Scoliosis Health
It’s about improving the well being of people with scoliosis so that we may be there for each other even when it feels like no one else is there. My goal is to help build confidence and to offer encouragement for kids, teens and adults with scoliosis.
Tuesday, February 28, 2012
Risks of cancer from multiple x-rays
Some evidence suggests a slightly higher risk for breast cancer and leukemia in patients who had multiple x-rays. Risks are highest in patients who had the largest radiation exposure, such as those who had been surgically treated.
Patients who simply received x-rays for untreated idiopathic scoliosis, or scoliosis caused by uneven length of the legs or hip abnormalities have a very low risk for future complications.
Monday, February 27, 2012
Sunday, February 26, 2012
Problems in adult-onset or untreated childhood scoliosis
Pain in adult-onset or untreated childhood scoliosis often develops because of posture problems that cause uneven stresses on the back, hips, shoulders, necks, and legs.
Many individuals with untreated scoliosis will develop spondylosis, an arthritic condition in the spine. The joints become inflamed, the cartilage that cushions the disks may thin, and bone spurs may develop. If the disk degenerates or the curvature progresses to the point that the spinal vertebrae begin pressing on the nerves, pain can be very severe and may require surgery. Even surgically treated patients are at risk for spondylosis if inflammation occurs in vertebrae.
Friday, February 24, 2012
Spine problems in previously treated scoliosis patients
After 20 years or more, scoliosis patients who were previously treated with surgery experience small but significant physical impairments (mainly mild back problems), compared to their peers without scoliosis. More people with a history of scoliosis report having to take days off from work, compared to people who never had the condition. In general, however, most patients experienced a similar quality of life to peers who never had the condition.
The following are some possible causes of later back problems in people with a history of treated scoliosis:
1. Spinal fusion disease.
Patients who are surgically treated with fusion techniques lose flexibility and may experience weakness in back muscles due to injuries during surgery.
2. Disk degeneration.
With disk degeneration, the disks between the vertebrae may become weakened and rupture. In some patients, particularly those treated with the first generation of the Harrington rods, years after the original surgeries the weight of the instrumentation can cause disk and joint degeneration severe enough to require surgery. Treatment may involve removal of the old rods and extension of the fusion into the lower back. Still, most patients do not experience significant back pain from these problems.
3. Height loss.
Fusion of the spine may inhibit growth somewhat. However, much of the growth takes place in long bones, which are not affected.
4. Lumbar flatback.
This condition is most often the result of a scoliosis surgical procedure called the Harrington technique, which eliminated lordosis (the inward curve in the lower back). Adult patients with flatback syndrome tend to stoop forward. They may experience fatigue and back and even neck pain.
5. Rotational trunk shift (uneven shoulders and hips).
Evidence suggests that previous treatment with braces may also cause mild back pain and more days off, but problems appear to be less than with surgery. In one study, dysfunction was comparable to people without a history of scoliosis.
Wednesday, February 22, 2012
Respiratory impairment
Patients with severe deformities, particularly those with underlying neuromuscular disorder, may develop what is called restrictive thoracic disease. This term refers to problems in breathing and, at times, trouble obtaining enough oxygen due to a smaller chest cavity. The smaller chest cavity results from the deformity or surgery. The restricted chest cavity is also less able to expand when breathing
Tuesday, February 21, 2012
Scoliosis effects on the bone
Scoliosis is associated with osteopenia, a condition characterized by loss of bone mass. Many adolescent girls who have scoliosis also have osteopenia. Some experts recommend measuring bone mineral density when a patient is diagnosed with scoliosis. The amount of bone loss may help predict how severely the spine will curve. Preventing and treating osteopenia may help limit further curve progression.
If not treated, osteopenia can later develop into osteoporosis. Osteoporosis is a more serious loss of bone density that is common among postmenopausal women. Adolescents who have scoliosis are at an increased risk of developing osteoporosis later in life.
Osteoporosis is a condition characterized by progressive loss of bone density, thinning of bone tissue, and increased vulnerability to fracture. Osteoporosis may result from disease, dietary or hormonal deficiency, or advanced age. Regular exercise and vitamins and mineral supplements can reduce and even reverse loss of bone density.
Take vitamins such as calcium everyday to ensure proper bone development, also take vitamin D. Weight bearing exercises and flexibility are also essential. Finding an exercise program that you can enjoy is very important. It isn't necessary to buy expensive equipment or sign up for a gym to get the excercise needed, if you are able to afford it its fine. You can walk, jog, run, dance, walking up and down the stairs, yoga and pilates are also helpful.
