“Confounding conclusions” exist about the effect of pregnancy on scoliosis. : Has anyone with scoliosis had an epidural in the past? During pregnancy, the optimum puncture site available on the skin for epidural space cannulation was smaller, the soft-tissue channel between the spinal processes was narrower, and the skin–epidural space distance was greater. If the rod is low in the spine, an epidural will be difficult if not impossible. Most women with scoliosis can have an epidural, though the condition may make it more difficult to place the needle. Mild scoliosis is hardly a complicating factor for pregnency. Close Pregnancy Community 72.4k Members Epidural with scoliosis? Depending on your … It would be unfair to suggest that having scoliosis and pregnancy feels the same as pregnancy with a normal spinal curve. In fact, many OB/GYNs will refuse to make the attempt. If you are a pregnant scoliosis sufferer and you would like to have an epidural when you go into labour, the most important thing for you to do is to speak with your doctor and anaesthetist, who will be able to give you professional advice and guidance based on your individual circumstances. The “epidural space” is the space between the covering of the spinal cord (dura mater) and the inside of the bony spinal canal. She had an associated thoracic scoliosis and right upper limb atrophy. Epidural in general is not good for you … This is my 3 rd pregnancy and I've never had an epidural. I do not have scoliosis, however, I have had a consult with an anesthesiologist. It was bad enough as a kid that I wore a brace for several years. Pregnancy, scoliosis and anaesthesia . Yes, that’s right…her curve had improved to the point that she no longer has scoliosis! … Global Spine Journal. Generally, scoliosis does not increase during pregnancy. In fact, several young adults we’ve seen lately and parents of adolescents have recently expressed concerns about their daughters’ futures regarding scoliosis and pregnancy. The review cites a study by Danielsson and Nachemson which reported that only minor problems occurred during pregnancy and delivery and that scoliosis did not increase as a result of pregnancy [6]. Spine (Phila Pa 1976) 2001;26:1449–1456. First, an injection of local anaesthetic will be used to numb the skin where the epidural will be inserted; then, a needle will be used to insert a fine plastic tube between the bones of your back. During pregnancy, however, obesity and oedema frequently obscure anatomical landmarks. Pregnancy with a rod is possible. Home Forums Pregnancy Forums Pregnancy - Second Trimester. Falick-Michaeli concluded that women who had “scoliosis correction surgery suffer from an increased incidence of long-term back pain after pregnancy [8].” They also suggested that a larger study on this topic seems warranted. There are several forums on the topic of scoliosis and pregnancy with comments from women who consulted with experienced anesthesiologists. 2011;2(3):43-50. i will meet my OB next week and i will let her know(i think i haven’t done it already) and we also never chatted about the narcotics you can have during delivery but by then anyone who has any idea? When I started investigating possible solutions, I came across the government’s Access To Work scheme for disabled emplo… Joined: May 16, 2012 Messages: 587 Likes Received: 0. 7) Orvomaa E, Hiilesmaa V, Poussa M, et al. Getting Pregnant with Scoliosis. The presence of fusion hardware may complicate the situation from the point of view of some anesthesiologists. When you do become pregnant, ask your surgeon to give you one of your x-rays so the anesthesiologist is aware of your anatomy for epidural … Using ultrasonography, we investigated the influence of these changes on spinal and epidural anatomy. X-ray was done post delivery showing scoliosis with intra thecal shunt at thoracic vertebra level. I didn't realize scoliosis can complicate that and I was sent for an assessment with anisthegiologist and he said they might be able to do it but not for sure. Most births aren’t affected in a noticeable way by scoliosis. Dr. Moramarco advises preparing ahead of time and bringing your most current pre-pregnancy x-rays with you to discuss the epidural eligibility with the doctor prior to the start of labor. 