{"id":243073,"date":"2025-01-23T17:17:49","date_gmt":"2025-01-23T17:17:49","guid":{"rendered":"https:\/\/rafaelportela.pt\/pathologies\/degenerative-scoliosis-aging\/"},"modified":"2025-10-16T15:15:33","modified_gmt":"2025-10-16T15:15:33","slug":"degenerative-scoliosis-aging","status":"publish","type":"page","link":"https:\/\/rafaelportela.pt\/en\/pathologies\/degenerative-scoliosis-aging\/","title":{"rendered":"Degenerative Scoliosis (aging)"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|phone&#8221; admin_label=&#8221;Hero&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;e68aa8c9-06e1-48cb-b82b-29ec720aed4c&#8221; use_background_color_gradient=&#8221;on&#8221; background_color_gradient_direction=&#8221;90deg&#8221; background_color_gradient_stops=&#8221;#ffffff 50%|rgba(255,255,255,0) 50%&#8221; background_color_gradient_overlays_image=&#8221;on&#8221; background_color_gradient_start=&#8221;rgba(0,0,0,0.5)&#8221; 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header_3_font_size_last_edited=&#8221;on|phone&#8221; header_4_font_size_tablet=&#8221;18px&#8221; header_4_font_size_phone=&#8221;15px&#8221; header_4_font_size_last_edited=&#8221;on|tablet&#8221; header_5_font_size_tablet=&#8221;15px&#8221; header_5_font_size_phone=&#8221;14px&#8221; header_5_font_size_last_edited=&#8221;on|desktop&#8221; header_6_font_size_tablet=&#8221;13px&#8221; header_6_font_size_phone=&#8221;13px&#8221; header_6_font_size_last_edited=&#8221;on|desktop&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span>Degenerative scoliosis is a curvature of the spine that develops with aging, generally caused by wear and tear of the discs and joints, leading to pain and discomfort.<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.23.1&#8243; _module_preset=&#8221;73121f80-a3ef-4484-8763-c3f18e3c56d2&#8243; custom_padding=&#8221;8%||8%||false|false&#8221; custom_padding_tablet=&#8221;0%||8%||false|false&#8221; 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It generally affects the lumbar region, but can extend to the upper back. The vertebrae tend to slip over each other, causing an &#8216;S&#8217; shape deformity of the spine and making full alignment in an upright position difficult. This condition is frequently associated with lumbar spinal stenosis.   <\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Text &#038; Image&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; locked=&#8221;off&#8221; collapsed=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;2_5,3_5&#8243; _builder_version=&#8221;4.17.6&#8243; _module_preset=&#8221;5138c454-be54-4233-bd3b-f8e6a8747976&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;2_5&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;73121f80-a3ef-4484-8763-c3f18e3c56d2&#8243; z_index=&#8221;500&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_heading title=&#8221;Evolution of Degenerative Scoliosis (aging)&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;f0c675ea-2574-4d0e-b725-30f8550a8550&#8243; title_level=&#8221;h3&#8243; title_font=&#8221;&#8211;et_global_heading_font|Cormorant Garamond_weight||on|||||&#8221; title_text_color=&#8221;#007BB5&#8243; title_font_size=&#8221;40px&#8221; title_letter_spacing=&#8221;1px&#8221; title_line_height=&#8221;1.4em&#8221; custom_margin=&#8221;||10px||false|false&#8221; title_font_size_tablet=&#8221;25px&#8221; title_font_size_phone=&#8221;25px&#8221; title_font_size_last_edited=&#8221;on|tablet&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{%22#05668d%22:%91%22title_text_color%22%93}&#8221;][\/et_pb_heading][et_pb_text quote_border_color=&#8221;#b68b4c&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;2c55a9c4-feed-423b-9edb-ae0b5b365cac&#8221; text_font=&#8221;&#8211;et_global_body_font|Proza Libre_weight|||||||&#8221; text_text_color=&#8221;rgba(0,0,0,0.64)&#8221; text_line_height=&#8221;1.75em&#8221; link_font=&#8221;|Proza Libre_weight|||||||&#8221; link_text_color=&#8221;#05668d&#8221; quote_font=&#8221;Cormorant Garamond|Cormorant Garamond_weight|||||||&#8221; quote_text_color=&#8221;#111111&#8243; header_font=&#8221;Cormorant Garamond|Cormorant Garamond_weight|||||||&#8221; header_text_color=&#8221;#111111&#8243; header_font_size=&#8221;72px&#8221; header_line_height=&#8221;1.15em&#8221; header_2_font=&#8221;Cormorant Garamond|Cormorant Garamond_weight|||||||&#8221; header_2_text_color=&#8221;#111111&#8243; header_2_font_size=&#8221;50px&#8221; header_2_line_height=&#8221;1.2em&#8221; header_3_font=&#8221;Cormorant Garamond|Cormorant Garamond_weight|||||||&#8221; header_3_text_color=&#8221;#111111&#8243; header_3_font_size=&#8221;32px&#8221; header_3_line_height=&#8221;1.3em&#8221; header_4_font=&#8221;Cormorant Garamond|Cormorant Garamond_weight|||||||&#8221; header_4_text_color=&#8221;#111111&#8243; header_4_font_size=&#8221;24px&#8221; header_4_line_height=&#8221;1.4em&#8221; header_5_font=&#8221;Cormorant Garamond|Cormorant Garamond_weight|||||||&#8221; header_5_text_color=&#8221;#111111&#8243; header_5_font_size=&#8221;18px&#8221; header_5_line_height=&#8221;1.4em&#8221; header_6_font=&#8221;Cormorant Garamond|Cormorant