Scoliosis – Causes, Symptoms and Treatments

Scoliosis – Causes, Symptoms and Treatments. Also, the  spine viewed from behind should be straight, aligned. Scoliosis is a morphological deformation  of the spine  in the three planes of space. So the spine  actually twists, not just sideways, but back and forth and around its own axis. This twisting to greater degrees determines the severity of scoliosis and the way it is treated. Then check out Scoliosis – Causes, Symptoms and Treatments.

Scoliosis classification according to the shape of the curve: simple curve, whether on the right or on the left ( “C” scoliosis ); Double curve ( S- shaped scoliosis ). Remembering that the direction of the curve is always identified by the convexity of the spine . Classification of scoliotic curvatures, which can be: cervicothoracic , thoracic , thoracolumbar , lumbar and lumbosacral . Relating the degree of scoliosis angulation and the corresponding treatment, we have:

• 0 to 10 degrees: no need for physical therapy.
• 10 to 20 degrees: physical therapy is required.
• 20 to 30 degrees: physical therapy and use of orthopedic or Milwakee brace.
• 30 to 40 degrees: use of orthopedic brace or Milwakee.
• 40 to 50 degrees: surgical treatment only.

Causes of Scoliosis:  Congenital scoliosis results either from a problem with the formation of the bones of the spine (vertebrae) or from a problem with the fusion of the bones  of the spine  , which may or may not be associated with fusion of ribs during the development of the fetus or fetus. newborn.

Neuromuscular scoliosis is caused by neurological problems such  as cerebral or muscle palsy that determine muscle weakness, poor muscle control or paralysis due to diseases such as muscular dystrophy, spina bifida and polio, only idiopathic scoliosis has no known cause.

• Idiopathic: cause unknown (70% of cases)
• Neuromuscular: sequelae of neurological diseases, such as poliomyelitis, cerebral  palsy.
• Congenital: from a malformation
• post-traumatic

Diagnosis of Scoliosis:  Diagnosis is made through clinical tests and radiographs. In all cases of scoliosis , early diagnosis and a complete clinical and radiological evaluation of the patient are important.

Postural assessment is part of the clinical assessment, being of fundamental importance for the diagnosis of scoliosis . In it, the examiner compares the individual’s two hemibodies in the anterior, posterior and lateral views, observing possible differences and asymmetries (Calliet, 1979). The control of the systematic evolution is the way to minimize the damages of this pathology that, when not treated correctly, can cause irreparable damage.

The doctor will initially take a detailed medical history and may ask questions about the patient’s recent growth. Afterwards, you will depart for the physical exam, where you will examine the patient’s body for signs of scoliosis .

Your doctor may also perform a neurological exam to check for muscle weakness and abnormal reflexes that your child may have from scoliosis . Among the tests that the doctor usually asks are some imaging tests, such as X-rays, CT scans and even MRI scans.

Scoliosis Treatment: Scoliosis treatment isbased, among other factors, on age, flexibility, severity of the curve and its etiology, including the correction of deformities, with conservative treatment for scoliosis , which includes physical therapy and the use of braces. , adaptation of postural insoles that increase the effectiveness and time of treatment (Podoposturology) or surgical treatment.

In the conservative treatment option for scoliosis , physiotherapy uses the benefits of GPR or Global Postural Reeducation, as a method that corrects or minimizes scoliosis by identifying the cause of the problem.

Scoliosis is suspected when one shoulder appears to be higher than the other or when the pelvis  appears to be tilted. A lay eye does not notice the curvature in the early stages except when the patient bends the trunk forward and the asymmetry between the sides of the spine  is evident.

Symptoms of Scoliosis: Scoliosis  is suspectedwhen one shoulder appears to be higher than the other or when the pelvis  appears to be tilted. A lay eye does not notice the curvature in the early stages except when the patient bends the trunk forward and the asymmetry between the sides of the spine  is evident.

• Shoulders or hips that look asymmetrical
• Spine  curved abnormally to one side
• Eventually muscle discomfort

Note: Scoliosis in children usuallydoes not cause pain. When pain is present, there is a need for a careful medical evaluation in order to rule out other more serious diseases.