Scoliosis

SCOLIOSIS

 

 

INTRODUCTION:

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.

CAUSES:

In most cases (85%), the cause of scoliosis is unknown (what doctors call idiopathic). The other 15% of cases fall into two groups:

  • Nonstructural (functional): This type of scoliosis is a temporary condition when the spine is otherwise normal. The curvature occurs as the result of another problem. Examples include one leg being shorter than another from muscle spasms or from appendicitis .
  • Structural: In this type of scoliosis, the spine is not normal. The curvature is caused by another disease process such as a birth defect, muscular dystrophy, metabolic diseases, connective tissue disorders, or Marfan syndrome

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.

SYMPTOMS:

These symptoms are only those associated with the spine being curved:

  • Your head may be off center.
  • One hip or shoulder may be higher than the other.
  • You may walk with a rolling gait.
  • The opposite sides of the body may not appear level.
  • You may experience back pain or tire easily during activities that require excessive trunk (chest and belly) movement

DIAGNOSIS:

Tests

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.

TREATMENT:

The majority of cases of scoliosis do not require treatment.

  • If the curve is less than 25°, no treatment is required, and the child can be reexamined every four to six months.
  • If the curve is more then 25° but less than 30°, a back brace may be used for treatment.
  • Curves more than 45° will need to be evaluated for the possibility of surgical correction. Surgical correction involves fusing vertebrae together to correct the curvature and may require inserting rods next to the spine to reinforce the surgery.

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

  • Posture correction
  • Breathing exercisse
  • stretching

VISIT PHYSIOLINE FOR FURTHER CONSULTATION AND TREATMENT.