S-shaped scoliosis of the thoracic spine: treatment

S-shaped scoliosis - what does this mean and how to treat it?

ScoliosisIs one of the most common diseases at present. It has several varieties.

One of them concernsS-shaped scoliosis, which can easily be distinguished by the presence of two arcs in the lateral projection, while they are directed in different directions.

Most pathology occurs in schoolchildren, which is explained by a long sitting during lessons in the wrong position.

The disease usually has a progressive nature and, in the absence of attention to it, can go into a severe form, in which surgical intervention becomes inevitable.

Timely treatment of the disease is also necessary to prevent a number of other disorders in the functioning of the body.

In order to completely avoid an unpleasant disease, systematic preventive measures are required, which must be started from early childhood.

What it is

The word "scoliosis" in Greek means "curve".

In most cases, it first appears in a child between the ages of ten and fifteen.

The greatest danger poses in the development of preschool children in that at the age of 4 to 7 years there is a probability of its rapid progression.

This disease is characterized by the defeat of the musculoskeletal system, in which, in addition to curving the whole column in the lateral plane,there is a turn of vertebrae. This usually happens when the back is in the wrong position for a long time.

They can easily be distinguished by the presence of asymmetric changes, which include not only the bends of the spine, but also the incorrect position of the blade or rib, projecting from one side to a greater extent than with other. At the same time, the tone of the surrounding muscles is significantly different.

Scoliosis, which is S-shaped, affects two parts of the spine at the same time - thoracic and lumbar.

As a rule, the appearance of the thoracic bend inevitably follows the curvature in the lumbar region.

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It can be determined by the presence of the first arch in the zone 8-10 of the vertebra, and the second - in the region of 1-3 vertebrae.

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With S-shaped scoliosis, the thoracic and lumbar spine is affected simultaneously

Brief history of the course of the disease

S-shaped scoliosis, or also called a combined (by the nature of the location of curvature), refers to the rapidly progressing pathologies. Due to uneven loads, back spasms lead to the formation of a stable skewing of the spinal column.

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The onset of the pathology is the appearance of the first bend in the thoracic region, approximately 7-8 vertebrae. If the tip of the bend is higher, then it poses a risk of an increased risk of complications. Gradually begins to appear a second bend in the zone of 1-2 lumbar vertebrae.

Two arcs have a negative effect on each other. They lead to a shift in the center of gravity and to a general marked deterioration in the patient's condition.

Classification and degrees

Classification of scoliosis may vary depending on the factors.

By the duration of development and the period of onset of the pathology, it can be:

• congenital, in which the wrong position of the spinal column was formed even before the birth of the child. Often accompanied by a hip dislocation, clubfoot, malfunctions in the functioning of the pelvic organs;
• Children's age is from 0 to 10 years. The danger to health in this case is due to the fact that in the developing organism of the child, deformities of the spine can provoke irreversible pathologies;
• the most common, associated with a developmental period of 10 to 15 years. Its causes are incorrect posture, especially when sitting for a long time at a table or desk;
• adults, the rarest, as a rule, diagnosed in the absence of therapeutic measures at an earlier age.

Scoliosis is muscular - it develops because of poor development of the back muscles. In origin and reasons for the appearance of scoliosis,:

• Muscular, arising with poor development of muscles and ligaments, ceasing to provide the correct shape of the spine due to development, for example, rickets;
• neurogenic character, when scoliosis develops after a number of diseases such as poliomyelitis, spastic paralysis;
• congenital, appearing with incorrect development of bone tissue due to pathologies in the chest, burns or plastic surgery.

Scoliosis, which is an acquired pathology, is divided into the following species:

• idiopathic;
• rachitic;
• habitual;
• paralytic;
• reflex;
• static.

The most convenient for medical practice is a classification that takes into account the degree of development of scoliosis:

1 degree	characterized by a crocheting of the waist, shoulders and pelvis, in which the angle of inclination does not exceed 10 degrees
2 degree	differs by an angle of inclination of 10-25 degrees, expressed deformations of the spine, the presence of compensatory arcs
3 degree	can be recognized by the angle of inclination from 20 to 50 degrees, the presence of severe and persistent deformation of the chest
4 degree	the angle exceeds 50 degrees, leads to the appearance of a costal hump and a twisting of the shoulders, the trunk acquires disfigured forms

The prevalence and significance

Currently, S-shaped scoliosis is one of the leading diseases in the worldbecause of the prevalence of a sedentary lifestyle.

