How to detect scoliosis early?

       I. Concept and clinical manifestations of scoliosis, also known as scoliosis, the normal spine to adapt to the physiological needs of the sagittal plane, there are cervical, lumbar convexity and thoracic, sacral convexity four curves, in the frontal plane is not curved, that is, no scoliosis. If a segment of the spine deviates from the midline bend to the left or right in the frontal plane for some reason, it is a pathological state called scoliosis or scoliosis.  Scoliosis can be asymptomatic in the early stage, many patients are poorly shaped and visited, some initially manifested as back discomfort, pain to the hospital and was found; some are other symptoms, such as chest tightness, panic, shortness of breath, loss of appetite, stomach distension and discomfort, the two dorsal swelling pain, etc., often turn to cardiovascular department, gastroenterology, neurology, etc. can not get early diagnosis and treatment.  Second, how to early diagnosis When we find our friends suffer from scoliosis, it is best to go to the hospital to take a positive and lateral X-ray of the spine, according to the X-ray situation, you can first self-judge the angle and severity of scoliosis, then we should be more accurate measurement of the angle of scoliosis? Here we introduce a common measurement method: Cobb measurement.  The severity of scoliosis is most often assessed by measuring the angle of the lateral bend, which is most often measured by Cobb’s angle measurement. The x-ray used for measurement is an orthogonal image of the standard full length of the spine.  1. We need to determine the end vertebrae of the scoliosis. The superior and inferior end vertebrae are the vertebrae in the scoliosis with the greatest inclination to the concave side of the scoliosis (T12 is the superior end vertebrae and L4 is the inferior end vertebrae in the figure below). The vertebral space on the convex side of the scoliosis is wider, and the first vertebra on the concave side where the vertebral space begins to widen is not considered to be part of the curve, so its adjacent vertebra is considered to be the terminal vertebra of the curve.  2. A horizontal line is drawn at the upper edge of the vertebral body of the upper end vertebra, and a horizontal line is likewise drawn at the lower edge of the vertebral body of the lower end vertebra. Make a vertical line for each of these two horizontal lines.  3, the angle of intersection of the two perpendicular lines is the Cobb angle. Note: For larger scoliosis, the direct angle of intersection of the above two horizontal lines is also equivalent to the Cobb angle. The angle of scoliosis is thus measured.  The United States according to Cobb angle scoliosis into seven categories: I °: 0-20 °; II °: 21-30 °; III °: 31-50 °; IV °: 5-75 °; V °: 76-100 °; VI °: 101-125 °; VII °: 126 ° or more.  Third, the treatment of scoliosis 1, I ° scoliosis can be used conservative treatment: massage manipulation treatment: there are stripped ligament adhesions, improve muscle nutrition, strengthen muscle metabolism, enhance the role of muscle elasticity, it can pass through the meridians, improve the circulation of blood and Qi, softening the soft tissues and ligaments.  Traction: can increase the vertebral gap, so that adhesions have occurred in the tissue stripped, to achieve the purpose of reset.  2, Patients with II° scoliosis or proven progressive (measured 2-3 times by Cobb method, if it increases by 5° or more, it is considered progressive scoliosis) can be treated with bracing.  3.Surgical correction is recommended for III° or more.