What is scoliosis?

Scoliosis is a lateral (sideways) curvature of the spine where that curvature is greater than 10% from the vertical. Less than 10 degrees may simply be the result of postural changes. Although the nervous system works to keep your spine straight, problems can occur. Scoliosis may not exist in isolation, and lordosis (abnormal curvature toward the front) or kyphosis (abnormal curvature toward the back) may also be present. The vertebrae are also often rotated.

80% of the time, the cause of scoliosis remains unknown, and this is called idiopathic scoliosis. In the other cases, the condition will be the result of some form of trauma, neurological disease, tumor, or similar. Where postural problems, muscle spasms, or leg-length inequality cause the condition, it is known as functional scoliosis, and can often be corrected. Structural scoliosis, on the other hand, is not reducible with postural changes.

Scoliosis symptoms

Scoliosis can cause pain, and impair lung function or heart function. It can also lead to psychological problems such as poor self-esteem, especially because it so often happens at an age when peer pressure is at its most powerful.

With 4 out of 5 scoliosis sufferers, the spinal curvature is less than 20 degrees, and this is not normally visible to the untrained eye. Provided these cases do not appear to be worsening, there is no great cause for alarm. However, as children and adolescents have bodies that are still growing, mild curvatures can bend by a further 10 degrees or more in a matter of months. For this reason, evaluations should be made frequently.

Scoliosis evaluation

Scoliosis is evaluated by conducting a detailed family history and a physical examination that includes postural analysis. If a curvature is detected, further investigation is required to establish if there is any obvious cause of the problem, such as a birth defects or any prior injury

X-rays are a useful tool when the curvatures are pronounced, to check more thoroughly on the structure of the spine, and if the scoliosis is impinging upon anything else. The wrist is also often x-rayed because this is used to assess the patient’s skeletal age, as a barometer of where that person is in relation to the accepted norm, and for monitoring the progression of the condition. X-rays may be needed anything from once every 3 to 4 months, to once every few years, depending on the doctor’s feelings about the possible rate of progression.

A device called a Scoliometer can be employed to monitor progression once diagnosis is certain. This measures changes in the rib humps that are linked to scoliosis, and is painless, being a non-invasive technique.

Progression in scoliosis

The vast majority of scoliosis cases are mild, non-progressive, and there is no need for treatment. This is not true for one category, though, which is young girls with a curvature of at least 25 degrees, who have not yet menstruated for the first time. As there is relatively fast growth in the year before the first period, it follows that any curvature will also progress quickly. After the first period, this slows down.

Scoliosis treatment

Traditionally, scoliosis is treatable in three ways: observation, bracing, and surgery. The first option is the most common and is not really a treatment because nothing is actually done to the sufferer, for the reasons outlined above regarding its usually non-progressive state. Bracing is normally only applicable to children whose skeletons have not fully matured whose curvatures are between 25 and 45 degrees. In progressive cases beyond 45 degrees, and/or if the function of the heart, lungs, or other vital organs may be affected, surgery becomes an option.

Today the treatment option which is showing the most promise is a combination of spinal adjustments or manipulation, therapeutic exercise, and electrical muscle stimulation. These can be especially helpful to anyone whose scoliosis is causing them spinal pain such as lower back pain, neck pain and also headaches. A general piece of advice, exercise is both advocated and well-tolerated for patients with scoliosis. Most importantly, it should be remembered that most people who have scoliosis lead their lives no differently to anyone else, however, as their spine is exposed to increased levels of strain mechanically it is important to ensure that extra efforts are made to help keep the spine healthy. Chiropractic care is a great method of ensuring spinal health.

Good computer ergonomics – our posture when we sit at our workstations – is important for children as well as for adults. According to a New York Times article, over 70% of America’s 30 million elementary school students use computers. With the IT world we live in, the 30% that don’t soon will. While this is good for the minds of these children, it can be damaging to their bodies.

Doctors of chiropractic are treating more young patients who are suffering as a result of their working at ill-conceived computer stations – ill-conceived because they are designed for adults, or because they are poorly designed for children. It is a shocking thought, but many children already suffer from repetitive motion injuries (RMI), also known as repetitive strain injuries (RSI). One such injury is the problematic carpal tunnel syndrome. Chronic pain in the hands, back, neck and shoulders are other symptoms related to bad ergonomics.

Researchers from Cornell University published a study revealing that 40% of the elementary school children under their scrutiny were using computer workstations that created a postural risk. The other 60% were found to be in the range that raised “some concern.”

It is not enough to teach children how to use computers; more emphasis has to be placed on teaching them how to properly use the actual workstations. These are the formative years for an individual, mentally, emotionally and physically. Poor work habits when young can lead to serious health effects that plague that person for the rest of their life. While parents know to watch out for signs of substance abuse in their children, few have any idea of the long-term health effects that can arise from postural problems.

What can you do?

