Health First Research

Scoliosis an Introduction

When the body is looked at from behind, a normal spine is straight without much deviation from one side to the other.Scoliosis is a disorder that is generally associated with a lateral, or side-to-side, curvature of the spine.The disorder shouldn’t be confused with poor posture, even though it often gives the appearance that the individual is leaning to one side. Scoliosis is a troublesome deformity that is defined by both lateral curvature and rotation of the vertebra often causing a symptomatic “rib hump” in the mid or thoracic spine. This is created by the vertebrae in the area of the major curve rotating toward the concavity and pushing their fastened ribs posterior hence producing the characteristic rib hump seen in thoracic scoliosis. The pulmonary and cardiac functions can be obstructed if the thoracic curve and rib rotation exceeds 70 degrees. Often later in life in untreated severe idiopathic infantile and juvenile scoliosis patients, this amount of curve and resulting cardiac and pulmonary changes can be life threatening.

Anatomy

The spine reveals four normal curves: the cervical, thoracic, lumbar, and sacral, all of which are observable from a side view of the trunk. The thoracic, in the chest vicinity, has a normal round curve, “reversed C,” called a kyphosis, while in the lower spine there is a healthy “C” curve, known as swayback or lordosis. Increased kyphosis in the thoracic area is called hyperkyphosis, while increased swayback is termed, hyperlordosis. Scoliosis changes regularly accompany diversions from normal on a side view. A few round back deformities are simply due to poor posture and can often be resolved with postural exercises. A small percentage of people with kyphosis have more rigid deformities than the postural type, which are coincidental with vertebral deformity. This kind of deformity, called Scheuermann’s kyphosis, is much harder to treat than postural kyphosis, and it’s cause is unknown.

Even a layman can help to identify a child or fully-grown individual with scoliosis just by viewing the person in a standing position, preferably with no shirt and in shorts, and observing the following:

• One shoulder may be raised than the other.

• One scapula (shoulder blade) may be raised or more prominent than the other.

• With the arms hanging loosely at the sides, there may be more area between the arm and the body on one side.

• One hip may look to be raised or more conspicuous than the other.

• The head is not centered over the pelvis.

• When the person is analyzed from the rear and asked to lean forward until the spine is horizontal, one side of the back seems higher than the other.

The child or adult should be sent to a healthcare professional, such as a chiropractor, for further evaluation once scoliosis is suspected. your chiropractor would be happy to help.

The most prevalent type of scoliosis is, by far, Idiopathic, and though there are various origins and many types, Idiopathic Scoliosis accounts for about 85% of all cases. “Idiopathic” means “no known cause” and is observed with equal prevalence in boys and girls in the mild or low curve magnitudes. Depending on the age of onset, this condition can be sub-classified into infantile, juvenile and adolescent cases. Idiopathic Scoliosis may be linked to genetic or hereditary influences as it commonly runs in families. Though it is unknown why, girls are five to eight times more likely than boys to have their curves increase in size and require treatment. The most general time for the development of Idiopathic Scoliosis is during adolescence when children are finishing the last major growth spurt. Unfortunately, at this age young people are reluctant to allow their body to be looked at by parents and other adults, so it is very important to have this age group examined on a regular basis.

If a scoliotic curve is observed in the growing adolescent, it is very important that the curves be monitored for advancement by periodic examination and from time to time standing X-rays. In ninety percent of instances, the scoliosis is mild and does not require active treatment, however increases in spinal deformity necessitate evaluation to ascertain if a brace or other management is required. In a small number of patients, surgical treatment may be required.~Surgery may be necessary for a small number of patients.

Brace treatment (orthosis) is recommended for newly-identified symptoms of moderate scoliosis or abnormal kyphosis, as well as when an increase in scoliosis or kyphosis is discovered in both juvenile and adolescent children. There are a number of types of braces, all created to prevent curves from increasing by acting as a buttress for the spine during active skeletal growth. Bracing is effectual in preventing curve progression in a very large portion of skeletally-immature adolescents. Nevertheless, braces generally won’t make the spine completely straight, and cannot always keep a curve from getting bigger.

Scoliosis has no simple resolution. The majority of cases, even though often monitored, are not actively treated. The standard medical treatment for moderate cases is a brace, whereas severe cases in some cases are treated surgically. You may want to see your local chiropractor first.

Along with bracing, many other therapies have been used successfully like specialized exercise, electric stimulation of spinal muscles, nutritional programs, and chiropractic treatments. It seems like the most effective results have been sustained with a multi-faceted approach to the management of this condition.

There are chiropractors, that have expertise treating scoliosis conditions.

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Low back pain is second in prevalence only to the common cold. It affects more than 80% of human being. However, unlike the common cold, back pain is often a mystery to most of its sufferers. Your Fort Worth Chiropractor is an expert at solving the puzzle.

