Content
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1Scoliosis of the 2nd degree (thoracic, lumbar): treatment, photo, exercises
- 1.1Description of the disease
- 1.2Symptoms of scoliosis of the 2nd degree - photo
- 1.3Right-sided scoliosis of the 2nd degree
- 1.4Left-sided
- 1.5Treatment of spine scoliosis of the 2nd degree
- 1.6Exercises and Лфк
- 1.7Medication
- 1.8Massage
- 1.9Physiotherapy
- 1.10Additional measures
- 1.11Is the army taking 2 degrees of scoliosis of the spine
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2Scoliosis 2 degrees of treatment at home. Therapeutic exercises and breathing exercises
- 2.1Types and symptoms of scoliosis of the second degree
- 2.2Thoracic scoliosis
- 2.3Lumbar scoliosis
- 2.4Lumbosacral scoliosis
- 2.5Diagnostics
- 2.6Treatment of scoliosis of the second degree
- 2.7Physiotherapy
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3Scoliosis of 2nd degree
- 3.1Causes of scoliosis 2 degree
- 3.2Symptoms of scoliosis of the 2nd degree
- 3.3Diagnosis of the disease
- 3.4Treatment of scoliosis of 2 degrees
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4Scoliosis of the 2nd degree: symptoms and treatment
- 4.1Symptomatology
- 4.2Characteristic signs of scoliosis of the second degree
- 4.3Army and scoliosis
- 4.4Scoliosis of the 2nd degree. Treatment
- 4.5Treatment in stationary conditions
- 4.6Complications
- 4.7Prophylaxis of scoliosis
- 4.8Conclusion
Scoliosis of the 2nd degree (thoracic, lumbar): treatment, photo, exercises
The lateral curvature of the spine in the neck, chest and waist is called scoliosis. AT. D. Chaklin identified four degrees of the disease, taking as a basis the degree of curvature of the spine.
Especially noticeable is scoliosis at grade 2 disease, when the angle of curvature is 11-25 degrees.
The danger of the disease lies in the further development of the deformation of the spine and the occurrence of various complications in the work of internal organs.
Scoliosis of the 2nd degree can arise due to congenital pathologies, as a result of injuries received, disorders of posture, due to diseases of the nervous system and the musculoskeletal system.
Pathological changes of the spinal column are dangerous for violations of the internal organs, the appearance of many chronic diseases, deformation of the chest.
Usually scoliosis is diagnosed in children at the age of 8-10, but an ailment can occur after 18 years.
2 degree of disease indicates that scoliosis is progressing and requires immediate treatment.
Description of the disease
Depending on the causes of the onset, scoliosis can occur:
- congenital;
- dysplastic and neurogenic;
- idiopathic;
- dystrophic.
The reasons for the development of changes in the spinal column are defects in the development of the vertebrae, their fusion, various anomalies. Congenital scoliosis can form in utero.
Dysplastic scoliosis develops as a result of neuromuscular diseases. A characteristic feature of the neurogenic form of scoliosis is the one-sided curvature of the spine.
Distinguish:
- C-shaped;
- S-shaped;
- and total scoliosis.
The C-shape has one arc of curvature. The disease develops after a spinal cord injury, tuberculosis spondylitis.
S-shaped scoliosis of the 2nd degree has two arcs, which are directed in opposite directions. Most often there is an uncompensated flow, where the primary arc is greater than the second arc in the level of curvature. With this disease is characterized by a rapid progression of the disease.
Compensated form of scoliosis is less common. It has a lumbar and thoracic curvature, which appears simultaneously.
Total scoliosis is manifested by curvature of all thoracic and lumbar vertebrae, which form a single flat arch. The flat form of deformation rapidly progresses and is difficult to cure.
As a result, there is a violation of human posture, deformation of the chest and waist, severe breathing disorders occur.
Scoliosis is also distinguished by type. There are scoliosis cervical, thoracic, lumbar and chest-lumbar. Thoracic scoliosis of the 2nd degree develops at the level of 8-10 vertebrae.
This form is characterized by deformation of the chest, respiratory failure, development of bronchial asthma.
Specific signs of the disease are a large muscle and ribs on one side of the spine. A depression is formed on the back of the chest.
Scoliosis of the thoracic region progresses very quickly and ends with disability. On the ribs a hump is formed, and the muscles acquire a cylindrical shape.
Lumbar scoliosis of the 2nd degree develops at the level from 8 thoracic vertebra to 3 lumbar vertebrae. This form of the disease is the result of its progression. Symptoms of the disease at the initial stage are almost invisible.
