Straightening Out Scoliosis

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Some people with mild scoliosis can spend their lives without knowing about it. In severe scoliosis, spinal contor­tion affects more than the vertebrae. Lungs and other internal organs compress and fold as they adapt to the curva­ture. The range of curve can fall any­where between these two extremes. You may have a lot of questions if you or your loved one starts to develop abnormal posture.

What if you, your parent, or your child has scoliosis? Do children inherit it? If so, what are possible scoliosis complica­tions? Is surgery necessary? How effective are non-surgical treat­ments? This article answers these questions and many more.

What Is Scoliosis?

Scoliosis is an abnormal curvature in the spine or backbone that can curve left, right, or both ways in the form of ‘S’ or 'C.’ People of all ages can have scoliosis. It is most common before puberty, at 10–15 years of age. Females are almost eight times more likely to develop scoliosis.

What Causes Scoliosis?

According to the American Association of Neurological Surgeons, 80% of all scoliosis is idiopathic. This means that the specific cause for an individual’s scoliosis is unknown. Scoliosis can be idiopathic, congenital, degenera­tive, syndromic, or neuro­muscular in nature.

Can Children Inherit Scoliosis?

Children of scoliotic parents can develop a spinal curve. This does not mean that if your parents had it, you must also have it. Some experts believe scoliosis is a genetic pre­disposi­tion rather than a pure hereditary disease. There is a difference between the two.

Hereditary scoliosis means that children inherit defective genes from their parents. With a genetic predisposition, some people may develop it and others may not. Congenital scoliosis occurs during fetal development in the uterus. With variable severity, there can be a malformation of vertebrae.

Neurological and Degenerative Scoliosis Causes

Certain neurological and muscular diseases can cause neuro­muscular scoliosis. Trauma to the spinal cord or any muscle-weakening disease can lead to scoliosis. Degenerative scoliosis results from gradual asym­metri­cal disc degenera­tion. It causes scoliosis of 30–40 degrees. With degenerative scoliosis, there is difficulty standing upright. Degenerative scoliosis is manage­able with exercise and healthy lifestyle choices. If this scoliosis progresses over time, consult an orthopedics doctor.

Will Non-Surgical Intervention Work?

Non-surgical treatment is the first choice to address scoliosis. Options depend upon the age and severity of the curve. Medical history influences treatment choice. Whether you are developing scoliosis or not, good sitting posture is essential to retain best spinal align­ment. Back braces assist scoliotic patients.

How Can Braces Help Scoliosis?

Before skeletal maturity, bracing is the most suitable option. Growing children with a curve of 25–40 degrees have more chances of recovery. Bracing can limit the progres­sion of scoliosis in almost 80% of children. Patients wear braces for 16–23 hours per day until the spinal curve stabilizes.

Can Therapeutic Exercises Help?

Therapeutic exercises may improve scoliosis symptoms. Postural correction exercises help patients participate in daily life activities with correct posture. Mitigate symptoms of scoliosis with body strength­ening. Low impact exercises like swimming can strengthen the core structure.

What Is Schroth Method?

Schroth Method combines a series of exercises to improve mobility, mitigate pain, and improve lung function. It aims to bring the spine into a neutral position. Rotational angular breathing is a special technique of the Schroth Method. This technique restructures the rib cage through breathing exercises.

Does Mehta Casting Help Toddlers With Scoliosis?

Physicians use Mehta casting to treat severe scoliosis in toddlers. A special cast surrounds the back and chest to correct the spinal curve. As the child grows, physicians change the cast every 2–3 months until treatment is complete.

Are Home Remedies Effective For Scoliosis?

Scoliosis Non-Surgical Remedies

Mild to moderate scoliosis is treatable with home exercises and physical therapy. Choosing the right exercise for each individual patient is key. Some doctors recommend yoga to improve posture.

Ice/Heat Therapy and Pain Management In Scoliosis Patients

Applying hot compresses improves blood circula­tion and healing. Cold compresses reduce inflammation. To manage pain, doctors often recommend non-steroidal anti-inflammatory drugs (NSAIDs). Some physi­cians also suggest massages for better blood circulation and healing.

When Surgery Is The Only Option

In severe scoliosis, the rib cage may press against the lungs and heart, impair­ing respiratory and cardiology function. If non-surgical interven­tions are ineffec­tive, then surgery is a suit­able option. Orthopedic surgeons may recom­mend spinal realign­ment using rods and pins when the curvature is greater than 40 degrees. Though posture improves, limited mobility, shoulder blade mis­align­ment, and other issues are common.

Future Outlook For Scoliosis Patients

If you or your child is genetically predisposed, consult a doctor as early as possible. Scoliosis is manage­able with non-surgical interventions. A combina­tion of exercises, bracing, and physical therapy can reduce scoliosis symptoms. The effective­ness of the treat­ment depends upon early diagnosis.

Parents should discuss a child’s observable posture deformity with a pediatri­cian or orthopedics specialist. Non-invasive treat­ments help many patients partici­pate in most physical activities.

To support the writing of scholarly articles about physiotherapy, ClinicalPosters sells human anatomy charts, scientific posters and other products online. Slide extra posters into DeuPair Frames without removing from the wall or leave an encourag­ing comment to keep the work going.

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