Idiopathic scoliosis is a curvature of the spine to the left or right side relative to its axis of unclear etiology. Appears in children or adolescents, with untimely treatment creates a serious threat to health. Idiopathic scoliosis accounts for almost 80% of all cases of the disease.
Having given only 5-7 minutes to read the article, you will learn all about measures for the prevention and treatment of idiopathic scoliosis without drugs.
Idiopathic scoliosis, unlike normal scoliosis, develops rapidly and even a thorough diagnosis does not allow determining the exact causes of the disease.
Doctors identify the main factors in the development of idiopathic scoliosis:
- Hereditary predisposition.
- Prolonged stay in one position – in schoolchildren, scoliosis often appears as a result of improper sitting at a desk or desk.
- An uncomfortable mattress that prevents the muscles and spine from fully relaxing during sleep.
- Inability or unwillingness to maintain correct posture, uneven distribution of weights on the spine.
- Violation of the production of fibrillin, which reduces muscle elasticity.
- Uneven growth of bones on the right or left side of the spinal column, which leads to their asymmetry.
- Improper fracture treatment.
The muscle corset is also often weakened in children who, for health reasons, are forced to stay in bed for a long time. Often, idiopathic scoliosis develops along with flat feet, arthrotic changes in the joints, and kyphosis.
Depending on the time of the onset of development, idiopathic scoliosis is divided into the following types:
- Infant – makes itself felt at an early age up to three years. It is rarely diagnosed, since it is difficult to identify a violation in a child who has not yet sufficiently developed motor activity.
- Children – develops in the period from 3 to 10 years.
- Youthful – manifests itself in adolescents 14-15 years old.
Idiopathic curvature of the spine can be primary or secondary. Primary ones have one deviation of the spinal column. With secondary scoliosis, several pathological axes develop at once. The degree of curvature depends on the level of the scoliotic angle, measured using special techniques.
According to the site of localization, idiopathic scoliosis is divided into:
- Thoracic – characterized by a displacement of the 7-10th vertebra, leading to disorders of the cardiovascular and respiratory systems. Most often, the ridge is curved to the right.
- Cervico-thoracic – accompanied by the curvature of the 3rd and 4th faces, which leads to a twisting of the face. This scoliosis is congenital.
- Thoracolumbar – 1 and 2 vertebrae are affected. If you do not start timely treatment, as scoliosis progresses, the patient will experience severe pain even with minor exertion.
- Lumbar – the structure of the 11th and 12th vertebrae is disturbed. It is accompanied by severe pain in the lower back.
You can identify idiopathic scoliosis by the following features:
- Visually, it seems that the legs are of different lengths, although in reality, they are exactly the same.
- One shoulder is higher than the other.
- Asymmetry of the shoulder blades and pelvis.
- Different foot lengths.
- One part of the chest is more convex.
With grade 3-4 idiopathic scoliosis, disturbances in the functioning of the digestive system, poor nerve conduction, and heart failure can be observed.
Only a doctor can determine the presence of idiopathic scoliosis and its full-time degree. Initially, the specialist examines the patient’s spine in various positions – lying, standing, sitting. To obtain a detailed picture of the condition of the spine, it is necessary to undergo an X-ray, MRI, or CT. Modern research methods make it possible to assess the degree of deformity, the condition of bones and intervertebral discs, and to determine the damage to nearby organs and tissues.
The duration and effectiveness of treatment for idiopathic scoliosis largely depend on the degree of the disease. To compensate for the curvature at the initial stage, a massage course, regular exercise therapy and swimming may well be enough. In the second degree, longer sessions will be needed in combination with physiotherapy procedures. In advanced cases, accompanied by the appearance of a rib hump, you can only improve your physical condition. To eliminate scoliosis, surgical intervention is prescribed.
