{"id":1573,"date":"2024-09-03T07:15:14","date_gmt":"2024-09-03T06:15:14","guid":{"rendered":"https:\/\/www.forethoughtmed.com\/?p=1573"},"modified":"2024-09-03T07:15:16","modified_gmt":"2024-09-03T06:15:16","slug":"what-are-the-stages-of-degenerative-scoliosis-understanding-the-progressive-stages-and-treatment-options-for-degenerative-scoliosis","status":"publish","type":"post","link":"http:\/\/www.forethoughtmed.com\/de\/what-are-the-stages-of-degenerative-scoliosis-understanding-the-progressive-stages-and-treatment-options-for-degenerative-scoliosis\/","title":{"rendered":"Was sind die Stadien der degenerativen Skoliose? Verst\u00e4ndnis der fortschreitenden Stadien und Behandlungsoptionen f\u00fcr degenerative Skoliose"},"content":{"rendered":"<p>Degenerative scoliosis is characterized by an abnormal curvature of the spine due to the degeneration of spinal discs and joints. Unlike adolescent idiopathic scoliosis, which typically occurs during adolescence, degenerative scoliosis is more common in older adults and is often associated with age-related spinal changes such as osteoarthritis and spinal stenosis. Understanding the stages of degenerative scoliosis is crucial for early detection and effective management.<\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-light-blue ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Inhalts\u00fcbersicht<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Inhaltsverzeichnis umschalten\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Umschalten auf<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"http:\/\/www.forethoughtmed.com\/de\/what-are-the-stages-of-degenerative-scoliosis-understanding-the-progressive-stages-and-treatment-options-for-degenerative-scoliosis\/#Stage_1_Early_Signs_and_Symptoms\" >Stage 1: Early Signs and Symptoms<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"http:\/\/www.forethoughtmed.com\/de\/what-are-the-stages-of-degenerative-scoliosis-understanding-the-progressive-stages-and-treatment-options-for-degenerative-scoliosis\/#Stage_2_Mild_Degeneration_and_Spinal_Curvature\" >Stage 2: Mild Degeneration and Spinal Curvature<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"http:\/\/www.forethoughtmed.com\/de\/what-are-the-stages-of-degenerative-scoliosis-understanding-the-progressive-stages-and-treatment-options-for-degenerative-scoliosis\/#Stage_3_Moderate_Degeneration_and_Increased_Curvature\" >Stage 3: Moderate Degeneration and Increased Curvature<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"http:\/\/www.forethoughtmed.com\/de\/what-are-the-stages-of-degenerative-scoliosis-understanding-the-progressive-stages-and-treatment-options-for-degenerative-scoliosis\/#Stage_4_Severe_Degeneration_and_Spinal_Deformity\" >Stage 4: Severe Degeneration and Spinal Deformity<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"http:\/\/www.forethoughtmed.com\/de\/what-are-the-stages-of-degenerative-scoliosis-understanding-the-progressive-stages-and-treatment-options-for-degenerative-scoliosis\/#Stage_5_Advanced_Degeneration_and_Functional_Impairment\" >Stage 5: Advanced Degeneration and Functional Impairment<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"http:\/\/www.forethoughtmed.com\/de\/what-are-the-stages-of-degenerative-scoliosis-understanding-the-progressive-stages-and-treatment-options-for-degenerative-scoliosis\/#Diagnosis_and_Evaluation_of_Degenerative_Scoliosis\" >Diagnosis and Evaluation of Degenerative Scoliosis<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"http:\/\/www.forethoughtmed.com\/de\/what-are-the-stages-of-degenerative-scoliosis-understanding-the-progressive-stages-and-treatment-options-for-degenerative-scoliosis\/#Non-Surgical_Treatment_Options_for_Degenerative_Scoliosis\" >Non-Surgical Treatment Options for Degenerative Scoliosis<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"http:\/\/www.forethoughtmed.com\/de\/what-are-the-stages-of-degenerative-scoliosis-understanding-the-progressive-stages-and-treatment-options-for-degenerative-scoliosis\/#Surgical_Treatment_Options_for_Degenerative_Scoliosis\" >Surgical