Scoliosis ten questions and ten answers

  1.What is scoliosis?  The normal human spine is observed from behind, in a straight line and symmetrical, with four normal physiological curves in the side view, respectively, the cervical and lumbar vertebrae are concave forward, and the thoracic and sacral vertebrae (tailbone) are convex backward. If the appearance of the two sides of the shoulder height, one side of the scapula bulge, hunchback, etc., should be suspected of “scoliosis”. This time should check the standing position (shoes off) of the full spine front and side x-ray, if the front x-ray measurement of the scoliosis angle greater than 10 degrees, can be diagnosed as scoliosis.  2, what is the performance of scoliosis?  Common scoliosis is divided into thoracic scoliosis and lumbar scoliosis, with C-shaped and S-shaped changes observed from the back. In appearance, thoracic scoliosis can be manifested as a high and low shoulder, bilateral breast asymmetry, hunchback with chest, one side of the scapula is raised and the other side is depressed. Lumbar scoliosis is often manifested as a bulging of the lumbar muscles on one side and a hollow on the other side, and in severe cases is accompanied by a tilted pelvis resulting in a long and short leg. Generally scoliosis only affects the appearance and does not necessarily cause related symptoms.  3, what are the dangers of scoliosis?  If scoliosis occurs during adolescence, it will affect the health status of adults. Mild and moderate scoliosis causes an imbalance in muscle tone on both sides of the spine, often accompanied by unequal length of both lower limbs, resulting in yin and yang feet, long and short legs, pelvic malalignment, high and low shoulders, etc. Severe scoliosis can cause thoracic cardiopulmonary respiratory dysfunction and abdominal gastrointestinal compression with corresponding digestive system disorders. Children and adolescents with scoliosis can affect normal physiological development, and some children have low self-esteem, autism, fear and other personality changes.  4, scoliosis affect the birth of a second child?  Scoliosis generally does not affect pregnancy and childbirth. But after childbirth often hold the child so that the spine load, coupled with ligamentous laxity after pregnancy may aggravate scoliosis. If you are suffering from lumbar disc herniation, scoliosis caused by the human body’s instinctive pain avoidance response, physical manifestations: rotating pelvis and buttocks, rotating waist and chest, waist curvature reversal, etc., after the elimination of symptoms such as lumbar and lower limb numbness and pain by manipulation treatment, you can prepare for pregnancy after 3 to 6 months of stability.  5.Why do you get scoliosis?  There are many causes of scoliosis, some of which are congenital, some are genetic, and some are caused by abnormal neurological function of brain paralysis. Biomechanical imbalance of the spine (lumbar disc herniation) is also an important cause of scoliosis. However, not all scoliosis is caused by a mechanical imbalance due to improper posture, especially in adolescent idiopathic scoliosis, which is only driven by an increase in the angle of scoliosis under prolonged poor posture. Often postural asymmetry is found in the case, may also be related to developmental abnormalities, neuromuscular imbalances, endocrine disorders or impaired balance regulation.  6, scoliosis how to early detection and treatment?  If it is an adolescent, about whether the spine is scoliosis? Census is important!!! When a child is found to have postural problems, such as two shoulders are not equal in height, the muscles of the lower back bulge on one side while the other side is empty when bending over, the two shoulder blades bulge backwards, the crotch bones are not equal in height, the walking posture is tilted to one side, and recently the child unintentionally shrugs his shoulders frequently and other involuntary movements, it is recommended that parents and teachers take the child to seek professional medical advice and do a scoliosis screening.  7.Does scoliosis require intervention?  Scoliosis in adolescents, if not intervened, the angle of scoliosis may increase year by year, even if the doctor manipulation treatment, there is a tendency to aggravate, because adolescents are at the peak of growth and development, the body’s developmental needs are high, so the skeletal changes are faster. In short, what the doctor needs to do is to stop the development of scoliosis by brief passive manipulation, long-term active maintenance is what the patient needs to adhere to, and more emphasis should be placed on sitting and standing posture, book bag weight and strengthening exercise to prevent recurrence of scoliosis. If the compensatory scoliosis caused by low back pain, after symptomatic treatment of related symptoms, scoliosis can mostly be restored to normal.  8, what is the treatment of scoliosis?  Orthopedic, chiropractic and other traditional Chinese medicine treatments have a unique and excellent efficacy in the prevention and treatment of scoliosis. And no obvious side effects, with the treatment, no sequelae, the method can be flexible at any time according to the angle of scoliosis to change the technique, the treatment is different from person to person, more easily accepted. However, the method must be adhered to with professional exercise prescription to be effective. In fact, if the scoliosis within 25 degrees, as long as the manipulation intervention, if the scoliosis does not develop may not bring a lifetime of cardiopulmonary, gastrointestinal dysfunction.  9, when is it good to correct scoliosis?  Scoliosis develops fastest during adolescence, when various growth functions are in their prime, and bones, muscles and other tissues are not yet fully set. Of course, it is also the most critical period for the correction of scoliosis, we use Tongdu Zhengchi combined with new medical orthopedic techniques, from the perspective of spinal biomechanics to intervene in the changes of adolescent scoliosis, many children’s size has also increased. In case of compensatory scoliosis caused by back pain, most of the scoliosis can be restored to normal after symptomatic treatment of related symptoms.  10.How should scoliosis be treated?  For adolescents with scoliosis with a Cobb angle greater than 30 degrees, wearing a brace is often the first choice to limit the further development of scoliosis. However, brace treatment needs to be adjusted in stages as the child grows and develops, requiring at least 22 hours of wear per day, which can have an impact on respiratory function and mental health, and can cause disuse muscle atrophy over time. However, if the cause of scoliosis is a pelvic malalignment resulting in long and short legs, then regular correction of the long and short legs through manipulation is the true treatment for the cause.