Saturday, February 18, 2012
Top 5 tips for a healthier spine
Millions of people are affected by back pain everyday. And beyond living with pain itself, this condition diminishes your quality of life. Work will be missed, social activities will be difficult, it will be entirely harder to be mobile. A healthy spine is essential to our overall health. Here is a few tips on how to keep your spine healthy.
1. Always Keep moving.
Keeping up with regular physical activity is an important way to stay healthy. There are 3 types of exercises that can be included into your exercise routine:
A. Range of motion exercises- such as stretching and bending. Do these every day to keep joints flexible and to relieve stiffness.
B. Strengthening exercises- such as with weights or machines. Make sure to get instruction for the proper use of exercise equipment to avoid injury. Do these every day to increase muscle strength. Strong muscles help support and protect the spine.
C. Aerobic exercises- such as walking, jogging, biking, tennis, and swimming. You could even take an hour out of the day to play your favorite song and just dance around the room. Do these 2 to 3 times a week.
2. Loose weight.
The more u weigh the greater the stress is on your spine. If you are overweight loosing a couple pounds can keep your spine healthy. With loosing the weight you can maintain a healthier lifestyle and it could also make u feel better about yourself.
3. Sleep well.
It's very important to get plenty of rest. But what we rest on is also important. A mattress that does not offer enough support for your spine can lead to muscle fatigue and a poor night's sleep. A good mattress allows you to rest in a neutral position; muscles are relaxed and sleep is more refreshing. If you are having trouble sleeping or find that you wake in the morning more tired than when you went to bed, take a good look at where and how you sleep.
4. Having good posture.
Good posture keeps your body in balance and helps avoid excessive stress on your spine. Here's what good posture looks like when standing:
A. Feet slightly apart
B. Knees straight
C. Chin slightly tucked in
D. Shoulders back and down
5. See your doctor regularly for check-ups.
If you have neck pain or back pain, be sure to get it checked out. Left untreated, some spine conditions can continue to get worse and may have serious health consequences.
Friday, February 17, 2012
Wednesday, February 15, 2012
Tuesday, February 14, 2012
A scoliosis masterpiece
God calls us His masterpiece in Ephesians 2:10. Think about that for a moment. You are God's best creation. You are by design an incredible work of God's hand. Let that encourage you today.
I know its hard for some people with scoliosis to feel like their a masterpiece but God does things in his own way and he creates no defects. I believe that I have scoliosis to help encourage and inspire other people with scoliosis to love the body they have. Whether you had surgery or not, I know for a long time when I was much younger I hated having scoliosis.
All I thought about was the stuff I couldn't and wouldn't wear because I looked like I was leaning on one side. I hated the pain more than anything, the brace, the thought of having surgery with the possibility of being paralyzed because of how complicated my spine was. But over the years, I really don't even know what it is but I've grown to accept my curve and love it. I may sometimes still feel funny wearing certain things but that's the love-hate relationship I've learned to deal with.
I believe that I am a masterpiece God made me the way I am. If I am a masterpiece in his eye I should be a masterpiece in my own eyes.
Sunday, February 12, 2012
Friday, February 10, 2012
Wednesday, February 8, 2012
Tuesday, February 7, 2012
Sunday, February 5, 2012
Saturday, February 4, 2012
Common questions about the complications of scoliosis surgery
As with any operation, there are potential risks associated with spinal fusion. Most problems occur as a result of not having a solid fusion, which may result in implant failure (broken rod) and a need for more surgery. It is important to discuss all of these risks with your surgeon before your procedure.
Infection
Antibiotics are regularly given to the patient before, during, and often after surgery to lessen the risk of infections.
Bleeding
A certain amount of bleeding is expected, but this is not typically significant. A portion of the blood lost during surgery may be saved and given back to the patient. This is known as cell saver. It is not unusual for a patient having spine surgery to require a blood transfusion even if a cell saver is used.
Pain at graft site
A small percentage of patients will experience persistent pain at the bone graft site.
Pseudarthrosis
Older teenagers and adults who smoke are more likely to develop a pseudarthrosis. This is a condition where there is not enough bone formation. If this occurs, a second surgery may be needed in order to obtain a solid fusion.
Nerve damage
It is possible that the nerves or blood vessels may be injured during these operations. These complications are very rare.