Medicines will not help stop the development of scoliosis, their main purpose is to relieve pain symptoms. Drug therapy is prescribed only if indicated. To eliminate the inflammatory process, non-steroidal drugs are used. Muscle relaxants will help to remove spasm in muscle fibers; a course of chondroprotectors is recommended to strengthen the bone apparatus (lasts an average of 2-3 months). In combination with drug therapy, patients are shown taking vitamin B and calcium in the form of tablets or injections.
During the massage , one muscle group is strengthened and the other is completely relaxed, due to which it is possible to stop the development of idiopathic scoliosis. Also, after healing procedures, blood circulation and lymph flow are normalized, metabolic processes in the affected part of the spine are improved. The result will be only after completing the entire course, consisting of at least 10 sessions.
For children with weak muscles, massage is recommended not only for therapeutic but also for prophylactic purposes once or twice a year.
With a scoliotic angle of more than 10 degrees, the patient is prescribed physiotherapeutic procedures: UHF, laser and magnetic therapy, therapeutic applications, mud baths, acupuncture, etc. Physiotherapy allows you to normalize blood circulation in the affected area, improve metabolism, and reduce pain in severe curvatures. Several sessions are not enough. To achieve a stable remission with scoliosis, you will need to complete a full course of procedures.
Physical therapy will not help reduce the angle of curvature in scoliosis, but with regular exercise, there is every chance to improve the quality of life. The muscle corset is strengthened, the patient tolerates physical activity more easily and becomes more active.
The exercise therapy complex is developed individually, taking into account its age, the degree of curvature, the presence of concomitant pathologies of the spine. It is necessary to exercise systematically, increasing the load gradually. If during the exercise you notice severe pain or deterioration in health, the exercise should be stopped immediately.
Also, good results with scoliosis can be achieved with pilates and yoga. It is not recommended to follow the video tutorial techniques from the Internet. It is better to personally consult with a trainer who will show you the most effective and safe exercises in your case.
Swimming regularly is one of the most effective methods of dealing with idiopathic scoliosis. In the water, there is a minimum load on the spine, but this does not interfere with the active strengthening of the muscular system. For high-quality prevention, it is enough to visit the pool several times a week. If possible, enroll your child in group water aerobics classes.
Wearing a corset
With scoliosis of the third degree, the patient must wear a special orthopedic corset. This will fix the spine in the correct position and prevent further progression of the pathology. But do not get too carried away with wearing orthopedic products, because this can lead to muscle atrophy.
For long-term use, Chenot corsets are suitable, which should be worn regularly, removing them only during gymnastics or performing water procedures. Such products are made according to individual measurements.
Surgical treatment is indicated for grade 4 and sometimes grade 3 scolioses, accompanied by disturbances in the work of the respiratory or cardiovascular system. With the help of metal pins, the spine is fixed in its normal anatomical position, a beautiful posture appears, and the rib hump disappears.
Despite the regular development of medicine, spinal surgery remains one of the most difficult and dangerous procedures. With unskilled intervention, there is a risk of being permanently confined to a wheelchair. Experienced specialists prescribe surgical treatment only when there is a serious threat to the patient’s life. In other cases, until the last, the fight against scoliosis is carried out using conservative methods.
Parents should take care of the prevention of scoliosis in children at an early age. To prevent the development of pathology, the following rules should be followed:
- Always keep your posture – especially you need to monitor the correct position of the child’s back while sitting at the table.
- Evenly distribute the load on the spine – you cannot wear too heavy objects and a backpack on one shoulder at an early age.
- Lead an active lifestyle – it is not necessary to load the child with sports activities from childhood. To prevent scoliosis, it is enough to devote 15-20 minutes several times a week to physiotherapy exercises.
- Monitor your diet – the menu of a growing organism must include vitamins, foods rich in calcium, protein, phosphorus. Proper nutrition provides full metabolic processes in bone and cartilage tissue and is an important point in the prevention of scoliosis.
- Properly organize a place to sleep and rest – give preference to orthopedic products that allow your muscles to fully relax.
If you suspect a child has scoliosis, it is best to consult with a specialist right away. At the initial stage, any pathology can be corrected using safe conservative methods.