Garamond_weight|||||||&#8221; header_6_text_color=&#8221;#111111&#8243; header_6_line_height=&#8221;1.5em&#8221; custom_margin=&#8221;||||false|false&#8221; text_font_size_tablet=&#8221;17px&#8221; text_font_size_phone=&#8221;17px&#8221; text_font_size_last_edited=&#8221;on|phone&#8221; header_font_size_tablet=&#8221;40px&#8221; header_font_size_phone=&#8221;24px&#8221; header_font_size_last_edited=&#8221;on|desktop&#8221; header_2_font_size_tablet=&#8221;28px&#8221; header_2_font_size_phone=&#8221;20px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; header_3_font_size_tablet=&#8221;22px&#8221; header_3_font_size_phone=&#8221;17px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; header_4_font_size_tablet=&#8221;18px&#8221; header_4_font_size_phone=&#8221;15px&#8221; header_4_font_size_last_edited=&#8221;on|tablet&#8221; header_5_font_size_tablet=&#8221;15px&#8221; header_5_font_size_phone=&#8221;14px&#8221; header_5_font_size_last_edited=&#8221;on|desktop&#8221; header_6_font_size_tablet=&#8221;13px&#8221; header_6_font_size_phone=&#8221;13px&#8221; header_6_font_size_last_edited=&#8221;on|desktop&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{%22gcid-36fd78a7-34bc-404d-873c-dafa34efaae5%22:%91%22icon_color%22,%22icon_color%22%93}&#8221; body_font_size_tablet=&#8221;15px&#8221; body_font_size_phone=&#8221;14px&#8221; body_font_size_last_edited=&#8221;on|desktop&#8221;]<\/p>\n<p>Degenerative scoliosis is a spine disease that appears in the second half of life. The worsening is slow and progressive, but the symptoms become disabling in older people. <\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;3_5&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;73121f80-a3ef-4484-8763-c3f18e3c56d2&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_image src=&#8221;https:\/\/rafaelportela.pt\/wp-content\/uploads\/2025\/01\/depositphotos_283922492-stock-photo-cropped-view-doctor-white-coat-1.webp&#8221; title_text=&#8221;depositphotos_283922492-stock-photo-cropped-view-doctor-white-coat (1)&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;1cc6152f-565c-4c4d-b0c9-cf8c9576c341&#8243; border_radii=&#8221;on|6px|6px|6px|6px&#8221; box_shadow_style=&#8221;preset3&#8243; box_shadow_vertical=&#8221;40px&#8221; box_shadow_blur=&#8221;112px&#8221; box_shadow_spread=&#8221;-24px&#8221; box_shadow_color=&#8221;rgba(0,0,0,0.12)&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; 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button_one_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_border_color__hover_enabled=&#8221;off&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_border_radius__hover_enabled=&#8221;on&#8221; button_border_radius__hover=&#8221;66px&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_letter_spacing__hover_enabled=&#8221;on&#8221; button_letter_spacing__hover=&#8221;1px&#8221; button_one_letter_spacing__hover_enabled=&#8221;off&#8221; button_two_letter_spacing__hover_enabled=&#8221;off&#8221; button_bg_color__hover_enabled=&#8221;on&#8221; button_bg_color__hover=&#8221;#ffffff&#8221; button_one_bg_color__hover_enabled=&#8221;off&#8221; button_two_bg_color__hover_enabled=&#8221;off&#8221;]Degenerative scoliosis is often discovered during the investigation of lumbar spinal stenosis, presenting similar symptoms. The associated low back pain is quite characteristic:<br \/>\n<span style=\"color: #b68b4c;\">&gt;<\/span> Pain in the lower back region that progressively increases during walking.<br \/>\n<span style=\"color: #b68b4c;\">&gt;<\/span> Feeling of exhaustion in the back, which appears during short-distance walks.<br \/>\n<span style=\"color: #b68b4c;\">&gt;<\/span> Difficulty in standing completely upright when walking or standing.<br \/>\n<span style=\"color: #b68b4c;\">&gt;<\/span> In some cases, a feeling of blockage in the lumbar region when performing certain movements, especially rotations.[\/et_pb_cta][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_2,1_2&#8243; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; make_equal=&#8221;on&#8221; admin_label=&#8221;CTA Row&#8221; module_class=&#8221; et_pb_row_fullwidth&#8221; _builder_version=&#8221;4.27.4&#8243; background_enable_video_mp4=&#8221;off&#8221; width=&#8221;100%&#8221; width_tablet=&#8221;100%&#8221; width_phone=&#8221;&#8221; width_last_edited=&#8221;on|desktop&#8221; max_width=&#8221;100%&#8221; max_width_tablet=&#8221;100%&#8221; max_width_phone=&#8221;&#8221; max_width_last_edited=&#8221;on|desktop&#8221; custom_padding=&#8221;0px|0px|0px|0px&#8221; make_fullwidth=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.16&#8243; background_color=&#8221;rgba(0,0,0,0.04)&#8221; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_cta title=&#8221;TESTS&#8221; _builder_version=&#8221;4.27.4&#8243; header_font=&#8221;&#8211;et_global_heading_font||||||||&#8221; header_text_color=&#8221;#007BB5&#8243; header_font_size=&#8221;40px&#8221; header_line_height=&#8221;1.4em&#8221; body_font=&#8221;||||||||&#8221; body_text_color=&#8221;#000000&#8243; body_line_height=&#8221;1.75em&#8221; use_background_color=&#8221;off&#8221; custom_button=&#8221;on&#8221; button_text_size=&#8221;9px&#8221; button_text_color=&#8221;#ffffff&#8221; button_bg_color=&#8221;#6caf3f&#8221; button_border_width=&#8221;10px&#8221; button_border_color=&#8221;rgba(47,56,84,0)&#8221; button_border_radius=&#8221;60px&#8221; button_letter_spacing=&#8221;1px&#8221; button_font=&#8221;|700||on|||||&#8221; button_use_icon=&#8221;off&#8221; button_alignment=&#8221;left&#8221; text_orientation=&#8221