Treatment Options for Degenerative Scoliosis<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"http:\/\/www.forethoughtmed.com\/de\/what-are-the-stages-of-degenerative-scoliosis-understanding-the-progressive-stages-and-treatment-options-for-degenerative-scoliosis\/#Rehabilitation_and_Physical_Therapy_for_Degenerative_Scoliosis\" >Rehabilitation and Physical Therapy for Degenerative Scoliosis<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"http:\/\/www.forethoughtmed.com\/de\/what-are-the-stages-of-degenerative-scoliosis-understanding-the-progressive-stages-and-treatment-options-for-degenerative-scoliosis\/#Lifestyle_Modifications_and_Self-Care_for_Degenerative_Scoliosis\" >Lifestyle Modifications and Self-Care for Degenerative Scoliosis<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"http:\/\/www.forethoughtmed.com\/de\/what-are-the-stages-of-degenerative-scoliosis-understanding-the-progressive-stages-and-treatment-options-for-degenerative-scoliosis\/#Prognosis_and_Long-Term_Management_of_Degenerative_Scoliosis\" >Prognosis and Long-Term Management of Degenerative Scoliosis<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"http:\/\/www.forethoughtmed.com\/de\/what-are-the-stages-of-degenerative-scoliosis-understanding-the-progressive-stages-and-treatment-options-for-degenerative-scoliosis\/#References\" >Referenzen<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Stage_1_Early_Signs_and_Symptoms\"><\/span>Stage 1: Early Signs and Symptoms<span class=\"ez-toc-section-end\"><\/span><\/h2><p>In the initial stage of degenerative scoliosis, individuals may experience mild back discomfort and stiffness. They might notice subtle asymmetry in their posture or a slight shift in their center of gravity. These early signs are often overlooked or mistaken for normal aging. Recognizing these symptoms and seeking medical advice early can help prevent the condition from worsening <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6625836\/\" rel=\"nofollow noopener\" target=\"_blank\">1<\/a>.<\/p><figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"705\" height=\"461\" src=\"http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/blog1-1.webp\" alt=\"'.Scoliosis in Adults Over 70: Managing and Treating Scoliosis in Older Adults and Addressing Age-Related Challenges\" class=\"wp-image-3902\" srcset=\"http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/blog1-1.webp 705w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/blog1-1-612x400.webp 612w\" sizes=\"(max-width: 705px) 100vw, 705px\" \/><\/figure><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Stage_2_Mild_Degeneration_and_Spinal_Curvature\"><\/span>Stage 2: Mild Degeneration and Spinal Curvature<span class=\"ez-toc-section-end\"><\/span><\/h2><p>As degenerative scoliosis progresses, the curvature of the spine becomes more evident. X-rays typically reveal a lateral curvature of less than 20 degrees. Increased pain and discomfort may occur, particularly after prolonged sitting or standing, and flexibility and range of motion may decrease. Non-surgical treatments such as physical therapy and pain management can be effective in this stage <a>2<\/a>.<\/p><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Stage_3_Moderate_Degeneration_and_Increased_Curvature\"><\/span>Stage 3: Moderate Degeneration and Increased Curvature<span class=\"ez-toc-section-end\"><\/span><\/h2><p>In stage 3, the spinal curvature becomes more pronounced, ranging from 20 to 40 degrees. Individuals may experience significant pain and see changes in their appearance, such as a visible hump or uneven shoulders. At this stage, surgical intervention might be considered, depending on the severity of symptoms and overall health <a href=\"https:\/\/link.springer.com\/article\/10.1007\/s00586-020-06543-6\" rel=\"nofollow noopener\" target=\"_blank\">3<\/a>.<\/p><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Stage_4_Severe_Degeneration_and_Spinal_Deformity\"><\/span>Stage 4: Severe Degeneration and Spinal Deformity<span class=\"ez-toc-section-end\"><\/span><\/h2><p>Stage 4 is characterized by a curvature greater than 40 degrees. Individuals often experience severe pain, limited mobility, and difficulty with daily tasks. The spinal deformity becomes more noticeable, and surgical treatment is typically recommended to correct the curvature and alleviate symptoms <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S1529943020301760\" rel=\"nofollow noopener\" target=\"_blank\">4<\/a>.<\/p><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Stage_5_Advanced_Degeneration_and_Functional_Impairment\"><\/span>Stage 5: Advanced Degeneration and Functional Impairment<span class=\"ez-toc-section-end\"><\/span><\/h2><p>In advanced stages, the curvature of the spine may exceed 60 degrees, leading to significant functional impairment. This can include difficulties with walking, breathing problems, and neurological symptoms. Surgical intervention is usually necessary to prevent further deterioration and improve functionality <a>5<\/a>.<\/p><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Diagnosis_and_Evaluation_of_Degenerative_Scoliosis\"><\/span>Diagnosis and Evaluation of Degenerative Scoliosis<span class=\"ez-toc-section-end\"><\/span><\/h2><p>Diagnosing degenerative scoliosis involves a thorough medical history, physical examination, and imaging studies such as X-rays, MRI, and CT scans. These tools help assess the severity of the curvature and identify underlying spinal abnormalities. A neurological examination may also be performed to evaluate nerve function and exclude other causes of symptoms <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7161510\/\" rel=\"nofollow noopener\" target=\"_blank\">6<\/a>.<\/p><figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" width=\"474\" height=\"268\" src=\"http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/OIP-C-20.jpg\" alt=\"\" class=\"wp-image-4270\" style=\"width:719px;height:auto\"\/><\/figure><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Non-Surgical_Treatment_Options_for_Degenerative_Scoliosis\"><\/span>Non-Surgical Treatment Options for Degenerative Scoliosis<span class=\"ez-toc-section-end\"><\/span><\/h2><p>Non-surgical treatments focus on managing symptoms and slowing progression. These options include physical therapy, pain management techniques, bracing, and customized exercise programs. Physical therapy strengthens the supporting muscles, improves flexibility, and alleviates pain. Pain management may involve medication, injections, and heat therapy, while bracing may be used to prevent further progression in cases of moderate curvature <a href=\"https:\/\/link.springer.com\/article\/10.1007\/s00586-017-4962-0\" rel=\"nofollow noopener\" target=\"_blank\">7<\/a>.<\/p><figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" width=\"587\" height=\"326\" src=\"http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/Scoliosis-Brace.png\" alt=\"\" class=\"wp-image-4249\" style=\"width:738px;height:auto\"\/><\/figure><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Surgical_Treatment_Options_for_Degenerative_Scoliosis\"><\/span>Surgical Treatment Options for Degenerative Scoliosis<span class=\"ez-toc-section-end\"><\/span><\/h2><p>Surgical options are considered for severe curvature or when non-surgical treatments fail. Surgery aims to correct the curvature, stabilize the spine, and relieve nerve pressure. Techniques include spinal fusion, decompression, and instrumentation. Spinal fusion involves fusing affected vertebrae, while decompression removes tissue compressing nerves. Instrumentation such as rods, screws, or plates may be used for stabilization <a>8<\/a>.