Featured Speaker

Dr. Maziar Badii

MD, FRCP Rheumatologist Vancouver, BC

BIO: Orthopedic Now

Dr. Maziar Badii is a leading expert in the diagnosis and non-surgical treatment of spinal disorders including inflammatory disorders of the neck and back, mechanical neck and back pain, whiplash associated disorders, sciatica, spinal stenosis, discogenic pain, facet syndrome, vertebral compression fractures, and cancer-related musculoskeletal syndromes.

Dr. Badii completed medical school, internal medicine, and rheumatology training at UBC. He obtained a Masters in Health Care and Epidemiology, with emphasis on spinal research, injury prevention, disability prevention, and early return to work. He also undertook additional spinal training at the Combined Neurosurgical Orthopedic Spine Program at Vancouver General Hospital.

Dr. Badii has practiced rheumatology and spine medicine at the Vancouver General Hospital for over a decade and is an Clinical Assistant Professor in the Division of Rheumatology, Department of Medicine, at the University of British Columbia (UBC).

Dr. Badii is a past recipient of The Arthritis Society of Canada’s Fellowship Award given out to promising young rheumatologists and has received a Clinician Investigator Award from the Royal College of Physicians and Surgeons of Canada. He has been a Research Scientist at The Arthritis Research Centre of Canada and was the Director of Injury and Disability Prevention at the Occupational Health and Safety Agency for Healthcare (OHSAH) in BC. He is also a Past-President of the Northwest Rheumatism Society.

In his spare time, Dr. Badii enjoys golf, music, singing, and is a patron of the Vancouver Opera. He is a staunch supporter of animal rights and frequently supports causes that relate to the safety and well-being of animals.

( Dr. Maziar Badii, Rheumatologist, Vancouver, BC ) is in good standing with the College of Physicians and Surgeons.

Dr. Maziar Badii, MD, FRCP, Rheumatologist, discusses The Symptoms of Scoliosis

Dr. Maziar Badii, MD, FRCP, Rheumatologist, discusses long-term management of scoliosis.

The Symptoms of Scoliosis of the Back

Patients first suspect they may have a scoliosis when they look in the mirror, they see that their shoulders aren’t even.

So one side is higher or their hips are not level to the ground, one side is higher than the other one. Or perhaps more commonly, especially with adolescent onset or juvenile onset, idiopathic scoliosis, a parent noticed that they come out of the shower, they walk, looking from behind, they see that the back is not straight but it looks like a C or like an S.

When someone suspects that they may have a scoliosis, it helps to have somebody else look at the back. It’s very hard to see scoliosis in a mirror. It’s hard to turn around and look in the mirror to see if there’s a curvature.

So you ask a parent or a friend to stand behind you with the back exposed, so wearing a bra or no t-shirt on, see if there’s a straight line going down. With the person standing if there’s a curve that may imply that there is a scoliosis, then lean forward.

And with a scoliosis again the other person may notice that the musculature are not even, so one side looks a little further up or more developed than the other, or this is a telltale sign of a scoliosis, that in fact, the ribcage is higher on one side than the other.

So with a scoliosis because there’s a turn, there’s a curve when we bend forward, the side, one side will push the ribcage out and the other side will come down. So instead of bending forward like that one side will come up.

These are simple signs that you may have a scoliosis. You may want to see your doctor about that and your doctor may want to do an X-ray to see if, in fact, there is an abnormal curvature or not. Knowing the classification is important because it has implications for diagnosis, for management, and importantly for prognosis.

Although scoliosis is a lifelong problem the congenital form, for the most part, and the idiopathic forms, for the most part, are stable, they’re self-limited, so even without treatment if you follow them for 50 years, and these studies have been done, patients have been followed for 50 years, they don’t tend to cause any additional problems.

They don’t cause cardiopulmonary problems, they don’t cause destruction of nerve function, they don’t even cause all that much worsening of the curvature itself from what it is now over time. Whereas, the acquired forms that are not idiopathic but are secondary either to traumatic injury or to a neurological injury, to abnormal mass in the spine, these can progress.

So knowing the classification and seeing your physician and your physician identifying which category you fall into can have implications now, they can have implications in the future. If you think you have a scoliosis either because you’ve seen asymmetry of your posture yourself or someone has commented that you may have an abnormal curve in your spine, see your family physician, they can examine you and answer your questions.

You might visit a rheumatologist for information on what is, conditions, side effects, symptoms and treatments related to scoliosis in children and adults, other spinal disorders and genetic conditions.

Presenter: Dr. Maziar Badii, Rheumatologist, Vancouver, BC

Local Practitioners: Rheumatologist

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