Content
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1Scoliosis of the spine in adults: diagnosis, prevention, treatment
- 1.1What is scoliosis?
- 1.2The main types of scoliosis
- 1.3Thoracic scoliosis
- 1.4The main causes of scoliosis
- 1.5Symptomatology of scoliosis
- 1.6Diagnostic measures
- 1.7Treatment of scoliosis
- 1.8Surgical treatment of scoliosis
- 1.9Correction of the regime in scoliosis
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2Scoliosis: Symptoms and Treatment
- 2.1Features of the disease
- 2.2What can cause the disease?
- 2.3Classification of scoliosis
- 2.4The main symptoms of the disease
- 2.5The clinical picture of scoliosis, depending on its degree
- 2.6Right-sided and left-sided scoliosis
- 2.7How to treat?
- 2.8Therapeutic physical training and massage with scoliosis
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3Effective methods of scoliosis treatment
- 3.1Basic principles of scoliosis treatment
- 3.2Physiotherapy
- 3.3Other methods of conservative treatment
- 3.4Operative treatment
- 3.5Prevention in childhood and adolescence
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4Scoliosis of the spine: photo, treatment in adults at home, symptoms
- 4.1The concept of
- 4.2Classification
- 4.3Kinds
- 4.4Symptoms and signs
- 4.5Causes
- 4.6How to identify the disease?
- 4.7Effects
- 4.8How to cure the scoliosis of the spine in adults?
- 4.9Methods of correcting the deflection at home
- 4.10Surgery
- 4.11Scoliosis and pregnancy
- 4.12Prevention of pathology
- 4.13Contraindications
- 4.14Which doctor heals?
- 4.15Whether take in army?
- 4.16Disability
Scoliosis of the spine in adults: diagnosis, prevention, treatment
A serious disease is a scoliosis of the spine in adults: treatment of this ailment in adulthood will be difficult and time-consuming. Probably need surgery.
But to eliminate the curvature of the spine, as far as possible, it is necessary. Otherwise, the pathology of internal organs can develop, which will lead to the emergence of dangerous diseases.
What is scoliosis?
Scoliosis is the curvature of the spinal column, which is at first lateral, but gradually spreads to other planes. With the most severe form of scoliosis, the patient is twisting the spine around its central line.
Deformation of the spine due to the development of scoliosis causes a change in the natural location of the ribs and bones of the thoracic cells, as well as the movement of nearby organs necessary for the normal functioning of all organism. First of all, the lungs and heart suffer. Scoliosis of the 2nd degree of the thoracic spine in most cases causes a violation of breathing and heart failure.
With the displacement of bones, the thoracic or dorsal hump begins to grow, which disfigures the appearance of the patient and causes him many discomforts and sufferings. In this case, kyphoscoliosis of the thoracic spine can develop.
Kifoskoliosis of the thoracic spine on radiography
All physical ailments caused by scoliotic curvature of the spine invariably affect the state of the central nervous system. Because of this, patients with scoliosis often suffer from neurotic disorders and depressive conditions.
The main types of scoliosis
In adults, acquired scoliosis is observed. After all, congenital scoliosis is usually cured in childhood. The form of scoliosis depends on the number of bends (arches) in the curvature of the spinal column. In this case, one usually distinguishes:
- C-shaped scoliosis (1 arc of curvature);
- S-shaped scoliosis (2 arcs of curvature);
- Z-shaped scoliosis (3 arcs of curvature).
Types of scoliosis
The localization of the pathological bend determines the following varieties of scoliosis:
- scoliosis of the cervical spine;
- thoracic scoliosis;
- scoliosis of the lumbar spine.
Thoracic scoliosis
The most common type of scoliosis is scoliosis of the thoracic spine.
Curvature occurs in the thoracic segment of the vertebral column at the level of the 8th and / or 9th vertebra.
Depending on the nature and direction of the curvature, a left-sided and right-sided scoliosis of the thoracic spine is distinguished.
The initial stage of the disease - a scoliosis of the 1st degree of the thoracic spine causes a slight curvature of the vertebral column in the thoracic region. Timely treatment started and regular sports activities can almost completely eliminate this pathology.
Over time, in the absence of proper treatment, scoliosis of the 2nd degree of the thoracic spine can begin.
In this case, the angle of curvature increases by 2-3 times, which becomes noticeable for others.
This causes the patient to significant nervous disorders, which can gradually turn into a serious disease.
Further, the following degrees of scoliosis of the spine develop in the thoracic region, in which the disease passes into a heavier form. In particular, with the third degree of thoracic scoliosis, the sternum and ribs are deformed and the rib hump is developed.
