Scoliosis is a three-dimensional deformation that occurs when the spine becomes abnormally turned and curved to the side. Most often, this deformation has no known cause, and in this case it is called idiopathic scoliosis. Some people mistakenly believe that carrying heavy bags or sleeping on their sides can cause scoliosis, but this is not the case. This article will look at signs of scoliosis and symptoms.Signs of scoliosis of the spine
If scoliosis begins to cause a noticeable deformation or is in a high-risk area, the doctor may prescribe a corset or bandage to prevent deterioration. As a rule, a corset is worn until the teenager reaches full skeletal maturity.
Knowing that a person’s scoliosis curve may worsen is critical to developing a treatment plan. Fixation is a basic commitment of time and inconvenience to adolescents – both physically and emotionally – and is usually not assigned unless the curve is at significant risk to development.
Common early signs of spinal scoliosis and symptoms
Even if the newly discovered asymmetry seems insignificant, it should be checked with a doctor, because scoliosis is easier to treat when it is found early.
Below are five of the most common signs of spinal scoliosis:
1. Family history of scoliosis.
2. Improper posture.
3. Clothes are not suitable.
4. Back pain.
Only about 10% of people with idiopathic scoliosis have a curve that progresses super moderately and needs treatment. If such progression occurs, the deformity becomes more apparent to other people and is more likely to cause noticeable symptoms and signs of spinal scoliosis.
Some of the most common symptoms present in moderate to severe scoliosis are:
- Changes when walking. When the spine abnormally twists and bends sideways, this can cause the hips to be uneven, which will change the person’s gait or the way he walks. The additional compensation that a person makes to maintain balance on uneven hips and legs can cause muscles to tire more quickly. A person may also notice that one hand reaches the mouth and the other does not.
- Reduced range of motion. Deformation of spinal twisting can increase stiffness, and this will lead to a decrease in the flexibility of the spine during bending.
- Labored breathing. If the spine rotates and twists, the chest can twist and tighten the space available to the lungs. Bone can put pressure on the lungs and make breathing difficult.
- Cardiovascular problems. Similarly, if the rib cage swirls, the interval for the heart decreases and its ability to pump blood is impaired.
- Pain. If the curvature becomes severe enough, the back muscles may become more prone to painful cramps. Local inflammation can develop around tense muscles, which can also lead to pain. It is possible that the intervertebral discs and facets of the joints begin to degenerate due to higher loads.
- Low self-esteem. Signs of spinal scoliosis and symptoms are usually ignored or minimized by external observers, but they can be a significant factor for people with marked spinal deformity. Especially for teens who want to not stand out and fit in among their friends. It can be stressful and depressing to look different, wear clothes unevenly or wear a noticeable back corset, which can be uncomfortable and restricts activity.
Risk Factors for Scoliosis
- Large side curve. In general, the larger the angle of the Cobb curve, the more likely it will progress. For example, if two teenagers with scoliosis have the same amount of skeletal growth, but one has a 20-degree curve and the other already has a 30-degree curve, a teenager with a larger curve is likely to have a larger curve in the future.
- Significantly lagging skeletal growth. If scoliosis is detected and the teenager has some abnormal skeletal growth, there is a possibility that the lateral spine curve will increase and worsen with growth. The greater skeletal growth, the greater the risk of curve progression.
- Female. While boys and girls are approximately equally prone to moderate scoliosis, girls are more than 7 times more likely that their spinal curves progress to moderate or severe scoliosis and require treatment.
- Curve in the thoracic spine. The scoliosis curve located in the upper back progresses faster than the curve located in the lower back.
Treatment of scoliosis of the spine
There are two main options for treating scoliosis:
- Full day. These corsets are designed to be worn from 16 to 23 hours a day. The goal is to wear them all the time with the exceptions for bathing, skincare and sports.
- Nightly. These corsets use corrective forces that put the body in a normal state and cannot be applied while a person is standing or performing daily activities, and they should be used at least 8 hours a day.
The choice between full fixation and night fixation may depend on the size and location of the curves, as well as on what the patient is ready to do. Some studies have shown that night binding tends to be more effective because patients often wear a corset at night, as prescribed, but other studies have found that full-time fixation – if followed as directed – may work even better.
There is no consensus in the medical community about whether full or night fixation works better. For curves that are less than 35 degrees, recommendations typically include either night or full fixation as needed. For curves that are at least 35 degrees, it is recommended, as a rule, fixation for the whole day.
Non-surgical treatments for scoliosis
While some people claim that treatments such as physiotherapy and manual manipulations can help stop the progression of scoliosis, there is little scientific evidence to substantiate these claims. Spinal bracing is currently the only non-surgical treatment that has been shown to reduce the natural progression of idiopathic scoliosis curves.
Exercise is good for people with scoliosis and helps keep your back strong and flexible.
General Questions About Alternative Scoliosis Treatments
Many patients ask about the effectiveness of treatment options other than surgery.
Does physiotherapy help?
It has not been proven that physiotherapy can help people with scoliosis. Various physical therapy methods have been developed to compensate for the effects of scoliosis, as well as improve the shape and appearance of your body. There is some scientific evidence that physiotherapy can help you look more direct and improve your breathing. However, there is currently little evidence that physical therapy alone is effective in preventing curve deterioration during growth.
If you have spinal problems, such as back pain in addition to your scoliosis, your doctor may prescribe physical therapy to meet your specific needs.
Will chiropractic help?
Chiropractic is a controversial treatment method that seems most effective in treating acute, short-term pain and common early signs of spinal scoliosis. Chronic conditions appear to be poorly managed with long-term chiropractic treatment.
Does acupuncture help?
Acupuncture uses thin needles that are designed to stimulate points in the body and possibly create a flow of energy to treat many diseases. There is no scientific evidence to support this theory, or that its use helps in treating back problems or back pain.
Does yoga help?
There are many yoga systems. Basically, most yoga systems are designed to improve muscles through stretching, holding positions and breathing exercises. Some yoga systems also include meditation. How much this will help with back problems has not been proven, but it can help those who have back pain. Your overall health may also improve.
How can massage help my back?
Massage can help patients with back pain. There are many massage methods. Be sure to find out if your massage therapist has a license.
Can Pilates Improve My Scoliosis or Back Problems?
Pilates exercises are aimed at strengthening the muscles of the abdomen and back. The emphasis is also on posture and breathing. Exercise should gradually increase in difficulty and should not increase back pain. Pilates exercises are not intended for patients with severe back pain. Patients should ask about the training of any instructor.
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