Blood clots
Another uncommon complication is the formation of blood clots in the legs. These pose significant danger if they break off and travel to the lungs.
Lung complications
Problems with lung function following surgery are rare, especially for healthy teenagers.
Friday, February 3, 2012
First gene linked to scoliosis identified
Physicians have recognized scoliosis, since the time of Hippocrates, but its causes have remained a mystery until now. For the first time, researchers have discovered a gene that underlies the condition, which affects about 3 percent of all children.
"Hopefully, we can now begin to understand the steps by which the gene affects spinal development," says Anne Bowcock, Ph.D., professor of genetics, of medicine and of pediatrics. "If we understand the genetic basis of the condition, we can theoretically predict who is going to develop scoliosis and develop treatments to intervene before the deformity sets in. It may take many years to accomplish these goals, but I think it will eventually happen."
The researchers have traced a defect in CHD7 to idiopathic scoliosis, the form of the condition for which there is no apparent cause. It is the most common type of scoliosis, occurs in otherwise healthy children and is typically detected during the growth spurt that accompanies adolescence.
Although scientists have known for years that scoliosis runs in families, its pattern of inheritance has remained unclear. That's because the condition is likely caused by several different genes that work in concert with one another and the environment, to cause scoliosis. Bowcock predicts that scientists will soon find other genes involved in the disease.
The CHD7 gene is thought to play a critical role in many basic functions in the cell. The researchers zeroed in on the gene after finding that it is missing or profoundly disrupted in a rare syndrome called CHARGE. Babies born with the syndrome often die in infancy. Those that survive have heart defects, mental retardation, genital and urinary problems, ear abnormalities and deafness, among other problems. They also develop late-onset scoliosis. "This led us to consider that milder variations of CHD7 may be involved in other types of scoliosis," Bowcock said.
The researchers, led by Carol Wise, Ph.D., at Scottish Rite Hospital, collected data on 52 families with a history of scoliosis in at least two members, the one who sought treatment and another from earlier generation. The patients had an average spinal curvature of 40 degrees and did not have any illnesses, such as Marfan syndrome or cerebral palsy, which can also involve scoliosis. The researchers performed genome-wide scans that spelled out the 6 billion letters of genetic code in the affected family members and analyzed the data.
They found that patients with scoliosis very often had a defect in the gene's non-coding region, meaning that the error did not disrupt production of the CHD7 protein. The researchers speculate that this particular mutation alters the binding of a molecule that controls whether the gene is turned on. In this case, they think the gene is turned off more often than it should be, which reduces the amount of CHD7 protein produced.
"The change in the amount of the protein produced is subtle, which correlates with the onset of scoliosis, which typically happens very gradually," explains Michael Lovett, Ph.D., professor of genetics and pediatrics. "This particular defect was so highly associated with scoliosis that it is either the real McCoy or is very closely linked to the defect that causes the condition."
The researchers will continue to look for genetic variations involved in scoliosis by studying additional families with the condition.
Thursday, February 2, 2012
Good posture and bad posture
How Poor Posture Happens
Poor posture is easy, whereas adapting habits of good posture often requires conscious effort. Most people do not think about their posture until someone brings it to their attention. The benefits of good posture far outweigh poor posture.
You could say that poor posture habits have followed trends in society. Children carry heavy backpacks, adults lug briefcases and bags to work, and many people spend hours hunched over a computer screen at work or at home.
Poor posture is not only a bad habit, but it can lead to back pain and neck pain.
Change takes willpower. However, the rewards of good posture are well worth the effort. You will feel great, and you will look taller and appear more confident!
What Does Good Posture Look Like?
The body is straight, but not robotic. Good posture looks something like this: The ears, shoulders, hips, knees and ankles align in a straight line. If you hung an imaginary plumb line from the earlobe, the line would hang straight through the middle of the anklebone.
Good posture means there is musculoskeletal balance. This balance helps to protect the joints in the spine from excessive stress. Good posture also guards against injury and possible deformity, and it can even help prevent back pain and neck pain.
Wednesday, February 1, 2012
Symptoms of scoliosis
Some of the symptoms of scoliosis are back pain, hip pain, leg pain, trouble maintaining posture and in severe cases difficult breathing.
I personally suffered from all of the above. I use to have chronic back pain, I would cry for hours and wish that something heavy would fall on my back jus to stop the pain. But it was so bad that the doctors had to prescribe me medicine for the pain. Now, is still have back, leg, and hip pain. The breathing has been an issue with me also because sometimes I feel like I'm not getting enough oxygen.
