Scoliosis Symptoms & Treatments in Paducah, KY – Dr. Strenge

Scoliosis is an abnormal curvature of the spine that causes the spinal column to form an “S” shape or a “C” shape. While a small degree of scoliosis may not cause any issues, moderate and severe scoliosis can cause pain, difficulty walking, fatigue, and even breathing abnormalities. Dr. K. Brandon Strenge is deeply committed to providing personalized, expert, comprehensive scoliosis care for patients in his Paducah, KY offices.

Recognizing Scoliosis Symptoms

Identifying Symptoms

Some common indicators that may suggest the presence of scoliosis include:

  • Uneven shoulders or shoulder blades: One shoulder blade may appear more prominent or higher than the other.

  • Uneven waistline or hips: One hip may seem higher or more prominent, causing the waistline to appear uneven.

  • Visible spinal curve or hump: When bending forward, a noticeable curve or hump on one side of the back may become visible.
  • Leaning to one side: The body may lean or tilt slightly to one side, indicating a spinal curvature.
  • Clothing fit issues: Shirts or pants may appear to fit unevenly due to the asymmetry caused by the spinal curve.
  • Back pain or discomfort: While not always present, especially in milder cases, some individuals with scoliosis may experience back pain, muscle fatigue, or discomfort.

It is important to note that these signs can vary in severity and may not be immediately noticeable in mild cases of scoliosis.

Impact on Daily Life

Scoliosis can have a significant impact on an individual’s daily life and overall quality of life, particularly if left untreated or if the condition progresses. Some potential effects include:

  • Physical limitations: Depending on the severity of the spinal curve, scoliosis can restrict mobility, flexibility, and the ability to participate in certain physical activities or sports.
  • Breathing difficulties: In severe cases, the curvature of the spine can put pressure on the lungs and impair breathing capacity.
  • Pain and discomfort: As the condition progresses, individuals may experience chronic back pain, muscle fatigue, and discomfort, which can interfere with daily activities.
  • Body image concerns: The visible physical changes caused by scoliosis, such as uneven shoulders or a protruding rib cage, can lead to self-consciousness and body image issues, particularly in adolescents.
  • Emotional and psychological impact: Living with scoliosis can be challenging, potentially leading to anxiety, depression, and a decreased overall quality of life, especially if the condition is severe or causes significant physical limitations.

While mild cases of scoliosis may have minimal impact, it’s crucial to seek medical attention and explore appropriate treatment options to track progression and potential complications. Early detection and proper management can help individuals with scoliosis maintain an active and fulfilling lifestyle.

Diagnosing Scoliosis in Paducah

At Strenge Spine Center in Paducah, KY, Dr. K. Brandon Strenge employs a comprehensive approach to accurately diagnose scoliosis, combining thorough physical examinations with advanced imaging techniques.

Physical Exam
Dr. Strenge begins the diagnostic process with a detailed physical assessment to identify potential signs of scoliosis. This includes:

  • Visual inspection: Observing the patient’s posture, shoulder and hip alignment, and any visible spinal curvature or asymmetry while standing and bending forward.
  • Adam’s Forward Bend Test: The patient is asked to bend forward at the waist with arms hanging loosely. Dr. Strenge carefully examines the back for any abnormal curvature, rib prominence, or muscle asymmetry, which can indicate scoliosis.
  • Range of motion and flexibility assessment: Evaluating the patient’s spinal mobility and flexibility to identify any limitations or imbalances.
  • Neurological examination: Assessing muscle strength, reflexes, and sensation to rule out any underlying neurological conditions contributing to the spinal curvature.

Imaging Techniques
If scoliosis is suspected based on the physical exam findings, Dr. Strenge orders imaging to confirm the diagnosis, determine the severity of the curvature, and plan appropriate treatment.

  • X-rays: Standing X-rays of the spine, taken from multiple angles, provide clear images of the vertebrae and allow precise measurement of the degree of spinal curvature (Cobb angle).
  • Magnetic Resonance Imaging (MRI): An MRI scan may be ordered to visualize the spinal cord, nerves, and surrounding soft tissues, helping to identify any underlying conditions contributing to the scoliosis, such as tumors or spinal cord abnormalities.
  • Computed Tomography (CT) Scan: CT scans can provide detailed, cross-sectional images of the spine and surrounding structures, aiding in the evaluation of complex spinal deformities or in surgical planning for severe cases.

By combining a comprehensive physical examination with state-of-the-art imaging techniques, Dr. Strenge can accurately diagnose scoliosis, assess its severity, and develop a personalized treatment plan tailored to each patient’s unique needs

Scoliosis Treatment Options by Dr. Strenge

Dr. K. Brandon Strenge at Strenge Spine Center in Paducah, KY, offers a comprehensive range of treatment options for scoliosis, including both non-surgical and surgical methods tailored to the individual patient’s needs.

