SCOLIOSIS
SCOLIOSIS is a sideways curvature of the spine that most often is diagnosed in adolescents. While scoliosis can occur in people with conditions such as cerebral palsy and muscular dystrophy, the cause of most childhood scoliosis is unknown.
Type of scoliosis
- Structural scoliosisis – by far the most common category of scoliosis. It involves spinal rotation in addition to the side-to-side curvature of the spine. This type of scoliosis affects the spine’s structure and is considered permanent unless the spine receives treatment.
- Nonstructural scoliosis – also known as functional scoliosis, results from a temporary cause and only involves a side-to-side curvature of the spine (no spinal rotation). The spine’s structure is still normal
Sign & symptoms
- Uneven shoulders
- One shoulder blade that appears more prominent than the other
- Uneven waist
- One hip higher than the other
- One side of the rib cage jutting forward
- One side of the rib cage jutting forward
Causes
- Certain neuromuscular conditions, such as cerebral palsy or muscular dystrophy
- Birth defects affecting the development of the bones of the spine
- Previous surgery on the chest wall as a baby
- Injuries to or infections of the spine
- Spinal cord abnormalities
Risk factors
- Age – Signs and symptoms typically begin in adolescence
- Sex – Although both boys and girls develop mild scoliosis at about the same rate, girls have a much higher risk of the curve worsening and requiring treatment
- Family history – Scoliosis can run in families, but most children with scoliosis don’t have a family history of the disease
scoliosis treatment
- Hot/Cold Therapy – Applied to enhance relaxation and reduce pain. It is important to use ice after exercise and after any activity that causes discomfort
- TENS – Used to relieve the pain. Electric stimulation will helps to improve the blood circulation, thus enhancing the healing process and reducing any swelling or discomfort
- Exercise – Stretching and strengthening exercises need to be done regularly. Exercises will restore the movement and maintain the adequate strength and stability of the spine (lumbar) joint
- Mulligan Techniques – Designed to reduce pain and improve the patient’s range of motion the Mulligan technique involves Natural Apophyseal Glides (NAGS), Sustained Natural Apophyseal Glides (SNAGS) and Mobilization with Movement (MWM) for the treatment of musculoskeletal injuries
- Joint Mobilization – decelerating the progression of the curve and reducing the already increased magnitude of the curve
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