| Scoliosis |
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| What is scoliosis? |
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Everyone's
spine has a natural front-to-back curve -- that's what produces
the normal rounding of the shoulders and the sway of the lower
back. However, some people suffer from "Scoliosis" --
an abnormal curvature of the spine, especially one characterized
by a rotational side-to-side deformity. In simple terms, what
this means is that the spine is twisted side-to-side, often taking
on an "S" shaped appearance and even resembling a corkscrew
in some cases. Almost three out of every 100 people have some
degree of abnormal spinal curvature, and for some it never becomes
a serious problem. But for many others, the curve gets worse
over time and can cause considerable pain, frustration, and limitations
on normal activities. Severe scoliosis can even complicate breathing
and circulation.
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| Who suffers from
scoliosis? |
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The
most common form of scoliosis is called idiopathic scoliosis,
which basically means that the cause is unknown. Anyone can suffer
from scoliosis; the condition usually begins in childhood, although
too often it is not identified until the teenage years or later.
Scoliosis tends to run in families, and it affects many more
girls than boys. In fact, research indicates that girls are nearly
eight times more likely than boys to have scoliosis and five
times more likely to require some form of treatment for their
condition than boys, and the curvature of their spine is more
likely to worsen over time, especially if left unattended.
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| What are some of
the symptoms of scoliosis? |
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Sometimes
curvature of the spine is visible (the body tilts to the left
or the right, or one shoulder blade is raised higher than the
other. Some of the actual physical symptoms of scoliosis can
include back pain, fatigue (especially postural fatigue -- feeling
tired when standing, sitting, etc.), and in more severe cases,
problems with circulation and breathing.
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| What can chiropractic
do? |
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Doctors
of chiropractic are trained to identify and manage problems relating
to the spine and the back. An initial visit to the chiropractor
will include a thorough physical and diagnostic examination (including
range-of-motion tests and spinal x-rays) to identify any problems
you may be having, including whether you or your children may
be suffering from abnormal or dangerous curvature of the spine.
If you do show signs of scoliosis, the physicians at Spinal Rehab
and Wellness Center can provide a variety of techniques to help
your condition, including spinal adjustments to increase movement
and biomechanical function, and advice on posture and exercise
to help prevent further increase in the problem.
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References
• Oda I, Abumi K, Lu D, et al. Biomechanical role of the posterior
elements, costovertebral joints, and chest cage in the
stability
of the thoracic spine. Spine, 1996: Vol. 21, pp1423-29.
• Jones RS, Kennedy JD, Hasham F, et al. Mechanical insufficiency
of the thoracic cage in scoliosis. Thorax, 1981: Vol. 36,
pp456-61.
• Gupta P, Lenke LG, Bridwell KH. Incidence of neural axis abnormalities
in infantile and juvenile patients with spinal deformity. Is a magnetic
resonance imaging screening necessary? Spine, Jan. 1999: Vol. 23,
No. 6, pp206-210.
• Maiocco B, Deeney VF, Coulon R, et al. Adolescent idiopathic scoliosis
and the presence of spinal cord abnormalities. Spine, Nov. 1997:
Vol. 22, No. 21, pp2537-41.
• Goldberg CJ, Moore DP, Fogarty EE, et al. Left thoracic curve
patterns and their association with disease. Spine, June 15,
1999:
Vol. 24, No. 12, pp1228-1233.
• Lloyd-Roberts GC, et al. Progression in idiopathic scoliosis.
Journal of Bone and Joint Surgery, 1978: 60B(4).
• Sunderland S. Nerves and Nerve Injuries, 1978. Churchill-Livingstone,
New York.
• Trontelj JV, et al. Segmental neurophysiological mechanisms in
scoliosis. Journal of Bone and Joint Surgery, 1979: 61B(4).
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