At 4 degrees of scoliosis, almost the entire body is deformed, down to the pelvic bones. The patient begins kyphoscoliosis of the thoracic spine.
This leads to difficulty in normal breathing and disruption of the functioning of the cardiovascular system.
The main causes of scoliosis
Scoliosis of the spine in adult patients most often develops under the influence of such factors as:
- genetic predisposition;
- lordosis, poliomyelitis, rickets, osteochondrosis;
- intervertebral hernia;
- dysfunction of bone and connective tissue;
- tuberculosis and some other infectious diseases;
- destruction of bone tissue of individual vertebrae - osteoporosis;
- pathology of the musculoskeletal system;
- Malignant tumors and metastases at different sites of the spine;
- degenerative consequences of surgical intervention;
- weakness of the dorsal muscles and vertebral ligaments;
- softening of the vertebral bone tissue - osteomalacia;
- sedentary lifestyle;
- trauma of the spine;
- excessive load on the spine;
- violation of posture;
- various idiopathic factors.
Symptomatology of scoliosis
The first manifestation of scoliosis in adults with a fully formed musculoskeletal system is pain syndrome. Back pain can begin due to pinching of the spinal nerve endings with incorrectly located vertebrae.
Among other symptoms and signs of scoliosis of the spine, there are such factors as:
- asymmetrical shoulder girdle;
- an obvious deviation of the vertebral column from the vertical line (verified by means of a plumb line);
- painful and difficult movements;
- impaired circulation of limbs, numbness of their limbs;
- obvious violations of posture;
- the appearance of a hump and a hollow on the opposite side;
- problems with the respiratory and cardiovascular system;
- frequent catarrhal diseases;
- general weakness.
Diagnostic measures
The curvature of the spine can be noticeable during a personal examination of the patient by an orthopedic doctor. To determine the degree of severity of the disease, an X-ray examination of the spine is inevitable.
Radiography of the spine
The images obtained allow us to establish the angle of curvature of the vertebral column.
This determines the severity of the disease in each case.
Additional information on the clinical picture of the disease is obtained through computed tomography and magnetic resonance imaging of the spine.
Treatment of scoliosis
When adult patients have scoliosis of the spine, the treatment involves conservative therapy or, in particularly severe cases, surgical intervention. In general, the treatment is conducted with the aim:
- normalize the position of the spine;
- to restore the locomotor system;
- relieve the patient of back pain;
- intensify circulation in the vertebral region;
- strengthen musculature.
Conservative therapy of adult scoliosis is carried out according to a complex scheme, which is adjusted by a specialist for each patient individually. Basically, anti-scoliosis therapy includes the following treatment methods:
- Medicamentous therapy for pain relief and recovery of respiratory and cardiovascular system.
- Healing exercises to strengthen the muscles of the back.
- A massage that strengthens the spinal musculature and improves blood circulation in the near-vertebral tissues;
- Different methods of orthopedic traction.
- Wearing a special corset to ease the load, fixing the spine in the right position and stopping the pathological processes.
- Medical swimming to reduce the burden on the spinal muscles and restore the normal functioning of the respiratory system.
- Classes some sports through special techniques to correct posture and strengthen the muscles of the back.
- A cycle of acupuncture treatment to relieve muscle tension, relieve pain and normalize the patient's mental state.
- Physiotherapy and mud therapy.
- Yoga under the guidance of a specialist.
All of the above methods of treatment are effective in the early stages of development of scoliosis (1 st and 2 nd degree of severity).
With careful conduct of all procedures and permanent sports activities, the curvature can be eliminated almost completely.
The intensity of scoliosis symptoms decreases significantly.
Surgical treatment of scoliosis
Surgical intervention is performed in the treatment of scoliosis of the 2 nd, 3 rd or 4 th degree. The main indicator for the use of surgical methods is the low effectiveness of conservative therapy.
There are several ways of surgical treatment of curvature of the spine in adulthood. Among them, one should name such methods as:
- Implantation of special metal structures for correction of posture and fixation of the spinal column in the correct position.
- Restoration of damaged vertebrae and vertebral discs.
- Fixation of the spine in a specific position in an operative way.
- Correction of a breach of the structure of the thorax by a surgical method.
- Operative treatment of the ligamentous apparatus of the spine and spinal muscular system.
Fixation of the spine is performed using a special metal rod - distractor. The mechanism, located at the top of the rod, moves the hooks attached to various elements of the spinal column.
The distractor is installed from the concave side of the scoliosis arch or on both sides of the spine.