According to paleontology and biology, scoliosis is a consequence of the acquired by a person in the process of evolution, the upright.

In general, all pathologies of the back are caused by changes in external influences on the human body, to which the spine is not ready.

Often, people neglect preventive and therapeutic measures for this disease, which is the reason for its progression and development of side symptoms.

With complete absence of attention, scoliosis can lead to the appearance of painful sensations, delivering great discomfort for a person.

This attitude is a gross mistake, because it is much easier to prevent the appearance of scoliosis in the early stages, than to treat its negative consequences.

Risk factors and causes

Scoliosis can appear in a person of any age, including a completely healthy one.

This pathology can be triggered by a negative impact of the following factors:

• regular failure to comply with the recommendations of doctors regarding correct posture and requirements for the organization of the workplace;
• low level of physical activity;
• presence of problems with connective tissue;
• wearing heavy weights.

The causes of the appearance of curvatures in the spine may also be different.

Wrong way of life, in particular, a long stay in one position.

Such a situation is undesirable for the spine and in case of incorrect posture the uncomfortable posture is accepted due to the elasticity of the bones, especially in childhood.

In this s-shaped curvature is a consequence of compensation processes, which is doubly dangerous. Compensatory curvature appears higher than the primary.

Thus, the curvature in the lumbar region necessarily causes the appearance of curvature at the breast level. This poses a serious threat to health, because it entails the curvature of the ribs, as well as the heart and lungs.

Excess body weight, which creates additional pressure on the spine. In this case, the type of obesity is important.

Most often obesity accompanies a sedentary lifestyle and becomes its consequence.

Change in muscle tone of the corset.

At the same time, scoliosis develops as a consequence of powerlifting, especially when the training regime is incorrectly built, which exert a greater load on the same muscle groups.

As a result, the muscular corset is destroyed and the spine is gradually distorted. Lifting weights exacerbates the situation.

Serious injuries and fracturescause curvature of the spine in all cases. If a person does not wear a corset, the curvature will only increase due to damage and muscle atrophy, especially if a person undergoes a long rehabilitation period.

Effects

Because of the curvature of the spine, the ribs begin to deform, which leads to improper operation of the internal organs. In the absence of therapeutic measures,deformation of the spinal column begins to increase and gradually leads to the displacement of the ribs.

Then the work of the heart and lungs is disrupted. Over time, complications only increase. Due to the increasing load, a person has shortness of breath. Gradually, the pressure increases, the pulse increases. In these cases, pressure reduction with the use of drugs is almost impossible.

The launched form of scoliosiscauses ischemia. Sometimes neurologic abnormalities that are noticeable in muscle twitching are accompanied by a loss of sensitivity in some parts of the skin. Even a loss of vision is possible.

Curvature of the spine in the lumbar region provokespinching of nerve endings, malfunctioning of the organs of the gastrointestinal tract, sexual and urinary systems. Most often, patients start complaining about the weakness of the abdominal muscles, flatulence, swelling in the legs, constipation.

The most dangerous complication isspinal cord compression, which can result in paralysis of the lower extremities. All changes may be accompanied by a violation of the patient's psychological state.

Symptoms and methods of diagnosis

A selection of interesting facts:

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S-shaped scoliosis, degree and its treatment

S-shaped scoliosis is a special form of curvature of the spine in the lateral projection. Deformation changes in this case occur in combination in two scoliotic arches, which significantly complicates the treatment.

More often the disease affects school-age children, this is due to the improper position of the body for a long period of time.

For this type of scoliosis, the development in the thoracic and upper lumbar spine is most characteristic.

Degrees of S-shaped scoliosis

When making an accurate diagnosis, differential diagnosis is performed according to the most pronounced curvature, usually it is in the thoracic department.

