Scoliosis is a deviation of the C or S-shaped spine. Although it is more common in young people and adolescents, children may also be affected, especially in cases of neurological disorders such as cerebral palsy, as well as the elderly who may develop osteoporosis scoliosis, for example.
In most cases, scoliosis is idiopathic, meaning that its cause is not known exactly, being related to several factors such as genetics, lack of physical activity, good posture and sitting in a good position for a long time.
- Diagnosis is based on clinical examination and treatment may include physical therapy.
- Orthopedic bandage.
- Or surgery in the most severe cases.
Scoliosis may be suspected when the person has
Diagnosis should be made by the orthopedist based on observation of the spine, by performing imaging tests, such as X-rays or MRI, in the most severe cases.
To confirm scoliosis, you might initially take the following step:
When the person has symptoms of scoliosis but does not have a gibbous, the scoliosis is said to be benign and can be treated with physical therapy.
Spine x-rays can be requested by your doctor and should show both the vertebrae and hip, both important for evaluating Cobb’s angle, which indicates a person’s degree of scoliosis, which is the best way to define treatment.
The first images of the work to corroborate scoliosis in the office and the second evidence of a column x-ray with scoliosis.
Scoliosis can be classified according to the cause and area affected, depending on the cause, it can be classified into:
As for the affected area, scoliosis could be classified into
In addition, it is important to know if the curvature has a C-shaped orientation to the right side, indicating a small S-shaped space when there are 2 curvatures.
Treatment of scoliosis may be done with physical therapy, the use of orthopedic scrubs or surgery in the spine, depending on the type and degree of scoliosis that occurs:
Physical therapy is indicated to treat scoliosis of 10 to 35 degrees of curvature and can be performed through therapeutic exercises, clinical pilates, spinal manipulation techniques, osteopathy and corrective exercises as a postural rehabilitation method.
When the person has between 20 and 40 degrees of curvature, in addition to physiotherapy, it is also recommended to wear a special Charleston jacket, which should be used for the night, bereavement, as well as the Boston jacket, which is used during the dea while performing its daily activities, and must be removed only during the bath. The therapeutic mantle must be prescribed by the orthopedist and, to be effective, used 23 hours a day.
When the spine has more than 30 degrees of curvature in young people and more than 50 degrees in adults, surgery to reposition the vertebrae of the spine in the central area is usually indicated; Surgery is usually indicated in adolescents in children, who improve results, with more effective treatment. Surgery may be done to place plaques or nails to center the spine.