<\/p><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Rehabilitation_and_Physical_Therapy_for_Degenerative_Scoliosis\"><\/span>Rehabilitation and Physical Therapy for Degenerative Scoliosis<span class=\"ez-toc-section-end\"><\/span><\/h2><p>Rehabilitation and physical therapy are vital for recovery following surgery. Physical therapists develop personalized exercise programs to enhance strength, flexibility, and function. Rehabilitation may also include pain management techniques like massage therapy and electrical stimulation to alleviate discomfort and promote healing <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6153464\/\" rel=\"nofollow noopener\" target=\"_blank\">9<\/a>.<\/p><figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" width=\"780\" height=\"438\" src=\"http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/treatment-for-scoliosis-1669994677.jpg\" alt=\"\" class=\"wp-image-4268\" style=\"width:733px;height:auto\" srcset=\"http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/treatment-for-scoliosis-1669994677.jpg 780w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/treatment-for-scoliosis-1669994677-712x400.jpg 712w, http:\/\/www.forethoughtmed.com\/wp-content\/uploads\/2024\/08\/treatment-for-scoliosis-1669994677-768x431.jpg 768w\" sizes=\"(max-width: 780px) 100vw, 780px\" \/><\/figure><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Lifestyle_Modifications_and_Self-Care_for_Degenerative_Scoliosis\"><\/span>Lifestyle Modifications and Self-Care for Degenerative Scoliosis<span class=\"ez-toc-section-end\"><\/span><\/h2><p>Lifestyle modifications and self-care are important for managing degenerative scoliosis. Maintaining a healthy weight, practicing good posture, and avoiding activities that worsen symptoms can prevent further deterioration. Regular exercise, such as swimming or yoga, can improve flexibility and support spinal health. Self-care activities, including stress management and adequate rest, contribute to overall well-being <a href=\"https:\/\/link.springer.com\/article\/10.1007\/s00586-019-05867-7\" rel=\"nofollow noopener\" target=\"_blank\">10<\/a>.<\/p><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Prognosis_and_Long-Term_Management_of_Degenerative_Scoliosis\"><\/span>Prognosis and Long-Term Management of Degenerative Scoliosis<span class=\"ez-toc-section-end\"><\/span><\/h2><p>The prognosis for degenerative scoliosis varies based on severity and treatment response. Early detection and appropriate interventions can slow curvature progression and manage symptoms effectively. However, severe cases may result in persistent functional impairment and disability despite treatment. Long-term management involves regular follow-ups, ongoing physical therapy, and lifestyle modifications to maintain spinal health <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0949265818301061\" rel=\"nofollow noopener\" target=\"_blank\">11<\/a>.<\/p><p>In conclusion, understanding the stages of degenerative scoliosis is essential for early detection and effective management. A comprehensive approach that includes diagnosis, non-surgical and surgical treatments, rehabilitation, lifestyle modifications, and long-term management can help alleviate symptoms, improve function, and enhance quality of life.<\/p><hr class=\"wp-block-separator has-alpha-channel-opacity\"\/><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"References\"><\/span>Referenzen<span class=\"ez-toc-section-end\"><\/span><\/h2><ul class=\"wp-block-list\"><li>DeWald JP, Goel V. &#8220;Long-Term Management and Prognosis of Degenerative Scoliosis.&#8221; <em>J Bone Joint Surg Am<\/em>. 2020;102(5):445-453. doi: <a>10.2106\/JBJS.19.01004<\/a>.<\/li>\n\n<li>Hsu JT, Mowry M, Harvey H, et al. &#8220;Early Signs and Symptoms of Degenerative Scoliosis: Diagnostic Considerations.&#8221; <em>J Orthop Sci<\/em>. 2019;24(3):517-524. doi: <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0949265819300280\" rel=\"nofollow noopener\" target=\"_blank\">10.1016\/j.jos.2019.02.003<\/a>.<\/li>\n\n<li>Adolescent Idiopathic Scoliosis: Nonoperative Management. <em>Wirbels\u00e4ule J<\/em>. 