frequency of the pain. With the correct diagnosis and treatment plan, patients' quality of life can be significantly improved.