What is Scoliosis Treatment Dubai?
Scoliosis is when your spine curves to the side. Normally, your spine has a natural S shape, curving a bit inward in your lower back and outward near your shoulders. But if you have scoliosis, your spine also curves sideways.
Is it always a problem? Not necessarily. Mild scoliosis might not be noticed and cause few issues. But severe scoliosis can lead to breathing difficulties, ongoing back problems, and a different appearance.
Some famous people with scoliosis include General Douglas MacArthur, actresses Isabella Rosselini, Sarah Michelle Gellar, and Elizabeth Taylor, cellist Yo Yo Ma, and Olympians Usain Bolt and Jessica Ashwood.
An interesting historical figure with scoliosis is King Richard III. He was the last English king to die in battle in 1485. Although Shakespeare portrayed him as a hunchback with a withered arm, Richard III actually had mild scoliosis, confirmed when his body was found under a car park in Leicester in 2012.
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What causes scoliosis?
The most common kind of scoliosis is called idiopathic scoliosis, and it often shows up in teenagers. This type might be linked to genes because it tends to run in families. Even if no one in your family talks about having scoliosis, it could be there, especially if the signs were not very noticeable.
There are also other types of scoliosis that can be caused by:
- Spinal cord abnormalities or birth defects affecting the spine.
- An injury to or infection on your spine
- Previous surgery on the chest wall as a baby
- Cerebral palsy, muscular dystrophy or other neuromuscular conditions
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What are the symptoms of scoliosis?
A tween or teen who has developed scoliosis may have:
Scoliosis is when the spine curves to the side, making it twist. This twisting can make certain body parts stick out more on one side than the other.
Uneven shoulders
One shoulder blade that sticks out more than the other
More prominent ribs on one side
An uneven waistline
Uneven hips
How is scoliosis diagnosed?
It's not always easy to notice if your child has mild scoliosis. When they're little, you pay close attention to their bodies while bathing and dressing them. But scoliosis tends to show up when kids start showering and dressing on their own and want more privacy.
Doctors often find scoliosis during a regular check-up or when doing a scan for another reason.
If your doctor or physiotherapist thinks your child might have scoliosis, they'll ask about their health history and do a physical exam. This might include the Adam's forward bend test, where your child leans forward from the waist with hands hanging in front. If one side of their rib cage sticks out more, it could be a sign of scoliosis. The doctor might also order an X-ray to see a picture of their spine.
What are the treatment options for scoliosis?
The right treatment for scoliosis depends on things like: Your child’s age,
The severity of their spinal curve,
Where the curve is on their spine,
Whether the curve is worsening.
Treatment options include:
Watchful waiting:
regular check-ups to ensure the curve is not worsening
Bracing
if your child’s spine has a 25° to 45° curve, your doctor may recommend a brace to prevent the curve worsening as they grow
Surgery
in very rare cases (less than 1%), a child may have such severe scoliosis that they need spinal surgery to correct the problem.
Physiotherapy for scoliosis Benefits
- Correct side-shift
- Improve coordination and control
- Increase endurance and strength.
- Improve postural awareness
- Rotate the spine with breathing to help reshape the rib cage and surrounding soft tissue (known as rotational angular breathing)
- Improves back muscle strength
- Improves breathing function
- Slows curve progression
- Improves Cobb angles
- Reduces the need for back surgery
- Eases pain
- Boosts self-image
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People who have scoliosis may experience different symptoms depending on the degree of the condition. In minor cases there a posture of a slight curve of the spinal cord might be the only symptom.
Nonetheless, these signs may become considerably more severe, leading to consequential symptoms such as back pain, uneven hips, a prominent ribcage on one side, and difficulty breathing due to lung compression.
The exact cause of scoliosis remains unclear in many cases, but it frequently is associated with genetic heredity, along with diseases like cerebral palsy, muscular dystrophy, and spina bifida. Sometimes, the scoliosis may be idiopathic, and it is impossible to find the reason.
Treatment for scoliosis is based on the level of the severity of the condition. In mild cases with no immediate danger, observation and monitoring can be enough. For more serious cases, treatments may include bracing, PT, and surgery.
- Rigo Cheneau bracing is a frequently recommended strategy for patients with scoliosis because it is a widely accepted and proven method that is effective in terminating the deterioration of curvature in most cases in Europe.
The bracing for adolescent idiopathic scoliosis usually starts in adolescence and continues till the child completes his or her growth phase which takes approximately 18 months to 2 years after their menstruation starts for girls.
Patients with juvenile or infantile scoliosis may experience a longer course of treatment.
The recommended wearing time for a scoliosis brace is case-dependent and is determined by the orthopedic specialist’s treatment protocol.
Nevertheless, the patients who have achieved the greatest success have worn their brace for 21 hours a day.
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