Q: My 11-year-old daughter seems to be have a crooked back.
A physical exam last year didn't indicate that anything was wrong, but I'm concerned that her spine will become curved. Is there anything I can do as a preventive measure?
Your daughter is probably entering into the puberty growth spurt phase, and there is a chance the "crooked spine" may become worse.
Even if an earlier check by the nurse seems normal, there is still a chance with the onset of rapid growth spurt, the spine may be more crooked.
I will advise vigilance and early consult with a spine specialist who will see the patient clinically and probably schedule an x-ray to measure the curve in the spine objectively.
Answer provided by Adjunct Associate Professor Hee Hwan Tak, Singapore Medical Group's Medical Director, SMG Orthopaedic Group and Centre for Spine & Scoliosis Surgery