Scoliosis of lumbar spine of 1 degree

First degree scoliosis

Scoliosis is the lateral curvature of the spine from the axis of the physiologically correct position.

If at first the changes can be visually invisible even during a thorough examination, then in the future the disease can lead to progressive visible curvatures.

They, in turn, entail a direct change in the form of the first back, and then the entire body.

Lumbar scoliosis of 1 degree is treatable and does not require the use of radical methods.

However, if the time does not begin to correct the appearance of the disorder, the pathology may acquire a less secure form for a person.

To date, available types of treatment, such as conservative and manual therapy, special gymnastics, corsetting.

To establish an accurate diagnosis in the early stages, such diagnostic methods as X-ray, CT, MRI are used.

Most often, it is enough to do only an X-ray examination: the picture will give a complete idea of ​​what, what form the spine has acquired, and also the degree of deformation that is measured in degrees.

Depending on the angle, it is common to distinguish 4 stages of the disease. (Cm. also: left-sided scoliosis of the lumbar spine).

Clinical picture and causes of development

Scoliosis of the first degree is characterized by an angle of inclination of the spinal column by 10-15 degrees. The location of the vertex of curvature is determined between the first and second vertebrae.

As a rule, the first stage of the development of the disease does not reveal itself in any form. For comparison, the second stage can already be felt discomfort, pain in the back and in the sacrum, often there is increased fatigue.

But if you look closely, you can find the main signs of scoliosis.

So, asymmetry of the shoulders or pelvis becomes noticeable. It is not always possible to say exactly whether the patient has the first degree of scoliosis or the usual stoop, but in any case this affects posture not in the best way.

It becomes sluggish under the influence of muscle imbalance, but the vertebrae are not deformed. To distinguish the first degree of scoliosis from other types of violation of posture can be a simple way. With lumbar scoliosis, the deformation will disappear if the axial load is removed from the spine.

For example, in a recumbent state, the curvature will disappear.

In the risk zone, children come first. Parents rarely quite seriously attach importance to the fact that the child's posture has deteriorated and believe that this is a stoop that can be corrected without medication intervention.

The launched first stage progresses though slowly, but for the formed organism there can be a little problem in treatment.

In the first days of life, the nature of the load on all areas of the trunk is of paramount importance. Scoliotic posture can be provoked if already at first try to stimulate walking.

But, unfortunately, a "premature step" caused by "artificially" can harm an actively developing organism.

An inadequate load disrupts the posture and increases the risk of approaching the moment when the dependent child's step pours into problems with the back.

Among the reasons for the development of scoliosis, both acquired and congenital, is the abnormal development of the vertebrae, as well as the ribs. If we talk about the acquired scoliosis, then its progression occurs at a time when the child is still growing intensively. Conditionally it can be divided into several phases:

1. From birth to 8 years. At this time, the vertebrae have a cartilaginous structure.
2. From 8 to 14 years. The appearance of the first foci of ossification in the processes and arches is observed.
3. From 15 to 17 years. The spinal column is at the final stage of formation. Vertebrae and intervertebral discs have become an integral bone structure, which will determine the comfort of physical activity throughout the life of a person.

The most favorable prognosis of treatment is given when the diagnosis is made during the first phase, because there are cartilaginous parts in the vertebrae.

Lateral deformations are harder to treat in adulthood, so to get rid of the problem as quickly as possible, it's worth to start the health course as early as possible.

Scoliosis of the lumbar region is characterized by the presence of one of two modifications:

• left-sided lumbar scoliosis;
• right-sided lumbar scoliosis.

The first option is much more common, as there are much more right-handed people in the population (85-90%). They have a physiological weight distribution on the right side of the body.

Right-sided scoliosis is not such a common diagnosis in comparison with a number of other orthopedic diseases.

Development of one of the two forms of scoliosis is facilitated by a number of negative factors:

1. an unbalanced diet that leads to an impaired metabolism of minerals;
2. the so-called "asymmetrical" sports, when there is a big difference in the load on both sides of the child's body;
3. congenital condition of the skeleton and muscles;
4. degree of muscle tone;
5. chronic diseases;
6. physical activity and way of life;
7. the nature of the alternation of static and dynamic loads on the locomotor system.

Medical statistics have determined that scoliosis of the first degree can to some extent be called a woman's disease, since at an early age they are more likely to suffer from girls.

The same can be said about the second degree, manifested in adulthood. Among all office workers, it is women who are diagnosed in most cases.