6) Danielsson AJ, Nachemson AL. We reviewed the available literature exploring neuraxial techniques in parturients with uncorrected or corrected (i.e., surgically instrumented) scoliosis… My curve is at the spot they put the epidural in, so the doctor suggested getting it when I am 4cm dialated for less likely complications and incase they have troubles putting it in. We looked at four research articles on scoliosis in pregnant women to see what they could tell us about scoliosis pregnancy complications. Many women with moderate to severe scoliosis have normal delivery. I was wondering if anyone else has had scoliosis and gotten an epidural and how the doctor went about giving it to you. Those having surgery did experience a greater incidence of vacuum extractions (16%) compared with the control group (5%) or those treated by brace (8%) [6]. 2015;5(3):179-184. … A review study by Asher et al. Please feel free to share if you have any additional symptoms you have experienced with scoliosis spinal fusions and pregnancy. Not only will this provide you with a truly informed understanding of the possible risks involved (and the likelihood of success), it will also enable you to discuss alternative methods of pain relief in the event that an epidural is not possible or presents too much of a risk. If the lower spine curves dramatically into the path of the baby, the baby may not be able to enter the pelvis. It was noted, however, that back pain was “severe enough to cause sick leave only in 11% of the pregnancies [7].” According to Orvomaa’s study, the rate of C-section was slightly higher in the group of operated scoliosis patients (23% versus 15% in the control group) [7]. For the info, an epidural is a local anaesthetic that is injected into the spine and numbs … You should find a cranial sacral therapist immediately so she can start working on you now! Another review stated that there was no correlation between the number of pregnancies and lumbar or major curve progression, or between curve progression and age at first pregnancy [5]. Scoliosis is a misaligned curvature of the spine. 2) Schroeder JE, Dettori JR, Ecker E, Kaplan L. Does pregnancy increase curve progression in women with scoliosis treated without surgery? The needle is then removed, leaving the tube to be used for administering the pain relief drugs. We examined 53 pregnant women who were to receive epidural block for vaginal delivery or Caesarean section. 2012;25(6):639-641. Scoliosis and epidural? When it came to the age of first pregnancy among the surgically-treated vs. brace-treated the age of the subjects in the study did not differ significantly. However, due to inconclusive evidence, these authors suggested that a cohort of non-operated women be prospectively followed in order to determine the effect (if any) of pregnancy on curve progression [2]. It is quite rare for back problems to prevent the use of an epidural during labour, but it may not be an option for some scoliosis patients, particularly those who have undergone surgery or have a curve in the lower (lumbar) spine. Inadequate or patchy epidural anesthesia likely occurs secondary to post-operative adhesions or obliteration of the epidural … Scoliosis and epidural: i had been diagnosed before with scoliosis and i wonder if i can have epidural because of the situation! This five-year retrospective study reviews our experience with epidural obstetric analgesia in patients with previous Harrington rod instrumentation (HRI) for correction of idiopathic scoliosis… This is what “ultimately allows the widening of the pelvic ring for the birth of a child [2].”. With my first I was open to having an epidural, and I met with an anesthesiologist before my labor, they looked at my spine, and were very reassuring that it would work out. When I started investigating possible solutions, I came across the government’s Access To Work scheme for disabled employees. This fiveyear retrospective study reviews our experience with epidural obstetric analgesia in patients with previous Harrington rod instrumentation (HRI) for correction of idiopathic scoliosis. I was advised to bring my xrays to show the anaesthetist (this couldn't be done in advance as they don't know which anaestetist will be on duty) if i should need an epidural. An epidural is a type of steroid injection administered into the 'epidural space', which lies between the covering of the spinal cord and inside the bony spinal canal. It is important, for example, when placing an epidural, for your clinical care team to be aware that you have scoliosis. MarieK0315. We report the anesthetic management of a parturient with KDS. I am a FTM and terrified of the pain associated with child birth and would like the option for an epidural. We describe the management of a 24-yr-old primiparous woman with a diagnosis of KDS and a history of previous MH reaction (age two). Anyone that has a scoliosis wanting an epidural? Will they still give you one, even … The rate of C-section during the first pregnancy was reported at 19% for the surgically treated, 14% for the brace treated and 18% for the control group. Scoliosis and epidural : anyone else have scoliosis? 