To increase the efficiency of metal-surgical interventions, they are carried out in conjunction with the correction of deformed vertebrae and discs.
Spine distractor on radiography
On the vertebrae and intervertebral discs the following operations are performed:
- wedge resection;
- enucleation.
Cuneiform resection is a dissection and a fragmentary removal of damaged vertebral tissues.
With this method, it is possible to significantly slow down the curvature of the spinal column.
Implantation of metal structures after the wedge resection allows almost completely straighten the spine.
This operation is carried out, mainly with scoliosis in a stable form. Increasing the mobility of individual elements of the spine makes it possible to correct and fix the required position of the spinal column.
Enucleation is performed to eliminate the gelatinous nucleus. At present, this is done by open papayinization. In this case, the tissue of the gelatinous nucleus is injected with papain to dissolve it.
All the metalwork and other operations for scoliosis are carried out in conjunction with the posterior spondylodesis. Fixation of individual components of the spine is done by immobilizing or artificial splicing of adjacent segments.
Correction of the regime in scoliosis
In the early stages of scoliosis, when the angle of curvature is still small, you can try to cope with the disease without using serious medications.
In this case, the patient must regularly exercise and exercise.
It is better to make a program for this kind of exercises together with a physician on exercise therapy, based on the recommendations of an orthopedist.
As a rule, patients with the initial form of scoliosis can be shown:
- daily morning exercises;
- therapeutic swimming;
- skiing;
- walking.
Additionally, it is necessary to perform hardening procedures for general strengthening of the organism.
The diet should be adjusted together with a nutritionist.
This will not only normalize the patient's weight, but also provide the body with nutrients and vitamins in the required quantity.
A source: http://AntiRodinka.ru/skolioz-pozvonochnika-u-vzroslich-diagnostika-profilaktika-lechenie
Scoliosis: Symptoms and Treatment
Category: Joints, bones, muscles 43722
Historically, many doctors in the post-Soviet space, speaking of what scoliosis is, emphasize that this is a fixed or non-fixed deviation spine from its axis, however, in modern medical encyclopedias, scoliosis of the spine is defined as a three-plane lateral deformation of the main part of the axial skeleton rights.
Features of the disease
Normally, the human spine is not flat, but slightly bent in the region of the cervical and lumbar spine, and it is these bends help to reduce the burden on the axial skeleton obtained during the transportation of heavy objects or prolonged maintenance of the body in space.
However, they should be within the norm, because any deviation from the norm can be attributed to the manifestations of scoliosis, the symptoms of which are not expressed only in the cosmetic defect of the body (although this moment bothers every person), but also in the fact that this condition is fraught with the development of a large number complications.
Manifestation of scoliosis
A slight curvature of the spine, that is, a scoliosis of the 1st degree, practically does not cause any problems to the person (correctly selected set of scoliosis exercises will quickly eliminate this problem), but more pronounced curvature of the axial skeleton can lead to a change in the volume of the chest, which in turn will lead to damage to the heart, lungs, liver and large blood vessels.
Progression of the disease can cause a decrease in tolerance to physical stress or the development of female infertility, in addition, very often the manifestation of scoliosis the degree of which can be different, is just a symptom of the development of a more serious pathology - an oncological process in the body, an endocrine disorder or tuberculosis.
The most common is scoliosis in children, because it develops during active growth of bones (in this case girls are sick 6 times more often than boys), but adults also sometimes suffer from its manifestations.
What can cause the disease?
Most doctors attribute all degrees of scoliosis to deformations of growth, because it develops primarily in adolescence, with the cause of the development of these deformations in 80% of cases is unknown.
In the remaining 20% of cases, scoliosis symptoms occur against the background of congenital spine pathology, after severe trauma, connective tissue diseases or as a result of underdevelopment of muscles or ligaments.
Sometimes scoliosis in children occurs after surgery on the heart or because of the unequal length of the left and right legs (it should be immediately said that the physical exercises with scoliosis of an innate origin practically do not help, therefore to cope with this problem it will be possible only with the help operation).
Doctors are most inclined to the fact that the curvature of the axial skeleton develops due to the disturbed the location of the joints, which leads to the blocking of growth zones and causes abnormal development of the vertebral bones.
This point of view is considered the most accurate, because it explains the inability of doctors to curtail the main manifestations of scoliosis. Treatment of this pathology to date in most cases is ineffective.
Answering the question on how to correct scoliosis, doctors say that it is necessary to release blocked areas of spine growth, since this will help restore his mobility, and while coping with this task helps manipulative medicine, which offers a massage at scoliosis.
