Scoliosis
About Scoliosis
Scoliosis is a condition that begins in childhood and is characterized by a sideways curvature of the spine, causing stiffness and pain. It is classified as an idiopathic disease, meaning its cause is unknown. Only 2% of the population is affected by scoliosis, and it is more common in females. Detected early, treatment for scoliosis will prevent it from getting worse over time.
The sideways curve in the spine of a scoliosis sufferer takes an “S” or “C” shape and is possible because the vertebrae can rotate at the thoracic level of the spine, causing a hump near the rib cage and making the waist or shoulders uneven. A curve greater than 60 degrees is considered significant, and unlike the normal forward-backward curvature of the spine, correcting posture will not help this lateral curvature.
Age-related degenerative diseases of the spine can also cause scoliosis. In osteoporosis, bone softening in older adults can cause the vertebrae to deform, resulting in scoliosis or kyphosis (round back). Proper and prompt treatment of scoliosis is essential because, if left untreated, it can lead to severe back pain, spinal deformity, and respiratory difficulties.
Chiropractic & Scoliosis
Chiropractic care may help improve scoliosis. Your doctor of chiropractic will assess your overall health, lifestyle factors, examine the state of your spine, and discuss symptoms. A medical history will be taken to identify any events that may have triggered the condition or that may be making it worse.
Assessing scoliosis usually involves the Adam’s Forward Bending Test, which is used by many schools in physical education classes. Chiropractors also use this, which simply involves the person bending at the waist as the spinal alignment is checked. Any abnormal prominence or hump is a sign that something is amiss. Leg length is also measured to determine if they are even, and a range of motion test measures mobility at the waist. If necessary, other medical professionals will be consulted to assist with treatment.
Treatment may mean wearing an orthopedic brace to prevent the curve from worsening, but it does not limit physical activity. Applying moist heat can be helpful for pain relief. If extended observations indicate that a brace is not effective, surgery may be recommended in extreme cases. This is known as spinal fusion and instrumentation and involves the insertion of rods and hooks to help align the spine and prevent further curving.
It is important to attend regular chiropractic visits so that the progression of the condition can be monitored and appropriate treatment options can be applied in a timely manner. Treatment aside, physical therapy is often an effective tool for increasing muscle strength and mobility.
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