ALL ABOUT SCOLIOSIS

 All Well Scoliosis Centre customises scoliosis treatment programs to help improving scoliosis condition from young age to adult and even elderly.  All Well Scoliosis  treatment goal is to create brain and body coordination and awareness for patients to understand that scoliosis can be improved by creating 3 dimensional balance of the brain and body proprioception (proprioception: awareness of the movement and position of the body) by creating a specific proprioceptive exercises thus brain will understand its body subconscious movements.  All Well Scoliosis Centre Doctor of Chiropractic is Intensive Care (IC) scoliosis treatment certified from CLEAR Scoliosis Institute USA.  CLEAR Institute Chiropractors understand the importance of balance in each individuals with or without scoliosis for activity of daily living.  CLEAR chiropractors has extensive training to view postural condition in scoliosis and understand how to implement specific proprioceptive exercises to improve scoliosis as well as postural condition.  

 

What is Scoliosis?

Scoliosis is an abnormal lateral curvature of the spine that create lateral bending of the spine.  Scoliosis usually also comes with rotation of the spine to add further complication and compensation to the condition.  Scoliosis can be infantile, adolescences, adult, neurological (ie: cerebral palsy), degenerative, and musculature problems.  Majority of scoliosis are adolescence and it is start during adolescences ages between 9 to 13.5 years but the sign of scoliosis usually started long before children start their adolescences stage.  Some of the sign of scoliosis are imbalance posture such as shoulders not level, hip rotation, protruding shoulder blades, forward head posture, leg length discrepancy, tilted head and other visible sign.  These sign begin showing well before scoliosis curvature is fully developed, thus it is important for parents to be mindful and create awareness regarding these early sign of scoliosis. Severe scoliosis condition always starts with mild scoliosis, and it is easier to prevent mild scoliosis from becoming worse rather to deal with severe scoliosis.  Chances of mild scoliosis to improve substantially are bigger.  Regular posture check ups for your children are essential to ensure that their posture is balanced.

 

Cause of Scoliosis

 

There is much research about scoliosis, however the main causes of scoliosis to develop are still unknown.  The effect of scoliosis are imbalance of deep intrinsic involuntary muscles.   Muscles that are responsible for these are the Multifidi muscles.  These muscles are part of the main core muscles.   Multifidi muscles function are to balance the spine and to maintain our spine to stay erect and straight.  Other main core muscles are Transversus Abdominis muscles, Diaphragm, and Pelvic floor muscles.  On a scoliosis spine, Multifidus muscle one side are lengthen (convex side) and on the concave side Multifidus muscle are shorten.  This also causing ligaments on the convex side to become loose and concave side to become tighter.  These phenomenon will cause changes in posture of the scoliosis sufferers to adapt and change their posture, muscles balance and function, joint mobility, and organ functions.  An early intervention for scoliosis conditions is pertinent and will allow us to seek a better outcome.

Types of Scoliosis

There are a few different type of scoliosis, from the most common is Adolescent Idiopathic Scoliosis (AIS), neuromuscular Scoliosis, congenital Scoliosis, and degenerative Scoliosis.

Adolescent Idiopathic Scoliosis

Adolescent Idiopathic Scoliosis is the most common form of scoliosis, it affects mostly female more than male (4:1 ratio). There are a number of theories that causing Adolescent Idiopathic Scoliosis (AIS) from hormone imbalance to genetic links, however the single cause of AIS is unknown. 

Adolescent Idiopathic Scoliosis patients in most cases do not experience any pain, however, they typically develop symptoms such as postural imbalance, uneven shoulders with rotation, protruding ribs on one side, high hip on one side with hip rotation and leaning torso.

Congenital scoliosis

Congenital form of scoliosis typically result from spinal deformity since birth. During fetal development, malformation of the vertebrae causes partial formation of one or more vertebrae bones and usually forming lateral curvature of the spine.

Congenital scoliosis is related to the spinal defects that exist at birth and it is usually can be detected at an earlier age. Sign and symptoms of congenital scoliosis including tilted shoulders, uneven hips, a protruding ribs on one side, head tilt, and posture that leaning to one side.

Neuromuscular scoliosis

Neuromuscular scoliosis develops secondary to different types of brain, spinal cord, and muscular system disorders. For instance, cerebral palsy, Duchenne muscular dystrophy, Freidrich ataxia, spinal muscular atrophy. Spinal curvatures occurs when the nerves and muscles are unable to maintain proper alignment and balance of the spine and trunk; this curvature is likely to progress into adulthood and may become increasingly severe in patients who are unable to walk.

Sign and symptoms of neuromuscular scoliosis usually leaning to one side or leaning forward while standing or sitting.

Degenerative scoliosis

Degenerative scoliosis or adult onset scoliosis is usually develops over time. Degenerative scoliosis most commonly happen in the lumbar spine (low back), degenerative scoliosis may cause pain because of the stiffness of the muscles around it and it may also cause symptoms to the legs and feet. Over time degenerative scoliosis patients would develop poor posture and loss of balance. 

How can we diagnosis scoliosis?

Scoliosis can be detected as early as 6 - 12 years old (primary school).  Generally we will look for imbalance shoulders, protruding rib cage as well as hips can be guidelines. Further more we will required instruments and diagnosis tools such as X-ray and MRI to get into detail of the condition.

Symptoms

Scoliosis symptoms may not appear until adulthood, or depending on the severity of the condition.  Due to prolonged imbalance posture of scoliosis condition, symptoms such as chronic back pain, shortness of breath, chronic neck pain may appear due to neuro-musculoskeletal strains. Some of the symptoms are due to dysfunction of the organs such as heart and lungs.

Surgical vs. Non-surgical treatment for Scoliosis

The standard medical procedure for scoliosis up to 25 degree Cobb angle( Cobb angle is standard measuring procedure for scoliosis curvature) is monitoring or “watching and waiting”. Usually every 6 months a X-ray is taken to see if the Cobb angle progressing or not.  If the scoliosis worsens, Cobb angle measures from 26 to 40 degree, then will the patient be recommended to wear the Boston Brace (or Boston type of bracing).

The Boston Brace is a hard brace that function to prevent scoliosis from progressing.  However, in many cases the Boston brace needs to be worn 23 hours per day daily for it to be effective in preventive progression of the scoliosis curve. Unfortunately, it is very hard to get such adherence levels from patients and thus the chances of increasing Cobb angle will be more likely and will lead to the need for spinal fusion surgery.

Pain of Scoliosis

It’s common to experience symptoms when scoliosis exist with your spinal structure.  The reasons we are experience in pain it’s started from incorrect spinal structures that lead to imbalance of posture.  When we have musculature one side stronger than the other side, it will cause herniated disc  After prolong compression we will experience symptoms such as low back pains, numbness in the legs and toes.

Postural Problem

In this millennial having incorrect posture is very common. It has been train since young that we are setting a certain habits when we re looking at our gadgets, reading, writing, that creates changes to our posture.

This changes can lead to different types of symptoms as well as condition. If you and your love ones are having posture problems and looking for changes in your posture, call us we are here to help.