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What You Need to Know about Scoliosis. Scoliosis (pronounced sko- lee- o- sis) is a three- dimensional abnormality that occurs when the spine becomes rotated and curved sideways.
See Types of Scoliosis. Most often this condition has no known cause, in which case it is called idiopathic scoliosis.
While the cause is unknown, idiopathic scoliosis does tend to run in families. The specific genes involved have not all been identified yet, and there could be factors beyond genetics as well.
Treating Scoliosis offers alternatives to scoliosis surgery when treating scoliosis of the spine in adults and children. Visit our site Treating Scoliosis for more.
Get the facts about pancreatic cysts, benign and malignant (cancerous). Symptoms include abdominal pain, back pain, and fever. Pancreatic cysts are classified as two. Adult Degenerative Scoliosis. Also known as de novo (new) scoliosis. This type of scoliosis begins in the adult patient due to degeneration of the discs, arthritis of. Scoliosis is an abnormal curvature of the spine. The spine bends to one side of the body, causing the torso to compress on that side. The ribs on that side will be. Scoliosis causes abnormal curvature of the spine. Get the facts on scoliosis types and symptoms. Treatment may involve exercises, surgery, physical therapy, yoga, and. Causes of Constipation. Constipation occurs because of the slow passage of digesting food through the intestines. While this could occur in any part of the intestine. Getting a gallstone cleanse is a painless way to get rid of your gallstones. In order to do a gallstone flush effectively, you need to take these steps.
Some people mistakenly think that carrying heavy book bags or sleeping on the side could cause scoliosis, but that is not the case. See Backpacks and Back Pain in Children. About 3% of the population is estimated to have idiopathic scoliosis. Types of Idiopathic Scoliosis Typically, idiopathic scoliosis is categorized by the age at which the deformity developed: Infantile idiopathic scoliosis: develops from birth to 3 years old. Juvenile idiopathic scoliosis: develops from 4 to 9 years old. Adolescent idiopathic scoliosis: develops from 1.
Scoliosisspecialists.com scoliosis Care Centers offer non-surgical solutions for children and adults with scoliosis including Idiopathic Exercises, and the Spinecor. Scoliosis is a progressive disease causing curvature of the spine. Small Group Activities For Adults In Recovery. It can affect people of all ages; not only children and adolescents, but also adults.
See Adolescent Idiopathic Scoliosis and Emotional Health. Adolescent scoliosis comprises approximately 8. Adolescence is when rapid growth typically occurs, which is why the detection of a curve at this stage should be monitored closely for progression as the child’s skeleton develops.
See Spinal Fusion for Idiopathic Scoliosis Early Stages Rarely Have Signs or Symptoms. Any sideways — or lateral — spinal curvature of at least 1. X- ray of the spine, is considered scoliosis. However, that small curve size would not show signs or symptoms. As the curve progresses to 2.
The idiopathic scoliosis in and of itself is generally not thought to cause significant pain, especially in adolescents and young adults. However, a scoliosis curve can cause trunk imbalances and other issues that increase the likelihood for muscle spasms and other issues, which can in turn lead to pain. Common Types of Curves. A scoliosis curve usually looks a bit like a backward C shape and involves the spine bending sideways to the right, which is also called dextroscoliosis. Sideways spinal curvature on the left side of the back is more like a regular C shape and called levoscoliosis.
Here are four common types of scoliosis curves: Right thoracic curve. If a straight line were drawn down the center of the back, this curve bends to the right side of the upper back (thoracic region). See Thoracic Spine Anatomy and Upper Back Pain.
Right thoracolumbar curve. This curve bends to the right side—starting in the upper back (thoracic) and ending in the lower back (lumbar). See Lumbar Spine Anatomy and Pain. Right lumbar curve.
This curve bends to the right side—starting and ending in the lower back. Double major curve. Typically, a double curve involves right thoracic curve on top and left lumbar curve on bottom. People who have a double major curve may initially have a less obvious deformity because the two curves balance each other out more. See Spinal Anatomy and Back Pain.
Several other types of curves are possible, such as a left thoracic curve. There have also been rare scoliosis cases with triple curves. When Idiopathic Scoliosis Needs Treatment. Treatment options for idiopathic scoliosis could include: Observation. Typically, a doctor will advise observation for a scoliosis curve that has not yet reached 2. Every 4 to 6 months, the doctor will take another X- ray of the spine to see if the scoliosis is progressing or not. Bracing. If the scoliosis has progressed past 2.
The goal of bracing is to prevent the curve from getting worse and to avoid surgery. See Bracing Treatment for Idiopathic Scoliosis Surgery. If the curve continues to progress despite bracing, surgery could be considered. The most common surgical option for scoliosis today is a posterior spinal fusion, which can offer better corrections with fewer fusion levels (preserving more back mobility) than what was done in years past.