Classification of scoliosis
To begin with, it should be said that there are 4 degrees of scoliosis (X-ray classification), which differ from each other in the angle of curvature of the spine:
- scoliosis of 1 degreecharacterized by the presence of a corner of the curvature of a part of the axial skeleton at 10 degrees (in this case, the treatment of scoliosis at home is permitted);
- scoliosis of the 2nd degreehas an angle of 11 to 25 degrees;
- scoliosis of the 3rd degreecharacterized by an angle of 26 degrees to 50;
- 4 degreethe most dangerous, because with its development the angle of curvature of the spine is more than 50 degrees, and this is fraught with the development of complications, so it is recommended to think about how to cure scoliosis before.
In addition, scoliosis is C-shaped, this includes left-sided scoliosis and right-sided scoliosis - it is characterized by curvature only one part of the spine (in the region of the waist or chest) and only in one direction, with right-sided scoliosis occurring 2-3 times more often. Or S-shaped - if you look at the person from the back, you can see that the spine very much resembles the letter S. Also, there is a Z-shaped scoliosis, which is characterized by the appearance of just three arcs of curvature of the spine, but this form of the disease is very rare.
According to another classification, there is congenital scoliosis (occurs against the backdrop of insufficient development of the vertebrae or ribs), and acquired (the cause of its development is most often trauma).
The main symptoms of the disease
Symptoms of scoliosis
It is very difficult to accurately describe this pathology and its symptoms, because scoliosis develops slowly (if it is not congenital or occurs after trauma). To its visible manifestations (regardless of the degree of severity and development) can be attributed:
- incorrect bending of the spine (accompanies scoliosis of 1 degree), which can be seen only when the person becomes as flat as possible;
- the appearance of a hump between the shoulder blades (this symptom, although common, often indicates that it is developing left-sided scoliosis);
- torso inclination in one direction;
- bulging of one blade;
- asymmetry of the waist and skin folds.
The clinical picture of scoliosis, depending on its degree
In fact, the signs of this pathology in all people may be different, but as a result of long-term observations of sick doctors found that the symptoms of curvature of the spine depend on the degree of its deformation:
- Scoliosis of 1 degree is very weakly expressed, and in the lying position on the abdomen generally becomes invisible;
- Scoliosis of the 2nd degree is expressed by a more noticeable twisting of the vertebrae around the longitudinal axis, which is accompanied by the formation of a muscular cushion in Lumbar region (scoliosis of the 2nd degree can also be determined by external examination, but the diagnosis must be confirmed by x-ray);
- Scoliosis of the third degree is characterized by the formation of a rib hump that arises against the background of a weakening of the abdominal muscles press (exercises for the back with scoliosis of the third degree will be effective only in conjunction with manual techniques treatment);
- The fourth degree is characterized by pronounced deformation of the spinal column, which becomes the cause of twisting torso, there is asymmetry in the pelvis and legs (a complex of exercises from scoliosis this pathology will be cured heavy).
Right-sided and left-sided scoliosis
Right-sided scoliosis mainly occurs in young children, so it is considered to be congenital.
Doctors associate his appearance with traumas received by the baby during childbirth.
To distinguish right-sided scoliosis from other types of curvature of the spine will be quite difficult, but the main symptoms of its development include:
Right and left-sided scoliosis
- frequent tingling in the fingers;
- asymmetry of the body in the shoulder and shoulder blades;
- difficulty breathing (right-sided scoliosis causes severe deformity of the chest and disrupts the respiratory system);
- severe pain in the lower back (if right-sided scoliosis develops already in an adult, then pain in the lumbar department, which intensifies in the evening, is precisely the symptom that the patient first turns his Attention).
If we talk about left-sided scoliosis, then its main features include the appearance of a hump between the shoulder blades, increased fatigue and disruption of the cardiovascular system.
Not every specialist can connect the last symptom with the curvature of the spine, so, thinking about how To correct a scoliosis, it is necessary to give special attention to a choice of the doctor, because the result of treatment on 60% will depend From him.
How to treat?
Before you talk about how to cure scoliosis, you need to focus on what you need to see a doctor contact as early as possible, because the more the spine is curved, the more difficult it will be align.
Before correcting scoliosis, the doctor must conduct a series of medical tests that will help him determine the type and extent of this pathology. In the current medical practice, the treatment of scoliosis in adults and children is carried out approximately according to the same scheme.