• 1 degree. The angle of curvature of the spine is no more than 10 degrees. At this stage of the disease there is only one scoliotic arch, the second is absent, or extremely small. This degree is only a small stoop. Despite the most favorable outcome of treatment, S-shaped scoliosis of the 1st degree is most difficult to detect. The disease is rapidly progressing, so it is very important to identify it at the initial stages of development in the absence of irreversible changes in the body.
• 2 degree. The angle of the main arc corresponds to values ​​of 10 - 25 degrees. In S-shaped scoliosis of the 2nd degree, a slight asymmetry of the blade line is characteristic, it is especially pronounced when the trunk is tilted forward. Changes in the second arc are almost invisible, in this part of the spinal column the process is in the initial stage of development.
• 3 degree. The angle of the primary arc is in the range of 25 to 50 degrees, with the second arch of the spinal column actively developing and can reach a deflection angle of up to 25 degrees. When examining the patient, you can see a strong asymmetry in the chest area and a pronounced rib hump. Such severe forms of deformation of the spine invariably lead to a change in the habitual rhythm of the work of the basic systems and organs located in the chest. The cardiovascular system suffers most of all, since this pathology causes stagnant phenomena in a small circle of blood circulation.
• 4 degree. As soon as the angle of the first arc exceeds 50 degrees, we can say with certainty that the most severe degree of the disease has come. The second arc can be at the level of 2-3 stages of development. Externally, the patient has a pronounced deformation of the trunk, leading the patient to disability. With the progression of the disease, multi-organ failure is gradually developing. The main tactic of the doctor at this stage is aimed at stopping the further development of pathological changes.

In the treatment of patients with severe disease, only surgical methods of treatment are considered effective.

In most cases, conservative therapy can be effective only at the initial stages of the development of the disease.

In advanced cases, the disease causes a lot of physical suffering, patients are constantly tormented by pain syndrome and even regular intake of analgesics does not allow them to live a full life.

Diagnosis of the disease

The main productive method of diagnostic studies for many years is the radiography of the spinal column, necessarily performed in two different projections. In some complicated cases, CT or MRI is prescribed. In the images, you can accurately determine the curvature that appeared, and, accordingly, calculate the degree of scoliosis.

Treatment of S-shaped scoliosis

Conservative therapy is highly effective at the primary stage of deformational changes in the spinal column.

In some cases, it is possible to use it even at the beginning of the second stage. In the case of diagnosis of the third and fourth degrees of the disease, surgical intervention is indicated.

Conservative treatment in this case will be only a method of auxiliary therapy.

The basis of conservative treatment is therapeutic exercise. The complex of exercises should be developed personally, depending on the individual features of the development of scoliosis.

An indispensable condition for successful treatment will be a prolonged wearing of an orthopedic corset, it must also be selected personally. An excellent result can be achieved with manual and reflexotherapy courses.

When pain occurs, painkillers are shown.

A good complex effect gives swimming. It strengthens several groups of muscles at once, allowing even distribution of the load on the spine.

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Long courses of physiotherapy exercise provide an opportunity to strengthen the back muscles and help to prevent the progression of the disease, and also allow for the correction of deformational changes in the vertebral pillar.

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Today, there are many methods of surgical treatment, which method to use in each case, chooses a doctor, taking into account the features of the disease in the patient. Operative methods of treatment are aimed at fixing the vertebrae with the help of metal staples. After such treatment, patients undergo long-term rehabilitation.

Exercises for S-shaped scoliosis

Exercises with S-shaped scoliosis have a good therapeutic effect at the initial stages of the disease. Your attention is offered two effective and easy-to-perform exercises.

1. Take the position lying on your stomach, straighten your arms and legs. The left arm bend, leaving in a lying position, then the left leg and the right hand lift above the floor and fix the body in this position for 5-15 seconds. Repeat the steps, replacing the leg and arm. Do the exercise at least 5 times.
2. The starting position is similar to the description in the first exercise. Raise both legs and arms from the floor simultaneously, keeping them in this position for as long as you can (preferably at least 30 seconds). Do 5 repetitions of the exercise.
3. Pulling on the crossbar is a very effective exercise. Do them at a slow pace. If you can not pull up, simplify the task by selecting a lower horizontal bar or use the stand under your feet in order to do pull-ups with half-bent hands. Perform 5-8 pull-ups.

Classes should be conducted every day, only systematic training can achieve the desired result. Take care of your health, and then you will not encounter such problems!

Prophylaxis of scoliosis

• Always control your posture.
• Avoid prolonged wearing of weights.
• Lead a healthy lifestyle, alternate rest with physical activity.
• Choose a moderately hard mattress for the bedroom.

Always remember that the disease is better prevented than treated, so carefully monitor the bearing of your children and your own. Learn from childhood to sit properly, without pressing your legs under the trunk.

These simple tips will help you stay healthy forever.

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S-shaped scoliosis - 1 2 3 4 degrees - types of treatment and exercises

Scoliosis is a common ODS disease, in which the spine is deformed in combination - in two arcs of curvature.