Do you suffer from any of these?
Monday, January 30, 2012
Saturday, January 28, 2012
Neuromuscular scoliosis
Neuromuscular implies there is some type of problem with the muscles that support the spine. At times, the body does not have the strength to support the spine, and gravity causes the spine to curve. Other times, the body pulls unevenly on different sides of the spine. Children with neuromuscular scoliosis usually have problems with other muscle groups, and may struggle or be unable to walk. The most common cause is cerebral palsy - a syndrome caused by a brain injury within the first two years of life. Children often cannot walk and have developmental delays. Some forms are very mild, while others involve all of the extremities.
Scoliosis occurs in approximately 50% of children with cerebral palsy. Other causes are injuries or syndromes that affect the spinal cord. Spina bifida (a failure of the bony portions of the spine to form properly around the nerves) may cause no abnormalities, or paralysis in the legs. The higher the lesion, the more likely scoliosis will occur. Similarly, gun shot wounds or severe injuries to the spine during growth may cause paralysis and scoliosis.
Friday, January 27, 2012
Degenerative scoliosis
Scoliosis can also develop later in life, as joints in the spine degenerate and create a bend in the back. This condition is sometimes called adult scoliosis. Degenerative scoliosis is a medical condition where a right-left curvature of the spine develops, due to degeneration of the disc. This misalignment of the spine can cause back and/or leg pain, due to muscle fatigue and nerve impingement. Patients suffering from scoliosis often undergo back surgery to restore proper alignment and disc height. During the procedure, the surgeon removes most of the disc between the two or more vertebrae that are to be stabilized and implants a spacer to restore correct spinal alignment. The surgeon also implants bone-forming cells that bridge the space between the vertebrae and allow the bone to grow together. Increased stability and restoration of alignment often result in significant pain relief.
Thursday, January 26, 2012
Idiopathic scoliosis
By far the most common form of scoliosis is idiopathic (“idiopathic” refers to a disease or condition of unknown origin) scoliosis, which most often develops in adolescents and typically progresses during the adolescent growth spurt. Because it most often occurs during adolescence, this condition is sometimes called adolescent scoliosis. There is no known cause of idiopathic scoliosis although it does tend to occur in families. The risk of curvature progression is increased during puberty, when the growth rate of the body is the fastest. Scoliosis with significant curvature of the spine is much more prevalent in girls than in boys, and girls are eight times more likely to need treatment for scoliosis, because they tend to have curves that are much more likely to progress.
Wednesday, January 25, 2012
Congenital scoliosis
Congenital scoliosis is a curvature of the spine that results from anomalies or abnormally developed vertebrae, the building blocks of the spinal column. These anomalies occur in utero at 4-6 weeks of gestation. Specific abnormalities include hemivertebra, which is a wedge-shaped or half vertebra, unsegmented bar, which is a failure of the normal separation of the individual building blocks of the spine, and mixed abnormalities. The number of abnormal vertebra, their location, and the growth potential around these abnormal vertebrae, is what determines how severe congenital curvature will become. For very mild single vertebra anomalies, a deformity may not be readily apparent and may be picked up incidentally on a chest x-ray or other study done for another purpose. In patients in whom multiple anomalies are noted, the trunk may be severely shortened and severe spinal deformity may be noted. In these cases, the curvature will often progress, resulting in severe lung disease and/or neurological deficits if left untreated.
Patients with congenital scoliosis also have a high incidence of abnormalities in other organ systems. For example, there is a 10% incidence of cardiac abnormalities, a 25% incidence of genito-urinary abnormalities, and up to a 40% incidence of intraspinal anomalies. Therefore, the patients are carefully worked up and even patients, who are seemingly otherwise normal, are sent for testing prior to surgery. Tests performed include an echocardiogram, renal (kidney) ultrasound, and screening MRI of the entire spine. Intraspinal anomalies that can occur include lipomas or fatty benign tumors of the spinal canal, scar tissue within the spinal canal, bony or cartilaginous spicules within the spinal canal, (diastematomyelia) and various other problems. These may require separate treatment from the spinal curvature itself.
