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Scoliosis Defined by Dr Beau

 

SScoliosis is defined as the lateral curvature of the spine, greater than 10 degrees measured at the apex of the curve. Scoliosis is a condition that we see more often than you would expect and Chiropractors are very well equip to help.

Latest research suggests it affects 2-3% of the population. 
Most common type of scoliosis is idiopathic, which means the cause is unknown, or there is no single factor which causes it. 
        
      • Age: higher likely hood during puberty, when the body is undergoing rapid growth spurts.
      • Gender: Females have a higher risk than males
      • Genetics: Having parents with scoliosis has been shown to increase the likelihood of a child developing scoliosis.
      • Other common forms are:
      • Congenital, which results from a spinal defect present at birth.
      • Neuromuscular; Develops secondary to neurological or muscular disease.

For the focus of this blog, we will concentrate on idiopathic scoliosis, and contributing factors.

Leg Length Discrepancy

  • If there is one leg longer than the other, the pelvis will tilt, causing the spine to tilt to one side. The compensatory curvature to straighten the spine up can lead to scoliosis. There are several causes for leg length discrepancy.
    • Anatomical, one leg has grown longer than the other for an unknown cause.
    • Fracture, especially during childhood while growing is occurring.
    • Joint degeneration or replacements, most likely in the elder population.

Age

  • Before reaching skeletal maturity, the spine is especially susceptible to developing scoliosis and for scoliosis to progress at a more rapid rate.
  • Once skeletal maturity is reached (early 20’s as a rule), the advancement of scoliosis generally slows (but can still progress).
  • Skeletal maturity is measured by the fusion of the pelvis which is seen on x-ray (called a risser scale).

Posture

  • As bad as poor posture is, research has indicated that poor posture is not a CAUSE of scoliosis, however for someone with scoliosis, poor posture can increase the speed of advancement.

How we can help

  • Chiropractors are trained in the early recognition of scoliosis.
  • We can refer for the correct imaging to diagnosis scoliosis.
  • Once imaging is obtained and your age, sex, and degree of curvature are considered, and conservative care of scoliosis is recommended, we can prescribe the correct exercises for your specific scoliosis.

What you can look out for and what to do next

  • 1 shoulder sitting higher than the other
  • Scapula (shoulder blade) protruding higher on one side
  • Height of the pelvic crest sitting higher on one side.
  • General imbalance in muscle tone of the muscles on either side of the spine.
  • Uneven skin folds on the flank while sitting or standing.
  • If you feel a check by a Chiropractor may answer some of your questions on this topic then give Dr Beau Binning a call at his clinic @Belridge Chiropractic

 

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