When treated in a timely and effective manner, scoliosis -- or curvature of
the spine -- can be almost invisible. Shailene Woodley, 17, for instance who
stars as the pregnant Amy Juergens in ABC Family’s hit The Secret Life of
the American Teenager, has spent much of her life in the spotlight. The
California native broke into the business at age 5 and later played young
Jordan in Crossing Jordan and Kaitlin Cooper in the first season of
The O.C. What her fans may not know is that she just wrapped up two
years of wearing a chest-to-hips plastic brace -- ever since she was diagnosed
with scoliosis the summer she was 15.
“We were getting ready to go swimming and I was in a bikini. ... My best
friend was like, ‘Shai, your spine is weird,’” Woodley says. With scoliosis,
the spine can look like an “S” or a “C” from behind. Other indicators include
uneven shoulders, a prominent shoulder blade, or an uneven waist.
Dupuytren's contracture is an abnormal thickening and tightening of the normally elastic tissue beneath the skin of the palm and fingers. This tissue is called fascia. The fascia contains strands of fibers, like cords, that run from the palm upward into the fingers. In Dupuytren's contracture, these cords tighten, or contract, causing the fingers to curl forward. In severe cases, it can lead to crippling hand deformities.
Her mom took her to the doctor for a diagnosis. “I laugh under pressure,”
says Woodley, whose spine had a 38-degree curvature (if it had been more than
45 degrees, she would have been a candidate for surgery). “So I was OK. It
wasn’t until the fourth week of wearing a brace that I said, ‘Whoa, this is a
bummer.’” But in the end, the treatment was successful, and she took the brace
off for good in December.
Causes of scoliosis
Scoliosis affects roughly 2% of the population. Most cases are minor enough
to require no treatment. Woodley’s scoliosis, called idiopathic, is the most
common type, for which there is no known cause -- though it runs in families
and researchers are trying to pinpoint the origins. About 20% of scoliosis
cases are associated with birth defects, illness, or traumatic injury. And no
one knows why, but girls are more likely to get the condition.
In moderate cases, such as Woodley’s, bracing to keep the curvature from
getting worse is the treatment; she wore the brace 18 hours a day. She took it
off to go swimming or out with friends and when she was filming. Despite the
inconvenience and discomfort -- “It’s like braces in your mouth. You go in and
get it tightened and it hurts for a while” -- Woodley knew that left untreated,
scoliosis can lead to serious medical troubles, including back pain, deformity,
fatigue, and, in severe cases, problems with heart and lung function.
Her advice for those newly diagnosed with scoliosis? “There’s no cure, but
the only thing they sort of know works is the brace. So follow instructions,
don’t be afraid, and watch out for it.”
SOURCES: American Academy of Orthopedic Surgeons, “What is Scoliosis?”, Fact
Sheet, June 2007. WebMD Osteoarthritis Guide: “Scoliosis.” Scoliosis Research
Society, “What is Scoliosis?” Mayo Clinic, Children’s Health: “Scoliosis.”