The treatment for congenital scoliosis is aggressive in that if progression is noted, even for relatively small curves, surgery is indicated. This turns out to be the most conservative approach in that early surgery often allows the patient to avoid much more extensive surgery later. It is not uncommon for patients of one to one and a half years of age to undergo surgery that is relatively limited in nature. Nonoperative treatment consists of observation at 4 to 6-month intervals and if progression is noted, surgery is indicated. Bracing may be used in only a small percentage of patients in whom compensatory curvatures adjacent to congenital anomalies may be treated to prevent them from worsening.
Thoracolumbosacral orthosis (TLSO) & Milwaukee brace
In children their bones are still growing and they might have moderate scoliosis, the doctor may recommend a brace. Wearing a brace won't cure scoliosis, or reverse the curve, but it usually prevents further progression of the curve. Most braces are worn day and night. A brace's effectiveness increases with the number of hours a day it's worn. Children who wear braces can usually participate in most activities and have few restrictions. If necessary, kids can take off the brace to participate in sports or other physical activities.
Braces are discontinued after the bones stop growing. This typically occurs:
1. About two years after girls begin to menstruate
2. When boys need to shave daily
Braces are of two main types:
1. Underarm or low-profile brace. This type of brace is made of modern plastic materials and is contoured to conform to the body. Also called a thoracolumbosacral orthosis (TLSO), this close-fitting brace is almost invisible under the clothes, as it fits under the arms and around the rib cage, lower back and hips. Underarm braces are not helpful for curves in the upper spine.
2. Milwaukee brace. This full-torso brace has a neck ring with rests for the chin and for the back of the head. The brace has a flat bar in the front and two flat bars in the back. Because they are more cumbersome, Milwaukee braces usually are used only in situations where an underarm brace won't help.
Friday, December 30, 2011
The complications of scoliosis
While most people with scoliosis have a mild form of the disorder, scoliosis may sometimes cause complications, including:
Lung and heart damage
In severe scoliosis, the rib cage may press against the lungs and heart, making it more difficult to breathe and harder for the heart to pump. In very severe scoliosis, damage to the lungs and the heart can occur. Anytime breathing is compromised, the risk of lung infections and pneumonia increases.
Back problems
Adults who had scoliosis as children are more likely to have chronic back pain than are people in the general population. Also, people with untreated scoliosis may develop arthritis of the spine.
Lung and heart damage
In severe scoliosis, the rib cage may press against the lungs and heart, making it more difficult to breathe and harder for the heart to pump. In very severe scoliosis, damage to the lungs and the heart can occur. Anytime breathing is compromised, the risk of lung infections and pneumonia increases.
Back problems
Adults who had scoliosis as children are more likely to have chronic back pain than are people in the general population. Also, people with untreated scoliosis may develop arthritis of the spine.
Thursday, December 29, 2011
Different types of curves
Doctors group curves of the spine by their location, shape, pattern, and cause. They use this information to decide how best to treat the scoliosis.
1. Location – To identify a curve's location, doctors find the apex of the curve (the vertebra within the curve that is the most off-center); the location of the apex is the "location" of the curve. A thoracic curve has its apex in the thoracic area (the part of the spine to which the ribs attach). A lumbar curve has its apex in the lower back. A thoracolumbar curve has its apex where the thoracic and lumbar vertebrae join (see "Normal Spine" diagram).
2. Shape – The curve usually is S- or C-shaped.
3.Pattern – Curves frequently follow patterns that have been studied in previous patients (see "Curve Patterns" diagram). The larger the curve is, the more likely it will progress (depending on the amount of growth remaining).
1. Location – To identify a curve's location, doctors find the apex of the curve (the vertebra within the curve that is the most off-center); the location of the apex is the "location" of the curve. A thoracic curve has its apex in the thoracic area (the part of the spine to which the ribs attach). A lumbar curve has its apex in the lower back. A thoracolumbar curve has its apex where the thoracic and lumbar vertebrae join (see "Normal Spine" diagram).
2. Shape – The curve usually is S- or C-shaped.
3.Pattern – Curves frequently follow patterns that have been studied in previous patients (see "Curve Patterns" diagram). The larger the curve is, the more likely it will progress (depending on the amount of growth remaining).
Wednesday, December 28, 2011
What happens if the spine requires surgery?
When a young person exhibits a worsening spinal deformity, surgical treatment may be indicated to improve the deformity and to prevent increasing deformity in the future. The most common surgical procedure is a posterior spinal fusion with instrumentation and bone graft. The term "instrumentation" refers to a variety of devices such as rods, hooks, wires, and screws, which are used to hold the correction of the spine in as normal an alignment as possible while the bone fusion heals. The instrumentation is rarely removed.