;left&#8221; max_width=&#8221;800px&#8221; max_width_tablet=&#8221;&#8221; max_width_phone=&#8221;&#8221; max_width_last_edited=&#8221;on|desktop&#8221; module_alignment=&#8221;left&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;100px|60px|100px|60px|false|false&#8221; custom_padding_tablet=&#8221;|||60px|false|false&#8221; custom_padding_phone=&#8221;|||60px|false|false&#8221; custom_padding_last_edited=&#8221;on|desktop&#8221; header_font_size_tablet=&#8221;30px&#8221; header_font_size_phone=&#8221;30px&#8221; header_font_size_last_edited=&#8221;on|phone&#8221; body_font_size_tablet=&#8221;17px&#8221; body_font_size_phone=&#8221;17px&#8221; body_font_size_last_edited=&#8221;on|desktop&#8221; button_text_color_hover=&#8221;#2f3854&#8243; button_border_radius_hover=&#8221;66px&#8221; button_letter_spacing_hover=&#8221;1px&#8221; button_bg_color_hover=&#8221;#ffffff&#8221; global_colors_info=&#8221;{}&#8221; button_text_size__hover_enabled=&#8221;off&#8221; button_one_text_size__hover_enabled=&#8221;off&#8221; button_two_text_size__hover_enabled=&#8221;off&#8221; button_text_color__hover_enabled=&#8221;on&#8221; button_text_color__hover=&#8221;#2f3854&#8243; button_one_text_color__hover_enabled=&#8221;off&#8221; button_two_text_color__hover_enabled=&#8221;off&#8221; button_border_width__hover_enabled=&#8221;off&#8221; button_one_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_border_color__hover_enabled=&#8221;off&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_border_radius__hover_enabled=&#8221;on&#8221; button_border_radius__hover=&#8221;66px&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_letter_spacing__hover_enabled=&#8221;on&#8221; button_letter_spacing__hover=&#8221;1px&#8221; button_one_letter_spacing__hover_enabled=&#8221;off&#8221; button_two_letter_spacing__hover_enabled=&#8221;off&#8221; button_bg_color__hover_enabled=&#8221;on&#8221; button_bg_color__hover=&#8221;#ffffff&#8221; button_one_bg_color__hover_enabled=&#8221;off&#8221; button_two_bg_color__hover_enabled=&#8221;off&#8221;]<\/p>\n<p>Degenerative scoliosis is easily diagnosed by comprehensive X-rays that show the entire spine. It is important not to analyze isolated sections only, but to obtain a global view. Computed tomography of the lumbar spine allows assessment of disc wear, the progression of osteoarthritis, and possible compressions of the nerve roots (lumbar spinal stenosis). Finally, magnetic resonance imaging helps identify particularly painful disc changes (inflammatory discopathies) and better guide the treatment.   <\/p>\n<p>[\/et_pb_cta][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.4&#8243; background_image=&#8221;https:\/\/rafaelportela.pt\/wp-content\/uploads\/2025\/01\/doctor-with-patient-s-x-ray-film-scaled.jpg&#8221; background_enable_video_mp4=&#8221;off&#8221; background_video_width=&#8221;auto&#8221; background_video_height=&#8221;auto&#8221; background_video_pause_outside_viewport=&#8221;off&#8221; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_divider show_divider=&#8221;off&#8221; _builder_version=&#8221;4.27.4&#8243; background_enable_image=&#8221;off&#8221; background_enable_video_webm=&#8221;off&#8221; height=&#8221;458px&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_divider][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; 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header_2_font_size_last_edited=&#8221;on|phone&#8221; header_3_font_size_tablet=&#8221;22px&#8221; header_3_font_size_phone=&#8221;17px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; header_4_font_size_tablet=&#8221;18px&#8221; header_4_font_size_phone=&#8221;15px&#8221; header_4_font_size_last_edited=&#8221;on|tablet&#8221; header_5_font_size_tablet=&#8221;15px&#8221; header_5_font_size_phone=&#8221;14px&#8221; header_5_font_size_last_edited=&#8221;on|desktop&#8221; header_6_font_size_tablet=&#8221;13px&#8221; header_6_font_size_phone=&#8221;13px&#8221; header_6_font_size_last_edited=&#8221;on|desktop&#8221; global_colors_info=&#8221;{%22gcid-36fd78a7-34bc-404d-873c-dafa34efaae5%22:%91%22icon_color%22,%22icon_color%22,%22icon_color%22,%22icon_color%22,%22link_text_color%22%93}&#8221;]<\/p>\n<p>The surgeon must define a strategy that offers the patient the best results with the least possible impact. In the case of degenerative scoliosis, the risk is treating only the compression of the nerve roots, without considering the global deformation of the spine, which is the cause of all other symptoms. Thus, surgery can be performed in one or two successive interventions, depending on the case. The spine will be stabilized with metal implants (osteosynthesis), placed through the back or abdomen, with the goal of correcting the spine and blocking pain-generating movements (arthrodesis). If lumbar spinal stenosis is present, laminectomies may be necessary. Safety during surgery is optimized by monitoring the spinal cord and, if necessary, by the presence of a vascular surgeon in procedures performed through the abdomen.     <\/p>\n<p>One of the techniques I use most for the treatment of this pathology is <strong>Lumbar Fusion<\/strong><\/p>\n<p>[\/et_pb_text][et_pb_button button_url=&#8221;https:\/\/rafaelportela.pt\/en\/specialties\/lumbar-fusion\/&#8221; button_text=&#8221;Learn More About the Procedure&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;ab15fb74-61a3-43aa-96b3-41e09aeef654&#8243; custom_button=&#8221;on&#8221; button_text_size=&#8221;17px&#8221; button_text_color=&#8221;#B68B4C&#8221; button_bg_color=&#8221;#FFFFFF&#8221; button_border_width=&#8221;0px&#8221; button_border_radius=&#8221;100px&#8221; button_font=&#8221;&#8211;et_global_body_font|500|||||||&#8221; custom_padding=&#8221;12px|24px|12px|24px|true|true&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;0px||||false|false&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;1_2,1_2&#8243; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; make_equal=&#8221;on&#8221; admin_label=&#8221;CTA Row&#8221; module_class=&#8221; et_pb_row_fullwidth&#8221; _builder_version=&#8221;4.27.4&#8243; width=&#8221;100%&#8221; width_tablet=&#8221;100%&#8221; width_phone=&#8221;&#8221; width_last_edited=&#8221;on|desktop&#8221; max_width=&#8221;100%&#8221; max_width_tablet=&#8221;100%&#8221; max_width_phone=&#8221;&#8221; max_width_last_edited=&#8221;on|desktop&#8221; min_height=&#8221;406px&#8221; custom_padding=&#8221;0px|0px|0px|0px||&#8221; make_fullwidth=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.16&#8243; background_color=&#8221;#f6f6f6&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_cta title=&#8221;POST-OPERATIVE CARE&#8221; _builder_version=&#8221;4.27.4&#8243; header_level=&#8221;h3&#8243; header_font=&#8221;&#8211;et_global_heading_font|&#8211;et_global_heading_font_weight|||||||&#8221; header_text_color=&#8221;#007BB5&#8243; header_font_size=&#8221;40px&#8221; header_line_height=&#8221;1.3em&#8221; body_font=&#8221;&#8211;et_global_body_font|&#8211;et_global_body_font_weight|||||||&#8221; body_text_color=&#8221;#2F4858&#8243; body_line_height=&#8221;1.75em&#8221; use_background_color=&#8221;off&#8221; button_alignment=&#8221;left&#8221; text_orientation=&#8221;left&#8221; background_layout=&#8221;light&#8221; max_width=&#8221;580px&#8221; max_width_tablet=&#8221;&#8221; max_width_phone=&#8221;&#8221; max_width_last_edited=&#8221;on|desktop&#8221; module_alignment=&#8221;right&#8221; custom_padding=&#8221;100px|60px|100px|60px&#8221; header_font_size_tablet=&#8221;25px&#8221; header_font_size_phone=&#8221;25px&#8221; header_font_size_last_edited=&#8221;on|phone&#8221; body_font_size_tablet=&#8221;17px&#8221; body_font_size_phone=&#8221;17px&#8221; body_font_size_last_edited=&#8221;on|phone&#8221; button_border_radius_hover=&#8221;66px&#8221; button_letter_spacing_hover=&#8221;1px&#8221; global_colors_info=&#8221;{}&#8221; button_text_size__hover_enabled=&#8221;off&#8221; button_one_text_size__hover_enabled=&#8221;off&#8221; button_two_text_size__hover_enabled=&#8221;off&#8221; button_text_color__hover_enabled=&#8221;off&#8221; button_one_text_color__hover_enabled=&#8221;off&#8221; button_two_text_color__hover_enabled=&#8221;off&#8221; button_border_width__hover_enabled=&#8221;off&#8221; button_one_border_width__hover_enabled=&#8221;off&#8221; button_two_border_width__hover_enabled=&#8221;off&#8221; button_border_color__hover_enabled=&#8221;off&#8221; button_one_border_color__hover_enabled=&#8221;off&#8221; button_two_border_color__hover_enabled=&#8221;off&#8221; button_border_radius__hover_enabled=&#8221;on&#8221; button_border_radius__hover=&#8221;66px&#8221; button_one_border_radius__hover_enabled=&#8221;off&#8221; button_two_border_radius__hover_enabled=&#8221;off&#8221; button_letter_spacing__hover_enabled=&#8221;on&#8221; button_letter_spacing__hover=&#8221;1px&#8221; button_one_letter_spacing__hover_enabled=&#8221;off&#8221; button_two_letter_spacing__hover_enabled=&#8221;off&#8221; button_bg_color__hover_enabled=&#8221;off&#8221; button_one_bg_color__hover_enabled=&#8221;off&#8221; button_two_bg_color__hover_enabled=&#8221;off&#8221;]<\/p>\n<p>The first time the patient gets up occurs on the day after the intervention. The physical therapist teaches essential movements, such as standing up, lying down, picking up objects from the floor, and performing personal hygiene. A custom-molded plastic brace is necessary in the first weeks and should only be used during movements. Hospital discharge occurs 4 to 7 days after the surgery, either directly home or to a rehabilitation center, with ambulance transportation. The rehabilitation program includes multidisciplinary care (rehabilitation doctor, physical therapist, occupational therapist), focusing on pain management, recovery of autonomy, and learning proper postures.    <\/p>\n<p>[\/et_pb_cta][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.4&#8243; background_image=&#8221;https:\/\/rafaelportela.pt\/wp-content\/uploads\/2024\/12\/kine_02.jpg&#8221; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_divider show_divider=&#8221;off&#8221; _builder_version=&#8221;4.16&#8243; height=&#8221;400px&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_divider][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_2,1_2&#8243; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; make_equal=&#8221;on&#8221; admin_label=&#8221;CTA