Scoliosis: Improvement and worsening symptoms

Symptoms of worsening scoliosis include increased bending of the spine, back pain, contractures, and when scoliosis affects the lower…

What is Mild Scoliosis?

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Can scoliosis be treated?

In most cases, it is possible to achieve scoliosis cure with proper treatment, but the way of treatment and the chances of recovery vary greatly with the person’s age:

• Infants and children: It is generally considered a serious scoliosis and therefore spine surgery may be indicated in addition to physiotherapy in addition to the commonly used orthopedic brace.
• Adolescents and adults: Usually only physical therapy is indicated, which can completely cure the scoliosis.

In addition to age, it is also important to assess the degree of scoliosis. When greater than 10 degrees, scoliosis is considered more problematic and usually takes longer to treat, requiring more specific treatment, such as the use of a brace and physical therapy. When the grade is lower, scoliosis tends to be easier to treat and can be done with just exercises to strengthen all the muscles and help position the spine.

What are the treatment options

The main forms of treatment that can be used for scoliosis are:

1. Physiotherapy

Physiotherapy with exercises and electrostimulation devices is indicated for people with scoliosis 10 to 35 degrees.

In physiotherapy, various exercises can be done to realign the spine, and for this, it is necessary to know which side of the scoliosis so that the shorter side can be stretched and the longer side can be longer. can be strengthened.. However, both sides of the hull must be operated at the same time.

Physiotherapy should be done daily and can be done 2-3 times a week in the clinic and every other day at home by doing the exercises personally specified by the physiotherapist.

A good technique for treating scoliosis is postural correction exercises via RPG, Global Postural Reeducation. This technique uses a variety of postures and isometric exercises aimed at realigning the spine and has great benefits in reducing scoliosis and back pain. Other exercises mentioned are Isostreching and Clinical Pilates. Learn what isostretching is and examples.

Vertebral manipulations with chiropractic can also help reduce spinal pressure and realignment and can be used once a week after a physical therapy session.

2. Orthopedic corset

Orthopedic corset use is indicated when scoliosis is between 20 and 40 degrees. In this case, the vest should always be worn and only removed for bathing and physical therapy.

It is usually performed on children or adolescents over the age of 4, and it may take years for the curvature of the spine to return to normal. The use of corsets is not indicated when the curvature is more than 60 degrees, and between 40 and 60 degrees is indicated only when surgery cannot be performed.

The use of the corset forces the spine to centralize and avoid surgery, is effective in most cases, but to achieve the expected effect, the corset must be worn for at least 23 hours a day until the adolescent reaches height. , around 18 years old.

The vest can only support the lumbar spine; lumbar and thoracic spine or lumbar, thoracic and cervical spine depending on each person’s needs.

3. Spine surgery

Surgery is indicated when there is scoliosis greater than 30 degrees in juveniles and more than 50 degrees in adults and consists of placing some orthopedic screws to bring the spine as straight as possible, but often it is not possible to leave it anyway. The spine is fully centered, but it is possible to heal many deformities. Physiotherapy sessions are recommended before and after surgery to improve movements, increase range, flexibility and combat back pain.

Possible complications

If an individual does not treat scoliosis, it can develop and cause a lot of pain in the back, neck, or end of the spine in addition to muscle contractures. When the inclination is large, there may be other complications such as a herniated disc, spondylolisthesis, which is a vertebra slipping forward or backward on its own, pressing on important structures of the spine, and there may be shortness of breath due to the lung. cannot expand enough.

Improvement and worsening symptoms

Symptoms of worsening scoliosis include increased bending of the spine, back pain, contractures, and when scoliosis affects the lower spine, there may be signs of a sciatic nerve disorder such as pain radiating to the legs, burning sensation or tingling in the lower part. back. glutes or legs. When it affects the middle part of the spine more, it can even compromise breathing, as the lungs may have more difficulty expanding and filling with air.

Signs of improvement occur when treatment is started and includes a reduction in all these signs and symptoms.

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