Non-Surgical Methods
For mild to moderate cases of scoliosis, Dr. Strenge may recommend non-surgical approaches to manage and potentially halt the progression of the spinal curvature. These include:

  • Bracing: Bracing is a common non-surgical treatment for scoliosis, particularly in adolescents who are still growing. Dr. Strenge may prescribe a custom-fitted brace that applies gentle pressure to the spine, aiming to prevent further curvature and potentially correct the existing deformity.
  • Physical Therapy and Exercises: Dr. Strenge may incorporate specialized physical therapy techniques, such as the Schroth method, into the treatment plan. The Schroth method involves customized exercises designed to improve posture, restore muscular symmetry, and promote spinal alignment through rotational breathing techniques.

Surgical Solutions
For severe cases of scoliosis, typically with curves greater than 50 degrees or when non-surgical methods are ineffective, Dr. Strenge may recommend surgical intervention to correct the spinal deformity and prevent further progression. Surgical options include:

  • Spinal Fusion: This is the most common surgical treatment for severe scoliosis. During this procedure, Dr. Strenge uses specialized implants, such as titanium screws and rods, to straighten and stabilize the curved spine. Bone grafts or cages are then placed between the vertebrae to facilitate fusion, permanently correcting the curvature.
  • Expandable Rods: Some surgeons, including Dr. Strenge, may use expandable rods to treat scoliosis in younger patients without fusing the vertebrae. These rods can be periodically lengthened as the child grows, potentially reducing the need for multiple surgeries.
  • Advanced Surgical Techniques: Dr. Strenge stays at the forefront of spinal healthcare innovation, participating in clinical research trials exploring new treatments like artificial disc replacements, minimally invasive fusion implants, and synthetic bone graft substitutes.

At Strenge Spine Center, Dr. Strenge’s expertise in both non-surgical and surgical scoliosis treatments, combined with his commitment to utilizing the latest techniques and technologies, ensures that each patient receives a personalized treatment plan tailored to their specific needs and goals, whether it involves bracing, physical therapy, or advanced surgical interventions.

Dr. Strenge’s Personalized Approach to Scoliosis Treatment

At Strenge Spine Center in Paducah, KY, Dr. K. Brandon Strenge takes a personalized, patient-centered approach to scoliosis treatment, ensuring each individual receives a tailored care plan that addresses their unique needs and goals.

Dr. Strenge’s treatment philosophy prioritizes preserving the spine’s natural integrity, flexibility, and range of motion whenever possible. He believes in restoring proper spinal alignment and function while minimizing disruption to the patient’s overall well-being and quality of life.

For scoliosis patients, Dr. Strenge begins with a comprehensive evaluation, utilizing advanced imaging techniques like the state-of-the-art EOSedge system to precisely assess the severity and characteristics of the spinal curvature. This detailed understanding of each patient’s condition allows him to develop a personalized treatment strategy.

Depending on the individual case, Dr. Strenge may recommend non-surgical interventions such as bracing or specialized physical therapy techniques like the Schroth method, which involves customized exercises and rotational breathing techniques to improve posture and muscular symmetry. However, for severe or progressive cases of scoliosis, Dr. Strenge may recommend surgical intervention to correct the spinal deformity and prevent further progression. As a leading innovator in spinal healthcare, he stays at the forefront of advanced surgical techniques and technologies.

One such technique is the use of expandable rods to treat scoliosis in younger patients without fusing the vertebrae. These rods can be periodically lengthened as the child grows, potentially reducing the need for multiple surgeries and preserving spinal flexibility.

For cases requiring spinal fusion, Dr. Strenge utilizes state-of-the-art spinal implants and instrumentation from leading manufacturers, ensuring precise correction and stabilization of the spinal curvature. He is also a principal investigator for several clinical research trials exploring new treatments like artificial disc replacements, minimally invasive fusion implants, and synthetic bone graft substitutes.

Regardless of the treatment approach, Dr. Strenge’s commitment to patient education and open communication ensures that every patient fully understands their condition, treatment options, and expected outcomes. His patient-centered philosophy prioritizes shared decision-making, empowering patients to play an active role in their care.

By combining his expertise in advanced surgical techniques with a personalized, patient-focused approach, Dr. Strenge provides comprehensive, innovative care for scoliosis patients at Strenge Spine Center, helping them achieve a pain-free future and improved spinal health and function.

Recovery and Rehabilitation in Paducah

At Strenge Spine Center in Paducah, KY, Dr. K. Brandon Strenge and his team provide comprehensive recovery and rehabilitation support to patients undergoing scoliosis surgery. Their approach focuses on effective pain management and a structured physical therapy protocol to ensure optimal healing and a successful return to normal activities.

1. Immediate Post-Operative Care:

  • Pain management through a multimodal approach, combining medications and non-pharmacological techniques to minimize discomfort and promote healing.
  • Early mobilization with assistance to prevent complications and improve circulation.
  • Gradual progression to a regular diet, starting with clear liquids and advancing as tolerated.

2. Initial Recovery Phase (2-4 weeks):

  • Continued pain management and monitoring for any postoperative issues.
  • Assistance with activities of daily living, such as dressing, bathing, and mobility.
  • Gentle range-of-motion exercises to prevent stiffness and promote circulation.

