Scoliosis is an abnormal curvature of the spine (backbone). The curvature can either be S shaped or C shaped. Currently there is no cure or cause for scoliosis. The curvature can either be right, which is most common in the thoracic region or left most common in the lumbar region.
Scoliosis is categorized into groups known as idiopathic or unknown cause (80% of all cases). Osteopathic is a bony spinal disease or abnormality cause. Myopathic is related to a disease causing muscle weakness. Neuropathic is the result of CNS or central nervous system causing the scoliosis. Age of scoliosis diagnosis varies from infant to adulthood because the curvature can be very mild and not progress for years.
Scoliosis can be diagnosed using plain radiography and using the Cobb method to measure the degree of scoliosis (Goodman & Fuller). Also, an Adams test or forward bend test can be used with or without scoliometer (Goodman & Fuller). Having a base line degree of curvature can help monitor the progression and rate of change.
Scoliosis treatment in most cases involves strengthening, stretching and posture awareness to prevent progressive and severe spinal deformity. Further treatment might involve the Schroth method that uses exercises specific to each patient to return the curved spine to a more straight alignment. The exercise intent is to de-rotate, elongate and stabilize the spine (Gerard).
In cases that are more severe, spinal braces might be used and possibly even surgery using a rod to correct the spinal curve. Our clinic diagnosis scoliosis and provides individualized exercise programs to restore strength, improve alignment and reduce pain.
References
Gerard, A. (2020, April/May). When Life Throws You Curves. PI in Motion, 4.
Goodman, C. C., & Fuller, K. S. (2009). Pathology Implications for the Physical Therapist.
Scoliosis. (2020, April 29). MedlinePlus – Health Information from the National Library of Medicine. https://medlineplus.gov/scoliosis.html#