The most effective methods of treatment include:
- therapeutic physical culture (exercise therapy) - a set of physical exercises from scoliosis easily copes with the curvature of the spine on the first stages, the main thing is to remember that exercise therapy for scoliosis should be regular, otherwise no positive effect it does not will;
- except for scoliosis exercises, you can also have cortexotherapy (this method is suitable only for children, since their body is still in the growth phase);
- manual therapy (massage with scoliosis gives a good therapeutic effect, but doctors recommend that it be combined with other methods of drug therapy);
- the operation to install fixing plates between the vertebrae (this method is only used if neither exercises nor manual therapy yield any results).
Therapeutic physical training and massage with scoliosis
Exercise in scoliosis helps to significantly reduce the angle of curvature of the spine, but it is necessary to begin to do it as early as possible, because in the first stages of scoliosis (especially in If you combine a set of exercises from scoliosis and massage), it completely eliminates the symptoms of the disease, and at late only slows the progression curvature.
An important point is that the exercises in scoliosis can be symmetrical and asymmetric, since the curvature of the spine creates an uneven load on different types of muscles, and this can lead to atrophy of some of them, therefore, exercise therapy for scoliosis must necessarily be carried out under the supervision of a doctor, because a set of exercises for each patient is being developed individually.
Treatment of scoliosis at home is allowed after all the physical exercises are thoroughly studied with the doctor.
LFK in scoliosis
LFK in scoliosis should be carried out regularly, because without this, it will be impossible to achieve a positive result of treatment.
But remember that the treatment of scoliosis in adults will last longer than that of children, so that if the first time of exercise in scoliosis will not give tangible results, you should not worry.
Massage in scoliosis should be performed by an osteopathic physician, who is well versed in his profession, because different types of curvature are carried out in different ways.
In order to do a massage with scoliosis, the doctor must put the patient on the couch, providing him with a fixed position, because you can not change the position of the body during the session.
During the procedure, the doctor works out different back zones, increasing the duration and intensity of massage movements with each session. The course of treatment consists of 25 procedures, each of which will complete any exercise from scoliosis.
Scoliosis is a progressive disease, therefore the result of its treatment depends entirely on how timely it was diagnosed.
It is necessary to monitor your health and, at the first symptoms of spinal curvature, consult a doctor, exclude the development of complications and completely cure the disease only in this way.
A source: http://SimptoMer.ru/bolezni/sustavy-kosti/695-skolioz-simptomy
Effective methods of scoliosis treatment
Scoliosis is a pathology of the spine, characterized by its lateral curvature.
In addition to an external defect, in scoliosis, there is a decrease in tolerance to physical exertion, and at later stages - a violation of the internal organs.
The treatment of scoliosis is carried out in a complex way and is aimed at eliminating all these manifestations.
Basic principles of scoliosis treatment
To begin with it is necessary to answer a question - whether the scoliosis in general is treated? Is it possible to finally eliminate scoliosis with the help of certain treatment methods? It is possible, but not always. It all depends on the degree of scoliosis and the age of the patient.
At a scoliosis of 1-2 degrees it is possible to completely correct a backbone. At a scoliosis of 3-4 stages it is impossible - to return to a vertebral column the initial configuration it is impossible.
Treatment of scoliosis of the spine in this case is aimed at reducing the degree of curvature and preventing the progression of the disease.
An important factor in this case is the time factor - the faster the treatment is started, the more effective it is. The bottom line is that the formation of the spine ends in about 20-25 years.
And many methods of treatment, effective in children and boys, by this time become useless.
Therefore, the earlier the child's parents pay attention to the curvature of the spine and take him to an orthopedic doctor, the more likely a favorable outcome of treatment.
Effective treatment of scoliosis is aimed at:
- Stabilization of the spine;
- Elimination of pathological manifestations - curvature, torsion (twisting of vertebrae), costal hump, roller of pathologically strained muscles;
- Normalization of muscle tone;
- Improvement of metabolic processes in the tissues of the spine, normalization of the local circulation.
For this purpose, the following scoliosis treatment methods are used:
- Drug therapy;
- Therapeutic physical training (LFK):
- Massage;
- Manual therapy;
- Physiotherapeutic treatment;
- Treatment by position;
- Operative treatment.
It should not be forgotten that all types of treatment should be recommended by specialists. Non-compliance with these recommendations, self-medication not only does not eliminate the curvature of the spine, but will exacerbate it.
Physiotherapy
Medical gymnastics, perhaps, is the leading method in the treatment of scoliosis.Correctly selected exercises strengthen the muscular corset of the back, lumbar region, chest and neck.
This stabilizes and straightens the spine. Exercises for scoliosis have their own characteristics.
The bottom line is that the muscles of the convex side of the lateral curvature are pathologically strained, and with the concave side, they are relaxed, their tone is reduced.
