Scoliosis is the wrong position of the spine, when it is curved sideways, and at the same time, vertebrae are displaced around the vertical axis (deformation at once in three planes) - not without reason in translation from Greek this term means "crooked".
Such a defeat of the musculoskeletal system does not allow the thorax to function normally.
This deformation usually manifests itself in childhood and, with the growing up of the child, is increasingly aggravated - in addition to health problems, it also carries a cosmetic defect.
The problem occurs during a period of rapid growth of the body and is more common in girls.
Content
- 1General information about scoliosis
-
2Classification
- 2.0.1Scoliosis of 1 degree
- 2.0.2Treatment
- 2.0.3Scoliosis of 2nd degree
- 2.0.4Treatment
- 2.0.5Scoliosis of 3rd degree
- 2.0.6Treatment
- 2.0.7Scoliosis of the 4th degree
- 2.0.8Treatment
- 3Prophylaxis of scoliosis since childhood
General information about scoliosis
It is necessary to distinguish scoliosis from a simple violation of posture - with its vertebrae necessarily rotated around its axis, and if there is a violation there is only a lateral curvature.
This disease brings with it many accompanying pathologies of varying severity - for example, in children suffering from S-shaped scoliosis (curvature with two bends in the form of the letter S), 30 cases out of a hundred are observed and orthopedic Problems.
Classification
Based on the reasons that prompted the beginning of the disease, the period of life when it develops, the degree and form of the lesion, several different classifications of this deformation of the spine are used.
If you study this problem with health in terms of the duration of the process, then the scoliosis is divided into:
- congenital;
- children's;
- adult.
For reasons that caused deformation of the spine, there are two main types:
- Congenital pathology is recorded most often from birth - usually occurs as a result of dysplasia (abnormal development of connective tissue, underdevelopment of bone structures) or underdevelopment of individual vertebrae.
- Acquired pathology - as a result of injuries, long disorders of posture, diseases.
The following types of deformation are noted in the form:
- C-shaped;
- S-shaped;
- stigmatic.
The disease can affect different parts of the spine:
- cervicothoracic;
- Ggudnoy;
- lumbar;
- lumbar and thoracic.
Most often, a classification is used that divides the problems with the spine according to the degrees of damage:
- 1 degree;
- 2 degree;
- 3 degree;
- 4 degree.
Symptoms with different degrees of deformation will differ: with mild symptoms, the disease is sometimes not diagnosed for a long time, at 3-4 degrees the problems are visible even to a non-specialist.
Typically, the following symptoms of spinal deformities are noted:
- slouch;
- asymmetrical arrangement of shoulders: one above the other;
- pain in the back with prolonged walking, with prolonged standing.
As soon as there are suspicions of scoliosis, you need to urgently go to the doctor - you can not put the right diagnosis on your own, and procrastination threatens the health of the whole organism.
Scoliosis of 1 degree
The deformation in this case is sometimes imperceptible at first sight, especially for non-professionals. The roentgenograms fix the deviation of the spinal column by no more than 5-10⁰.
Sometimes parents do not notice any alarming signals, and the disease begins to progress.
What you need to pay attention to:
- in the standing position, a slight asymmetry of the shoulders is observed;
- Measurement of the distance from the spine to the right and left scapula shows different results;
- at the slopes, the curvature of the spine becomes noticeable;
- Sometimes there is an easy stoop;
- The back hurts at the moment of active physical activity or in an uncomfortable position.
Treatment
The following methods are used:
- physiotherapy;
- massage back, chest, abdomen;
- swimming lessons;
- physiotherapy - thermal procedures, electrophoresis.
If the child has an s-shaped scoliosis of 1 degree, this is an occasion to urgently appeal to a specialist because of the rapid transition of the disease to the next stage.
Scoliosis of 2nd degree
This degree of curvature is more pronounced than the first, and the diagnosis can be made immediately. If it comes down to stage 2, then the deformation progresses.
Its signs:
- The pelvic bones on the side of the curvature are omitted;
- neck and middle of the waist are not located on the same line, mentally carried through them;
- in the thoracic region there is a protrusion of the ribs (costal hump), and in the lumbar - the muscle is always strained; internal organs in the chest compress, there is shortness of breath, palpitations;
- asymmetry of shoulder blades and shoulders.
This violation can be seen already with any position of the back and the whole body.
Treatment
When the doctor examines the patient and makes a diagnosis, treatment will be prescribed. With s-shaped scoliosis of the 2nd degree, the treatment will differ slightly from the correction of the usual scoliosis: physical loads are indicated by others and the medical corset is prescribed.
The main thing is to slow or reverse the development of curvature.
The main directions in the treatment:
- Very good help daily exercises on the simulators - gymnastic and physical exercises create and strengthen the muscular corset, supporting the spine in the right position.
- The corset is assigned to children, since they do not know how to control their posture, but only the doctor recommends this orthopedic product because they are of different types.
- The massage is done crosswise - when curved to the left, the tonus is brought to the right side of the back, to the right - vice versa. With the appointment of physiotherapy, spinal muscles are electrostimulated.
Scoliosis of 3rd degree
To the listed signs of the second degree are added also the increased rib hump, weakened muscles abdomen, deformation of many joints, severe back pain and pronounced disruption of internal bodies.
Treatment
Methods of treatment are the same as in the second degree, but more intense. The corset is worn at least 22 hours a day, a hard bed is recommended, on the horizontal bar, yoga.
If nothing helps and pain prevents you from living normally, you have to prescribe surgery - special fixations fix problem vertebrae to immobilize them.
Scoliosis of the 4th degree
This is the most difficult type of deformity, it is diagnosed immediately, since the spine deviates more than 50 ° from its normal position.
The whole body looks asymmetrical because of the curvature, the thorax is disfigured, the shoulder blades and one side protrude, there is a hump.
From the arising osteochondrosis, squeezing of internal organs and spasmodic tension of muscles the patient experiences constant pains.
Treatment
Physical exercises for such patients are painful, and therefore often to get rid of this problem one has to resort to surgical intervention.
The method of treatment for s-shaped scoliosis can be prescribed only by an orthopedist, possibly in conjunction with a surgeon. Operation with such a degree of severity is very risky, so you should not bring your illness to the extreme and call the doctor in time.
The spine is straightened and fixed in this position with the help of supporting structures.
Prophylaxis of scoliosis since childhood
Even in early childhood, the functioning and health of all organs and systems of the body is laid, and therefore it is important to take care of the posture from infancy.
While the children are small, parents are obliged to observe them, when growing up, a person should already remember the problems that lie in wait for him when deforming the spine. They are easier to prevent than the long and painful disposal of them.