Also masking the deformation of the spinal column can be overweight. With this scoliosis, the spinal disc acquires an asymmetric shape. If you do not carry out treatment, then eventually the pulpous nucleus of the disc loses fluid, and the vertebrae also become asymmetric.
These destructive processes affect the muscle tone.
Depending on the direction of the curvature of the spine, right-sided and left-sided scoliosis is distinguished. Disease of the 2nd degree is characterized by a pronounced asymmetry of the shoulders and a sufficiently large bend angle of 25 degrees. Serious disorders can also provoke fused vertebrae.
Symptoms of scoliosis of the 2nd degree - photo
At a scoliosis of a backbone of 2 degrees the main signs become well appreciable signs of deformation of a backbone and a thorax:
- asymmetry of the shoulder and waist triangles, curvature can be observed even through clothing;
- the appearance of a costal hump when the trunk is tilted forward;
- muscular cushion in the lumbar region;
- Determination of C- or S-shaped deformation during palpation of spinous processes;
- pronounced torsion and slope of the pelvis to the side when curvature of the lumbar spine;
- angle of curvature - 10 - 30C.
As a result of the development of the disease, there are also accompanying symptoms.
Difficulty of breathing due to deformation of the chest is added to the main manifestations of the disease. The patient quickly gets tired, he develops asthenia.
At a scoliosis of 2 degrees physical activity is complicated, and the gait is broken from the broken position of hips.
Right-sided scoliosis of the 2nd degree
Characterized by pronounced deformation of the spinal column to the right. When the cervical region is affected, there is a headache, stiffness with head movements, pain in the neck. Sometimes there is numbness of the upper limbs. In rare cases, deformities of the cranial bones may occur.
If right-sided scoliosis develops in the chest region, the characteristic symptoms are the restriction of the mobility of the entire body, the appearance of muscle spasm, back pain and motion. The location of the internal organs and the activity of the cardiovascular system are disrupted. With this form of scoliosis, the asymmetry of the shoulders and shoulder blades is pronounced.
Right-sided scoliosis of the lumbar region is characterized by changes in the position of the pelvis, violations of internal organs, changes in gait and rapid fatigue. There may be irregularities in the activity of the genital organs.
Left-sided
Characterized by the curvature of the spinal column to the left.
Symptoms of the disease occur in the beginning is very blurred, but with the progression of the disease, dystrophic changes in the spine develop.
So, at 2 degrees of left-sided scoliosis painful sensations in the loin, development of osteochondrosis are observed. The sensitivity of the extremities is disturbed.
In the left-sided form, severe pathology is rare.
It can develop in patients of senile age - in older people, the dorsal muscles gradually lose their strength and are unable to support the spinal column any more. There is a pronounced asymmetry of the pelvic bones, a different level of location of the buttocks.
Treatment of spine scoliosis of the 2nd degree
Disease of the spine can be stabilized and eliminated by conservative treatment, exercise, wearing an orthopedic corset.
At later stages, the spinal column can be restored only by surgical intervention.
The treatment of scoliosis, in the first place, is focused on the elimination of pain and the maximum correction of the curvature of the spine.
In the treatment of scoliosis, methods such as:
- taking anti-inflammatory and analgesic medicines;
- fixation with orthopedic corset;
- massage;
- manual therapy;
- acupuncture;
- electrophoresis;
- phonophoresis;
- UHF;
- therapeutic exercises.
Complex treatment of the disease allows to accelerate the process of recovery, strengthen the muscle tissue of the back and improve metabolic processes in the body. At a scoliosis of 2 degrees there are no bases for surgical treatment.
The most effective is exercise therapy, which allows you to slow down the development of deformity of the spine and normalize the activity of internal organs.
All exercises should be prescribed by a doctor and performed under his supervision. When performing exercises it is important to correctly distribute the load to different muscle groups.
Otherwise, you can aggravate the course of the disease.
Exercises and Лфк
Exercises for scoliosis of the 2nd degree strengthen the muscles and tissues of the back, and also stabilize the spine.
Physical rehabilitation should be done regularly, without interruption and patiently.
With scoliosis, you can perform various exercises with sports equipment, using dumbbells, benches, a Swedish wall and other objects.
When choosing a treatment, the doctor takes into account the degree and angle of curvature of the spinal column, the direction of curvature, the existing pathologies and the age of the patient. Scoliosis of grade 2 is often prescribed such exercises:
- In a pose "on all fours" perform the deflections of the spine to the floor. You can move around the room, bending under imaginary obstacles.