In most cases, it isconsequence of a sedentary lifestyle, regular location in one position, when the back is constantly stressed, and the muscles are relaxed.

A prolonged load leads to an incorrect posture, and it to the curvature of the spine.

How is the

S scoliosischaracterized by two arcs of curvature, one of them is basic, and the second is compensatory.

The first begins to appear with an incorrect load on the vertebral column inschool ageif the posture is not respected or the desk is used for a long time, which does not correspond to growth.

The organism, trying to find a balance, creates on the opposite end a second bend. If a left-sided arch is installed in the lumbar spine during diagnosis, then in the future there is reason to expect a second arc in the thoracic region, but on the opposite side.

Is it dangerous?

With the development of scoliosis occursdisorders of the organs and body systemsrights. First of all, these are the vertebral canalsnerve root.

Also, narrowed intervertebral foramens clamp vessels that feed the spinal cord, reducing its trophism. People suffering from this disease often have movement disorders and sensitivity disorders.

The ribs compressed together tighten the nerves passing there, causing intercostal neuralgia.

Muscles on the convex side of the back stretch and become thinner, regenerating with time into adipose tissue. The chest presses the lung, which ceases to participate in breathing.

Compression and displacement of internal organs and vessels lead to stagnation and heart failure.

In addition to the typical properties inherent in all types of scoliosis, the S-shaped formdifficult to correct, completely cured only at the initial stages.

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In this form, the arcs are formed in two parts of the spine. The higher they are, the worse the forecast. The second arc occurs later, does not develop as fast as the first one, without distinct features.

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Conservative methods often do not bring good results. Developing, the disease brings more and more physical and mental discomfort. The growing pain syndrome can become very strong, sometimes it can not be removed with anesthetic drugs.

In this case, surgery is recommended.

Degrees of S-shaped scoliosis

The degree of curvature is determined by its more pronounced part, which mainly falls on the thoracic region. The development of the disease is divided into degrees:

• The first. The vertebral column is curved by no more than 10 °. The second arc is not observed, or it is very small. It differs by a small stoop, and is found difficult. It is easy to treat, but it also progresses rapidly.
• The second. The arc has a deviation of 10-25 °. There is an asymmetry in the scapula, which is easier to see when tilted forward. The second arc is almost invisible, since it is in the initial stage.
• The third. The primary arc is deflected by 25-50 °, the second is clearly visible, and its bend can reach 25 °. The examination shows an asymmetry in the chest and a sporting rib hump. Noticeable deformities affect the internal organs of the chest, causing stagnant phenomena.
• Fourth. The angle in the first arc exceeds 50 °, the second it catches up, having a 2-3 degree. The trunk is deformed, leading to disability. Internal organs are deficient. Pain syndrome is clearly pronounced.

Diagnostics

When diagnosing this type of scoliosis, it is important to identify it in the first stages. The examination is carried out in all positions of the body.

At the same time they look at the symmetry of the triangles of the waist, the shoulder blades and the shoulder straps, the severity of the lateral curvatures. The costal hump arising at the second degree is measured by a scoliosis.

After the revealed violations are carried outX-ray examination, which is repeated every six months. The picture is taken with coverage of all parts of the spine both standing and lying.

You can determine the initial stages of the disease by taking the habitual posture while standing in a relaxed state, and paying attention to the following:

• Shoulders are at different levels relative to each other;
• One of the blades bulges out more than the other;
• In the forward torso, the curvature of the back is visible;
• Different distance to the waist from hands pressed to the sides.

Even one of the signs seen is the reason for the visit to the orthopedist or surgeon, as it is a sure sign of a progressive disease.

Treatment

Methods of treatment of S-shaped curvature are divided into conservative and surgical. The first of these is used in the initial stages of deformation. The third and fourth stages are corrected only by surgical intervention, and conservative therapy serves only as an auxiliary.

In addition to medical therapy, which helps relieve pain and start regeneration processes, conservative treatment includes the following methods:

• Manual therapy.It is a method of affecting the joint apparatus. Its task is to remove pain and correct a noticeable displacement of the spine. Indication for treatment is scoliosis I-III degree, disorders of posture. The problem is eliminated by a mild effect with no impact and force correction. For years, the formed curvature is corrected smoothly, with the frequency of sessions one per week. It is conducted by a medical specialist with a special education. This type of treatment brings a noticeable result in combination with the rest of the conservative methods.
• Massage.It consists of methods of mechanical action on the body surface by a massage therapist or special devices. With S-shaped scoliosis, its classical and segmental-leflectory species are carried out. Improves the position of the spine and the degree of curvature, relieves muscle spasms and tension, improves blood circulation and prevents the development of the disease.
• Exercise (LCT).It is the basis of non-surgical treatment, and is an individually designed by the physician complex of gymnastics, training the muscles of the back, and gradually correcting the curvature of the spine. The method is very effective, and at the first stages of scoliosis it allows to completely cure. At the last stages it helps to stop the development of the disease, and also to recover relatively quickly after the operation.