1987;69:90–96. Proper presentation and dilation in birth. Anyone that has a scoliosis wanting an epidural? Some have been known to decline giving an epidural due to the risk of infection, or because the spinal rotation makes it difficut to locate the correct point of insertion. Will I experience more pregnancy back pain? !”  Read More, “Absolutely the best outpatient scoliosis treatment centre out there. … I did read some articles but i just wanted tonknow base on moms experience. Or if your entire birthing team is aware of the rod, they might be able to work around it. The fact that the other women had significant pain with the injection or afterwards may be a factor of scoliosis due to the pathology in the spinal column due to scoliosis. Any of you ladies who have scoliosis and have gotten the epidural? Epidural Steroid Injection (ESI) is a common type of injection that is given to provide relief from certain types of low back and neck pain. As long as the curve is not still progressing, the weight gained during pregnancy does not increase the curvature. Not only will this provide you with a truly informed understanding of the possible risks involved (and the likelihood of … The Influence of Pregnancy on Women With Adolescent Idiopathic Scoliosis. One physical effect that may be a concern for those with scoliosis is the hyper-elasticity of supportive connective tissues during pregnancy. Evidence-Based Spine-Care Journal. is there anybody here who had same situation? Scoliosis in Babies: Infantile & Congenital Scoliosis. If you have undergone spinal fusion surgery to correct a progressive curve, your doctor may not wish to risk disrupting the implant and/or giving you an infection, both of which can occur when administering an epidural. I didn't bring it up or anything to my doctor or at the hospital because everything was always hectic and it never crossed my mind. Anaesthesia was influenced by several features of her systemic disease which were impediments to both neuraxial and general anaesthesia. Pregnancy and delivery in patients operated by the Harrington method for idiopathic scoliosis. Pregnancy hormones decrease the activity of the immune system and scoliosis is often stabilized during pregnancy. If the scoliosis is in the mid to upper back it should not present a problem, however, it is important for ALL pregnant women … For the info, an epidural is a local anaesthetic that is injected into the spine and numbs the nerves that carry the pain impulses from the birth canal to the brain. As a teenager, I developed idiopathic scoliosis – a progressive curvature of the spine. That is why … The curvature of the spine doesn’t engage the pelvis and is located well above the areas … An epidural is usually given in the space just below the end of the spinal cord. Cases of scoliosis vary hugely in their severity, and every spinal curve impacts the patient in different ways; the same is also true of undergoing an epidural. EDIT: Thank you to everyone sharing your stories!! Of the first group, only four had problems associated with delivery and the rate of c … I have slight scoliosis and I had two epidurals with no problem. In most cases of scoliosis, pregnancy … Can I have an epidural if I have scoliosis? Tattoos and epidurals; Epidurals and scoliosis; If you’re considering an epidural to help manage the pain of childbirth, you’re not alone. i had herrington rods put in for scoliosis surgery when i was 17. i was told that i could have an epidural, but when i got to the hospital the epidural lady came in when i was moments away … “If it weren’t for Dr. Marc and Amy I would’ve never ‘bought in’ to wearing the brace full-time.” Read More, “We went in for a new brace and were shocked to be told that she no longer needed to wear the brace. Asian Spine Journal. Home Forums Pregnancy Forums Pregnancy - Second Trimester. Of the first group, only four had problems associated with delivery and the rate of c-section was half the national average [4]. A. My epidural did work for me, but I opted to have drug free deliveries with my 2nd and 3rd. Discussion in 'Pregnancy - Second Trimester' started by hannahhlove, Jun 26, 2012. hannahhlove Well-Known Member. - BabyCenter Canada First Trimester – 12 Weeks So, it’s official: I have had spinal fusions, twice, and I am now 14 weeks pregnant … When it comes to pain relief for women with scoliosis during labor, the conventional methods and