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This article was co-written by Troy A. Miles, MD. Dr. Miles is an orthopedic surgeon specializing in Adult Reconstruction in California. He received his MD from Albert Einstein College of Medicine in 2010, after which he attended the residency program at Oregon Health & Science University and a PhD student at UC Davis.
There are 17 references cited in this article that you can view at the bottom of the page.
This article has been viewed 12,840 times.
Scoliosis is a condition in which the spine curves to one side of the body. Instead of developing into a vertical line (when viewed from the back, not from the side), the spine is crooked to the left or right like a C or S shape. The rate of scoliosis should be right. treatment in men compared with women is 1/7. [1] X Research Sources Le, T., & Bhushan, V. (2010). First aid for the USMLE step 2 CK (7th ed.). New York: McGraw-Hill Medical. Most cases of scoliosis are mild and appear between the ages of 12-14. In addition to the disfigurement, advanced scoliosis can cause lung and heart problems. [2] X Research Source Stirling AJ, Howel D, Millner PA, et al. Late-onset idiopathic scpiosis in children six to fourteen years pd. A cross-sectional prevalence study. J Bone Joint Surg Am. 1996 Sep. 78(9):1330-6 Early diagnosis, close follow-up, wearing a brace or spine surgery are the main methods to detect and treat scoliosis.
Steps
Receiving diagnosis
- Scoliosis patients with severe pain need a comprehensive examination to determine the cause.
- The shoulders are disproportionate.
- One shoulder jutted out.
- Unbalanced waist or hips.
- In mild cases, the doctor may monitor to make sure the crooked condition does not get worse.
- The treatment regimen will be decided based on the patient’s age, sex, curvature and position of the curve.
- In addition, the doctor also considers family history and associated pain. [5] X Research Sources
- The shape of the curve. Scoliosis can include structural scoliosis with lateral curvature and rotation of the vertebrae, or nonstructural scoliosis if only lateral curvature without rotation of the vertebrae.
- The position of the curve. The vertebra at the top of the curve, called the apical vertebrae, is used to identify scoliosis.
- Direction of the curve. The doctor will determine whether the curve is crooked to the left or right to describe the disease progression of each person. This factor is important in determining treatment options and possible problems if the spine affects internal physiological functioning.
- The size of the curve. The angle and length of the curve are also important factors. These measurements will help determine the degree of curvature and determine the adjustments needed to return the spine to a more natural state. [6] X Research Sources
- Curve type – rated severity from 1 to 6.
- Morphology of the lumbar spine segment – assessed from A – C.
- Morphology of the thoracic spine in the sagittal plane — assessed by (-) negative, normal, or (+) positive.
- This morphology is measured using the Cobb angle and is assigned negative, normal, or positive values, based on the angle of kyphosis or curvature of the spine. [7] X Research Source Stirling AJ, Howel D, Millner PA, et al. Late-onset idiopathic scpiosis in children six to fourteen years pd. A cross-sectional prevalence study. J Bone Joint Surg Am. 1996 Sep. 78(9): 1330-6
- Due to a birth defect, called congenital scoliosis, a much more severe condition and requires more extensive treatment.
- Neuromuscular scoliosis occurs due to problems that arise as the spine grows. This case develops in people with other disorders such as cerebral palsy, spinal cord damage or nervous system damage.
- Functional scoliosis, which is a form of the spine that develops normally but becomes abnormal because of another problem somewhere in the body, for example, one leg is shorter than the other or the back muscles are contracted. [8] X Research Sources
- It is important to monitor any form of scoliosis as soon as it is detected.
- Your treatment regimen will be individualized based on your own condition. Your doctor will evaluate and recommend the best treatment plan.
Receiving treatment
- There are two types of orthopedic braces, soft and hard. The doctor will determine the type of orthopedic brace based on a number of factors such as the position and size of the curve, the age and activity level of the patient. The sex of the patient is also an important factor, as girls are generally at a higher risk of developing scoliosis than boys. [11] X Research Source
- Some braces are worn only at night, while others need to be worn for up to 23 hours a day. It is important to wear the brace for the recommended length of time to ensure it is effective.
- Vertebral fusion surgery to fuse the vertebrae together so that the spine does not curve. Your doctor will attach a metal wire or similar device to prevent the curvature from continuing to develop after surgery.
- The procedure will be determined according to the type of scoliosis and the age of the patient. Your doctor will evaluate your condition and response to other treatments to determine if surgery is necessary. Most patients with scoliosis due to neuromuscular disease will need this type of surgery to correct the curve in the spine. [12] X Research Sources[13] X Research Sources
Consider alternative therapies
- Physical therapy also has goals such as participation in sports or physical activity.
- Staying active also helps adults with scoliosis. [14] X Trusted Source Mayo Clinic Go to Source
- If you decide to go for chiropractic treatment, make sure you go to a certified chiropractor and don’t make promises that aren’t scientifically proven. If you’re in the US, the American Chiropractic Association has a search tool that can help you find a chiropractor in your area.
- To find a good chiropractor, ask your family doctor for a referral. You can also ask family or friends. Before your visit, it’s a good idea to talk to your chiropractor by phone or in person about their treatment, how it’s done, and how they can help you with therapy. orthopedic spine. [16] X Research Source
- There’s also no evidence that chiropractic can make a difference in curve correction, but it may help relieve pain associated with scoliosis.
- Acupuncture is a therapy that can help relieve the pain of scoliosis.
- You can also try yoga or massage to improve back pain. These therapies have not been proven to affect the curve of the spine, but are both safe and effective methods for back pain because of their ability to relax and strengthen muscles. [18] X Research Sources
- Although large and long-term studies have not been conducted, up to 70% of patients noticed an improvement in symptoms during the study period. [21] X Trusted Source PubMed Central Go to Source
- The effectiveness of the treatment is constantly checked by the doctor.
- However, this is still a controversial treatment method.
Advice
- You are the one who understands your body. Take note of your posture and back if you are diagnosed with scoliosis. Pay attention and self-assess to see if treatments are beneficial and have positive results on the spine.
- Treatments and therapies should only be performed under the guidance and supervision of a physician who is certified and experienced in spinal management.
This article was co-written by Troy A. Miles, MD. Dr. Miles is an orthopedic surgeon specializing in Adult Reconstruction in California. He received his MD from Albert Einstein College of Medicine in 2010, after which he attended the residency program at Oregon Health & Science University and a PhD student at UC Davis.
There are 17 references cited in this article that you can view at the bottom of the page.
This article has been viewed 12,840 times.
Scoliosis is a condition in which the spine curves to one side of the body. Instead of developing into a vertical line (when viewed from the back, not from the side), the spine is crooked to the left or right like a C or S shape. The rate of scoliosis should be right. treatment in men compared with women is 1/7. [1] X Research Sources Le, T., & Bhushan, V. (2010). First aid for the USMLE step 2 CK (7th ed.). New York: McGraw-Hill Medical. Most cases of scoliosis are mild and appear between the ages of 12-14. In addition to the disfigurement, advanced scoliosis can cause lung and heart problems. [2] X Research Source Stirling AJ, Howel D, Millner PA, et al. Late-onset idiopathic scpiosis in children six to fourteen years pd. A cross-sectional prevalence study. J Bone Joint Surg Am. 1996 Sep. 78(9):1330-6 Early diagnosis, close follow-up, wearing a brace or spine surgery are the main methods for detecting and treating scoliosis.
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