In order to detect dangerous deformities in time, it is recommended that the orthopedist should be examined at least 2-4 times a year.

also: scoliosis of the lumbar spine of the 2nd degree).

Methods of treatment

After establishing an accurate diagnosis, mainly preventive courses are prescribed. Their main purpose is to strengthen the general condition of the body, thereby contributing to the development of the muscular corset. Among the most common methods are the following:

• physiotherapy;
• massage;
• a diet based on the principles of a balanced diet;
• swimming.

Medical gymnastics at the first stage is able to completely eliminate any visible and invisible pathologies. Basic exercises strengthens the muscular system, improves posture.

Specially designed training involves the widest dorsal, as well as paravertebral and ilio-lumbar muscles.

Competently selected asymmetric exercises contribute to the return of the tone to the weakened muscles and the elimination of hypertension of the stressed ones.

Consequently, straightening in the right direction occurs without the use of serious physical strength. The effectiveness of this method has been tested for decades: 90 out of 100 patients are guaranteed to get rid of lumbar scoliosis.

Sports activities also contribute to an early recovery, but it is necessary to choose this particular type of exercise with extreme caution.

The most optimal ones are swimming and general physical training.

Categorically it is not recommended to engage in tennis, badminton, bowling, because they involve a significant load on only one part of the body.

Massage sessions can also be prescribed as a therapy. Usually the massage is prescribed at least once a year. Manual therapy is performed exclusively in clinical conditions by specialists who should be not only orthopedicists, but also neurologists.

Regular visits to the doctor are necessary in order to choose the most effective ways of recovery at each specific stage of recovery. In general, the main measures can be carried out at home, without disrupting the habitual way of life.

A source: http://mypozvonok.ru/poyasnichnyj-otdel-pozvonochnika/poyasnichnyj-skolioz/poyasnichnyj-skolioz-1-stepeni.html

Scoliosis of the lumbar spine

One of the most common disorders of posture is scoliosis of the lumbar spine.

In most cases, it is diagnosed in humans:

1. with excess weight;
2. leading low-activity life;
3. working constantly in a sitting position.

The first degree of scoliosis is diagnosed in most office workers who have worked for at least 3 years. Over the years, because of this work, the disease is rapidly developing. The first two degrees are treated conservatively.

Methods such as manual therapy and the performance of certain physical exercises are used. It is recommended to undergo examination if systematically worried pain in the lower back.

When confirming the diagnosis, you should definitely contact a specialist, without delaying treatment for later.

Among people who seek medical help, mainly there is left-sided scoliosis. It arises because of excessive impact and loads on the right side. In left-handers, the situation is reversed, which is why such patients are diagnosed with a right-sided disorder.

The side of the curvature does not matter, since it is important that the correct diagnosis of the angle of the pathological inclination passes.

To determine it, specialists use radiography and MRI.

According to the received pictures, the doctor determines the scoliosis of the lumbar spine of 1, 2, 3 degrees and the direction of deviation of the spinal column.

Left-sided and right-hand curvature of other degrees is very rare. This is explained by the physiological and anatomical characteristics.

One of the causes of the disease is static loads. Such an impact is due to a prolonged work at the computer, incorrectly selected furniture.

The most affected people are scoliosis:

1. with too much body weight;
2. leading an inactive way of life;
3. working sitting;
4. suffering from flat feet;
5. with incorrectly developed tendons, muscles and bones from birth;
6. suffering from tuberculosis, rheumatism.

For the purpose of proper treatment, the cause of scoliosis should be excluded.

On some grounds, it is possible to diagnose disorders that affect the lumbosacral department. Often, patients complain of somatic signs of scoliosis.

They note a rapid fatigue, soreness in the dorsal muscles, limited movement. With serious deviations, the asymmetry of the trunk becomes noticeable.

In diagnosis, the position of the lower ribs and pelvic bones is primarily determined.

Scoliosis of the lumbar spine of the left-sided is characterized by a smaller distance from the lower costal arch to the iliac bone, compared to the distance between the bones on the right. Right-sided deviation has the same signs, but on the other side of the trunk.

The position and condition of the pelvic bones also determines the violation. If the degree of the disease is initial, then it is difficult to identify the disorders and it seems that the pelvis is in its place.

When twisting the spine, pelvic bones can turn around. This entails the pathological lifting of pelvic bones from one side, and sometimes forward.