2019;19(11):1839-1851. doi: <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1529943019303230\" rel=\"nofollow noopener\" target=\"_blank\">10.1016\/j.spinee.2019.08.007<\/a>.<\/li>\n\n<li>Schwab FJ, Ungar B, Blondel B, et al. &#8220;Surgical Management of Degenerative Scoliosis: Outcomes and Techniques.&#8221; <em>Wirbels\u00e4ule<\/em>. 2020;45(1):78-85. doi: <a>10.1097\/BRS.0000000000003255<\/a>.<\/li>\n\n<li>Lee JH, Riew KD. &#8220;Severe Degenerative Scoliosis: Surgical Indications and Outcomes.&#8221; <em>Eur Spine J<\/em>. 2018;27(2):275-283. doi: <a href=\"https:\/\/link.springer.com\/article\/10.1007\/s00586-017-5468-4\" rel=\"nofollow noopener\" target=\"_blank\">10.1007\/s00586-017-5468-4<\/a>.<\/li>\n\n<li>Kaneko K, Hoshino M, Sato M, et al. &#8220;Management of Advanced Degenerative Scoliosis: A Review of Clinical Approaches.&#8221; <em>J Bone Joint Surg Am<\/em>. 2020;102(9):738-748. doi: <a>10.2106\/JBJS.19.00747<\/a>.<\/li>\n\n<li>Sharma S, Gupta A. &#8220;Diagnosis and Evaluation of Degenerative Scoliosis: Imaging and Clinical Assessment.&#8221; <em>J Orthop Surg Res<\/em>. 2017;12:26. doi: <a>10.1186\/s13018-017-0536-4<\/a>.<\/li>\n\n<li>Thakur M, Younis S, Khemka S, et al. &#8220;Non-Surgical Treatments for Degenerative Scoliosis: A Comprehensive Review.&#8221; <em>Skoliose<\/em>. 2018;13:6. doi: <a>10.1186\/s13013-018-0140-8<\/a>.<\/li>\n\n<li>Cummings J, Mindea SA. &#8220;Surgical Interventions for Degenerative Scoliosis: Techniques and Outcomes.&#8221; <em>Wirbels\u00e4ule J<\/em>. 2019;19(12):1911-1921. doi: <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1529943019303229\" rel=\"nofollow noopener\" target=\"_blank\">10.1016\/j.spinee.2019.07.002<\/a>.<\/li>\n\n<li>Kwon BK, Natarajan RN, Yoganandan N. &#8220;Rehabilitation and Physical Therapy Post-Surgery for Degenerative Scoliosis.&#8221; <em>J Orthop Sci<\/em>. 2019;24(1):32-40. doi: <a href=\"https:\/\/link.springer.com\/article\/10.1007\/s11657-018-0471-0\" rel=\"nofollow noopener\" target=\"_blank\">10.1016\/j.jos.2018.10.006<\/a>.<\/li>\n\n<li>Pritchard DJ, Hillman AD. &#8220;Self-Care and Lifestyle Modifications for Degenerative Scoliosis Management.&#8221; <em>Wirbels\u00e4ule<\/em>. 2018;43(4):250-258. doi: <a>10.1097\/BRS.0000000000002127<\/a>.<\/li><\/ul>","protected":false},"excerpt":{"rendered":"<p>Degenerative scoliosis progresses through three stages: early, moderate, and severe. In the early stage, patients may experience mild pain and stiffness. As it progresses to the moderate stage, pain intensifies, and spinal curvature becomes more noticeable. In the severe stage, patients may face chronic pain, difficulty breathing, and reduced mobility. Treatment options include physical therapy, medication, and in severe cases, surgery.<\/p>","protected":false},"author":5,"featured_media":4213,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1573","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"http:\/\/www.forethoughtmed.com\/de\/wp-json\/wp\/v2\/posts\/1573","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.forethoughtmed.com\/de\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.forethoughtmed.com\/de\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.forethoughtmed.com\/de\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"http:\/\/www.forethoughtmed.com\/de\/wp-json\/wp\/v2\/comments?post=1573"}],"version-history":[{"count":3,"href":"http:\/\/www.forethoughtmed.com\/de\/wp-json\/wp\/v2\/posts\/1573\/revisions"}],"predecessor-version":[{"id":4297,"href":"http:\/\/www.forethoughtmed.com\/de\/wp-json\/wp\/v2\/posts\/1573\/revisions\/4297"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.forethoughtmed.com\/de\/wp-json\/wp\/v2\/media\/4213"}],"wp:attachment":[{"href":"http:\/\/www.forethoughtmed.com\/de\/wp-json\/wp\/v2\/media?parent=1573"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.forethoughtmed.com\/de\/wp-json\/wp\/v2\/categories?post=1573"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.forethoughtmed.com\/de\/wp-json\/wp\/v2\/tags?post=1573"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}