How to treat scoliosis and its accompanying pain

Scoliosis of the spine – a persistent and irreversible curvature of the spine in the lateral plane (frontal). The disease was actively prevalent in schoolchildren. The frequency of its detection in adults about 60%. So 6 people out of 10, a shift in the axis of the spine in the lateral plane.

to treat scoliosis of the spine in girls

Symptoms and signs of disease

Clinical symptoms of a strain depend on the degree and localization of the arc curvature. However, unlike scoliotic posture, scoliosis true cure is almost impossible. Expressed pain in this pathology is often resolve by surgery.

Radiological signs of scoliosis are characterized by displacement of the Central axis location of the spinous processes and the vertebrae rotate around its own axis. At the same time on the images to distinguish different deformation of the vertebral segments.

From the external signs of scoliosis include:

  • Uneven position of the shoulder girdle;
  • Drooping of the head in the direction opposite to the distortion;
  • Breeding of blades and their arrangement at different levels;
  • Bulging belly forward;
  • the Curvature of the pelvic bones with the angle in the curvature of the vertebral column.

The Classic scoliosis with lateral displacement of the vertical axis of the spine and maintaining its physiological bends are rare. Most often the disease is combined with kyphoscoliosis – a sideways curvature of the spine and increased thoracic convexity posteriorly.

Traditionally, the diagnosis of scoliosis is exposed on the basis of x-ray pictures, but in marked degree of pathology can be seen visually by the curvature of the back.

photo of scoliosis x-ray picture of the back

photo of the lower thoracic and total scoliosis

Causes and classification of spinal deformities

The cause of the disease can be classified as:

  • Congenital
  • Acquired.

Congenital scoliosis is characterized by the simultaneous displacement of the abdominal organs and the thorax. The acquired form of pathology arises as a consequence of poor posture in school children, injuries of the vertebral column, inflammatory diseases (tuberculosis), degenerative disease (ankylosing spondylitis, low back pain).

According To the morphological appearance and localization of the disease was isolated scoliosis:

  • S-shaped
  • S-shaped
  • Breast;
  • Lumbar.

S-shaped form of the disease is characterized by a specific strain of the spinal column. On the picture side of the spine resembles the letter "S" (the opposite curvature in the cervical, thoracic, lumbar and sacral departments). A person with this form of deformation, often back pain, scoliosis, which in this case is determined visually, causes the impairment of spinal nerves.

When a C-shaped type, a shift in the cervical, thoracic and lumbar in one direction. Typically, the apex of the curvature localized in the thoracic spine.

depending on the severity of pathology is divided into 4 stages:

  • 1 degree – angle deformation does not exceed 10 degrees. At this stage, external changes of the back is not marked, so often the disease is detected by chance when performing radiographs on another occasion;
  • 2 degree of curvature does not exceed 25 degrees. For an external view of the patient is observed asymmetry of the shoulder bones, shoulder blades are located at different levels;
  • 3 degree – angle deformation reaches 60 degrees. Curvature of the spine significantly expressed, so the diagnosis is not difficult;
  • 4 degree is the most severe. It observed severe pain in various parts of the body. Outwardly curled edges and is defined by a sharp asymmetry of both parts of the chest. Scoliosis treatment in this stage is surgical.

What pain are observed in the deviation of the axis of the spine sideways

Pain in lateral dislocation of the spinal column due to several reasons. They can result from reflex and radicular syndromes.

  1. Reflex syndromes in the curvature of the spine sideways.

Reflex syndrome occurs due to irritation of nerve endings of different anatomical structures. For example, in marked deviation of the vertebral axis together with her moves and longitudinal ligament. It is rich in nerve receptors, which cause persistent pain in the back. The onset of pain at some distance from the vertebral column can be caused by irritation of skeletal muscles.

Muscle pains are are specific for. At the same time they are felt in a wide area, but the intensity of their small ("dull pain"). Example of reflex syndromes are:

  • Colic in the fieldheart;
  • Constant aching pain in the shoulder joint (glenohumeral periarthritis);
  • Dizziness irritation of the anterior scalene muscle (located in the neck).
  1. Radicular syndrome (radicular).