Row&#8221; module_class=&#8221; et_pb_row_fullwidth&#8221; _builder_version=&#8221;4.27.4&#8243; background_enable_video_mp4=&#8221;off&#8221; width=&#8221;100%&#8221; width_tablet=&#8221;100%&#8221; width_phone=&#8221;&#8221; width_last_edited=&#8221;on|desktop&#8221; max_width=&#8221;100%&#8221; max_width_tablet=&#8221;100%&#8221; max_width_phone=&#8221;&#8221; max_width_last_edited=&#8221;on|desktop&#8221; custom_padding=&#8221;0px|0px|0px|0px&#8221; sticky_limit_bottom=&#8221;section&#8221; make_fullwidth=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.27.4&#8243; background_image=&#8221;https:\/\/rafaelportela.pt\/wp-content\/uploads\/2024\/12\/velo.jpg&#8221; background_position=&#8221;top_center&#8221; background_enable_video_mp4=&#8221;off&#8221; background_video_width=&#8221;auto&#8221; background_video_height=&#8221;auto&#8221; background_video_pause_outside_viewport=&#8221;off&#8221; custom_padding=&#8221;|||&#8221; sticky_limit_bottom=&#8221;section&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_divider show_divider=&#8221;off&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; height=&#8221;400px&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_divider][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.16&#8243; background_color=&#8221;rgba(0,0,0,0.04)&#8221; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_blurb title=&#8221;CONVALESCENCE&#8221; use_icon=&#8221;on&#8221; font_icon=&#8221;&#x35;||divi||400&#8243; icon_color=&#8221;#B68B4C&#8221; icon_placement=&#8221;left&#8221; image_icon_width=&#8221;40px&#8221; content_max_width=&#8221;100%&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;65059203-12d3-44f6-8371-3f5cf61a0475&#8243; header_font=&#8221;&#8211;et_global_body_font|Cormorant Garamond_weight|||||||&#8221; header_text_color=&#8221;#007BB5&#8243; header_font_size=&#8221;34px&#8221; header_line_height=&#8221;1.4em&#8221; body_font=&#8221;&#8211;et_global_body_font|Proza Libre_weight|||||||&#8221; body_text_color=&#8221;rgba(0,0,0,0.64)&#8221; body_font_size=&#8221;16px&#8221; body_line_height=&#8221;1.75em&#8221; body_link_text_color=&#8221;#05668d&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;40px|25px||25px|false|false&#8221; animation=&#8221;off&#8221; header_font_size_tablet=&#8221;25px&#8221; header_font_size_phone=&#8221;25px&#8221; header_font_size_last_edited=&#8221;on|phone&#8221; body_font_size_tablet=&#8221;15px&#8221; body_font_size_phone=&#8221;14px&#8221; body_font_size_last_edited=&#8221;on|desktop&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{%22gcid-f2943306-fa6c-45f0-b632-5fc00151366a%22:%91%22icon_color%22,%22icon_color%22%93}&#8221;][\/et_pb_blurb][et_pb_text _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;&#8211;et_global_body_font||||||||&#8221; text_line_height=&#8221;1.75em&#8221; custom_padding=&#8221;25px|60px|25px|60px|false|false&#8221; text_font_size_tablet=&#8221;17px&#8221; text_font_size_phone=&#8221;17px&#8221; text_font_size_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>At home, the ideal rhythm combines rest in a comfortable position (semi-reclined, with the backrest inclined at 45\u00ba and the legs slightly bent) with light walking on flat surfaces, initially for 10-15 minutes, which can reach 1-2 hours. Starting from the 2nd or 3rd month, daily activities can be gradually resumed, respecting the limits imposed by pain. Recurrences of pain during convalescence generally result from excessive exertion and tend to disappear with rest.  <\/p>\n<p>Physiotherapy continues at home, starting with massages on the scar and painful or tense areas, followed by re-education exercises to stretch and strengthen the spine and lower limbs. The brace is removed after 3 months, allowing the return to driving, light load lifting, and domestic activities. Sports activities can be resumed between the 3rd and 6th month, starting with endurance exercises, such as cycling, swimming, or gym.  <\/p>\n<p>In the long term, there are no specific contraindications for a normal active and sports life.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;Frequently Asked Questions&#8221; _builder_version=&#8221;4.24.3&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#05668d&#8221; locked=&#8221;off&#8221; collapsed=&#8221;on&#8221; global_colors_info=&#8221;{%22#05668d%22:%91%22background_color%22%93}&#8221;][et_pb_row column_structure=&#8221;2_3,1_3&#8243; _builder_version=&#8221;4.18.0&#8243; _module_preset=&#8221;5138c454-be54-4233-bd3b-f8e6a8747976&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;2_3&#8243; _builder_version=&#8221;4.16.1&#8243; _module_preset=&#8221;73121f80-a3ef-4484-8763-c3f18e3c56d2&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_heading title=&#8221;Frequently Asked Questions&#8221; 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toggle_font_size_phone=&#8221;14px&#8221; toggle_font_size_last_edited=&#8221;on|phone&#8221; body_font_size_tablet=&#8221;15px&#8221; body_font_size_phone=&#8221;14px&#8221; body_font_size_last_edited=&#8221;on|desktop&#8221; border_radii=&#8221;on|6px|6px|6px|6px&#8221; border_width_all=&#8221;2px&#8221; border_color_all=&#8221;rgba(255,255,255,0.4)&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{%22gcid-36fd78a7-34bc-404d-873c-dafa34efaae5%22:%91%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22open_toggle_text_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22open_toggle_text_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22,%22quote_icon_color%22%93,%22gcid-828accbb-1ed2-407d-95be-20ab4e191566%22:%91%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22,%22border_color_all%22%93,%22gcid-7cadd8b3-5228-48e4-90c4-212d09232f7b%22:%91%22toggle_text_color%22%93}&#8221;][et_pb_accordion_item title=&#8221;What is degenerative scoliosis?