A number of factors influence the recommendation for surgery:
1. The area of the spine involved;
2. Severity of the scoliosis;
3. Presence of increased or decreased kyphosis;
4. Pain (rare in adolescents, more common in adults);
5. Growth remaining; and
6. Personal factors.
Operative Considerations
The goal of surgery is to fuse the spine at the optimum degree of safe correction of the deformity. There are always risks that accompany any surgical procedure. These should be discussed with your orthopaedic surgeon. Some important points in planning your surgery are:
1. A comprehensive preoperative conference
2. Donating your own blood (if possible)
3. Good nutritional status before and after surgery
4. Exercise program before and after surgery
5. Positive mental attitude
A number of factors influence the recommendation for surgery:
1. The area of the spine involved;
2. Severity of the scoliosis;
3. Presence of increased or decreased kyphosis;
4. Pain (rare in adolescents, more common in adults);
5. Growth remaining; and
6. Personal factors.
Operative Considerations
The goal of surgery is to fuse the spine at the optimum degree of safe correction of the deformity. There are always risks that accompany any surgical procedure. These should be discussed with your orthopaedic surgeon. Some important points in planning your surgery are:
1. A comprehensive preoperative conference
2. Donating your own blood (if possible)
3. Good nutritional status before and after surgery
4. Exercise program before and after surgery
5. Positive mental attitude
Monday, December 26, 2011
What are the different types of treatment
1. Observation- This is for curves that have a small degree measurement when you are growing (adolescent scoliosis), or for moderate size curves (< 40-45 degrees) when you are done growing. For adults, observation and physical therapy are for those patients who have mild symptoms and have curves which are not large.
2. Bracing- This is for curves between 25 and 45 degrees in growing children to prevent further progression of the curve while growth of the spine remains. The goal of bracing is to prevent further progression since the brace cannot correct curves.
3. Surgical Treatment- This reserved for curves which are generally greater than 50 degrees for adolescent patients and adults. Surgery can be performed for smaller curves if the appearance of the curvature is bothersome to the patient or if symptoms are associated with the scoliosis in the adult patient. The goals of surgical treatment are to obtain curve correction and to prevent curve progression. This is generally achieved by placing metal implants onto the spine which are then attached to rods which correct the spine curvature and hold it in the corrected position until fusion, or knitting of the spine elements together.
2. Bracing- This is for curves between 25 and 45 degrees in growing children to prevent further progression of the curve while growth of the spine remains. The goal of bracing is to prevent further progression since the brace cannot correct curves.
3. Surgical Treatment- This reserved for curves which are generally greater than 50 degrees for adolescent patients and adults. Surgery can be performed for smaller curves if the appearance of the curvature is bothersome to the patient or if symptoms are associated with the scoliosis in the adult patient. The goals of surgical treatment are to obtain curve correction and to prevent curve progression. This is generally achieved by placing metal implants onto the spine which are then attached to rods which correct the spine curvature and hold it in the corrected position until fusion, or knitting of the spine elements together.
Sunday, December 25, 2011
The signs of scoliosis
1. One shoulder may be higher than the other.
2. One scapula (shoulder blade) may be higher or more prominent than the other.
3. With the arms hanging loosely at the side, there may be more space between the arm and the body on one side.
4. One hip may appear to be higher or more prominent than the other.
5. The head may not be exactly centered over the pelvis.
6. The waist may be flattened on one side; skin creases may be present on one side of the waist.
7. When the patient is examined from the rear and asked to bend forward until the spine is horizontal, one side of the back may appear higher than the other. This test, called the Adams test, is a very sensitive test for scoliosis; it is therefore the most frequent screening test for scoliosis.
2. One scapula (shoulder blade) may be higher or more prominent than the other.
3. With the arms hanging loosely at the side, there may be more space between the arm and the body on one side.
4. One hip may appear to be higher or more prominent than the other.
5. The head may not be exactly centered over the pelvis.
6. The waist may be flattened on one side; skin creases may be present on one side of the waist.
7. When the patient is examined from the rear and asked to bend forward until the spine is horizontal, one side of the back may appear higher than the other. This test, called the Adams test, is a very sensitive test for scoliosis; it is therefore the most frequent screening test for scoliosis.
Do i have scoliosis?
