Scoliosis
Scoliosis is a sideways curve of the spine that
causes stiffness and pain. It is called an idiopathic disease because
the cause of it is unknown. Scoliosis is more common in females and
begins in childhood. However, merely 2 percent of the population is
afflicted. If it is detected early, scoliosis treatment will prevent it from
worsening over time.
Scoliosis is derived from the Greek term
meaning curvature. People with scoliosis have a sideways curve in their
spine that makes an "S" or "C" shape. The vertebrae can rotate at the
thoracic level of the spine causing this curve and resulting in a hump
near the rib cage. If the curve is more than 60 degrees it is considered
serious. Usually this curve makes the waist or shoulders uneven. And
unlike the normal curvature of the spine, adjusting your posture will
not correct the problem.
In some instances, the degenerative diseases of
the spine can cause scoliosis. Osteoporosis is when the bones soften
and usually occurs in older people. This softening can cause the
vertebrae to bend and shape the curve causing scoliosis or Kyphosis
(round back). If not treated properly, severe back pain, deformity, and
difficulty breathing can be some symptoms that will arise.
Chiropractic care can help improve this condition. Your chiropractor looks at your
overall health examining your spine as well as other factors of your
lifestyle. To help identify the problem's cause, your chiropractor will
discuss symptoms and previous injuries, your family's health history,
and recreational and work-related activities. Palpation, orthopedic, and
neurological tests will be performed as well as x-rays to determine the
extent.
Most exams for scoliosis include the Adam's
Forward Bending Test and have been adopted by many schools, whereas they
test for this in physical education classes. It requires the person to
bend at the waist as someone views the spinal alignment. If there is an
abnormal prominence or hump you will be referred to a chiropractor. Your
chiropractor will measure the length of the legs to determine
unevenness. He/She can also perform a range of motion test that measures
the degree to which the patient has mobility at the waist. If needed,
your chiropractor will refer you to a specialist for further scoliosis
treatment.
In most cases spinal manipulation,
physiotherapy, and electric stimulation have not shown to be effective
treatments. However, an orthopedic brace can be used to prevent the
curve from worsening and does not limit physical activity. Moist heat
will help alleviate some pain. In extreme cases surgery may be required
but only after the continuous observation has shown that a brace is not
helping. Spinal fusion and instrumentation is a surgery specialized for
people with scoliosis whereas rods and hooks are inserted to help align
your spine and prevent further curving.
Regular visits to your chiropractor, to observe
the progression of scoliosis, are an integral part of living a full and
happy life. Scoliosis can be treated in various ways to help alleviate
pain and restore normal functionality. Regardless of the treatment used,
physical therapy may be added to scoliosis treatment to increase muscle
strength and mobility. If you have any questions about your physical
limitations, consult your chiropractor.