&#8221; open=&#8221;on&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;550abe5c-b505-4d6b-adc7-570bd7cc1217&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span class=\"relative -mx-px my-[-0.2rem] rounded px-px py-[0.2rem] transition-colors duration-100 ease-in-out\">Degenerative scoliosis is a lateral curvature of the spine that develops in adults, usually after the age of 50, due to the natural wear and tear of the intervertebral discs and facet joints.<\/span> <span class=\"relative -mx-px my-[-0.2rem] rounded px-px py-[0.2rem] transition-colors duration-100 ease-in-out\">This wear and tear can lead to a tilting or rotation of the vertebrae, resulting in a &#8220;C&#8221; or &#8220;S&#8221; curvature in the spine.<\/span><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;What are the most common symptoms?&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;550abe5c-b505-4d6b-adc7-570bd7cc1217&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]<\/p>\n<p><span class=\"relative -mx-px my-[-0.2rem] rounded px-px py-[0.2rem] transition-colors duration-100 ease-in-out\">Symptoms include chronic back pain, stiffness, loss of flexibility, postural imbalance (such as misaligned shoulders or hips), and, in advanced cases, nerve compression that can cause weakness or tingling in the legs.<\/span><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;What are the causes of degenerative scoliosis?&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;550abe5c-b505-4d6b-adc7-570bd7cc1217&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]<\/p>\n<p><span class=\"relative -mx-px my-[-0.2rem] rounded px-px py-[0.2rem] transition-colors duration-100 ease-in-out\">The main causes are the natural aging of the spine, osteoarthritis, osteoporosis, and repetitive microtrauma over the years.<\/span> <span class=\"relative -mx-px my-[-0.2rem] rounded px-px py-[0.2rem] transition-colors duration-100 ease-in-out\">Activities that overload the spine, such as heavy manual labor, can also contribute to the development of the condition.<\/span><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;How is the diagnosis made?&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;550abe5c-b505-4d6b-adc7-570bd7cc1217&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]<\/p>\n<p>The diagnosis is made through physical examination, analysis of medical history, and imaging tests, such as X-rays and magnetic resonance imaging, which help to identify the curvature and evaluate the degree of spinal degeneration.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;What are the available treatment options?&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;550abe5c-b505-4d6b-adc7-570bd7cc1217&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]<\/p>\n<p><span class=\"relative -mx-px my-[-0.2rem] rounded px-px py-[0.2rem] transition-colors duration-100 ease-in-out\">The treatment aims to alleviate symptoms and improve quality of life.<\/span> <span class=\"relative -mx-px my-[-0.2rem] rounded px-px py-[0.2rem] transition-colors duration-100 ease-in-out\">Options include physical therapy to strengthen back muscles, medication for pain control, and, in more severe cases, surgery to correct the curvature or decompress compressed nerves.<\/span><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Can degenerative scoliosis worsen over time?&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;550abe5c-b505-4d6b-adc7-570bd7cc1217&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]<\/p>\n<p>Yes. <span class=\"relative -mx-px my-[-0.2rem] rounded px-px py-[0.2rem] transition-colors duration-100 ease-in-out\">Without adequate treatment, the curvature can progress, leading to increased pain, greater stiffness, and potential neurological complications due to nerve compression.<\/span><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Is surgery always necessary?&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;550abe5c-b505-4d6b-adc7-570bd7cc1217&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]<\/p>\n<p>No. <span class=\"relative -mx-px my-[-0.2rem] rounded px-px py-[0.2rem] transition-colors duration-100 ease-in-out\">Surgery is considered when conservative treatments do not provide adequate relief or when there are significant neurological symptoms.<\/span> <span class=\"relative -mx-px my-[-0.2rem] rounded px-px py-[0.2rem] transition-colors duration-100 ease-in-out\">The decision depends on the severity of the curvature, the symptoms, and the patient&#8217;s overall health.<\/span><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Is degenerative scoliosis common in the elderly?&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;550abe5c-b505-4d6b-adc7-570bd7cc1217&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]<\/p>\n<p>Yes. <span class=\"relative -mx-px my-[-0.2rem] rounded px-px py-[0.2rem] transition-colors duration-100 ease-in-out\">Studies indicate that over 60% of adults aged over 60 have some degree of degenerative scoliosis, often associated with back pain and functional limitations.<\/span><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;What are the risk factors?