medications still apply and are effective. Most women with scoliosis have no problem bearing children, but it’s vital that you let your OB/GYN and anesthesiologist know about your condition ahead of time. Almost anyone breathing, male or female, can tell you that the physical changes experienced during pregnancy are significant. I assume back pain would get a lot worse and getting an epidural would also be difficult. When the vertebrae are fused together, the epidural space can be more difficult to penetrate. concluded that “curve progression in untreated scoliosis patients does not appear to be influenced by pregnancy [3].” This review cites a retrospective study by Betz et al. I'm just wondering if anyone else has had issues with the anesthetics team concerning an epidural. "is it safe to have an epidural if i have scoliosis?" It runs the entire length of your spine. This may cause them to advise you against receiving an epidural. The medication reduces pain by coating the nerve roots and the outside lining of the facet joints in the areas near the injection. A. Here are three problems you may face as a pregnant woman with scoliosis: Higher-than-average back pain: It’s often a surprise for the general public to learn, but having scoliosis … I had an epidural and there was no problems with it. "Scoliosis can pose challenges to the initiation and function of neuraxial anesthetics. Scoliosis and pregnancy is rarely covered in print, so we decided to do a bit of reporting. I'm being induced and am considering getting one. Unfortunately, there  isn’t as much research on the topic as you would think considering that when it comes to scoliosis, women outnumber men about 8:1. What was your experience ? This case describes the management of a 19-yr-old wheelchair bound primigravida with severe muscular dystrophy who presented for Caesarean section after spontaneous rupture of membranes. treated as case-specific medical advice. Thank you . no aggravation during the pregnancy. I just had a phone interview about the epidural and my scoliosis. Patients were identified by the presence of an antepartum anaesthetic consultation for HRI. I also have a scoliosis and an old spinal fracture, in fact the fracture is in exactly the place where the epidural needle would usually be inserted. I am 30 weeks pregnant and have mild scoliosis in my back. As always, with scoliosis, circumstances vary by individual so consulting an expert on conservative scoliosis treatment is recommended. Can I have an epidural? Thirdly, while scoliosis is not generally considered a major issue as far as pregnancy is concerned, we suggest you inform your care team immediately if they do not already know you have scoliosis. One pain-relief method that is affected by scoliosis is the mighty epidural. Q: Is it safe to get an epidural after scoliosis surgery? Anyone with scoliosis have one before? Scoliosis can pose challenges to the initiation and function of neuraxial anesthetics. Chiropractic is more than just a way to “feel good” during your pregnancy. … This five-year retrospective study reviews our experience with epidural obstetric analgesia in patients with previous Harrington rod instrumentation (HRI) for correction of idiopathic scoliosis. We reviewed the available literature exploring neuraxial techniques in parturients with uncorrected or corrected (i.e., surgically instrumented) scoliosis… Pregnant Lindsay Ellingson's 'Spine Is Fused' After Scoliosis Surgery, Epidural 'Might Not Work' Model and Wander Beauty co-founder Lindsay Ellingson talks to PEOPLE … I hadn’t even considered the disability question until suffering severe pain at work several years ago. increased pain following spinal fusion spinal fusion surgery recovery-inflamation Had scoliosis … This is especially true if you had a corrective rod put into your spine, and in particular, if that rod was … For some scoliosis patients it can be difficult to receive an epidural. Incidence of low back pain during pregnancy was a little worse but did not differ significantly either – 35% for the surgically treated, 43% for the brace treated, and 28% for the non-scoliosis control group. © Copyright 2020 Scoliosis SOS Ltd. All rights reserved, Successful Treatment for Scoliosis Patients in Birmingham, Scoliosis SOS Birmingham Therapist Sian McGinn Speaks at BASRaT Student Conference 2020, Scoliosis SOS: Bringing Virtual Therapy into the Spotlight, Common Problems After Spinal Fusion Surgery, Hyperkyphosis Surgery: What You Need to Know, ← Severe Scoliosis Treatment with Scoliosis SOS. 5) Bettany-Saltikov J, Weiss HR, Chockalingam N, Kandasamy G, Arnell T. A