Lumbar scoliosis is the lateral deviation of the spine that occurs at the end of the spine and can be called:
Lumbar scoliosis can also be classified according to the curved side of the spine, which can be to the right or left, so lumbar scoliosis can be called: left or right convexity, and even dextroconvex, there are people who only have lumbar scoliosis, but there are also cases that have curves in the cervix-torcotic region.For more information on other types of scoliosis, click here.
- Its cause cannot be understood in approximately 80% of cases.
- So it is considered idiopathic.
- But it is not caused by improper use of the backpack.
- Poor posture or sports.
The signs and symptoms of thoracolumbar scoliosis can include
Diagnosis can be made by the doctor or physical therapist by observing the individual’s posture and confirmed by an X-ray exam where the degree of Risser can be determined, the difference in height between the legs, the degree of lateral inclination and the more rounded vertebra.This deviation of the spine is usually observed between the ages of 10 and 12, but there are cases of babies born with severe spinal disorders that require surgery.
In milder cases, and when the cause is unknown, no further tests are necessary, but MRI may be indicated if sciatic nerve compression is suspected, for example.
Scoliosis that reaches up to 25 degrees in children has no absolute indication of surgery, although it is recommended to wear an orthopedic vest to help correct the spine, and as a complementary form corrective exercises in physiotherapy.Physical therapy is of great importance because it can stabilize the degree, preventing scoliosis from getting worse, but it may not completely heal grades above 10, although it can reduce Cobb’s angle, improve asymmetry and stabilization.
Specific treatment for scoliosis is not always necessary, especially when the person has mild scoliosis and the person has no signs and symptoms, but in case of back pain and discomfort, compression of the sciatic nerve or in case of large deviation., treatment may be indicated.
Scoliosis curves with more than 50 degrees are generally severe and tend to increase over a lifetime, so surgery is needed to correct them, but curves of 30 degrees or more also tend to increase from 0.5 to 2 degrees per year, it is important to perform a physical exam.exercise therapy to correct it. Scoliosis curves below 30 degrees usually do not worsen over time and the need for treatment depends on whether the person is suffering from it or if there are other associated complications.
Treatment can be done through exercise physiotherapy, manual therapy, osteopathy, stretching exercises, comprehensive postural rehabilitation, exercises that strengthen abdominal musculature, back musculature and RPG exercises, specific for stretching shortened muscles, are recommended to promote harmony between muscle forces.
In many physical therapy clinics mirrors are used to help improve the individual’s awareness of their posture during exercises, and although it is possible to perform exercises at home, the results are better when performed with the physical therapist, who can constantly correct the exercises.
See some exercises that may be indicated
Sports such as basketball may be recommended for teens wearing orthopedic vests.
You have to sit properly to keep the spine always resting on the back of the chair, you should not cross your legs and you can only cross at ankle height.
Pregnant women with scoliosis should not have more back pain than women who do not have this spinal deviation, even in the case of a herniated disk, there is not always a worsening of pain, however, it is common for most pregnant women to suffer from it.back pain during the second and third trimesters of gestation.
Find out what you can do during pregnancy to feel better in the following video: