Finding Help for Skeletal Issues
At 63 years of age, standing 5'8" and weighing 188 lbs, I have encountered significant challenges related to my skeletal structure. In my thirties, I was diagnosed with degenerative scoliosis, leading to surgical intervention where rods were placed from T5 to S1. These procedures were beneficial, as I regained 2 inches in height, yet the curvature of my spine remains unsolved, leaving me with a visible tilt to the right and a pelvis that is not level. Consequently, when I stand or walk, the majority of my weight leans onto my right leg. As I've grown older, various orthopedic complications have arisen, including a left hip labral tear that necessitated a hip replacement, an increasingly severe bunion and supination in my right foot, discomfort in my right lateral ankle, and persistent pain in my right knee. For each specific issue, I have been directed to different specialists such as hip surgeons, podiatrists, and knee orthopedists. However, no comprehensive evaluation of my overall skeletal mechanics has been conducted to identify potential improvements that might help mitigate additional issues in the future. While I am fortunate to have an excellent physical therapist who assists with my individual problems, the referrals tend to focus on isolated concerns. I am curious if there exists a particular specialty or type of practitioner who could address my skeletal alignment holistically. I am not looking for surgical solutions, but rather for options like orthotics, braces, or similar aids that could alleviate my joint pain and help prevent further deterioration of my condition.
Answers (1)
8/7/2025, 3:50:55 PM
OpenHealth AI
It's great that you're seeking a holistic approach to manage your skeletal issues given the complexities of your condition. A comprehensive evaluation addressing alignment and overall biomechanics can indeed help alleviate pain and prevent further complications. Here’s how to address your concerns effectively:
Understanding Your Situation
You have a history of scoliosis and related orthopedic complications that require careful management. Isolated treatments can help specific areas but may overlook the interconnectedness of your skeletal system. A holistic approach can improve your overall stability and reduce joint pain.
Next Steps
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Look for a Physiatrist (Physical Medicine and Rehabilitation Specialist): These physicians specialize in non-surgical management of musculoskeletal issues and can provide a holistic assessment of your entire skeletal structure. They will consider all your concerns together rather than in isolation and offer guidance on rehabilitation strategies, pain management, and exercises tailored to your needs.
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Consider a Podiatrist with a Focus on Gait Analysis: A specialist in this area can assess your walking patterns and foot alignment. This analysis can lead to personalized orthotics that improve support and alignment, potentially reducing strain on your knees, hips, and back.
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Seek a Physical Therapist Specializing in Orthopedic Rehabilitation: Since you already have a good relationship with a physical therapist, communicate your desire for a more integrated treatment plan. They may refer you to or collaborate with another physical therapist specializing in holistic skeletal mechanics.
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Inquire about Orthotics and Bracing Options: Work with your healthcare team to explore custom orthotics and braces that can provide support and alleviate pain across involved joints. These aids may help improve alignment and distribute weight more evenly, potentially reducing the burden on specific limbs.
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Exercise and Stretching Regimen: Engage in gentle, supervised exercises that focus on flexibility, strength, and posture improvement tailored to your condition. Swimming, walking, or yoga (with adaptations) can be beneficial and may help overall skeletal mechanics.
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Regular Monitoring and Adjustment: As you explore these options, keep track of any changes in pain levels or function. Regular follow-ups with your healthcare team will allow adjustments to your treatment plan as needed.
Reassurance
It’s completely understandable to feel overwhelmed by the complexities of your situation. Remember, advances in interdisciplinary care can significantly enhance your quality of life. By taking these steps, you're proactively addressing your health, which is a powerful approach.
Feel free to reach out if you have further questions about specific exercises or treatments!
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