How to Treat Scoliosis

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.

Table of Contents

Receiving diagnosis

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Observe the physical deformation. The deformity is often typical before it is diagnosed. Most patients only seek medical attention when the deformity has become evident. It is abnormal expression in the waist, shoulders, rib cage or spine. ^{[3] 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} Scoliosis is usually painless.

Scoliosis patients with severe pain need a comprehensive examination to determine the cause.

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Observe the symptoms. Usually scoliosis is relatively mild, so it is not easy to detect. Parents often do not realize their children have scoliosis because this disease develops slowly and is almost unrecognizable in appearance. Some schools make it mandatory to screen for scoliosis, so school teachers and doctors are often the first to spot the condition. Signs of scoliosis can manifest through: ^{[4] X Trusted Source Mayo Clinic Go to source}

The shoulders are disproportionate.
One shoulder jutted out.
Unbalanced waist or hips.

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See your doctor for an evaluation. Scoliosis can develop at any point during puberty, and it’s important to see a doctor as soon as you notice a curvature in you or your child. The doctor will ask the patient to bend down first to make the curve more visible. You may have an X-ray of your back to determine if there is a curve. From there, the doctor will make a treatment plan if you are diagnosed with the disease.

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}

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Learn the definition of scoliosis. Everyone’s spine is a little different, so there’s no way to determine what a crooked spine will look like or develop. Sometimes the spine is only slightly curved, sometimes it’s very curved; there are cases where there are many curves, there are also cases where only one place is curved. The key factors for determining scoliosis are:

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}

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Evaluation of scoliosis of the spine. Lenke Classification is a classification system for scoliosis, first introduced in 2001. This is the system used by experts to assess the degree of scoliosis, especially in puberty patients. then. However, only doctors who specialize in pediatric spine surgery use this system – orthopedic surgeons may not be familiar. This system includes:

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}

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Identify the causes. 80% of cases of curvature of life have no known cause, although there is evidence that it may be hereditary. Cases of unknown cause are called idiopathic scpiosis. This type of scoliosis can start at any time from childhood to puberty. The rest are cases with specific causes, including:

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}

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Know about potential complications. In most cases, the spine is only slightly curved and does not require treatment. Your doctor will monitor the curve’s progress and only recommend treatment if the curve develops over time. However, severe cases of scoliosis can cause deformity, difficulty breathing, heart problems, chronic back pain and marked physical abnormalities. ^{[9] X Trusted Source Mayo Clinic Go to Source}

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

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Monitor the curve of the spine. Your doctor will advise you how often to have an X-ray to monitor the curve if it is getting worse. Usually doctors recommend a check-up every four or six months. ^{[10] X Research Sources} Curves usually stop growing as children get older and do not require intervention. Further treatments may be needed if scoliosis worsens.

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Wear an orthopedic brace if necessary. Orthopedic braces are the leading solution to treat moderate scoliosis, when the curvature is from 25 to 40 degrees. This method is also recommended for cases where the disease is progressive in nature with increasingly pronounced curvature. Orthopedic braces are usually used only when the patient’s bones are still growing because it has no significant effect on fully developed bones. Patients will stop using orthopedic bras when they enter puberty. This therapy can stop the curve from growing further, but usually does not correct the curve.

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.

Consider alternative therapies

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Do exercise. There’s no solid evidence yet, but studies suggest that physical activity can help you cope with the symptoms associated with scoliosis (such as mild back pain). If your child has mild scoliosis, talk to your doctor about safe and appropriate physical activities. Usually team sports and other forms of exercise are recommended.

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}

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Use chiropractic therapy. Studies have proven that chiropractic therapy has a good effect on patients participating in the treatment. One particular study found that patients felt better physically immediately after completing a course of treatment and often continued to have positive results for the next 24 months. Chiropractic therapy is based on an exercise program that prevents the natural progression of scoliosis in adults. ^{[15] X Trusted Source PubMed Central 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.

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Ask about pain relief solutions. If scoliosis is causing pain, you may want to think about pain therapies that don’t correct the curve. Scoliosis can cause back pain, but it can be treated with alternative medical therapies. You can take an over-the-counter pain reliever such as a non-steroidal anti-inflammatory drug, or take an anti-inflammatory injection if the pain is severe. ^{[17] X Research Sources} There are other treatments available.

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}

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.

Steps

Receiving diagnosis

Receiving treatment

Consider alternative therapies

Advice

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