Determining whether or not you or anyone you know have scoliosis is best done by a physician who will perform a physical examination of your back. The examination is done with you standing in a relaxed position with your arms at your sides. The physician will view you from behind looking for curvature of the spine, shoulder blade asymmetry, waistline asymmetry and any trunk shift. You will then bend forward at the waist and the physician will view your back once again to look for the rotational aspect of the scoliosis in the upper part of the back (rib prominence) or in the lower part of your back (flank or waist prominence). Following this simple examination, the physician will usually initial radiographs of the spine viewed from the back and the side to see the entire spine from the neck to the pelvis. If scoliosis is present, the physician will measure the radiographs and provide you with a numerical value, in degrees, to help describe the scoliosis.
What causes scoliosis
Eighty-five percent of people with scoliosis have the "idiopathic" type. "Idiopathic" means "no known cause." However, the term is not quite accurate, as we actually know quite a bit about the cause and natural history of idiopathic scoliosis. Idiopathic scoliosis frequently runs in families and there is a growing body of evidence that genetics plays a major role. Idiopathic scoliosis may appear at any age but most often appears in early adolescence. At this age, young people are reluctant to allow their bodies to be seen by parents and other adults, and the problem may not be detected until it is quite severe. As a result, the Scoliosis Research Society and the American Academy of Orthopaedic Surgeons have endorsed school screening programs to detect scoliosis curves before they may become advanced and more difficult to treat.
Several less common types of scoliosis have a different cause. These curves may be due to abnormally formed vertebrae already present at birth ("congenital scoliosis"), disorders of the central nervous system such as cerebral palsy, muscle diseases such as muscular dystrophy, or genetic diseases such as Marfan's syndrome or Down syndrome. Scoliosis may also be seen following infections of the spine or fractures involving the spine.
Several less common types of scoliosis have a different cause. These curves may be due to abnormally formed vertebrae already present at birth ("congenital scoliosis"), disorders of the central nervous system such as cerebral palsy, muscle diseases such as muscular dystrophy, or genetic diseases such as Marfan's syndrome or Down syndrome. Scoliosis may also be seen following infections of the spine or fractures involving the spine.
Friday, December 23, 2011
Hey scolio's
The sole purpose of me creating this blog is to bring awareness to those who have scoliosis and are learning to live with it. It's also to make people more knowledgeable about scoliosis, whether they have it, know someone who does, or have kids with it. Its also a place where people can talk about their journey with scoliosis, whether it be mental, emotional, and the obvious physical effects.
I know first hand how it feels to have scoliosis. I've dealt with the pain and the insecurities, the hatred of having a curved spine and seeing people with a straight spine. So if anyone have any question please ask and i will be more than happy to respond to the best of my knowledge. We can also, exchange advice on how to handle the pain, or any other non-surgical treatment that has worked.
Monday, September 21, 2009
Different types of scoliosis
There are four different types of curve as you can see thoracic, lumbar, thoracolumbar, and double
• Thoracic curves develops in the upper back
• Lumbar curves develops in the lower back
• Thoracolumbar curves are the area between the upper back and lower back
• Double major curves are made up of two curves with nearly equal angles; it makes the spine look like an “S”
Sunday, September 20, 2009
Anatomy of the spine
In order to better understand any abnormalities in the spine, I found it easy for me to learn and understand some of the basic spinal anatomy. The human spine is divided into three portions: the cervical spine (neck area), the thoracic spine (upper back) and the lumbar spine (lower back). The spine itself is made up of bones, joints, discs, nerve structures, spinal cord, muscles and ligaments that all work together to allow for movement and support for the body.
The spinal column is made up of twenty-four individual bones called vertebrae. Each vertebra in the spinal column consists of the vertebral body in the front, the facet joints in the back and the pedicles, which join the vertebral bodies to the facet joints. Vertebrae provide support for the spine and are connected by intervertebral discs. Intervertebral discs are composed of strong tissue masses that are filled with gel, and they allow the torso to bend, twist and absorb shock. There are seven cervical vertebrae, twelve thoracic vertebrae and five lumbar vertebrae.
The vertebrae in the cervical spine begin at the base of the head. In this area there are eight pairs of cervical nerves, which control movement in the neck, arms and upper body. The cervical vertebrae are strong and tough in order to support the weight of the head.
The thoracic spine contains twelve vertebrae and twelve pairs of ribs. The nerve roots in this area are responsible for movement in the midsection of the body. The ribs provide the structure for the chest wall and protect many important internal organs.