Therefore, the exercises should strengthen the relaxed muscles and reduce the tone of tension. In this regard, perform symmetrical and asymmetric types of exercises.
Symmetrical exercises have a uniform load on all muscles, but relaxed muscles are strengthened to a greater extent. Asymmetric exercises only affect relaxed muscles.
Examples include the torso of the trunk in one direction, the raising of the arm from the concave side of the scoliosis, and the removal of the lower limb with the convex side.
However, incorrectly selected asymmetric exercises contribute to an increase in the degree of scoliosis.
Therefore, orthopedists have an ambiguous attitude to this type of load - opponents of asymmetric exercises are almost more than supporters. All exercises can be carried out not only in medical institutions, but also at home - of course, if they are recommended by a specialist.
In the exercises for young children, game elements can be introduced
Also recommended for scoliosis are exercises that promote passive traction (axial extension) of the spine. To do this, it is enough to lie on the floor on your back, and, as far as possible, pull your heels down, head up. Then do the same on the abdomen.
Walking on all fours with a back deflection is also a kind of passive traction. But from active traction by way of a vis on the horizontal bar should be discarded.
Likewise contraindicated in scoliosis running (especially at 3-4 degrees of curvature), jumps, acrobatics, weights, barbells, sports games, dances.
Classes in the swimming pool - the most optimal type of loads. After all, therapeutic swimming strengthens the muscles, normalizes the activity of the cardiovascular and respiratory systems.
And this is despite the fact that in the water environment the gravitational load on the spine decreases. Moreover, some orthopedists advise you to begin the training with swimming, and all the other exercises to conduct the final stage.
It is believed that the most acceptable style in this case - breaststroke breast.
And here to yoga at a scoliosis the relation ambiguous, especially in 3-4 degrees of a curvature. On the one hand, some yoga exercises can be useful.
But yoga involves a long stay in a fixed and often uncomfortable position of the body. And this is unacceptable.
For example, the pose of the lotus with the eversion of the feet creates an increased load on the pelvis and the spine, which further exacerbates its instability.
Other methods of conservative treatment
Treatment by position is an obligatory measure for scoliosis.
Earlier, for this purpose, gypsum beds were used, which are plaster casts designed to correct and immobilize the spine. Now more effective orthopedic adaptations - corsets are used.
Corsets for the treatment of scoliosis are hard-lumbar hardcore correctors. Made of natural fabrics and provided with stiffeners (metal inserts), these corsets are fixed on the patient's body with the help of straps and fasteners.
Wearing a corset is recommended not more than 8 hours. a day, after which it is removed - the muscles need to rest. Sleep is recommended on a flat, hard surface.
Therapeutic massage with scoliosis is carried out at a sparing pace, especially with a pronounced curvature of 3-4 degrees. Otherwise, the instability of the spine and uneven muscle tone will only worsen.
Massaging features in this case consist in the fact that it is aimed at relaxing the muscles from the convex side and on strengthening with concave. Begin a massage, as always, with stroking.
Then the muscles from the convex side of the arc of curvature are kneaded, rubbed, which leads to their relaxation. The muscles on the concave side are massaged for a longer time, the effects are carried out with burdening.
The total duration of the massage with scoliosis is about 20 minutes. The course contains about 20-30 procedures, conducted every other day.
Manual therapy is also carried out sparingly, not more than 1 session per week. This type of treatment is recommended for non-structural types of scoliosis, without compromising the integrity and shape of the vertebrae.
Treatment of scoliosis in a sanatorium, among other things, involves physiotherapy. The most effective in this regard are electrophoresis, phonophoresis, magnetotherapy, muscle electrostimulation.
In some cases, paraffin, ozocerite and therapeutic mud are used, the action of which is aimed at relaxing the pathologically strained muscles.
Medication-conservative treatment for scoliosis is an auxiliary method. You can not straighten the spine with medicines alone.
In addition to other types of treatment, anti-inflammatory ointments and gels, immunostimulants, vitamins and minerals, agents that improve local blood circulation are used.
about the methods of treatment of scoliosis:
Operative treatment
Operative treatment of scoliosis is carried out in those cases when:
- The patient is worried about constant severe pain in the spine and in the nearby muscles;
- The degree of scoliosis is rapidly increasing;
- In this case, complications from internal organs are noted.
In the course of the operation, plasty of individual vertebrae is performed and arthrodesis is created - a rigid fixed fixation of the vertebrae with the help of metal structures.
Surgical treatment of scoliosis is not shown to young children and adolescents. It is carried out at a later age, when the formation of the spine has already completed.