&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;550abe5c-b505-4d6b-adc7-570bd7cc1217&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]<\/p>\n<p><span class=\"relative -mx-px my-[-0.2rem] rounded px-px py-[0.2rem] transition-colors duration-100 ease-in-out\">The main risk factors include aging, family history of spinal problems, osteoporosis, jobs requiring repetitive physical exertion, and a sedentary lifestyle.<\/span><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;How can the progression of degenerative scoliosis be prevented or delayed?&#8221; _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;550abe5c-b505-4d6b-adc7-570bd7cc1217&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221;]<\/p>\n<p><span class=\"relative -mx-px my-[-0.2rem] rounded px-px py-[0.2rem] transition-colors duration-100 ease-in-out\">Maintaining an active lifestyle, practicing exercises that strengthen the back and core muscles, adopting correct postures, and having regular medical evaluations can help prevent or delay the progression of degenerative scoliosis.<\/span><\/p>\n<p>[\/et_pb_accordion_item][\/et_pb_accordion][et_pb_code _builder_version=&#8221;4.27.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<script type=\"application\/ld+json\"><!-- [et_pb_line_break_holder] -->{<!-- [et_pb_line_break_holder] -->  \"@context\": \"https:\/\/schema.org\",<!-- [et_pb_line_break_holder] -->  \"@type\": \"FAQPage\",<!-- [et_pb_line_break_holder] -->  \"mainEntity\": [<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      \"@type\": \"Question\",<!-- [et_pb_line_break_holder] -->      \"name\": \"O que \u00e9 escoliose degenerativa?\",<!-- [et_pb_line_break_holder] -->      \"acceptedAnswer\": {<!-- [et_pb_line_break_holder] -->        \"@type\": \"Answer\",<!-- [et_pb_line_break_holder] -->        \"text\": \"A escoliose degenerativa \u00e9 uma curvatura lateral da coluna vertebral que se desenvolve em adultos, geralmente ap\u00f3s os 50 anos, devido ao desgaste natural dos discos intervertebrais e articula\u00e7\u00f5es facet\u00e1rias. Esse desgaste pode levar a uma inclina\u00e7\u00e3o ou rota\u00e7\u00e3o das v\u00e9rtebras, resultando em uma curvatura em 'C' ou 'S' na coluna.\"<!-- [et_pb_line_break_holder] -->      }<!-- [et_pb_line_break_holder] -->    },<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      \"@type\": \"Question\",<!-- [et_pb_line_break_holder] -->      \"name\": \"Quais s\u00e3o os sintomas mais comuns?\",<!-- [et_pb_line_break_holder] -->      \"acceptedAnswer\": {<!-- [et_pb_line_break_holder] -->        \"@type\": \"Answer\",<!-- [et_pb_line_break_holder] -->        \"text\": \"Os sintomas incluem dor cr\u00f4nica nas costas, rigidez, perda de flexibilidade, desequil\u00edbrio postural (como ombros ou quadris desalinhados) e, em casos avan\u00e7ados, compress\u00e3o de nervos que pode causar fraqueza ou formigamento nas pernas.\"<!-- [et_pb_line_break_holder] -->      }<!-- [et_pb_line_break_holder] -->    },<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      \"@type\": \"Question\",<!-- [et_pb_line_break_holder] -->      \"name\": \"Quais s\u00e3o as causas da escoliose degenerativa?\",<!-- [et_pb_line_break_holder] -->      \"acceptedAnswer\": {<!-- [et_pb_line_break_holder] -->        \"@type\": \"Answer\",<!-- [et_pb_line_break_holder] -->        \"text\": \"As principais causas s\u00e3o o envelhecimento natural da coluna, osteoartrite, osteoporose e microtraumas repetitivos ao longo dos anos. Atividades que sobrecarregam a coluna tamb\u00e9m podem contribuir para o desenvolvimento da condi\u00e7\u00e3o.\"<!-- [et_pb_line_break_holder] -->      }<!-- [et_pb_line_break_holder] -->    },<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      \"@type\": \"Question\",<!-- [et_pb_line_break_holder] -->      \"name\": \"Como \u00e9 feito o diagn\u00f3stico?\",<!-- [et_pb_line_break_holder] -->      \"acceptedAnswer\": {<!-- [et_pb_line_break_holder] -->        \"@type\": \"Answer\",<!-- [et_pb_line_break_holder] -->        \"text\": \"O diagn\u00f3stico \u00e9 realizado por meio de exame f\u00edsico, an\u00e1lise do hist\u00f3rico m\u00e9dico e exames de imagem, como radiografias e resson\u00e2ncia magn\u00e9tica, que ajudam a identificar a curvatura e avaliar o grau de degenera\u00e7\u00e3o da coluna.\"<!-- [et_pb_line_break_holder] -->      }<!-- [et_pb_line_break_holder] -->    },<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      \"@type\": \"Question\",<!-- [et_pb_line_break_holder] -->      \"name\": \"Quais s\u00e3o as op\u00e7\u00f5es de tratamento dispon\u00edveis?\",<!-- [et_pb_line_break_holder] -->      \"acceptedAnswer\": {<!-- [et_pb_line_break_holder] -->        \"@type\": \"Answer\",<!-- [et_pb_line_break_holder] -->        \"text\": \"O tratamento visa aliviar os sintomas e melhorar a qualidade de vida. As op\u00e7\u00f5es incluem fisioterapia, medica\u00e7\u00f5es para controle da dor e, em casos graves, cirurgia para corrigir a curvatura ou descomprimir nervos comprimidos.\"<!-- [et_pb_line_break_holder] -->      }<!-- [et_pb_line_break_holder] -->    },<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      \"@type\": \"Question\",<!-- [et_pb_line_break_holder] -->      \"name\": \"A escoliose degenerativa pode piorar com o tempo?\",<!-- [et_pb_line_break_holder] -->      \"acceptedAnswer\": {<!