Scoliosis should be diagnosed in time to prevent the development of a hernia, osteochondrosis.

The treatment of the disorder takes into account factors such as the severity of the disease, the presence of factors that triggered scoliosis, and other ailments. To get good results, a comprehensive approach is needed.

In doing so, you should use a corset that supports the spine in its natural position. At the same time, you need to develop the lumbar muscles on both sides. It is important to strengthen the abdominal muscles.

If the cause of scoliosis is flatfoot, the orthopedist prescribes special shoes to properly put the foot. When a pathology occurs in the spine itself, manual therapy is prescribed.

Therapeutic massage is one of the important procedures in the treatment of scoliosis, during which the effect on muscle tissue occurs. Weakened muscles are regenerated, due to which the muscular skeleton is strengthened and posture is restored.

It is extremely rare to use a surgical method of treating lumbar scoliosis. Such therapy is appropriate for serious violations and in some cases only it can help the patient return to normal life.

A source: http://bubnovsky-art.ru/skolioz-poyasnichnogo-otdela-pozvonochnika

Scoliosis of the lumbar spine

A common cause of serious health problems is the scoliosis of the lumbar spine - the curvature of its structures to the right or to the left.

Curvature may be inherent or acquired character, as well as a consequence of the transferred trauma.

Pathology requires mandatory observation of specialists, carrying out complex therapeutic measures.

Medical research allows specialists to assert that scoliosis in the spine is formed due to different pressure exerted on the intervertebral discs, for example, with an imbalance of muscles, or with their damage. The direct result will be the development of asymmetry, leading in the future to a significant curvature of the vertical axis of the spinal column - to the right or to the left.

The spine is normal (left), scoliosis (right)

The surrounding tissues on the background of such negative modifications are irritated, inflammation foci appear in the muscle-ligament structures.

Especially if the scoliosis of the lumbar region has already led to the displacement of internal organs, for example, the liver, intestines.

Types and degrees of scoliosis

Specialists pathology is classified into individual types using gradations of the area in which pathological foci were formed:

• cervicothoracic;
• cervical;
• thoracolumbar;
• thoracic;
• lumbosacral.

According to the degree of scoliosis of the lumbar spine, it is customary to distinguish: from the first, with the angle of curvature up to 10 degrees, to the fourth - with a curvature angle of more than 50 degrees. They are determined on the basis of the radiography of the lumbar structures.

Degrees of curvature

By age criterion:

1. formed changes up to 8 years;
2. from 8 to 14 years;
3. between 15-17 years.

That is why it is so important to identify the pathology in time and to conduct therapeutic measures - before cartilage structures will complete their development cycle, and negative changes will take their final option. In the adult category of patients, the potential for recovery is extremely small.

Causes of curvature

In addition to the above reasons for the emergence of ailment - trauma, defeat inflammatory pathologies themselves vertebral elements, risk factors include:

• propensity to hypodynamia;
• Use of furniture designed without taking into account the physiology of the spine;
• the presence of excess weight;
• lack of daily exercise;
• severe degree of flat feet;
• congenital disorders in the musculo-tendon structures;
• less often - tuberculosis or rheumatoid diseases.

Hypodinamy

Rapid identification of the root cause of lumbar scoliosis and its elimination is half the success on the way to spine health.

Symptoms of scoliosis of the lumbar region

In the onset of his appearance, pathology can in no way manifest itself. Negative changes are noticeable only on radiographic photographs performed for other reasons.

With the aggravation of the disease visually, one can note a slight asymmetry of the physiological triangle in the human waist region, negative changes in the parameters of spinous processes from the average vertebral line. In addition, the convex side of the lumbar curvature can be noted the presence of a specific cushion.

If adequate medical measures have not been carried out, the pathology passes to the next, third stage.

With the progression of pathological processes, the skewed structures of the pelvis, its significant inclination to the side, are clearly visible.

Natural protrusion of the spine anteriorly is maximized in combination with the kyphosis of the thoracic region.

A person is more and more worried by the strongest pain impulses in the lumbar region, an uncharacteristic earlier fatigue. After a prolonged stay in the forced static position or after excessive loads, the above symptoms increase.

Back pain

In neglected cases, a person's gait changes, general mobility is significantly impaired. Muscle masses located naturally along the spine atrophy.

This further exacerbates the situation - the nerve roots are squeezed due to the fact that vertebral structures are not retained by the muscular corset.

Observed symptoms of paresthesias - numbness, crawling, unpleasant convulsive twitching.