Conducting procedures for conservative treatment requires special qualification of medical personnel, since inept actions during the procedures can not only not bring benefits, but also harm, provoking irreversible changes.

Orthosis: belts and corsets

One of the successful ways to correct S-shaped scoliosis isorthotics, which is aimed at compensating for the arisen disturbances in the functions of the spinal column during its deformation.

Based on the changes caused by the disease, as well as its stages, the orthosis can compensate for the weakness of the muscular apparatus of the back or correct its curvature while maintaining a stable position.

Compensating corsets are used in the first stage of curvature, their function -balance the tone of the muscles that hold the correct position of the body.

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To do this, elastic and soft elastic devices are used, worn in the daytime from two to four hours, as well as long-term stay of the patient in a static position and with severe physical loads.

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At the first stages of the disease, if there is a danger of its development, elastic-elastic orthoses are used, whichcompensate the weakness of the muscles and unload the vertebrae.

In this case, the amplitude of the movements will change slightly, but the position in the static posture stabilizes.

At the third stage, the lateral effect will not be sufficient, it is necessary to have an axial extension. This role is played bypelvic ring, serving as a lower support. The upper support is selected depending on the type of deformation.

Kinds of sport recommended for scoliosis

The treatment of scoliosis is associated with increased activity, which includes sports. But the disease makes its limitations in their species. So, some exercises exacerbate deformations and can cause protrusion when directed asymmetrically.

It is undesirable to engage in boxing, fencing, tennis. Running, jumping and weight lifting give a strong compression load, which is also undesirable.

Football, gymnastics and hockey are dangerous injuries during jerks.

Useful species will be swimming, which, in addition to the development of muscles, promotes stretching of the spine and the development of coordination of movements.Pulling on the crossbar and push-upson the uneven bars will have a similar effect. Running is useful, but not at the last stages of the disease.

Lifestyle change

The emergence of scoliosis is almost always a consequence ofwrong way of life. To successfully fight the disease, its change will be an indispensable condition for achieving the desired results.

Such changes include constant control over the posture and gait, the correct arrangement of a bed, the abandonment of "heavy" sports and the adjustment of its program.

Continuous self-monitoring is necessary, it is impossible to fight scoliosis with conservative treatment without it, and after surgery there will be a risk of return to the preoperative state.

Operative treatment

If the conservative method is ineffective, and also at the extreme stages of the disease, surgery is used as a last resort in correcting S-shaped scoliosis.

For him, absolute indicators are:

• Signs of damage to the spinal cord in acute severe pain, which can not be removed medically, as well as with neurological disorders.
• The fourth stage of scoliosis with a curvature of more than 50 °. This angle is dangerous not only to internal organs, but also potential infringement of a spinal cord.
• An actively developing disease with deformity above 40-45 °, when a growing organism is threatened with damage to the organs of the chest.

The most successful period for the correction of pathology is the period of the end of growth. In surgical practice, to correct curvature, a spinal column is usedstatic fixing elements and installation of a dynamic structure.

The first type is stable, and is usually placed in the lower parts of the spine, but the disease does not develop further, and the arc of curvature is firmly fixed. Children often install a dynamic construct that grows with it, without disrupting development and correcting the scoliotic factor.

Complex curvature of the spine, unlike many other diseases, do not develop in a short time.

His treatment will also take a long time, which may take several months, and maybe years of tremendous effort and hard work.

The key to success will be the desire to be healthy and a strict discipline regarding self-monitoring and strict, timely fulfillment of all medical prescriptions.

How to forget about joint and spinal pain?

• Does pain limit your movements and full life?
• Are you worried about discomfort, crunching and systematic pain?
• Perhaps you have tried a bunch of medicines, creams and ointments?

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S-shaped scoliosis

S-shaped scoliosis is one of the types of spine disease. If we consider such a curvature in the lateral projection, then it will have the form of the English letter S.