Radicular syndrome appears as a consequence of infringement of the nerve fibers between the vertebrae or compression of the segments in the spinal cord. Often their reason is the bulging intervertebral disc (hernia) that often accompanies scoliosis of the vertebral column.

The Appearance of osteophytes bone (lateral overgrowth along the vertebral bodies) when spondylosis is a precipitating factor for the occurrence of lumbago (lumbago). This pathology is characterized by severe pain radiating to the lower limb. Treated surgically.

A Typical symptom of compression syndrome is the presence of neurological symptoms:

  • crawling Sensation
  • Violation of skin sensitivity
  • Lack of reflexes with the knee joint and Achilles tendon (in the back of the heel);

depending on the localization of the infringement of nerve pain in scoliosis of spine are classified into:

  • Cervicalgia – neck pain;
  • Cervicobrachialgia – pain in the neck and upper limbs
  • Lumbalgia – pain in the lumbar region;
  • Sacralgia – pain in the projection of the sacrum and lower extremities.

For example, a nerve compression in the lumbar spine when it is offset in a frontal plane will cause compression radiculopathy with pain (lumbodynia) in the lumbar region and lower extremities. When examining such a patient is observed reflex, sensory and motor disorders. In severe compression may complete immobilization.

If you cervicobrachialgia cervicalgia and pain appear after exercise or any awkward movement. They saved some time and are alone.

depending on the location of the pain is divided into:

  • Superficial somatic – are felt in the skin;
  • Deep somatic – originates from the musculoskeletal structures;
  • Visceral – from internal organs.

depending on the temporal characteristics distinguish chronic and acute pain. In the latter case, the pain arises immediately after the action provoking factor.

Chronic pain persists for a long time even after the elimination of the causes.

pathology

A Successful treatment for scoliosis of the spine can be carried out only in the early detection of the deformity. If pathology is identified in a timely manner, then the therapy will be based on the following principles:

  1. Elimination of deformation;
  2. Procedures for the normalization of the status of the spinal column;
  3. Rehabilitation measures to consolidate the effect of treatment.

Elimination of deformation is achieved primarily by the hard wearing orthopedic corset or support zones. In between use of these devices the patient needs to perform therapy.

To normalize the condition of the spine treatments for scoliosis are complemented by massage, manual therapy, swimming, stretching, physical therapy and other procedures. Their purpose is the normalization of blood supply and metabolism in the spinal column.

Rehabilitation is the most difficult stage of treatment deformation of the spinal column. It is designed to prevent a repeat of curvature of its axis.

Scoliosis of the spine 4 degrees treated by operative methods. They aim to eliminate deformation of the vertebrae. At lateral curvature of the axis of the vertebral column 4 stage corsets are not assigned, as they exacerbate the pathological condition of the spine.

To Slow the progression of the disease degrees initial helps the swimming style crawl. However, when the disease most sports should be avoided:

  • weightlifting
  • Running
  • Jumping
  • physical challenges
  • Professional gymnastics.

To strengthen the muscle corset back at warp 1 and 2 degrees is recommended the following exercises:

  1. Sit on a low chair with a sturdy backrest. Close your hands lock on the back of his head. Follow the deflections of the thoracic back;
  2. Lie on the floor and put a cushion under the chest. Put your hands on your head and bend backwards. The number of repetitions and 5-6
  3. Sit on the floor and wrap a towel on the bottom of the chest. Pull out the fabric and pull it posteriorly. At the same time try to bend the thoracic spine. Repeat the exercise 7 to 11 times;
  4. Exercise for scoliosis of 2 degrees: sit on the floor, lift the head over the hands and spread your legs. Follow the sloping left and right raising right hand upward.

In conclusion we note that the search methods, how to treat scoliosis of the spine it is necessary to consult with your doctor. Therapy is appointed on the basis of the many specific features of the disease in each individual case.