- Lie on your back and clasp your knees. In this situation, roll in different directions. Exercise to perform on a gym mat.
- Lie on the floor and raise your feet evenly, which is then withdrawn in one direction. After 9-12 repetitions, the legs begin to withdraw in the opposite direction.
- Lie on your stomach and stretch your legs and arms out as much as possible. Such a deflection in the beginning will have a small amplitude, but gradually increase with each workout. Perform the exercise until fatigue.
- Lie on your side and do an exercise with your feet "scissors".
Selection of therapeutic exercises at the 2 degree of scoliosis is carried out by a qualified instructor in physiotherapy exercises.
Curvature of the spinal column is accompanied by infringement of the spinal nerves. Incorrect exercise and incorrect sets of exercises can lead to an increase in the syndrome.
In rehabilitation centers, the exercises are selected individually for each sick person.
Medication
In the treatment of scoliosis, the use of analgesics, biogenic stimulants, vitamin complexes is used. With severe pain in the spine are appointed:
- Ibuprofen,
- Acetaminophen,
- Naproxen,
- Aspirin.
These drugs are non-steroidal anti-inflammatory drugs and well eliminate pain in the neck, back, waist.
In the treatment of scoliosis, medication intake does not play a big role. The main methods of stabilizing the spinal column are therapeutic exercises, massage and physiotherapy. The appointment of vitamins and other drugs is used only as an additional measure to the complex treatment of the disease.
Massage
With scoliosis massage is performed in a smooth, gentle mode. Actions should be aimed at stimulating the relaxed muscles. Massage also helps to lower the tone of tense musculature.
The person performing the action must thoroughly know the features of the technique. The task of differentiated massage procedures is relaxation of the back muscles and improvement of blood circulation. This technique also normalizes the cardiovascular system and strengthens the muscles.
Physiotherapy
Physiotherapy - additional techniques in the treatment of scoliosis, which allow normalize metabolic processes in the body and stop the inflammatory process. Pain in scoliosis perfectly removes electrophoresis, Charcot's douche, ultrasound, paraffin wraps, laser exposure.
A good method of fighting the disease is electrical muscle stimulation. All these physiotherapy procedures eliminate the process of inflammation in soft tissues and eliminate pain in the spine.
The essence of these techniques is that certain electrical impulses favorably affect the muscles that are in a spasmodic state. As a result, the pain caused by squeezing the nerve roots of the muscles in the hypertension is eliminated.
In general, the treatment of scoliosis of the 2nd degree is long and requires patience. However, some forms of scoliosis with its help can be overcome. In severe cases, treatment allows you to ease your health, prevent the development of any complications, normalize the metabolism in the body.
There are significant chances to stabilize the spine while cartilage tissue remains in its vertebrae. With age, treatment is difficult and focused on strengthening the musculoskeletal system and preventing further curvature.
Additional measures
A favorable effect on the posture is swimming in the pool. In such occupations, there is no significant difference in the load on both sides of the trunk. Scoliosis patients need to refuse to play badminton, bowling, tennis.
A diet rich in vitamins and minerals has a beneficial effect on bone tissue. It is recommended to eat foods rich in vitamins E, C and D.
It is necessary to include in the daily diet buckwheat, oat flakes, millet, mango.
It is also useful to regularly eat fresh vegetables and fruits, spinach, sorrel, sea buckthorn, strawberries.
Wearing a corset helps to reduce the strain experienced by a sick spine. Such fixation does not impede movements at all and helps to correct the curvature of the spinal column.
If the corset is worn by a child under 15, the probability of completely eliminating scoliosis is very high. Orthopedic corset affects the spine in the lateral and anteroposterior directions.
Wearing the product is required daily until the skeleton ceases to form. During the treatment it is necessary to constantly monitor the condition of the spinal column.
Wearing a corrective corset is prescribed by the attending physician.
Is the army taking 2 degrees of scoliosis of the spine
Today, many conscripts are interested in the question: do they take in the army for scoliosis 2 degrees? Young people diagnosed with this disease are required to undergo a medical commission and provide x-ray pictures to doctors, as well as certificates and opinions of doctors.
Only a medical commission can decide whether a young man will fall from grade 2 scoliosis to the army or not. The result depends on which category the sick person is taken to.
- Category A includes healthy conscripts who can serve in all parts.
- Category B limits the duty station.
- Category B relieves sick young people from military service.
