Scoliosis and Spinal Stenosis

Q:  I am 79 years old and have scoliosis of the lumbar spine which makes my spine bend towards the left. If I take a few steps without my cane, my body shifts to the left and I limp. Is that from the scoliosis?

I also have severe spinal stenosis. What is the long-term prognosis for this condition? Can something be done, or is my walking going to become worse? Stairs are especially a problem, and if I walk for just a little while, I'm all in. I get backaches too. I would appreciate your comments.

A:  Scoliosis is a condition in which the spine becomes curved to one side or even S-shaped. This can be congenital, begin in childhood, or develop in later life because of disc disease. When the spine is not straight, usually the shoulders and pelvis become uneven to compensate and help you keep your balance. That's probably why you limp.

Spinal stenosis is a more serious problem because the spinal cord nerves get pinched and irritated by the narrowed spinal canal, resulting in pain in the lower back and numbness and pain in the legs. This pain with standing or walking can get progressively worse and surgery may be required. I suggest you see either an orthopedic surgeon or neurosurgeon soon.

"Dear Doctor" is a compilation of patient questions answered by doctors from the Medical College of Wisconsin.