It is important to begin treatment, because such a pathology, can lead to a number of other disorders in the functioning of the body.

But the path to full recovery will be difficult, it is better to conduct preventive actions from the very childhood.

Description and classification

The word "scoliosis" is of Greek origin, and is translated as "curve." Most often it begins to develop in children from ten to fifteen years, and is especially dangerous in the preschool age (4-7 years). Then there is the likelihood of rapid development of such a disease.

Scoliosis disrupts the work of the musculoskeletal system, except for the curvature of the whole column, and vertebrae turn is still encountered.

The main reason for the appearance of scoliosis is finding the back in the wrong position.

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Such deformation can lead to disruption of the internal organs, and also it becomes visible visually.

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With such a disease, asymmetric changes are observed, which affect not only the spine itself, but also the scapula or ribs, which, on the one hand, protrude more than the other.

There is a different classification of scoliosis, which can affect different factors.

From the duration of development

Depending on when the scoliosis began to develop, it is divided into:

• congenital, is associated with the wrong formation of the spine before birth, this pathology is often combined with hip dislocations, toed feet, as well as violations of the pelvic organs;
• children, the period of development from 0 to 10 years, the curvature at this age is dangerous, because the formation of the spine is not complete, which can lead to irreversible pathological processes;
• adolescent, is the most common form, the period of its development falls on the age range of 10-15 years, the cause of which is not the correct posture position;
• adult, appears very rarely, most likely, this is a consequence of the lack of treatment that was not provided at an early age.

Depending on the origin

Scoliosis is also classified for reasons of its occurrence:

• Muscular origin, appears in poorly developed muscles, as well as ligaments that can not provide the correct shape of the spinal column. The cause of this change can be rickets.
• Neurogenic origin, this scoliosis occurs after diseases such as poliomyelitis and spastic paralysis.
• Congenital form, the appearance due to improper development of bone tissue.
• Because of the diseases of the chest, which can develop after plastics, as well as burns.
• Scoliosis, which originated for unknown reasons.

Classification from the form

Depending on the form of this disease, there are five types:

1. C-shaped scoliosis, is more often located in the thoracic spine.
2. Z-shaped scoliosis, it can lead to cardiovascular diseases, because of rapid development and serious pathologies, treatment is performed with the help of surgery.
3. S-shaped scoliosis.

Scoliosis is also divided into right-sided and left-sided.

Localization of occurrence

The disease can affect the different parts of the spine:

• simultaneous curvature in the neck and thoracic region;
• scoliosis of the interblade zone (thoracic region);
• changes in the shape of the spine of the lumbar region;
• thoracolumbar scoliosis.

Scoliosis is divided according to different criteria, but the classification of the degree of development of this disease is most often used.

Degrees of development

For correct diagnosis and the appointment of complex treatment, take into account the degree of development of such a disease of the spine:

1. S-shaped scoliosis of 1 degree, the degree of curvature is equal to ten. This is the initial stage of development, the spine has only one scoliotic arc, but the second is not yet or it is little expressed. Appears a slight stoop. To identify the disease at this stage is very difficult, if it succeeds, it will be possible to avoid pathological changes, as well as completely cure it.
2. S-shaped scoliosis of the 2nd degree, the main arch undergoes a change in the range of ten to twenty-five degrees. This stage is characterized by poorly expressed asymmetric changes in the area of ​​the scapula, one of them may protrude slightly, especially noticeably, during the tilt. The curvature of the second arc is not evidently evident, because it is still developing.
3. Scoliosis of 3 degree S-shaped has already two distinct arches. The angle of the first varies within 25-50 degrees, and the second, after the stage of active development, can reach twenty-five degrees. During the examination, the patient shows an obvious asymmetry of the thoracic region. The patient strongly stoops, he develops a rib hump.
   These deformation changes will not pass without a trace for the body. Most of all, organs of the chest, such as the heart and lungs, will suffer. A small circle of blood flow is disturbed, which leads to a malfunction of the cardiovascular system.
4. If the first arc has an angle of more than fifty degrees, the S-shaped scoliosis has passed to the 4th degree, and the second arc may be curved in the redistribution of the second or third stage. This form is the heaviest, because when pathological changes occur, they can lead to disability, and multi-organ failure. It is very important to prevent the further development of the disease.
5. Not infrequently the attending physician can prescribe an operation intervention if the scoliosis has already entered a severe stage. Then traditional methods (such as massage and exercise therapy) will simply be ineffective.