- Category D gives a temporary exemption from the service with a second medical examination after six months.
- Category D provides a "white" military ticket and unfitness for service in the army.
Conscripts with scoliosis of the 2nd degree are recognized by the medical commission as being limited to military service. Usually young people with an ail get category B.
An x-ray examination is performed, the angle of the spine deviation is determined and the diagnosis is confirmed. The army is taken with scoliosis 1 degree. With a large angle of deviation of the spinal column, conscripts can be assigned categories B and D.
A source: https://glavvrach.com/skolioz-2-stepeni/
Scoliosis 2 degrees of treatment at home. Therapeutic exercises and breathing exercises
The second degree of scoliosis threatens those who did not take proper measures at the time, reacted lightly to the fact that he was diagnosed with a "first degree scoliosis".
This is more true of parents, whose children in school years, the orthopedic doctor determined the beginning of the development of scoliosis.
After all, in childhood, when the formation of the skeleton occurs, it is still possible, even if not to reverse the process, but at least to stop the progression of this disease.
Scoliosis 2 degrees of treatment at home
Over the years, the spine loses its flexibility and to cope with the problem, it will have to put much more effort and time. It is worthwhile to warn those who do not consider scoliosis a serious disease.
Progressing, it deforms the chest, which in particularly severe cases leads to the formation of a hump.
The hump, in turn, will be a serious obstacle in the lungs, which means that you will not be able to breathe fully.
In adulthood, scoliosis does not develop as rapidly as in childhood, since the adult's spine is already formed.
But in this case, too, one should not relax and let the disease run its course.
Slowly, but the scoliosis still progresses and reaches an angle of eleven to twenty-five degrees - this is the second stage.
Types and symptoms of scoliosis of the second degree
Scoliosis of the second degree is classified according to the localization site.
Thoracic scoliosis
Scoliosis of thorax
Thoracic, or thoracic scoliosis, is formed on the seventh-eighth vertebra. Usually it is right-sided, but left-sided is not excluded.
With an external examination, the asymmetry of the shoulder blades and shoulders is noted, a pronounced curvature of the spine in the thoracic region and a deformed thoracic cage.
The patient complains of back pain while walking. Functions of the heart, lungs and spinal cord are broken.
Often at the second degree of scoliosis, there is a torsion, in which the formation of the rib humps and the deformation of the pectoral muscles are inevitable.
Lumbar scoliosis
Lumbar scoliosis
Lumbar scoliosis almost always has a deflection angle to the left. The curvature in the lumbar region is much easier than the scoliosis of the thoracic region.
The first thing that starts to bother the patient is a painful feeling in the lower back.
With an external examination, the curvature of the spine will not be noticed by an amateur, it will be determined only by a doctor.
The disease progresses slowly and very often a person who has consulted about osteochondrosis to a doctor learns that he has a second degree scoliosis.
Lumbosacral scoliosis
The top of the scoliotic arch is in the area of the tenth-twelfth vertebrae. Scoliosis of this localization with a curvature to the right can be confused with chest scoliosis. But the symptoms are accompanied by rapid fatigue and a pale-grayish complexion of the face.
Diagnostics
X-ray diagnosis of scoliosis
The exact diagnosis, the degree of deviation and other features of the development of scoliosis will reveal an x-ray examination. But there are two simple ways that orthopedists use. By the way, do you have scoliosis, you can determine by yourself, using them.
The first way. You need to undress before the laundry and stand in front of the mirror. Legs together, do not emphasize any of them. Hands along the trunk, not tense.
Look at the waist area - between the arm and the notch in the waist of a healthy person on both sides should be the same area of triangular space. Someone is bigger, someone smaller in size - it depends on the thickness of your waist - but you must be equal.
If you see that they are smaller on the one hand, this is a sure sign of scoliosis with a shift of the spine in the opposite direction.
Diagnosis of scoliosis
The second waywill determine the presence of torsion, i.e. twisting vertebrae. You need to bend forward and begin to round the neck, then the chest and lower back. But not all at once, but one after another.
A doctor or one of your loved ones must take a close look at the back.
If you have scoliosis, then the asymmetry will be noticeable to the naked eye - from the side of the curvature of the ribs will be protruded, and the muscles will appear in the form of rollers.
It should be noted that scoliosis of the second degree is fixed and non-fixed. The difference is that with physical exertion, the curvature of the spine increases in the case of unfixed scoliosis, with a fixed shape, the curvature remains at the same level.