Anatomy

To understand back pain, it is helpful to understand the anatomy of the spine. The spinal bones or vertebrae of the lower back are comprised of posterior joints called facets that connect vertebrae to one another and serve to guide the action of the spine. The inter-vertebral discs join the bodies of the vertebrae and are composed of a form of strong cartilage that covers a soft material in the center, called the nucleus. The discs act as shock absorbers and spacers between the vertebrae. Ligaments and muscles also join the vertebrae. The sacrum is a wedge-shaped bone at the bottom of the spine. It is attached to the two pelvic bones at the sacroiliac joint. In a canal positioned between the body and the facets of the vertebrae is the spinal cord. The spinal nerves exit the spine between the vertebrae.

Causes of Back Pain

In most cases, back pain comes about without a trauma, an accident, or a major injury prior to the onset. The source of most back pain is the cumulative effects of awkward sitting posture, harmful work habits, incorrect lifting, lack of proper exercise and other poor lifestyle-related factors.  These cumulative factors create stresses and imbalances on the spine and, therefore, some may injure their back just by bending over to pick up a piece of paper. The instability of the spine makes it vulnerable to even the most simple movements, such as bending. When this occurs, the surrounding back muscles go into spasm to protect the stressed or injured tissues of the back. Chiropractors are back pain specialists. Your Fort Worth Chiropractor can help you to get out of pain quickly.

Disc Problems & Sciatica

Increased pressure on the intervertebral discs and imbalances in the muscles around the spine can come about during and after prolonged sitting, particularly in a unsuitable position. After a while the lower spine loses its ability to function normally during everyday stresses. In the end, the intervertebral disc develops small fissures, or cracks, allowing the soft nucleus to distend the disc outward. If the disc pushes on sensitive tissues, it causes the pain that is often referred to as a slipped disc. Sciatica develops when the disc presses on the spinal nerve. The symptoms of sciatica include pain, tingling, numbness, and often weakness in the lower extremities. Sometimes if the disc protrusion or herniation is large and the condition is not managed correctly, surgery is necessary to clear away the herniated disc material. But, with the correct chiropractic adjustments and management, as well as postural exercises, most of these cases can healthfully heal. If you are experiencing any of the symptoms defined above, it is essential for you to seek chiropractic attention.

Spondylosis

Increased wear and tear and weight-bearing stress on the spine occurs when there is repetitive injury to the discs, facet joints, and surrounding ligaments. This stress can adversely affect the cartilage around the joints and engender calcium to deposit in the tissues around the vertebrae, forming bone spurs. These spurs can compress adjacent nerves, blood vessels and soft tissue resulting in symptoms ranging from minor pain and numbness to gross sensory loss and muscular atrophy. This condition – known as Spondylosis – is a type of arthritis that appears to affect almost everyone at some point in life, as it is a common part of the aging process of the spine as well. Nevertheless, influences such as previous trauma, unhealthy lifestyle, and repetitive stress injury influence the time of onset in life. Regular chiropractic treatment and overall chiropractic management is extremely beneficial in slowing the aging process of the spine, as well as assisting Spondylosis sufferers in managing their condition. Your Fort Worth Chiropractor has assisted many Spondylosis sufferers.

Sacroiliac Problems

The sacroiliac joints are a prevalent area of dysfunction or injury in the low back. These weight-bearing joints link the upper part of the body to the lower pelvic portion and are usually very strong and stable. Damage from falls, sports injuries, or the lifting of heavy objects can cause the joints to become unstable and change to an abnormal position.  This condition is called a sacroiliac subluxation. Women may experience this condition during or after their pregnancy. Sacroiliac subluxation causes imbalances in the lower extremities giving a person a functional long and short leg. Pain is felt particularly with prolonged standing and walking, or during and after physical activity, and the individual may experience a lack of energy and exhaustion.  Other symptoms such as neck and shoulder pain, as well as headaches, can move further up the spine. Chiropractic adjustments establish the proper alignment of the joints and are extremely affective in correcting sacroiliac problems. Ask your Fort Worth chiropractor how you can get effective pain relief.

Spinal Subluxation

A prevalent disorder of the lower back, as well as the entire spine, is subluxated or misaligned facet joints. Subluxations can exist on their own or in conjunction with disc problems and Spondylosis. They not only produce pain, but they can also endanger the spinal nerves as they exit the foramen or spaces between the vertebrae, and cause nerve compression, known as paraethesia. Paraesthesia is a variation of sensation described as a tingling, burning or “funny feeling.” Paraesthesia in the upper extremities usuallyoriginates from nerve problems in the neck, while paraesthesia in the lower extremities is commonly associated with nerve problemsin the lumbar region (lower back). Visceral problems such as asthma and gastric conditions can also belinked to, or complicated by, spinal subluxations and nerve compression. Subluxations are best eliminated by chiropractic adjustments.

Trauma

Injury such as a fall, car accident, or sports injury can create over-stretching or tearing of the tissues of the spine and lower back and create considerable pain and immobility. Corrective chiropractic care at the onset of symptoms is very important in order to avoid long term disability and the development of any of the above conditions. If you experience a trauma, call your chiropractor as soon as possible.

Scoliosis

Scoliosis is often associated with low back pain. Chiropractic care offers exceptional pain relief.

When it comes to the spine, chiropractors have more education and training than medical doctors. I can provides state of the art diagnosis and expert treatment for any of the above-mentioned problems of the spine and lower back.

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