Prevention in childhood and adolescence
Prophylaxis of scoliosis, is carried out in childhood and adolescence. In this regard, special attention should be paid to fast-growing adolescents during puberty. Attention should be paid to sports, optimal rest.
Types of exercises for the prevention of curvature of the spine
During school hours, cooking lessons, you can use a recliner - a soft elasticity proofing posture. Food should contain the optimal amount of nutrients, primarily calcium and vitamins.
A source: http://MoyaSpina.ru/lechenie/effektivnye-metody-lecheniya-skolioza
Scoliosis of the spine: photo, treatment in adults at home, symptoms
The spine plays an important role for the human body, it is considered to be a supporting beam for the entire skeletal framework. If viewed from a building-architectural point of view, then such a beam must be straight and rigid.
But in the human body these laws do not work, because the spine is similar in form to the letter S and has flexibility due to the vertebrae.
Between them are disks, which provide amortization and elasticity of the spinal column.
The concept of
Vertebral flexibility can turn against a person. In the hypodynamic way of life, vertebral bends are cemented and can no longer return to their normal position.
Classification
Scoliosis is divided by specialists on several parameters:
- By origin;
- By location;
- By type of curvature;
- In degrees of curvature;
- By the degree of deformation.
Kinds
The origin of scoliosis is:
- Congenital- when the formation of pathological curvature occurs when the fetus is positioned or developed incorrectly or against the background of genetic disorders;
- Acquired- when the pathological curvature occurs when the muscle growth lags behind and strongly outstrips the growth of the skeletal growth. You can also buy scoliosis in the school years because of incorrect posture and due to some pathological conditions;
- Idiopathic- when there is no definite cause of the development of the disease;
- Age- this form of scoliosis is observed after 40 due to degenerative processes in bone tissues such as osteoarthrosis or osteoporosis.
Classification by degree of curvature is as follows:
- Angle less than 10 ° - I degree;
- 11-25 ° - the second degree;
- 26-50 ° - the third degree;
- More than 50 ° - IV degree.
The types of curvature of scoliosis are subdivided as follows:
- S- Shaped defeat, forming 2 arcs;
- FROM- shaped deformation with formation of one arc;
- Σ- shaped deformation, causing the formation of 3 arcs.
In accordance with the location of the scoliosis there are several types:
- Lumbar or lumbar;
- Thoracic or thoracic;
- Shaynym;
- Mixed or thoracolumbal with curvature in the lumbar-thoracic transition;
- Combined - when two arcs are formed according to S-curvature.
In addition, there is a classification of Cobb, dividing the pathology into the following groups:
- Scoliosisof traumatic originarising from diseases or injuries of the chest;
- Curvaturesmyopathic, due to weak muscle and ligamentous development or pathologies of these tissues;
- Idiopathicscoliosis lesions;
- NeuroticScoliotic deformities caused by nervous system pathologies such as sciatica or poliomyelitis;
- Curvaturesdysplastic or congenital.
Symptoms and signs
Symptomatic manifestations of pathological vertebral curvature are the violation of vertebral configuration, disorders of internal organs and nervous system functions. Such violations usually manifest themselves in the following set of symptoms:
- The naked eye shows the deformation of the column;
- In childhood, scoliosis may manifest as an asymmetric arrangement of the gluteal folds of the skin;
- The cell structure changes, the intercostal spaces on the outside of the scoliosis bulge, and on the inside - fall;
- Twisting of vertebrae, displacement around the axis;
- Against the backdrop of changes in the volume of the retroperitoneal and retrosternal space, there is a disruption of the activity of various internal structures, such as the stomach or heart, intestine or lungs;
- Cervical scoliosis can cause insufficient blood circulation, which will lead to damage to brain cells;
- Against the background of scoliosis one limb is shortened, because of which the gait is broken and flat feet appear;
- The curvature of the pelvic region;
- Depressive state, irritability and emotional disorders due to inferior existence.
The photo clearly shows how the right-sided, left-sided and s-shaped scoliosis of the spine looks
At the first stage of development, the curvature is practically invisible. If we talk about scoliosis of the 2 nd degree, then the asymmetrical arrangement of the buttocks and scapular angles appears, the twisted displacement of the vertebrae relative to the axis.
At this degree of pathology, there are no functional disorders of the internal organs, but there are prerequisites for a transition to grade 3, when the situation is significantly aggravated.
Causes
Scoliosis can develop for a variety of reasons acquired or inherent in nature.