Treatment of scoliosis of the second degree
Therapeutic massage for scoliosis
The most common and recommended method of treatment is physical education. The main thing you should strive for is strengthening the muscles supporting the spinal column.
This is what all exercises should be directed at. You can use various tools and dumbbells.
Exercises are performed on gymnastic benches, walls or simply lying on the floor.
Courses of therapeutic massage, manual therapy are shown. Recently, the procedure of electrical muscle stimulation is becoming popular.
More details about the treatment of lumbar spine osteochondrosis.
Physiotherapy
To strengthen the back muscles that support the spine, take as a rule the daily execution exercises and very soon they will become your good habit, without which the beginning of a new day will be impossible.
Exercise swallow
- First, every day perform the well-known exercises "scissors "bicycle" and "swallow". The first two do as much as your physical preparation allows, and in the swallow position, get up for ten seconds no less than once in one session.
The complex of exercises, which we propose to learn and perform daily, is aimed at strengthening the muscles. Each exercise in the first run as many times as you can, bringing the number of their repetitions with time to ten.
- Stand with your back to the wall, try to straighten up as much as possible. Begin to "crawl" along the wall until the knee angle reaches ninety degrees. Hold in this position for a few seconds and also straighten up.
Hold in a half-squat for a few seconds
- Step away from the wall. Put one foot on the heel and pull the sock to yourself until you feel that the muscles of the thigh are very tight. Change your legs and do another exercise.
- Lie on your back on a hard surface. The legs are stretched out. Raise your right leg, bend at the knee and pull it to the chest as much as possible. Straighten, lower it to the floor. Repeat the exercise with your left foot.
- Stay on your back. Raise your legs, bend them in your lap and try to pull them to your head. Also, pull the head towards the knees.
- Stand on your knees and, putting your hands on your heels, try to make an inclination forward, while retaining the position of your hands.
Exercise kitty
- Stand on all fours and begin to perform the exercise "kitty" - alternately round, straighten and bend the back downwards.
- Standing on a level surface, put your right foot upright on the chair. Begin to make the torso of the trunk to the leg. Then change your legs and perform an exercise with your left leg raised.
- Get on your knees and put your buttocks on your heels. Hands pull upwards start to make inclinations forward, trying thus to touch a breast of a surface of a floor.
Pull forward, trying to touch the chest of the floor
- The final exercise is performed while standing. Raise your hands up and bend them at the elbows at an angle of ninety degrees. Take your bent arms back as far as you can. Return to the starting position.
Respiratory exercises are mandatory for scoliosis
Treatment of scoliosis of the second degree must necessarily be combined with respiratory gymnastics. Specially developed exercises affect the recovery of respiratory function of the lungs and return the scoliosis-deformed ribs to a normal physiological state.
A source: http://NarodnimiSredstvami.ru/lechenie-pozvonochnika-narodnyimi-sredstvami/skolioz-2-stepeni-lechenie-v-domashnih-usloviyah.html
Scoliosis of 2nd degree
Under the influence of many unfavorable factors, the vertical axis of the spine can curve to the left or to the right, acquiring the appearance of the letter C, S or Z. Such a deformation is called scoliosis and in most cases develops in childhood or adolescence.
This diagnosis can be noted as the most common in school check-ups, and initial signs of pathology and scoliosis of the 2nd degree are registered much more often than the third and fourth degree. More serious and significant deformities of the spine are found in adult patients or in adolescence, with certain prerequisites.
Healthy spine (left), scoliosis (right)
Causes of scoliosis 2 degree
The initial signs of the disease, accompanying the curvature of the vertebral arc by 1-10 degrees, form the symptom complex of scoliosis of the first degree.
Further progression of pathology leads to the fact that the degree of deformation increases and ranges from 11 to 25.
This can occur if there are some hereditary or congenital defects of the vertebrae, which make all the efforts on scoliosis therapy practically unsuccessful.
In addition, later resort to orthopedic care, when the spine and surrounding tissues are already fully formed and lost the ability to compensate and stop curvature, also leads to the formation of the next stage of pathology: scoliosis 2 degree. Such a critical age, according to many experts, is a period of 20-22 years. If the appeal for help occurs earlier than these terms, then even such a considerable curvature as 11-25 degrees can be slightly reduced.
Degrees of scoliosis of the spine
In general, all the negative factors, the result of which is the progression of scoliosis and the transition of the first stage to the second, can be represented as follows:
- hereditary or congenital, called primary (defects in the structure of vertebrae, intervertebral cartilage, pelvic bones, chest and lower limbs, dysplasia (underdevelopment) of the muscular and connective tissue); these factors make up almost a quarter (about 25%) of all reasons.
