Scoliosis is an abnormal curvature of the spine. In scoliosis, the spine curves to the side when viewed from the front, and each vertebra also twists on the next one in a corkscrew fashion.
Scoliosis affects girls twice as often as it affects boys. About three to five of 1,000 people are affected. Scoliosis usually occurs in those older than 10 years, but the condition can be seen in infants.
In most cases (85%), the cause of scoliosis is unknown (what doctors call idiopathic). The other 15% of cases fall into two groups:
TYPES OF SCOLIOSIS:
STRUCTURAL SCOLIOSIS: in structural scoliosis the curves are fixed and nonflexible and fail to correct with side bending. Lateral bending of spine is asymmetric or involved vertebrae are fixed in a rotated position or both.
NON STRUCTURAL SCOLIOSIS: in non structural scoliosis the curves are flexible and readily correctible with side bending. It is frequently seen as a compensatory mechanism to a leg length discrepancy, fixed flexion deformity of hip, local inflammation or irritation due to acute disc disease or prolapsed disc, or due to poor postural habits.
IDIOPATHIC SCOLIOSIS: this is most common and three varities are recognized infantile, juvenile, and adolescent.
These symptoms are only those associated with the spine being curved:
The physical exam involves having the child undressed from the waist up. The child faces forward with the feet straight ahead and the palms inward. With the knees locked, the child slowly bends over at the waist and tries to touch their toes. The doctor then looks at the spine for the appearance of straightness.
X-rays may be necessary in order to measure the curvature. Depending on the degree of the curvature and whether it gets worse over time, the doctor may recommend treatment.
The majority of cases of scoliosis do not require treatment.
Treatment options depend more on how likely it is that the curve will worsen than on the angle of the curve itself. A child with a 20° curve and four more years of growth may require treatment while a child with 29° of curvature who has stopped growing may not require treatment
At Physioline, all the members of the rehabilitation team work together so as to provide proper care and the therapy in order to
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