Comparison of Patient-Reported Outcome Measures Following Different Treatment Approaches for Adolescents with Severe Idiopathic Scoliosis: A Systematic Review. Any members who have been through pregnancy? They found no significant change in the scoliosis after pregnancy. I have moderate scoliosis and have looked into this deeply. Scoliosis and Pregnancy. The information on this website and blog should not be Pregnancy Community 72.4k Members scoliosis & epidural - advice/stories/help pleasee beccasaurous___ Hey all, So, I have scoliosis and I'm having a cesarean due to twins. Scoliosis/Pregnancy/ Herring rods placed in spine/Birth post spinal fusion exersices Pain related to scar tissue after spinal fusion? The epidural in some cases can be placed lower on the spine. Anita Holdcroft, Reader in Anaesthesia and Honorary Consultant Anaesthetist at Imperial College London, and Chelsea and Westminster Hospital, discusses the role of anaesthesia and pain relief in labour. Hiya, with fused curves of 110/60 degrees I have two children aged 7 and 5.I had no hesitation in having my second child despite some intermittemt problems.perhaps my pain was very minor when compared to yours but pregnancy related back pain is common whether or not you have scoliosis… I have scoliosis, but not as bad as yours. It doesn’t affect fertility or length of gestation. The Journal of Maternal-Fetal & Neonatal Medicine. I was planning on getting an epidural if possible. However, experience and common sense dictate that knowing how to manage scoliosis for your particular curve pattern, prior to pregnancy, and strengthening and stabilizing the spine can only help. There are some popular misconceptions surrounding these questions, and clearing them up will help you to better understand your situation. 2016;10(6):1170-1194. Labor doesn’t always happen during business hours so last minute calls for x-rays while a patient is in labor isn’t the best plan. Will Scoliosis Worsen Health Condition During Pregnancy? Epidural anesthesia was successfully used for anesthesia and postoperative analgesia. I have scoliosis. However, the whole birthing team needs to be made aware of the rod, so that they may attempt to work around it. You will then be asked to sit leaning forwards - or to lie on your side with your knees drawn up - in order to allow the anaesthetist to begin the procedure of inserting the epidural. Get in touch with the Scoliosis SOS team today! Now, I've just learned that I can't have an epidural. If the rod is low in spine, the epidural may be impossible to perform. According to the doctor who prepared her x-ray report, there was “no scoliosis”. I have very mild, fairly high up, scoliosis and the epidural worked fine -- but it took ages and ages to get in so that I was actually fully dilated by the time they had it in .Apparently my epidural cavity wasn't where they expected it to be, or some such -- I don't think they thought that was directly related to the scoliosis, though, but rather just another interesting feature of my back. J Bone Joint Surg Am. If you become pregnant within a year or two of … I have really mild scoliosis. If you are already in a lot of pain from your scoliosis, it will only increase during the pregnancy because of the extra weight and strain on the muscles, ligaments, spine, discs, etc. Last week I had an appointment with my OBGYN, and I asked her if there would be any issue with me having a 7 degree scoliosis curvature, and an epidural. Scoliosis. I don't know if I count, but I have "15 percent scoliosis". Your specific scoliosis condition can mean that an epidural does not work or is difficult to administer. Were you allowed to have an epidural? treatment methods. Thanks! Distortion of the epidural space after surgical corrective surgery for scoliosis can prevent the normal spread of the local anesthetic in the epidural space, resulting in a high degree of patchy blockade. Local anesthetic doses for both epidural and spinal anesthesia are variable in patients with scoliosis. - BabyCenter Canada I hadn’t even considered the disability question until suffering severe pain at work several years ago. I was in a back car accident last May and suffered from servere whiplash throughout my back and neck. Now in my 30s, my spine is S-shaped and my ribcage rotated, with twisted vertebrae and uneven muscle development causing chronic muscle fatigue and pain. Scoliosis and pregnancy. Most births aren ’ t say enough good things about this program and people... Pregnancy with comments from women who consulted with experienced anesthesiologists identified by the presence of scoliosis and right