Scoliosis treatment depends on two factors

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Scoliosis

Scoliosis is a deformation of the spine that causes the vertebral column to assume a side-to-side curvature. The presence of scoliosis does not always have to be associated with pain, but it is common for people with this disease to suffer from some type of discomfort in the long term. Generally, patients with scoliosis do not have very intense discomfort in the initial phase. It may happen that they suffer from back pain when doing physical work, when playing sports or when adopting sustained postures.

Within scoliosis we can distinguish two types:

Idiopathic scoliosis: This type accounts for about 80% and occurs in children between 10 and 15 years old. It is more common in girls than in boys.

Congenital scoliosis: This type is caused by deformities in the vertebrae during fetal development. They are present at birth and may get worse as the child grows.

The first thing to do is to realize that it has happened to you. It can happen at any time, even if you have a perfectly healthy lifestyle.

It is recommended that the patient go to a physiotherapist, who will evaluate the case and propose personalized exercises. It is very important to work on exercises at home, even though they may be uncomfortable.

The goal is to lengthen and stretch the muscles of the spine and try to correct it as much as possible. These are difficult exercises, which require a lot of effort and patience. They must be done daily for about half an hour.

Do not avoid sports or physical activity in general due to your scoliosis. You can do all kinds of sport, but you must be careful when doing them so as not to aggravate it further. The more scoliosis progresses, the more complicated it becomes, so precautionary measures should be taken from the beginning.

You can also use some material in order not to worsen the situation: some corsets or braces that help you try to correct your posture and avoid making your back worse.

There is an alteration of the posture of the spine that can be observed from the side, with a lateral deviation of one side in relation to the other. This lateral deviation is accompanied by a rotation, so that there is no straight line when looking at the patient from behind.

An X-ray is done to determine the Cobb angle. This measurement allows us to know the degree of curvature and therefore to make a diagnosis as well as knowing how it will evolve over time. In addition, other factors such as age or location of curves are also taken into account.

The treatment depends on two factors:

The age of the patient: before puberty surgery and after puberty conservative treatment (braces)

The degree of curvature: non-surgical treatments are indicated for mild cases, although in some more advanced cases surgical treatment may be preferable to conservative treatment.

The main symptom of scoliosis is a curving of the spine. In many cases, the curvature can be noticeable when looking at someone from the side. The curvature might be in an “S” or “C” shape and may cause one shoulder blade to be more prominent than the other.

In addition to a curved spine, symptoms of scoliosis include:

uneven shoulders
one shoulder blade that appears more prominent than the other
one hip higher than the other
a tilt in the position of the pelvis
clothes not hanging evenly (for instance, hanging unevenly on hangers)
uneven waist

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