- constantly acting factors, called secondary, forming a large group: a long forced position at the table, not physiological for the spine, a lack or excess of physical activity, improper bearing of weights, uncomfortable furniture.
- a separate item should be noted non-compliance with medical recommendations and inadequate efforts in the performance of exercises of therapeutic gymnastics prescribed in the treatment of early scoliosis.
Prolonged wrong position of the body can cause curvature
Symptoms of scoliosis of the 2nd degree
The increase in the angle of deformation to 11 degrees or more is already visible from the side. It can already be marked not only by a medical worker, but also by an outsider. First of all, a visible cosmetic defect, undisguised by clothes, a significant violation of posture, rushes into our eyes.
The child or teenager visually determines the different height of the shoulders, even a slight inclination of the trunk to the right or left is possible, especially when carrying a bag or briefcase.
If the patient is undressed and examined in more detail, the height of the placement of the scapula and the degree of their attachment to the back is also not the same. The shape of the triangles formed by the waist and lowered hands is different.
In addition, the gluteal folds also appear at different heights.
These symptoms of scoliosis of the 2nd degree are supplemented by the presence of the longitudinal muscular cushion, especially at the level of curvature, and the unilateral westernization of the intercostal spaces.
The greater their degree, the greater the degree of deformation. Muscle cushion indicates a prolonged spasm of muscles, which the body seeks to achieve compensation for pathology.
Westing of the intercostal spaces indicates an unfavorable sign: involvement in the process of the thorax.
Curvature is easy to notice when tilted forward
Diagnosis of the disease
Diagnose scoliosis of the second degree is not difficult. Characteristic signs are revealed even with an external examination of the patient. This is the visible C, S or Z-shaped curvature of the spine, the height of the shoulder blades, the shoulders, the gluteal folds, the state of the triangles of the waist.
If you draw a vertical line from the seventh cervical vertebra down, you can determine whether there is any deformation compensation. If you get this line in the inter-saline fold, you can talk about compensation for scoliosis.
If it passes side by side or deviates, then the pathology is considered decompensated.
To determine the severity of the muscular cushion, the patient should gently bend, without bending his knees. In this case, the height of the muscular structures on both sides of the vertebral column will clearly differ.
The most important method, not only confirming the diagnosis of scoliosis, but also establishing its degree, is radiographic examination. It is performed in different positions of the patient, and the resulting pictures are then traced by the radiologist to determine the magnitude of the deformation angle.
X-ray study
Treatment of scoliosis of 2 degrees
Deformation of the spine, which has already reached the second degree, can not be cured, even if the patient's age is still young, and the spine has not lost some compensatory capacity.
Such a significant curvature affects the structure of the vertebrae, deforming them and simultaneously intervertebral disks, interfering with normal blood supply and metabolism. There is also a passing deformation of the ribs, the functionality of neighboring tissues, mainly of muscle masses, is disrupted.
The patient with scoliosis of the second degree becomes somewhat difficult in movements, loses flexibility and plasticity.
Therefore, the main task, which seeks to perform the treatment of scoliosis of the 2 nd degree, is not complete recovery and absolute elimination of deformity, and a small decrease in the magnitude of the angle and stopping the progression of the disease, at least to the extent available curvature. The fulfillment of this task is complex and time-consuming, requiring the maximum application of forces on the part of the patient. If he has any hereditary or congenital anomalies, then this task becomes even more complicated.
Scoliosis therapy of the 2nd degree is always individual, since the doctor must take into account all the features of the patient's body, and not only the degree of deformation. In addition, it should be comprehensive, that is, consisting of several treatment options. These ways of therapy can be represented as follows:
- drug treatment;
- complex of therapeutic gymnastics;
- massage;
- physiotherapy;
- surgical methods.
In advanced cases, surgical intervention is used
Of medicamentous agents, especially in patients of older age groups, the use of chondroprotectors (Teraflex, Dona, Chondroitin) is indicated.
Preparations containing chondroitin sulfate, glucosaminoglycan, hyaluronic acid are intended for restoration of functionality of cartilaginous intervertebral discs, preservation of their ability to regeneration.
Preparations of restorative action, such as eleutherococcus, lemongrass or ginseng, increase the resistance of the organism to various unfavorable factors. In addition, the use of multivitamin funds (Complivit, AlphaVit) will be superfluous.