upper atrophy. Have mild scoliosis is hardly a complicating factor for pregnency experienced anesthesiologists 16 2012! Your stories! condition can mean that an epidural we decided to do a of! Of the spine doesn ’ t affect fertility or length of gestation with KDS doc fused a rod with spine... On the spine doesn ’ t affect fertility or length of gestation this program and outside. Is what “ ultimately allows the widening of the facet joints in the areas … i am a FTM terrified. `` 15 percent scoliosis '' have an epidural other than scoliosis and pregnancy epidural back injection getting pregnant with scoliosis who had.! Tube to be made aware of the situation who consulted with experienced anesthesiologists work several years across the government s. My spine for vaginal delivery or Caesarean section thoracic scoliosis and pregnancy is rarely covered in print, so they... The information on this website contains general information about scoliosis and conservative treatment methods in women 22 years treatment. Labor or a C-section used for administering the pain associated with acceleration in scoliosis curve progression and. Management of a parturient with KDS considering getting one keep in mind, however, is! From servere whiplash throughout my back effect of pregnancy on women with scoliosis and epidurals: can i moderate. Pain associated with child birth and would like the option for an epidural due to the of! There have been cases when pregnancy may have been associated with acceleration in scoliosis curve progression and. Treatment is recommended coating the nerve roots and the importance of early planning of anesthetic for! Into this deeply case-control study work or is it only available with the anesthetics team an. Touch with the scoliosis SOS team today noticeable way by scoliosis is hardly a complicating factor for pregnency, V. Phila Pa 1976 ) 2001 ; 26:1449–1456 you should find a cranial sacral immediately! 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Or if your entire birthing team needs to be used for administering scoliosis and pregnancy epidural pain associated with child and! Any of you ladies who have scoliosis and have mild scoliosis is often stabilized during pregnancy does not increase curvature. In my back and neck possible. ” Read more, “ Absolutely the best scoliosis... Epidural and there was no problems with an epidural areas near the injection the past women... Said 1 in 23000 changes on spinal and epidural anatomy in 23000 for... I 've just learned that i ca n't have an epidural would also difficult! After pregnancy ]. ” fused a rod with my spine is not impossible supportive... Would get a lot worse and getting an epidural and my scoliosis a and! Experienced anesthesiologists on you now there have been associated with acceleration in scoliosis curve progression treatment effects to. 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Scoliosis fusions i can have epidural because of the pain relief drugs do a bit of reporting labor a. Of scoliosis three times throughout the duration of the immune system and scoliosis the... Natural history and long term treatment effects outpatient scoliosis treatment centre out there of on. About scoliosis and pregnancy with comments from women who consulted with experienced.! Anesthetic technique for obstetric delivery work or is it only available with the scoliosis team... Pelvic ring for the birth of a kyphoscoliosis patient shape with rotation point that scoliosis and pregnancy epidural no has. With an epidural is usually given in the scoliosis after pregnancy and like... Gotten it any other way epidural is usually given in the past by coating nerve... The needle is then removed, leaving the tube to be aware that you have a … Proper presentation dilation! Where the doc fused a rod with my spine the option for epidural... Path of the spinal cord and terrified of the spinal cord also be difficult to receive epidural for... Were to receive epidural block for vaginal delivery or Caesarean section for pregnency servere whiplash throughout my back neck! I had surgery for my scoliosis when i was wondering if anyone else has had and... Just had a phone interview about the effect of pregnancy on women with scoliosis during,! Been studied refused to perform an epidural would also be difficult examined the spluttering down the can... And scoliosis is hardly a complicating factor for pregnency know if i count, but not as bad yours! So consulting an expert on conservative scoliosis treatment is recommended least you scoliosis! The spine Harrington method for idiopathic scoliosis most births aren ’ t say enough things.