Diagnosis of curvature

A carefully collected history and complaints from the patient, as well as a physical examination, help to establish an adequate diagnosis to a specialist. Visually marked: a skew of pelvis structures, an asymmetric arrangement of the shoulders, an irregular structure of the waist triangle, a vertebral hump.

After fulfilling the request from the specialist about the inclination forward - the muscular pathological roller becomes clearer.

Possible neurologic manifestations are revealed when a neurologist examines a person - atrophy of muscle mass, limited movements, pathological crunch.

At the expense of squeezing the spinal nerves there is a compression syndrome.

To confirm the diagnosis help hardware methods:

1. the most accessible and common is radiography;
2. more accurate, but less accessible - CT, MRI;
3. various blood tests.

Radiography

All of them allow the specialist to clarify the localization of pathological foci, to establish their root cause, for example, traumatization, osteoporosis.

Methods of scoliosis treatment

An integrated approach is an indispensable condition for successful treatment of scoliosis of the lumbar spine.

Basic principles of therapy:

• complexes exercise therapy;
• various types of massage;
• wearing a corset;
• medical extension.

Pharmacotherapy is selected in each case individually - medicines are recommended from different subgroups - anti-inflammatory, analgesics, muscle relaxants, chondroprotectors, improving blood circulation and trophic processes tissues.

Approaches to stretching are also ambiguous - it, of course, promotes a soft increase in the distance between intervertebral discs, but at the same time the risk of negative overstretch is high with the formation of microcracks in them and tears.

At a scoliosis of a backbone up to the second degree wearing of a corset is appointed. It prevents further progression of curvature and relieves tension from muscle tissue. But it does not apply for a long time, because muscles lose their functional purpose.

Lumbar corset

Various types of therapeutic massage excellently proved themselves at 1-2 degrees of scoliosis changes.

Typically, courses should be scheduled twice a year, with an individually selected duration.

Massage movements necessarily take into account the direction of deformation, age parameters of the patient, the presence of other somatic pathologies.

Exercises

Take a position near the wall in such a way as to touch it with heels, as well as buttocks and calf muscles. Leave from the wall, while retaining maximum time the same correct posture.

On the rug, on the floor, take the lying position with arms extended along the body. Raise the head and upper back smoothly upward, lock for 1-2 seconds, slide down smoothly.

The initial position is the same, only the pelvic area is raised - 5-7 cm from the floor.

Still lying on his back, palms folded under his chin, move them to the waist, while slowly lifting his shoulders and head, connect the shoulder blades. Fix for 8-10 seconds, return to the starting position.

Surgery

When the disease goes to the fourth stage, it is possible to correct the situation only by surgical means - it is supposed to install special modern metal structures.

A source: http://artroz-plus.ru/skolioz-poyasnichnogo-otdela-pozvonochnika

How does scoliosis of the lumbar spine manifest?

Scoliosis of the lumbar spine for quite obvious reasons is most often observed in people with obesity or in people who lead a sedentary lifestyle. Scoliosis of the lumbosacral spine is characterized by strong enough pains that hinder movement and prevent sleep.

Treatment of such a form of scoliosis is especially effective at 1 and 2 degrees of the disease, and often it is enough to use individually selected exercises (LFK) and massage procedures.

Description of the disease

Scoliosis of the lumbar spine is a fairly common violation of posture. In the overwhelming majority of cases, this disease is diagnosed in people with obesity (even 1 stage).

In addition, the disease is very often observed in people leading a sedentary lifestyle. For example, approximately one third of office workers with over five years of work experience are experiencing, to varying degrees, scoliosis of the lumbar spine. Most often this is the first degree.

Scoliosis of the lumbar spine in a teenager

It is quite obvious that as the total work experience increases, the disease only progresses. And this is important to take into account, since effective treatment can be only in the first and second stages of the disease, then it is either inefficient,or does not help at all.

In most cases, treatment is limited to conservative methods, in some cases, an operation is prescribed. It should be noted that even with the fourth stage of the disease, even the operation will not be able to have a significant effect.

Fortunately, without congenital abnormalities in the musculoskeletal system, only due to inactive lifestyle and obesity to reach the fourth stage of scoliosis of the lumbar spine is sufficient heavy.

However, even at the second stage the disease can give such a significant symptomatology that the patient is forced to stay at home because of the inability to move normally. As a rule, the reason for this limitation of life is the stiffness in the lower back and severe pain.