Thankfully, there are certain things you can do to lessen the chances of your child suffering painful and potentially disabling injuries:

• Make sure that any workstation in the home that is shared by both adult and child can be modified according to the user.
• Check that the top of the computer monitor is set at a height at or below the child’s eye level. You may need to remove the monitor stand to do this, or alternatively raise the child’s sitting position in some way.
• Look at the workstation chair and ensure it is correct for the child. To stop slouching and for added back support, you can place an ergonomic back cushion, a pillow or a rolled-up towel in a position that corresponds with the small of the child’s back. Make sure that the gap between the front edge of the seat and the back of the knees is two inches. A good workstation chair should have arm supports that cause the elbows to rest at an angle between 70 to 135 degrees relative to the computer keyboard.
• Check that the wrists are held in a neutral position while typing, and not angled up or down. To ensure the child doesn’t have to hold their arm out away from their body, move the mouse mat close to the keyboard.
• Achieve a 90- to 120-degree angle for the child’s knees, if necessary by installing a foot rest, or perhaps a box or a small stool.
• Ensure there is adequate lighting to reduce eyestrain, and check the monitor is not reflecting any glare. Use a special antiglare screen if necessary.
• Do not allow your child to sit for uninterrupted hours at the computer. Limit their time, and enforce breaks during which they can stretch and move about. Have them perform the following stretches: clench the hands into fists and move them in 10 circles inward, followed by 10 circles outward; place hands in a praying position and squeeze together for 10 seconds, then point them downward and do the same squeezing for another 10 seconds; spread the fingers apart, then close them one at a time; stand and have them wrap their arms around the body, turning all the way round to the left, then all the way round to the right.
• Try to have your child drink four 8-ounce glasses of water every day so their muscles and all their bodily functions are adequately hydrated. This can help avoid injury. Juices and sodas etc. are not a suitable replacement for water.
• Suggest to your child’s school and PTA that the children are educated on proper computer ergonomics, and encourage the installation of ergonomically correct workstations at the school.

If you or your child continue to suffer from computer-related pain despite your best efforts to avoid it, your next stop should be a doctor of chiropractic to prevent the injury worsening and to promote healing.

Patients under Chiropractic care experience strokes at a significantly lower rate than people who are not under Chiropractic care.

According to a report in the Journal of Vertebral and Subluxation Research, people who are not Chiropractic patients are 27,500 times more likely to suffer strokes than Chiropractic patients.

Results of this study are significant as many researchers have tried to link Chiropractic with the occurrence of stroke.

Chiropractic has also proven to be a significantly safer method of treatment than drugs and surgery. Aspirin and other NSAIDs have been linked to 80% of all ulcer-related deaths; people taking NSAIDS are three times more likely to die than those not taking the drugs.

More than 50% of all medications have serious and sometimes fatal side effects. In 1994, adverse drug reactions were responsible for 106,000 deaths.

Appendectomy procedures have a death rate of one in 74; Spinal fusion surgery has a death rate of one in 50; simple procedures such as drawing blood cause death in one of every 25,000 procedures.

An article published in In Touch Magazine noted that, “More Americans are killed in hospitals every six months than died in the entire Vietnam war; the medical death rate is equivalent to three jumbo jet crashes every day and that the disease care system may be a public health threat of epidemic proportions.”

headaches

fibromylagia after treatment

back surgery and laser surgery

fibromyalgia testing before and after

Every form of health care can contain some risk and the media often sensationalize those risks and create fear. But what are the real numbers? The following shows a comparison between spinal manipulation, spinal surgery, and anti-inflammatory drugs (non-steroidal).

Your patients need to know these statistics.

Cervical Spine Manipulation:

Complication 2.09 per million

Death .268 per million

Cervical Spine Surgery:

Complication 15,600 per million

Death 6,900 per million

Anti-inflammatory drugs:

Serious gastrointestinal event (all ages) 1,000 per million

Serious gastrointestinal event (65 and over) 3,200 per million

Scoliosis is a general term that is used to describe a progressive spinal curvature that can affect the entire skeletal system including the spine, ribs, and pelvis. Scoliosis is often divided into two categories: idiopathic and functional. Idiopathic scoliosis often involves changes in the development of spinal bones, where the normal development of a spinal vertebra should be more square the spine with idiopathic scoliosis may be trapezoidal (shorter on one side as compared to the other). In scoliosis patients with significant changes in bone structure it is impossible to correct this type of scoliosis. However, in this case management of the scoliosis is equally important. Functional scoliosis patients will show normal development of the bony structures of the spine and the orientation of the vertebra tends to be within the normal ranges of movement. This type of scoliosis responds extremely well the Chiropractic care and can often time achieve a full correction. Identification and diagnosis of scoliosis is imperative as it can affect virtually every system of the body.

Progressive scoliosis has traditionally been treated via surgical rods that fuse the spine. However, this does nothing to address the many biological and physiological aspects of scoliosis. In fact, invasive surgical procedures are typically only expected to arrest the scoliotic progression but often fail to achieve this minimum expected result.

There are many methodologies within chiropractic that are designed to assist the patient with scoliosis. Depending on the type and progression of the scoliosis the treatment results may vary from arresting spinal curvatures progression to fully correcting it. Similar to orthodontic braces for correcting the position of teeth, chiropractic methods will include exercises, stretching and in some cases traction to help restore the spine to a normal or as close to normal as possible alignment.

Chiropractic care is vital component to successfully treating scoliosis and is typically administered 2-3 times per week during the first 12 months of treatment.  Thereafter, the frequency of chiropractic care is often reduced in accordance with the patient’s overall response.

Chiropractors work with the patient that has scoliosis to achieve improved health overall, while addressing the scoliosis rather than just treating the scoliosis. This multi-faceted approach has shown the greatest results in long term success in managing scoliosis. Be sure to discuss with your chiropractor the various methods which are available for improving scoliosis to find the method that will work best for you.