The congenital form of curvature takes a quarter of all cases of pathology and is caused by incorrect spine formation during intrauterine development. Acquired forms occur mainly in the child-teen age (4-15 years), when there is an active growth of the body.
Common causes of acquired scoliosis are most often:
- Traumatic injury of the legs and pelvic region;
- Muscular inflammatory processes (myositis);
- Incorrect posture in the process of learning activity;
- Shortening of one leg;
- Osteochondrosis, radiculopathy or hernial processes;
- Gastrointestinal or renal pathological disorders.
Similar forms of scoliosis can be corrected and eliminated. To do this, it is necessary to eliminate the main causative factor. If scoliosis is of a structural nature, and accompanied by anatomical structural changes, then the matter with recovery is much more complicated here.
Structural scoliosis develops due to such conditions:
- Spinal lesions with syringomyelia or poliomyelitis;
- Dystrophic deformation of muscle tissue in the back or neck;
- Vertebral tumor;
- Syphilitic or tuberculous vertebral lesions;
- Injuries of vertebrae;
- Congenital changes in the cell structure;
- Connective tissue pathologies of a hereditary nature;
- Pathologies that provoke the development of osteoporosis like rickets, parathyroid pathologies, etc.
How to identify the disease?
Diagnostic methods that determine the presence of scoliosis, quite a lot, but one of the first and accurate for today is considered an X-ray.
This is a cheap and affordable, but highly informative way to diagnose, but you can use it no more than once every three months.
Given that modern X-ray machines have less radiation exposure.
The picture is taken panoramic, from the lower jaw to the pelvic area. Additionally, side pictures are taken in different projections to determine the presence of possible complications.
Effects
Scoliosis dramatically reduces the quality of life of patients. They are tormented by psychological and physiological discomfort, people are embarrassed to wear tight clothes, to go to the beach, so they are experiencing the most severe stress disorders.
With the further progression of the pathological process, pressure begins on vital organs, which in the future leads to a violation of their activities.
Scoliosis in the last stages of development can cause respiratory, digestive and real metabolic disorders, dangerous malfunctions in the circulatory system along a small circle, which leads to an oxygen, and then a cardiac insufficiency.
According to statistics, almost every patient with scoliosis has ischemic pathology of the heart. Therefore, such vertebral deformation requires correction.
How to cure the scoliosis of the spine in adults?
Tactics of treatment are selected in accordance with the degree, location and origin of scoliosis.In general, treatment is characterized by operational or conservative methods.
The latter involves the use of medications, physiotherapy and massage procedures, manual methods of treatment.
Scoliosis lesions in 1-2 stages of pathological development The main therapeutic goal is the achievement of normal vertebral flexure.
In the final stages, such adjustments are impossible, so specialists try to achieve vertebral stability and prevent further deformation progression.
Methods of correcting the deflection at home
Coping with deformation at home can be based on the following principles:
- Always control your posture - while sitting at a table or walking;
- The implementation of special gymnastic elements, whose action is directed to the removal of unnecessary tension, increased flexibility and strength of spinal tissues, general improvement in the condition and development of cartilaginous and ligamentous tissues.
Surgery
At the III-IV stage of scoliosis the only option is an operative correction.
It consists in the installation on the vertebrae of special implants, which are mobile or fixed structures.
An example of such implants are the plate endocorrectors Medilar or Laka-Sampieva-Zagorodnego.
Scoliosis and pregnancy
In pregnancy, a woman suffering from scoliosis deformities of a woman may experience a sharp increase in pain symptoms. Although most of the ladies with pathology in the initial stages without problems transfer the period of pregnancy, without experiencing any discomfort.
In the final stages of deformation, the ribs are squeezed by the internal organs, the oxygen supply of the internal organs is disturbed, child, which negatively affects his brain.
Prevention of pathology
For the prevention of pathology, it is recommended to keep your back properly.
Parents need to monitor the bearing of children.
It is important to lead a lively lifestyle so that the vertebrae do not cement in the wrong position.
Contraindications
Specialists categorically prohibit in scoliosis mobile games, jumping or running, as well as strength exercises. Also it is impossible:
- Long sitting in unchanged position;
- Cycling, tennis and other similar sports activities;
- Portfolios, bags or diplomats, you can only carry a backpack (behind your back).
Which doctor heals?
Treatment of scoliosis is mainly done by orthopedists and neuropathologists.
Whether take in army?
From military service patients with scoliosis deformities of a back of the second degree of gravity and more are released.
Disability
Disability in scoliosis is established in the ITU process (special medical and social expertise).
A source: http://OsteoHondroza.net/oslozhneniya/iskrivleniya/skolioz-pozvonochnika.html