Conducting diagnostics

When there is a suspicion of scoliosis, in the first place, you should get advice from an orthopedist. It will help to determine the presence of the disease, its degree, the location of the localization, as well as the side of the curvature (right-sided or left-sided scoliosis).

The doctor will ask you to undress to the waist, then straighten your back. In the absence of curvature, the spine will go along a straight line, without any changes.

According to the second method, the patient makes a tilt and tries to reach with his fingertips to the floor. The blades should be symmetrically arranged to each other.

At a scoliosis of 2 degrees, and especially the third stage, during inspection, following changes are visible:

In scoliosis, one shoulder is below another

• one shoulder is below another;
• The presence of a vertebral humerus in one of the parts of the spine;
• partial fall of the ribs, appearance of gaps between them;
• the displacement of the costal arch towards the back;
• weakness of the muscular girdle, especially in the abdominal region;
• the location of the blades at different levels, as well as they become inverted;
• asymmetric spinal disorder, can lead to shortening of the legs and hands.

Such diagnostics can not always accurately see minor changes. Therefore, an X-ray is performed, images from different sides will be more effective. If there is such a need, the doctor prescribes CT, or a more effective MRI. This examination will show whether the spine has changed its shape.

Complex treatment

How to correct S-shaped scoliosis? Conservative technique is suitable only for the initial stages (first and second) of such a disease.

If the diagnosis is determined by the 3rd or 4th degree, then surgery can not be avoided.

Then the standard approaches to treatment can act as a supplement.

The basis of conservative treatment is therapeutic exercise (LFK), with S-shaped scoliosis it will give the best results.

Particular attention is drawn to which side the curvature has occurred, that is, right or left-sided scoliosis.

To achieve a good result, a special corset is appointed, which has an orthopedic appointment. He is selected, relying on the individual parameters of the patient.

To strengthen the muscles, spend a massage in several courses, which has a special purpose for correcting the spine. Good results show manual therapy.

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In an integrated approach, swimming is not the last place. After all, in the water there is a simultaneous relaxation and strengthening of the muscular corset.

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Today, medicine offers many methods for the rapid correction of severe forms of curvature of the spine. One of them is the insertion of metal plates. After such a procedure, the patient should undergo a long rehabilitation period, which also includes exercise therapy, massage, and swimming.

Exercises for S-shaped scoliosis

Gymnastics to correct such a disease, will have a positive therapeutic effect, at the first stages of development.

An uncomplicated physical complex should be performed:

Exercises for S-shaped scoliosis

• The first type of exercise is done in the prone position on the abdomen, the arms and legs are straightened. In order of priority, raise the right arm and left leg, and then change in symmetrical order.

  After lifting, the position fixes for 10-20 seconds.

• Body positions as in the first exercise, hands and feet are raised simultaneously, with a delay of this position for five to ten seconds.
• The third type of training is slow push-ups, to ease the load, legs bend at the knees.
• Lying on his back, bend his knees (it is better for something to hook on), hands behind his head. Try to pull myself to my knees, bending my back with an arch.
• Torso bending forward, to each leg, and then bending backwards.

At the beginning of the course, one approach is 15 to 30 times, and then to achieve the best result, the exercises for S-shaped scoliosis are repeated in two or three stages. There are video lessons that will help you understand the exercises.

It is worthwhile to understand that massage and exercise therapy in left-sided scoliosis has its differences from curvatures in the other direction.

The masseur pays more attention to one side of the back, and also sprains the compressed muscles and relaxes the stretched ones.

For example, when a physico-therapeutic complex is appointed for right-sided scoliosis, it is not possible to make slopes to the left side, and when left-handed, vice versa.

Exercises on the Swedish wall

Exercises on the Swedish wall

Treatment of this type of disease, involves classes on the Swedish wall.

With the help of this exercise, the spine begins to stretch, and also dislocations are eliminated, which occur when curving.

It is worth trying to raise your legs in different directions, bend them in your lap, and lift at a right angle.

It is necessary to conduct a systematic physical education, because if you do not do this, then you will have to get treated for more severe forms of curvature of the spine.

• All means have been tried, and nothing has helped?
• Are you in constant pain?
• Suterness became your distinguishing feature?
• And now you are ready to take advantage of any opportunity that will give you the long-awaited well-being!

A source: http://lechuspinu.ru/skolioz/s-obraznyj-skolioz.html