I have problems with mild to moderate tightness in the muscles of my lower back almost constantly and occasionally to the point of heavy muscle spasms. Physical therapy with exercises can alleviate the problem, but not fix it. At this point external braces would be of little use. I'd see a spinal specialist in scoliosis for the options, but they are fairly limited at this point. Long term you will develop arthritis and a decreased respiratory capacity due to your spinal deformity.
Occasional patients have vascular problems, but much less common.
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