### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am a 68 year old NEW GRANDMOTHER (YAY!) with severe Scoliosis. 2nd time....I had it as a teenager and have corrected surgery.....two surgeries where they took bones from my hips to my spine. I was fine until I turned 50. I began to have a lot of pain in my lower back and thought something may be failing with my Spinal Fusion. After many Specialists.....no! I have Socliosis AGAIN. Only in my lower back this time. Because of my age, I can t find a qualified doctor who will do anything other than tell me to use whatever pain meds help me. I use Lorcet but have found that HYCODAN SYRUP is the most wonderful med for me because it has no aspirin and for some reason doesn t make me sleepy. I used 3 tsp every four hours when I get it and it s absolutley a miracle medicine. GETTING it is the difficult part. Can you help with that? Please. PLEASE? thank you very much. Carol

### output:

Hi Carol, thanks for your question. The scoliosis y have now is not necessarily the same as what u had when u where young. Treatment also differs for both. As a spine surgeon my main concern in a scoliosis of young is the cosmetic deformity associated and the risk of the curvature increasing in time. Wheras in scoliosis presentation at your age my main concern in managing you is the relief in the amount of pain you have and whether u can manage to have a good quality of life with it. If you are not able to manage yourselves and the pain is not in control, it needs further action which might include surgery. But if your doing fine continue the same. Also, if your assessment warrants surgery, it would be that easier to do it now, than later since you will get more frail with age. Rest be assured that modern spine surgery techniques are safe and effective provided done in right indications.  Hope this helps. All the best. With regards. Chat Doctor. 