-- [et_pb_line_break_holder] -->        \"@type\": \"Answer\",<!-- [et_pb_line_break_holder] -->        \"text\": \"Sim. Sem tratamento adequado, a curvatura pode progredir, levando a um aumento da dor, maior rigidez e poss\u00edveis complica\u00e7\u00f5es neurol\u00f3gicas devido \u00e0 compress\u00e3o dos nervos.\"<!-- [et_pb_line_break_holder] -->      }<!-- [et_pb_line_break_holder] -->    },<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      \"@type\": \"Question\",<!-- [et_pb_line_break_holder] -->      \"name\": \"A cirurgia \u00e9 sempre necess\u00e1ria?\",<!-- [et_pb_line_break_holder] -->      \"acceptedAnswer\": {<!-- [et_pb_line_break_holder] -->        \"@type\": \"Answer\",<!-- [et_pb_line_break_holder] -->        \"text\": \"N\u00e3o. A cirurgia \u00e9 considerada quando os tratamentos conservadores n\u00e3o proporcionam al\u00edvio adequado ou quando h\u00e1 sintomas neurol\u00f3gicos significativos. A decis\u00e3o depende da gravidade da curvatura, dos sintomas e da sa\u00fade geral do paciente.\"<!-- [et_pb_line_break_holder] -->      }<!-- [et_pb_line_break_holder] -->    },<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      \"@type\": \"Question\",<!-- [et_pb_line_break_holder] -->      \"name\": \"A escoliose degenerativa \u00e9 comum em idosos?\",<!-- [et_pb_line_break_holder] -->      \"acceptedAnswer\": {<!-- [et_pb_line_break_holder] -->        \"@type\": \"Answer\",<!-- [et_pb_line_break_holder] -->        \"text\": \"Sim. Estudos indicam que mais de 60% dos adultos com mais de 60 anos apresentam algum grau de escoliose degenerativa, muitas vezes associada a dores nas costas e limita\u00e7\u00f5es funcionais.\"<!-- [et_pb_line_break_holder] -->      }<!-- [et_pb_line_break_holder] -->    },<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      \"@type\": \"Question\",<!-- [et_pb_line_break_holder] -->      \"name\": \"Quais s\u00e3o os fatores de risco?\",<!-- [et_pb_line_break_holder] -->      \"acceptedAnswer\": {<!-- [et_pb_line_break_holder] -->        \"@type\": \"Answer\",<!-- [et_pb_line_break_holder] -->        \"text\": \"Os principais fatores de risco incluem envelhecimento, hist\u00f3rico familiar de problemas na coluna, osteoporose, trabalhos que exigem esfor\u00e7o f\u00edsico repetitivo e sedentarismo.\"<!-- [et_pb_line_break_holder] -->      }<!-- [et_pb_line_break_holder] -->    },<!-- [et_pb_line_break_holder] -->    {<!-- [et_pb_line_break_holder] -->      \"@type\": \"Question\",<!-- [et_pb_line_break_holder] -->      \"name\": \"Como prevenir ou retardar a progress\u00e3o da escoliose degenerativa?\",<!-- [et_pb_line_break_holder] -->      \"acceptedAnswer\": {<!-- [et_pb_line_break_holder] -->        \"@type\": \"Answer\",<!-- [et_pb_line_break_holder] -->        \"text\": \"Manter um estilo de vida ativo, praticar exerc\u00edcios que fortalecem a musculatura das costas e do core, adotar posturas corretas e realizar avalia\u00e7\u00f5es m\u00e9dicas regulares podem ajudar a prevenir ou retardar a progress\u00e3o da escoliose degenerativa.\"<!-- [et_pb_line_break_holder] -->      }<!-- [et_pb_line_break_holder] -->    }<!-- [et_pb_line_break_holder] -->  ]<!-- [et_pb_line_break_holder] -->}<!-- [et_pb_line_break_holder] --><\/script>[\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Degenerative scoliosis is a curvature of the spine that develops with aging, generally caused by wear and tear of the discs and joints, leading to pain and discomfort.Degenerative scoliosis is a pathology associated with the progressive wear and tear of the structures that connect the vertebrae to each other (discs, ligaments, and joints). It generally affects the lumbar region, but can extend to the upper back. The vertebrae tend to slip over each other, causing an &#8216;S&#8217; shape deformity of the spine and making full alignment in an upright position difficult. This condition is frequently associated with lumbar spinal stenosis. Degenerative scoliosis is a spine disease that appears in the second half of life. The worsening is slow and progressive, but the symptoms become disabling in older people. Degenerative scoliosis is often discovered during the investigation of lumbar spinal stenosis, presenting similar symptoms. The associated low back pain is quite characteristic: &gt; Pain in the lower back region that progressively increases during walking. &gt; Feeling of exhaustion in the back, which appears during short-distance walks. &gt; Difficulty in standing completely upright when walking or standing. &gt; In some cases, a feeling of blockage in the lumbar region when performing certain [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":243045,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-243073","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/pages\/243073","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/comments?post=243073"}],"version-history":[{"count":3,"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/pages\/243073\/revisions"}],"predecessor-version":[{"id":243217,"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/pages\/243073\/revisions\/243217"}],"up":[{"embeddable":true,"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/pages\/243045"}],"wp:attachment":[{"href":"https:\/\/rafaelportela.pt\/en\/wp-json\/wp\/v2\/media?parent=243073"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}