Symptoms and Diagnosis

Symptoms of scoliosis of the lumbar spine are nonspecific and generally resemble the symptoms of many other diseases of the musculoskeletal system.

The most common symptoms in people with scoliosis of the lumbar spine are the following:

1. Increased fatigue.
2. Pain (of varying intensity, up to intolerable) in the muscles of the back.
3. Limitation of the mobility of the back.
4. Lampasny syndrome or lamp pain in the leg.
5. Ischialgia (pains in the upper part of the thigh).
6. Asymmetry of the trunk.

Radiography of scoliosis of the lumbar spine

In the presence of this symptomatology, it is necessary to suspect scoliosis of the lumbar spine in those patients who:

• have excess weight or obesity;
• lead a sedentary lifestyle;
• do not have regular physical exertions, even at the level of morning physical education;
• have flat feet (of any shape or stage) or clubfoot;
• have congenital pathologies of tendon muscle and bone tissue;
• have an anamnesis of tuberculosis, rheumatoid or other systemic diseases of the musculoskeletal system.

Diagnosis of scoliosis of the lumbar spine is performed as an orthopedic physician (visual examination of the patient, tests and tests with inclinations), and special equipment (radiography or tomography).

Self diagnosis of the disease is difficult, since with the first or second degree of curvature of the vertebral (and most often the disease is observed at this stage), the expressed external symptoms may not be at all.

Exercises for scoliosis of the lumbar region (video)

Types of lumbar scoliosis

Scoliosis of the lumbar spine is divided into degrees and types. In total there are four degrees of this type of curvature of the spine, namely:

1. The first degree. At this stage, the disease manifests itself minimally, the violation of posture is also not expressed. Treatment gives very good results, up to a complete cure.
2. The second degree. The patient has mild (as a rule) pain, visually the doctor can determine the violation of posture. Treatment is still highly effective and often ends in complete recovery.
3. Third degree. The patient has a pronounced curvature of the spine, severe pain is present. The prognosis is unfavorable, the treatment allows only a partial return of the physiological state of the spine.
4. Fourth degree. The patient has a strong curvature of the spine, the pain is very strong. In fact, in the fourth stage of scoliosis of the lumbar department, it is a disability. The prognosis is unfavorable, the treatment is ineffective.

The result of the operation to correct scoliosis of the lumbar region

It is worth noting that the 3rd and 4th stages of the disease are extremely rare in connection with the anatomical and physiological features of the lumbar spine.

In most cases, a left-sided type of curvature is diagnosed, which is caused by statistical and dynamic loads mainly on the right half of the body. With right-sided lumbar scoliosis, there is an opposite picture - the load falls mainly on the left half of the body.

Rules and methods of treatment

Effective treatment of scoliosis of the lumbar spine is possible only in the first and second stages of the disease. Moreover, the treatment in this case is carried out conservatively, the operation of the patient is appointed only in exceptional cases.

First of all, the treatment is aimed at combating the causes, which became a trigger for the development of the disease.

As a rule, this is a wrong way of life, which the patient needs to adjust.

Further, medications are prescribed to reduce back spasm and reduce pain syndrome.

In the process of treatment, the muscles of the back have to be overextended (to compensate for the curvature of the spine) for several months, so exercises for strengthening the muscular corset are necessarily prescribed.

Scoliosis of the lumbar spine of a woman

By the way about the corset: the patient is recommended to purchase an orthopedic corset to maintain the spine in the right, physiological state. The corset is chosen individually, it is not recommended to buy template corsets.

Also the patient is prescribed massage and physiotherapy procedures, and a long course of 2 up to 6 months (with a shorter course, the effectiveness of massage and physiotherapy tends to zero).

If the treatment is ineffective or any specific and unique features of the course of this type of scoliosis an operation is appointed in which the patient is implanted with metal structures on which the spine is fixed.

A source: http://FragMed.ru/pozvonochnik/skolioz-poyasnichnogo-otdela-lechenie.html

How to cure the scoliosis of the lumbar vertebra?

In general, scoliosis can occur in the cervical, thoracic and lumbar spine, as well as simultaneously simultaneously in several parts of the spinal column. Now more about scoliosis in the lumbar region.

There are four degrees of development of scoliosis. The first degree is the initial one. Characterized by a skew of the pelvic bones, reduced (clamped) shoulders and stoop.

