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back muscle stretching and reduced weight in the backpack.
71%
1130/1593
consultation with a pain management specialist.
1%
11/1593
MRI of the thoracic spine.
9%
138/1593
a technetium Tc 99m bone scan.
17/1593
a thoracolumbosacral orthosis.
18%
291/1593
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Mild scoliosis is not a painful condition, but it usually presents during adolescence. Intermittent back pain is reported by 25% to 30% of adolescents whether or not scoliosis is present. Such pain is often attributed to muscle strain from tight muscles, poor posture, or heavy school backpacks. The clinician must distinguish typical pain (mild, intermittent, nonlimiting) from atypical pain. The latter requires more careful examination and imaging studies (bone scan or MRI) to determine the source of pain. The patient’s age and right thoracic curve pattern are typical for idiopathic scoliosis; therefore, imaging of the neuroaxis is not necessary to look for cord syrinx, tethering, or tumor. Brace treatment is not required for this small curve unless future progression is demonstrated.
2.4
(12)
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