Diagnosis Explanation:

Scoliosis is a sideways curvature of the spine that can be structural (permanent curve due to bone or muscle imbalances) or functional (temporary curve due to posture, leg length discrepancy, or muscle tightness). Symptoms vary from mild back discomfort to uneven shoulders, hip misalignment, and muscle fatigue. Severe cases may cause breathing difficulties or nerve compression.

Specific Work Modifications:

• If your job requires standing or walking: Wear supportive shoes, stand with weight evenly distributed, and take seated breaks as needed.
• If your job involves lifting: Avoid twisting motions and use proper lifting mechanics by engaging the core and bending the knees.
• If your job is desk-based: Use an ergonomic chair with lumbar support, keep feet flat on the floor, and adjust the monitor to eye level.
• Avoid: Prolonged standing or sitting without breaks, heavy lifting, and uneven weight distribution.

Specific Activity Modifications:

• If you run or play sports: Focus on low-impact activities like swimming or cycling; avoid excessive twisting sports (tennis, golf).
• If you do yoga or Pilates: Modify poses to avoid deep spinal twisting or excessive back bending.
• If you do weightlifting: Avoid deadlifts, heavy squats, and unilateral exercises; emphasize core and postural stability exercises.
• Avoid: High-impact activities, prolonged asymmetrical movements, and excessive spinal rotation.

Recommended Supplements:

• Collagen Peptides – 10g daily for spinal and joint health.
• Calcium & Vitamin D3 – 1000mg/800 IU daily for bone density support.
• Magnesium – 300-400mg daily to relax muscles and prevent spasms.
• Omega-3 Fatty Acids – 1000mg daily to reduce inflammation.
• Turmeric (Curcumin) – 500-1000mg daily for pain relief.

Recommended Nutrition and Hydration:

• Increase Lean Protein (chicken, fish, tofu, eggs) to support muscle strength.
• Eat Anti-Inflammatory Foods (berries, leafy greens, turmeric, nuts) to reduce joint pain and stiffness.
• Consume Hydrating Foods (cucumber, watermelon, citrus) to maintain tissue elasticity.
• Limit Processed Foods & Sugars to prevent inflammation.
• Hydration: Drink 8-10 cups of water daily to support spinal disc hydration and flexibility.

Home Exercise Prescription (Rehabilitation for Scoliosis)

Early Phase (0-2 Weeks, Reducing Pain & Improving Posture Awareness):

• Pelvic Tilts – Lie on your back, flatten lower back against the floor, hold 5 seconds, repeat 10 reps, 2x/day.
• Cat-Cow Stretch – On hands and knees, arch and round back, 10 reps, 2x/day.
• Thoracic Extension Stretch (Over Foam Roller or Chair Back) – Hold 20 seconds, 3x/day.
• Side Stretch (Opposite of Curve) – Reach arm overhead, gently stretch away from the curve, hold 20 seconds, 3x/day.

Strengthening Phase (2-6 Weeks, Improving Core & Spinal Stability):

• Bird Dog Exercise – On hands and knees, extend opposite arm and leg, hold 5 seconds, repeat 10 reps, 2x/day.
• Glute Bridges – Engage the core while lifting hips, 10 reps, 2x/day.
• Side Planks (Modified if Needed) – Hold 10-20 seconds, increase gradually.

Advanced Phase (6+ Weeks, Preventing Progression & Enhancing Strength):

• Resistance Band Rows – Pull band toward chest, keeping back straight, 10 reps, 2x/day.
• Standing Core Rotations (Light Resistance Band) – Gently rotate torso without over-twisting, 10 reps each side, 2x/day.
• Swimming or Pilates-Based Core Work – 15-20 minutes/day to strengthen postural muscles.

Helpful Books:

1. Scoliosis and the Human Spine – Martha C. Hawes (scientific and holistic approaches to scoliosis management).
2. The Schroth Method: Three-Dimensional Treatment for Scoliosis – Christa Lehnert-Schroth (exercise-based scoliosis therapy).

Contact the Key West orthopedic clinic or reach out to Dr. Jason Pirozzolo.