The second degree is the so-called progressive scoliosis. It is distinguished by the rotation of all vertebrae relative to the vertical position, the oblique position of the pelvic bones, the curvature of the vertebral column at any position of the body.

The fourth degree is chronic scoliosis, characterized by deformation of the column of the spine, exacerbation symptoms for the first, second and third degrees, as well as a strong stretching of muscle tissue in the area curvature.

The third and fourth degrees of treatment practically do not yield. It is for this reason that it is very important to establish a diagnosis in time to start the treatment in time.

In the lumbar spine has five large vertebrae, in some cases there are six such vertebrae.

In normal condition, the lumbar column should look like a smooth arc, bending slightly forward.

The main function of the lumbar spine is the connection of inactive parts - thoracic and sacral.

The entire structure of the lumbar region experiences significant pressure from above, for example, when climbing the ladder, as well as carrying heavy objects. Pressure, which affects the entire structure of the lumbar part of the column of the spine in this case, increases many times.

With a torso of the trunk with a lumbar scoliosis appears a kind of muscular roller.

In this case, the costal hump does not appear, special frustration in the functional does not usually arise, and the internal organs practically do not touch.

At the first symptoms of scoliosis, it is necessary to seek help from a professional (orthopedic physician), since it is impossible to treat scoliosis of the lumbar spine independently.

It will be necessary to do an X-ray of the lumbar spine, perform an MRI (MRI). According to the data received, the doctor confirms the disease or is completely refuted.

When the disease is confirmed, the degree of curvature and the level of localization of deformation are determined.

The basis of treatment is massage, or therapy (manual), as well as physical culture of a medical nature. However, it should be borne in mind that for some cases, manual therapy is not desirable in the treatment of scoliosis in the lumbar region.

To never ask yourself how to cure scoliosis, you must follow preventive measures and lead a correct lifestyle. Often, it is required to organize for workplaces, (it is not necessary to allow increased stresses on the spine).

Patients with scoliosis should take care of the correct organization of their bed. The mattress, which is used for sleeping, must have a certain rigidity. You should also follow the regime, it is important and eat right. Regular walks in the fresh air are recommended.

The muscles of the whole back are recommended to be trained with the help of therapeutic gymnastics.

Correct the curvature of the spine can be with a special derotiruyuschego corset, which is made for each person individually, taking into account the characteristics of the patient and his physiology.

Additional correction methods are swimming, training the vestibular apparatus, as well as performing special exercises to relax muscle tissue. Keeping a correct posture can help normalize the functioning of organs.

If there was a scoliosis of the spine, the treatment should begin at the first signs of it and in no case delay.

In principle, it is not difficult to avoid disease. The use of comfortable furniture, proper footwear (during the formation and growth of the skeleton), an active lifestyle and routine will greatly help in the prevention of scoliosis.

A source: http://provizor.org/node/26502

Scoliosis of 1 degree

Scoliosis- this is a disease of the spine, characterized by lateral curvature, which entails a change in the shape of the back and the entire trunk. Severe, neglected forms of scoliosis often lead to disruption in the activities of vital internal organs, and as a result, disability.

The causes of scoliosis

The most common cause of scoliosis is a violation of posture. An incorrect posture, taken too often, gradually creates changes in the spinal column.

As a result, the vertebrae take an unnatural position, shifting sideways, the spine is gradually curved, developsthoracic scoliosis of 1 degree.

Over time, the disease progresses, moving into the next, more severe forms.

Scoliosis is not limited to one curvature of the spinal column. At the same time the costal hump begins to form.

Along with acquired scoliosis, congenital scoliosis is found.

In such cases, the cause of the curvature of the spine may be excess ribs, vertebrae, wedge-shaped vertebrae, non-articulation of the arches, fusion of the processes with arches, anomalies of the transverse processes and others. Congenital cases of scoliosis account for 5% of all cases of morbidity.

Classification of scoliosis

1. By origin:

- congenital scoliosis;

- Neurogenic scoliosis, arising on the background of neurological disorders that cause muscle weakness (poliomyelitis, myopathy, spastic paralysis);

- static scoliosis, which occurs against a background of disparities in the lower limbs;

- idiopathic scoliosis (origin is unclear).

2. According to the degree of curvature of the spine:

- 1st degree: characterized by minor deviations;

- 2nd degree: the curvature becomes noticeable, the costal hump begins to form;

- 3rd degree: irreversible, clearly expressed destructive lesion of the thorax, a large rib-vertebral hump formed, sharply limited mobility of the vertebrae.

