What is Scoliosis?

Symptom of Scoliosis

Causes of Scoliosis

Scoliosis Screening  

Treatment of Scoliosis

 

 

 

 

Treatment of Scoliosis

Treatment of scoliosis is based on the severity of the curve and the chances of the curve getting worse. Certain types of scoliosis have a greater chance of getting worse, so the type of scoliosis also helps to determine the proper treatment. There are main categories of treatment: chiropractic adjustment, physical therapy with therapeutic exercise programs, orthotics, bracing, and surgery.


Treatment by types of Scoliosis

Idiopathic scoliosis
Treatment of idiopathic scoliosis is based on the age when it develops.

  • Infantile idiopathic scoliosis
    In some cases, infantile idiopathic scoliosis may improve itself. However X-rays should be obtained and measurements compared on future visits to determine if the curve is getting worse and if treatment is necessary.

  • Juvenile idiopathic scoliosis
    Juvenile idiopathic scoliosis has the highest risk for getting worse of all of the idiopathic types of scoliosis. The goal is to prevent the curve from getting worse until the person stops growing. Since the curve starts early in these people, and they have a lot of time left to grow, there is a higher chance for needing more active treatment.

  • Adolescent idiopathic scoliosis
    Adolescent idiopathic scoliosis is the most common form of scoliosis. If the curve is small when first diagnosed, it should be observed and followed with routine X-rays and measurements. In this phase, non invasive treatment such as spinal adjustment can effectively control the progress.


Functional scoliosis
Functional scoliosis is caused by an abnormality elsewhere in the body. This type of scoliosis is treated by treating that abnormality, such as a difference in leg length. In this case, spinal adjustment will be very effective.

Neuromuscular scoliosis
Neuromuscular scoliosis is caused by an abnormal development of the bones of the spine. These types of scoliosis have the greatest chance for getting worse. Observation and bracing do not normally work well for these people. The majority of these people will eventually need surgery to stop the curve from getting worse.

Degenerative
People with degenerative scoliosis will often have more complaints of back and leg pain. This is related to the arthritis in the back and possible compression of the nerve roots that lead to the legs. Non operative treatment including physical therapy, exercises, and gentle chiropractic can help relieve these symptoms in some cases. People who fail to improve with these treatments may benefit from surgery. The surgery could include only a decompression or removal of bone spurs that are compressing the nerves. In some cases, a fusion will be necessary to stabilize the spine and possibly correct the abnormal curve.

Others
If a tumor such as osteoid osteoma is the cause of the scoliosis, surgery to remove the tumor is generally able to correct the curve.

 

Treatment Options



Chiropractic Spinal Adjustment
Allowing scoliosis to run its course may often worsen conditions. Chiropractic care is a natural solution and is very effective at stabilizing the spine, preventing the curve from progressing. A schedule of specific chiropractic adjustments may help improve the function and structure of the spine. As muscles are retrained and strengthened, posture may improve. Over the course of several months or longer, the spine may be seen to get better.

 

Physical Therapy Modalities
Physical therapy may be added to scoliosis treatment to increase muscle strength and mobility and to help alleviate pain.

 

 

 

 

Therapeutic Exercises   
Specific therapeutic exercises designed to strengthen weak paraspinal muscle and stretch contracted fascia and muscles is helpful to decrease symptoms of scoliosis.

 

 

 


Orthotic

Foot Levelers' custom-made, flexible foot orthotics can reduce the biomechanical stress and muscle imbalance from scoliosis

 

 




Bracing
If the curve is between 25-40 degrees, a brace may be recommended. The brace exerts pressure against the spine, in hopes of achieving stabilization. It is quite uncomfortable, unsightly, and is usually worn 20-24 hours per day, until the patient stops growing. Braces are not designed to correct the curve and are only marginally effective for stabilization.

 

 

Surgery    
If the curve is greater than 40 degrees, then surgery may be recommended. If the curve stays below 40 degrees until the person is finished growing, it is not likely to get worse later in life. However, if the curve is greater than 40 degrees, it is likely to continue to get worse by 1-2 degrees each year for the rest of the person's life. If this is not prevented, the person will eventually be at risk for heart or lung problems.
For Spinal Fusion surgery, the patient is placed on a spinal cord monitor to prevent paralysis. After performing an incision, the surgeon manually reduces the curves as much as possible, and inserts metal rods on each side of the spine, attaching them with special hardware. Bone splinters (either removed from the hip area, or donor bone) are applied between the vertebrae. Over time, these fragments grow together to create a solid bone. Surgery is very expensive, painful, dangerous, and requires the patient to alter their lifestyle forever. Therefore it should be considered a last resort.

 

Our approach at Good Day Total Health Clinic for scoliosis utilizes a variety of treatment methods including specific Spinal Adjustments combined with specialized Physical Therapy program, Orthotic lifts and Corrective Therapeutic Exercise methods including Yoga and Pilates. The idea behind employing chiropractic for scoliosis treatment is to arrive at a combination treatment that is both manipulative and rehabilitative.

We have had excellent results with scoliosis cases in childhood, when the bones of the spine are still growing. Please remember that early detection and prevention is crucial for scoliosis condition.



If you suspect you or your precious child have a scoliosis, please call us at 703-914-4663 for a professional check up as soon as possible. 

 


 


 
 
 
*Disclaimer: May not be available depending on practitioners availability.Call for more information. TEL: 703-914-4663