3. Outpatient Physical Therapy:

  • Dr. Strenge designs personalized physical therapy protocols tailored to each patient’s specific needs and surgical procedure.
  • Therapy focuses on:
    • Strengthening core and back muscles to support the spine.
    • Improving posture and spinal alignment.
    • Gradually increasing activity levels and functional mobility.
    • Incorporating specialized techniques like the Schroth method for scoliosis rehabilitation.

4. Long-Term Recovery (6-12 months):

  • Regular follow-up appointments with Dr. Strenge to monitor fusion progress and adjust the rehabilitation plan as needed.
  • Gradual return to normal activities, as approved by Dr. Strenge, with restrictions on lifting, twisting, or high-impact activities until complete fusion is achieved.
  • Continued emphasis on proper body mechanics, posture, and core strengthening exercises to support the corrected spinal alignment.

Throughout the recovery process, Dr. Strenge and his team prioritize open communication, providing comprehensive patient education on activity modifications, precautions, and expectations for each phase of rehabilitation. Their goal is to ensure a safe, effective, and personalized recovery journey, enabling patients to regain optimal spinal function and quality of life after scoliosis surgery.

Choosing the Right Specialist for Scoliosis Treatment in Paducah

When it comes to treating scoliosis, choosing the right spine specialist is crucial for achieving successful outcomes. In Paducah, KY, Dr. K. Brandon Strenge at Strenge Spine Center stands out as a leading expert in the field of scoliosis treatment. Here is what sets him apart and why you should consider scheduling a consultation with him:

    • Dr. Strenge is a fellowship-trained orthopedic spine surgeon, specializing in minimally invasive spinal surgery and motion-preserving procedures.
    • His advanced training and focus on cutting-edge techniques like expandable rods for scoliosis treatment in younger patients demonstrate his commitment to providing the most effective and innovative care.
    • As a principal investigator for several clinical research trials, Dr. Strenge stays at the forefront of spinal healthcare innovation, ensuring his patients receive the latest and most effective treatment options.
    • His expertise in minimally invasive techniques, combined with the use of state-of-the-art technologies like the EOSedge imaging system, contributes to improved patient outcomes and reduced complication rates.
    • Dr. Strenge takes a patient-centered approach, thoroughly understanding each patient’s condition and involving them in the decision-making process.
    • He offers a range of treatment options, from non-surgical interventions like bracing and physical therapy to advanced surgical procedures like spinal fusion, tailored to the patient’s specific needs.
    • Strenge Spine Center is equipped with cutting-edge facilities and technologies, including specialized spinal surgery suites and advanced imaging systems, ensuring patients receive the highest quality care.

To take the first step towards effective scoliosis treatment, schedule a consultation with Dr. Strenge at Strenge Spine Center. You can contact their office by calling (270) 228-3973 or visiting their website at to request an appointment.

Strenge Spine Center is conveniently located at 2603 Kentucky Ave STE 102 Paducah, KY 42001. With Dr. Strenge’s expertise, advanced facilities, and commitment to patient-centered care, you can trust that you’ll receive the highest quality scoliosis treatment tailored to your unique needs.

Don’t let scoliosis progress unchecked. Take action today and schedule your consultation with Dr. Strenge, the leading scoliosis specialist in Paducah, to embark on your journey towards improved spinal health and a better quality of life.


What is the typical success rate of scoliosis surgery?

Fusion surgery for scoliosis generally yields very good results initially. Double steel rod implants can provide excellent curve reduction, though the tradeoff may be a loss of the natural curvature of the spine. Keep in mind that some patients may need to undergo reoperation at some point in their lives

How long is the recovery period for scoliosis correction surgery?

The spine does not fuse immediately during surgery. The fusion process where the bone grafts integrate usually takes 6-12 months. However, most patients can return to limited activity within 2-4 weeks.

Can scoliosis be prevented?

There is no way to prevent scoliosis from occurring, but keeping core muscles strong, performing scoliosis-specific exercises, and consuming a healthful diet rich in vitamins and nutrients may slow the progression.

Is surgery necessary for scoliosis treatment?

Not always. People with mild scoliosis probably should not have scoliosis surgery but instead should be monitored or wear a brace. Non-surgical bracing may also help people with moderate scoliosis avoid surgery, but this is not always successful. Patients with severe scoliosis will likely need scoliosis surgery.

How can I tell if I have scoliosis?

You may have scoliosis if one shoulder is higher than the other, your waist or hips are uneven, your rib cage sticks out on one side, and/or your head seems to be off-center. Your surgeon can diagnose scoliosis by having you bend forward to assess the curvature of your spine. X-rays are also helpful for determining the degree of scoliosis.




IDEAL Symposium in Dallas

On May 17-18, Dr. Strenge participated in the IDEAL Symposium in Dallas, TX. Dr. Strenge discussed the Barricaid procedure to prevent re-herniation and re-operation after a disc herniation procedure.

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