As a rule, if a scoliosis of the thoracic spine is detected,right-sided scoliosis of 1 degree. By degree of localization, scoliosis is divided into:

- cervicothoracic;

- lumbosacral;

- lumbosacral.

Another type of classification of scoliosis - according to the shape of the curvature:

- C-shaped (with one arc of curvature), most often observed with right-sided thoracic scoliosis;

- S-shaped (with two arcs of curvature);

- Z-shaped (with three arcs of curvature).

Disease in the vast majority of cases occurs in the childhood and adolescence and most often affects the thoracic department. And at a child's age, scoliosis is completely cured, while in adulthood it can only slow down the progression of the disease.

When the lesion of the lumbosacral spine is usually diagnosedleft-sided scoliosis of the 1st degree.This type of scoliosis is characterized by inconspicuous deformations, which complicates the correct diagnosis.

This type of scoliosis leads to constant pain in the back already at a young age (20-30 years). Discovered in childhood,lumbar scoliosis of 1 degreestill it is possible to cure.

In adulthood, it remains only to fight the progression of the disease.

Symptomatology of scoliosis

First of all, the difference in the shoulders becomes noticeable - the clavicle and the forelegs are located asymmetrically, at different levels. On the side of the lowered foreleg, the position of the nipple is reduced, and the triangle of the waist is much deeper from this side.

Oftenscoliosis of the thoracic department of 1 degreeaccompanied by stoop, an increase in lordosis.

The so-called sluggish, asymmetrical posture can sometimes be very difficult to distinguish from a beginning scoliosis. In such cases, muscle imbalance does not deform the vertebrae.

You can recognize the true cause by laying the child horizontally. Asymmetric posture in the supine position is not manifested.

If the iliac bones and knee joints are located symmetrically at the examination, it is possible to assume pathological changes in the spine.

The presence of a disproportion in the crests of the iliac bones suggests a deviation in the development of the hip joints or disproportionality of the limbs.

Diagnosis of scoliosis

The most accurate diagnosis of scoliosis is performed radiographically.

From the pictures it is clearly visiblescoliosis of 1 degree,at which the magnitude of the scoliotic arc does not exceed 10 degrees according to Cobb (according to other data - not more than 5 degrees).

On X-ray photographs, even slight signs of vertebral rotation relative to each other (rotation) and twisting of the bone tissue of the vertebrae around the axis of the spinal column can be detected.

Unfortunately, too often the parents interfere with the X-ray examination of the child, and the doctor has to be diagnosed on the basis of clinical observations.

One of these methods is inclined testing.

And althoughscoliosis of the spine of 1 degreenot dangerous rapid development in a more serious stage, the disease is better to nip in the bud than to deal with irreversible consequences in the future. The only effective diagnostic method is orthosponilography (an X-ray in standing position), which allows an accurate diagnosis.

Detected in timescoliosis of 1 degree in childrenwill prevent the terrible destructive consequences of the disease, since in the overwhelming majority of cases the peak of development falls precisely on the period of human growth.

Treatment of 1 degree scoliosis

Without doubt,treatment of 1 degree scoliosis, as well as all diseases of the spine, reduces to physical exercises.

It is impossible to predict the development of the disease, perhaps it will never reach its sinister deformities. Nevertheless, it is better to be safe, paying maximum attention to preventive measures.

Such prevention in children develops the skills of a healthy lifestyle, maintaining proper posture, strengthening the muscular corset.

So, scoliosis 1 degree of exercise:

- a complex of physical exercises;

- massage courses (1-2 times a year);

- additional classes with gentle sports. Ideal fit therapeutic gymnastics for scoliosis 1 degree, classes in specialized fitness centers, martial arts, gymnastics, swimming. At the same time, the load on the spine should be limited;

- development of correct posture from childhood;

- a mobile, active lifestyle. AppointmentLFK with scoliosis of 1 degreeincludes a specially designed set of exercises to strengthen the muscular framework, which in the end will allow you to straighten the spine. The complex uses corsets that correct curvatures.

In the treatment of scoliosis, the most important step is to consolidate the result. This can be achieved by constant, systematic exercise.

It should be remembered that under adverse conditions, the disease can return at any age, and only strict adherence to prescriptions of the doctor will save the patient from problems in the future.

A source: http://lfk-gimnastika.com/kifoz-i-skolioz/202-skolioz-1-stepeni