The largest and strongest bones in the spinal column are the lumbar vertebrae. The lumbar portion of the spine supports the bulk of the body's weight. The five pairs of nerve roots located in the lumbar spine are responsible for movement and sensory functions in the lower extremities of the body.
At the lower portion of the spinal column are two other spinal bones: the sacrum and the coccyx, or tailbone. The sacrum consists of five bones naturally fused together, and the coccyx consists of four small attached bones. These bones look different than any other bones in the spine. The sacrum is triangular in shape and the coccyx is attached to the lower end of this triangle. The nerve roots in this area control the pelvic organs and buttock muscles.
Thursday, August 20, 2009
The signs of Scoliosis
There are several different signs to look for to help determine if you or someone you love has scoliosis. The entire body appears to be leaning to one side, Shoulders are different heights, one shoulder blade is more high up than the other, head is not centered directly above the pelvis, appearance of a raised prominent hip, rib cages are at different heights, uneven waist, changes in look or texture of skin overlaying the spine such as dimples, hairy patches, and color changes. When seen by the doctor there is a standard exam that doctors use and it’s called the Adam’s Forward Bend Test. For the test, patients will be asked to lean forward with his or her feet together and bend 90 degrees at the waist. The doctor can then see from this angle any abnormal spinal curvatures, but you cannot determine accurately the exact severity of the deformity. Once the doctor confirms that the patient has scoliosis with an x-ray, CT scan, or MRI. The curve is then measured by the Cobb Method and is discussed in terms of degrees. A curve is considered significant if it is greater than 25 to 30 degrees. Curves exceeding 45 to 50 degrees are considered severe and often require more aggressive treatment.
Tuesday, August 18, 2009
What is Scoliosis?
Scoliosis is not a disease—it is a descriptive term.
Scoliosis affects 2% of women, 0.5% of men in the general population and over 80% of scoliosis cases, however, are idiopathic. All spines have curves. Some curvature in the neck, upper trunk and lower trunk is normal. We need these spinal curves to help the upper body maintain proper balance and alignment over the pelvis. However, when there are abnormal side-to-side (lateral) curves in the spinal column, we refer to this as scoliosis. On an x-ray, the spine of an individual with a typical scoliosis may look more like an "S" or a "C" than a straight line. It is typically classified as Congenital, Idiopathic and Neuromuscular.
Scoliosis affects 2% of women, 0.5% of men in the general population and over 80% of scoliosis cases, however, are idiopathic. All spines have curves. Some curvature in the neck, upper trunk and lower trunk is normal. We need these spinal curves to help the upper body maintain proper balance and alignment over the pelvis. However, when there are abnormal side-to-side (lateral) curves in the spinal column, we refer to this as scoliosis. On an x-ray, the spine of an individual with a typical scoliosis may look more like an "S" or a "C" than a straight line. It is typically classified as Congenital, Idiopathic and Neuromuscular.
Congenital scoliosis is caused by vertebral abnormalities that are present at birth; the curvature may not be noticed for several months to several years, depending on the severity of the bone deformity and growth abnormality. Idiopathic scoliosis is the most common type of scoliosis. The word idiopathic means “cause unknown”. Idiopathic scoliosis is broken down into four categories based on age: (1) infantile: children ages 3 and under, (2) juvenile: 3-9 years old, (3) adolescent: 10-18 years old, and (4) adult: after skeletal maturity. It is partially hereditary although it is not necessarily passed to each generation. This does mean that if scoliosis is present in the family, children should be checked for it. Scoliosis is most common during the adolescent growth spurt but can occur in younger ages. Neuromuscular Scoliosis is the curvature of the spine with a disorder of the neurological system such as cerebral palsy, spina bifida, or muscular dystrophy or spinal cord injuries. The curvature of the spine is progressive, and worsens during growth spurts. Many patients require a wheelchair due to other neurological conditions. As the trunk muscles weaken, the spine collapses into a C shaped curve making it difficult for the patient to sit upright. Progressive curves may affect the child's ability to be seated comfortably, thereby affecting their quality of life and function.
My goal with this blog is to be able to educate people who aren’t aware of scoliosis and how people are affected by it. I also want to make other young women, and men, feel like they’re not alone and they can have a place where they can talk and feel comfortable talking to people in the same situation. Growing up with scoliosis I never had anyone to talk to about it and I had to deal with the emotional and physical problems that came with it.
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