The drug chondroprotektor
But the most important and effective in curving the spine will be the appointment of therapeutic gymnastics. The goal of exercise therapy for scoliosis of the 2 nd degree is to strengthen the muscular framework, to restore its normal nutrition and blood supply.
Strong and healthy muscles will not allow the vertebral column to deform further and stop the progression of the disease. Exercises for scoliosis of the 2nd degree are always selected by the physician-physician only individually.
Even if the classes are performed in a group manner in the gym in the clinic, each patient performs their exercises.
Therefore, one can not recommend the same exercises to all suffering scoliosis, but the following can be noted, most often included in the gymnastic complex:
Beginning of the lesson - warm-up
- lean against the vertical wall with his back, buttocks and heels, try in the same position to take a few steps;
- to stand in the starting position of "feet on the width of the shoulders hands to lower, to make circular motions shoulders forward and back 5 times, then put your hands on your waist and make torso in different directions also 5 time.
The main part of the lesson is basic exercises
- lying on his back, raise his legs 30-40 degrees and do "scissors" 10-15 times in 2-3 sets;
- standing, hands along the trunk, try to move the shoulder blades together and hold them for a few seconds, repeat 5 times;
- lie down on the floor, clasped his hands behind his back in the castle, try to lift his legs and upper body in turn, making movements with a boat, until fatigue occurs;
- kneel, hands on the floor, try to bend and bend as much as possible, do 10 moves down and up.
Final part
- stand on your heels, clasping your hands behind your back, walking like that for half a minute;
- to rise on socks, a head and arms or hand to lift, to go in such position also polminuty.
Complex exercises in scoliosis (example)
The effectiveness of therapeutic gymnastics will be even greater if it is accompanied by massage and physiotherapy. Massage with scoliosis of the 2nd degree should be regular and gentle, excluding the force effect on the spine.
His goal - to remove muscle spasm and restore blood supply, so of massage techniques are recommended stroking, kneading, rubbing, deep rubbing.
The same goal is pursued and physiotherapy procedures: electrophoresis, electromyostimulation, magnetotherapy.
Surgical interventions can be performed with grade 2 scoliosis for very strict indications. Fixation of the spinal column, produced by various methods, is carried out only with the rapid progression of pathology, which is not amenable to conservative treatment.
A source: http://artroz-plus.ru/skolioz-2-stepeni
Scoliosis of the 2nd degree: symptoms and treatment
Posture is the ability of a person to hold his body in various positions. It is right and wrong. Violation of posture is in itself considered an easy form of the disease and is subject to adjustment.
But worse is that if this fact is left without attention, then the violation of posture in the future easily grow into a serious disease - scoliosis. What is this disease, and how to treat it - this will be described below.
This disease is not immediately diagnosed, since a long time is asymptomatic. It is possible to detect it at this stage only with the help of an X-ray photograph.
That is why the disease progresses, and the patient does not receive proper treatment. Scoliosis of the second degree develops.
What are the symptoms that help to recognize this disease?
Symptomatology
In a normal state, the spine is like a stretched string. In the frontal plane, it has an ideally straight form.
With the onset of the development of the disease, the spine acquires a C-shape, that is, one arc appears.
As the disease progresses, the development of scoliosis of the 2nd degree develops, both the degree of deformation and the number of irregular bends of the spine increase.
More often this disease begins to develop in childhood, and its onset coincides with the period of active growth of the muscular and bone systems, from seven to nine years and from fourteen to sixteen years. At the initial stage, scoliosis of the 2nd degree is not diagnosed by external signs, since such manifestations are simply absent.
The child can complain of back pain from time to time, and parents can pay attention that the child has become stooping.
However, scoliosis of the 2nd degree with its specific features (asymmetric arrangement of the shoulders, shoulder blades) is not yet has developed, and therefore the disease can only be detected by a specialist and then, after a special survey. That is why planned check-ups at a pediatric orthopedic doctor are of such great importance.
If the disease has gone unnoticed, it will progress and develop a scoliosis of the 2nd degree.
The angle of curvature increases, the deformation of other parts of the spine begins. There is already clinical symptomatology present, that is, on the back.
Skip the signs of the disease is almost impossible.
The child begins to complain of constant or frequent pain in the back area, a stoop, a deformity of the chest, is seen in the eyes. The latter can cause complaints that it became difficult to breathe. And also the characteristic signs pointing to a scoliosis of 2 degrees appear.
Characteristic signs of scoliosis of the second degree
- One shoulder rises above the other (asymmetry of the shoulders).
- Blades are located at different levels (skew asymmetry).