Watch: Spine Fusion Surgery Video. Approximately 9. 0% of people identified with idiopathic scoliosis have curves that never progress enough to require bracing or surgery. References: Adolescent Idiopathic Scoliosis. U. S. National Library of Medicine. Genetics Home Reference.
Reviewed September 2. Accessed November 1. Konieczny MR, Senyurt H, Krauspe R. Epidemiology of adolescent idiopathic scoliosis.
J Child Orthop. 2.
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Scoliosis Scoliosis Research Society. What is Scoliosis? Everyone's spine has subtle natural curves. But some people have different curves, side- to- side spinal curves that also twist the spine. This condition is called "scoliosis". On an x- ray with a front or rear view of the body, the spine of a person with scoliosis looks more like an "S" or a "C" than a straight line. These curves can make a person's shoulders or waist appear uneven.
These curves can't be corrected simply by learning to stand up straight. You can't cause scoliosis; it does not come from carrying heavy backpacks, participating vigorously in sports, or poor posture. Types of Adult Scoliosis. In addition to the two types of adult scoliosis discussed in this section—Adult Idiopathic Scoliosis and Adult Degenerative Scoliosis—types of scoliosis that develops early in life or that results from a separate syndrome also effect adults. Adult Idiopathic Scoliosis. Adult idiopathic scoliosis is, in essence, a continuation of adolescent idiopathic scoliosis.
Sometimes a spine curvature of an idiopathic (cause not known) nature that began during teenage years may progress during adult life. Curves may increase in size 0. Adolescent curves less than 3. Locations. Occurs in the thoracic (upper) and lumbar (lower) spine, with the same basic appearance as that in teenagers, such as shoulder asymmetry, a rib hump, or a prominence of the lower back on the side of the curvature.
Curves can worsen in the older patient due to disc degeneration and/or sagittal imbalance. Additionally, arthritis commonly affects joints of the spine and leads to the formation of bone spurs. Symptoms. Adults with idiopathic scoliosis have more symptoms than teens because of degeneration in discs and joints leading to narrowing of the openings for the spinal sac and nerves (spinal stenosis).
Some patients may lean forward to try and open up space for their nerves. Others may lean forward because of loss of their natural curve (lordosis, sway back) in their lumbar spine (low back). The imbalance causes the patients to compensate by bending their hips and knees to try and maintain an upright posture. Adult patients may have a variety of symptoms, which can lead to gradual loss of function: Low back pain and stiffness are the 2 most common symptoms. Numbness, cramping, and shooting pain in the legs due to pinched nerves. Fatigue results from strain on the muscles of the lower back and legs. Imaging Evaluation.
Scoliosis defined with radiographs that can include the following: Standing x- ray of the entire spine looking both from the back as well as from the side so your physician can measure the radiographs to determine curve magnitude, measured in degrees using the Cobb method. Magnetic resonance imaging (MRI) study of the spine is rarely used for patients experiencing minimal symptoms with adult idiopathic scoliosis. An MRI is usually ordered if you have leg pain, your physician finds some subtle neurologic abnormalities on physical examination, or if you have significant pain or an "atypical" curve pattern.
Treatment Options. Nonoperative treatment.
The majority of adults with idiopathic scoliosis do not have disabling symptoms and can be managed with simple measures including the following: Periodic observation. Over- the- counter pain relievers. Exercises aimed at strengthening the core muscles of the abdomen and back and improving flexibility.
Braces, in short- term use for pain relief (long- term use in adults is discouraged because braces can weaken the core muscles)Epidurals or nerve block injections for temporary relief if the patient has persistent leg pain and other symptoms due to arthritis and pinched nerves. Patients should track their response to the various injections to help define their pain generators. Stronger pain medications can also be habit- forming and must be used with caution. If narcotics are needed to control the pain, see a scoliosis surgeon to learn more about the possible causes of pain. Operative treatment. Surgical treatment is reserved for patients who have: Failed all reasonable conservative (non- operative) measures.
Disabling back and/or leg pain and spinal imbalance. Severely restricted functional activities and substantially reduced overall quality of life. The goals of surgery are to restore spinal balance and reduce pain and discomfort by relieving nerve pressure (decompression) and maintaining corrected alignment by fusing and stabilizing the spinal segments. When patients are carefully chosen and mentally well- prepared for surgery, excellent functional outcomes can be achieved which can provide positive life- changing experience for a given individual patient. When larger surgeries—those greater than 8 hours—are necessary, surgery may be divided into 2 surgeries 5 to 7 days apart.