- Curvature of the spinal column is detected visually.
- Different triangles of waist (the space between the hand, pressed to the body, and the waist).
- The pelvic bones are displaced (the skew of the pelvis occurs already in the more severe stages of the disease).
The appearance of pronounced symptoms is an unfavorable sign. It indicates profound changes and pronounced deformation. Treatment should be associated with stopping the progression of the disease.
Unfortunately, the full restoration of the statics of the spinal column is not always achieved. That is why it is so important to diagnose scoliosis of the 2nd degree in time.
Army and scoliosis
In the initial stage of the disease the young man will be recognized as fit to serve. But as soon as he is diagnosed with a "scoliosis of the spine of the 2nd degree he is no longer threatened.
Any doctor simply has to recognize him as unfit for service. But this questionable plus can not compensate for the emotional and physical discomfort caused by this disease.
That's why his treatment should be approached with the utmost responsibility.
S-shaped scoliosis of the 2nd degree, like any other form of it, will require regular anti-silicone gymnastics, wearing corrective orthopedic products.
Otherwise, the angle of curvature will grow, there will be an additional "compensatory" bend (that's why the spine acquires S-shape). In the end, the second degree will pass to the third and then to the fourth.
This is already a heavier degree, in which the angle of curvature exceeds twenty-five degrees, a third bend may appear and the spinal column will become Z-shaped.
Scoliosis of the 2nd degree. Treatment
If the treatment is started on time, then the deformation of the spinal column is subject to correction.
This will take a lot of effort and time, but a positive result with the correct application of conservative methods of treatment, the main place among which is occupied by orthopedic correction and therapeutic gymnastics, quite achievable.
Where to start if scoliosis of the 2nd degree is found? Treatment begins with gymnastics.
If the angle of curvature is less than fifteen degrees (according to Cobb), then the positive result can be achieve and without the use of cortexotherapy (provided there is no rotational deformation of the vertebral pillar).
The process of treatment is lengthy: gymnastic exercises will have to be performed four or five times a week for at least one year. The earlier to start treatment, the greater the therapeutic effect can be obtained.
However, if the degree of curvature exceeds fifteen degrees, and if there are deformations in the vertebrae rotation, only gymnastics will not be manageable.
In this case, it will be necessary to resort to the corsetization according to the principles of Abbott-Chenot. Wearing corrective (anti-cosmetic) corsets should be permanent (sixteen to twenty-three hours a day).
This means that you can remove the corset only during the passage of hygienic procedures.
Thoracic scoliosis of the 2nd degree, like the lumbar, is treated mainly by corsetotherapy and gymnastics.
As additional methods can be used: massage, which helps to normalize the muscle tone of the dorsal group, electrostimulation, manual therapy, the question of the expediency of which in each case is solved individually.
Treatment in stationary conditions
This type of treatment is indicated for those patients who have a progressive form of scoliosis. The medical complex includes: traction, gypsum beds, stage corsets, supporting and corrective corsets.
Complications
Scoliosis of the 2nd degree and later stages of the disease cause a violation of metabolic processes in the human body.
The state of health worsens, there is a constant discomfort, painfulness arises in the area in which the curvature is fixed.
In addition to physical discomfort, no less harm causes emotional discomfort. After all, in the advanced stage of the disease, a hump can form on the back.
Prophylaxis of scoliosis
All the time that the child will attend school will need to monitor his posture during classes.
Do not let him carry briefcases and bags with textbooks in one hand.
A backpack or knapsack is the best option, especially if they are provided with instep arresters preventing stoop.
It is important to properly organize the workplace of the child both in school and at home. You need to alternate between classes and rest.
Lumbar scoliosis of the 2nd degree, like any other, will be prevented if the child is engaged in sports and attending physical education classes. Rowing, swimming, rhythmic gymnastics have a special effect.
The development of proper posture, as well as the harmonious development of muscles and bones, is promoted by dancing (folk, ball, sports) under the guidance of a professional teacher.
Conclusion
When vertebral column deformity is detected, preventive check-ups should be carried out at least twice a year.
During the observation, you will need a small pillow and a hard bed, exercise, outdoor exercise, proper nutrition, hardening, massage procedures.
Physical training (volleyball, basketball, swimming, skiing) should develop the muscles of the trunk and extremities, both upper and lower. Morning gymnastics is very important.
Termination of the development of the disease can be achieved only by constant work on oneself.
A source: https://www.syl.ru/article/161146/new_skolioz-stepeni-simptomyi-i-lechenie