Understanding Scoliosis - How Osteopathy Alongside Postural Correction Can Help
20 Oct 2020
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You may be wondering what is scoliosis about? Well you might find all the answers to your concerns and doubts about this condition, including, diagnosis, treatment, Manchester Sports Injury & osteopathy the types of scoliosis, and more, after read this article it is important that you take action looking for professional assistance, better if you make a call and book an appointment with a Sports physiotherapist in Manchester or Postural specialist. Direct bookings can be made online or visiting MY Sports Injury | massage Manchester City Centre.


What happens with my body when I am suffering scoliosis?

Scoliosis is an abnormality that occurs when the spine is curved sideways and becomes rotated; it is an unknown cause condition, as well as it is called idiopathic scoliosis. Meanwhile idiopathic scoliosis tends to run amid relatives. Although, genes have not been identified yet and there could be others factors besides genetics. People think that sleeping on the side or carrying heavyweight backpacks are reasons to suffer scoliosis, and that is not the case here. Studies have been made and almost 3% of the population around the world has idiopathic scoliosis, some more severe cases and other more acute cases; reference Ali Baaj (2017).


Therefore, Scoliosis involves a deviation of the spine. Our vertebrae are arranged around the spine forming a curved structure from the neck to the pelvis. This vertical curvature is natural. But when the spine deviates laterally in the shape of an "S" or "C" it is very possible that we suffer scoliosis.

 

Is scoliosis an asymptomatic or a symptomatic condition?

Scoliosis involves an alteration in the arrangement of the spine. Even though it is perceived as a symptomatic pathology, it usually is not. As a general rule, it does not cause pain in patients. The most visible symptom is observed from outside. The shoulders and hips are often not at the same height, and the back is lopsided. However, it can lead to more serious conditions, reducing our mobility or impairing the functions of organs such as the heart or lungs.

Candidates for conservative treatment with osteopathyare those that do not exceed 30 degrees of deviation. The best recommendation is to attend a Sports Physiotherapist in Manchester where you will be treated with professionals. From these degrees, the generally recommended treatment is the use of a corset and if it exceeds 45 degrees, the orthopedic surgeon can evaluate the surgery.



Which are the types of scoliosis?

There are several types of scoliosis:

·     Congenital scoliosis.

·     Neurogenic scoliosis.

·      Myogenic scoliosis.

·      Scoliosis based on metabolic or systemic diseases.

·      Idiopathic scoliosis.


According to Sergio Vazquez (2018) the most common of all is idiopathic scoliosis (85%), which is of unknown cause, hence we will refer to it. Accordingly to the age at which it is diagnosed, it is classified into three types:


·      Childhood idiopathic scoliosis (0 to 3 years).

·      Juvenile idiopathic scoliosis (4 to 9 years).

·      Idiopathic scoliosis in adolescence (10 years to the end of adolescence).

How is determined the severity of scoliosis?

The severity of scoliosis is determined by the angulation of its curves (Cobb angle):

·      Mild scoliosis 0º to 25º (Sports Physiotherapy and Postural Re-education treatment Program / Pilates)

·      Moderate Scoliosis 25º to 50º (Sports Physiotherapy treatment + Corset + Pilates)

·      Severe Scoliosis> 50º (surgical treatment + Orthopedic Spinal Review )

Considering the symptoms, at first scoliosis does not cause pain, but it predisposes to suffer back pain, lumbar pain, etc. In moderate and severe cases, it can generate other types of complications, such as respiratory problems.

How can scoliosis be diagnosed?

The first imaging study we need to diagnose scoliosis is an X-ray of the spine. With it, the specialist will tell us the degree of scoliosis according to the angle formed by the terminal vertebrae of each curve; the diagnostic evaluation includes dynamic and static imaging, also invasive diagnostic procedures like facet blocks, immobilization tests, epidural and root blocks, and discograms. Those tests can have correlation with the pathomorphological findings and the clinical may also offer the most rational and the least invasive treatment for the individual. By M Aebi - European spine journal, (2005).

Can osteopathy help to treat scoliosis?

Indeed, Osteopathy can help to treat scoliosis and it is the best procedure to follow up if you are in early stages of scoliosis.  It is very important to diagnose scoliosis early, and start a Physiotherapy treatment at sports Physiotherapy Manchester as soon as possible to slow its progress and even manage to correct it, totally or partially, avoiding surgical treatment.

We put into practice manual therapies on the spine. Depending on the type of curvature, our osteopaths Sports Therapists, sports physio's, medical doctors in Manchester will act on a specific area to reduce the deviations of each patient. This can be combined with physical activities such as Pilates, completing the physiotherapeutic and osteopathic treatments.

Sports physio Manchester puts at your disposal a wide range of disciplines and therapies to alleviate the effects of scoliosis. If you are looking for a physiotherapy centre where you can take care of your back.

How can osteopathy help?

Osteopathy treatment for scoliosis helps by mobilizing the thoracic and lumbar spine, to increase the range of motion in those areas. Giving the pelvis mobility helps equalize the length of the legs, while seeking to straighten the lower back of the spine. The main goal of osteopathy for scoliosis is to help maintain the facet joints (connections between the vertebrae in the spine), providing relief from the pain experienced by patients with scoliosis; in accordance to Wolfgang Gilliar (2001).

The holistic approach used in osteopathic therapies, releases the restrictions of the spine and surrounding tissues, improving posture and regulating the direction and range of movements of the patient. The use of osteopathy has shown significant and essentials improvements in patients with scoliosis.

The best ways of scoliosis treatment

Physiotherapy offers several types of treatments, which will be combined with orthopedic treatment (corset) in some cases:

·      Global Postural Reeducation: it is possibly the most effective Sports Physiotherapy treatment for scoliosis. It consists of global stretching poses. The treatment is gentle, progressive and active.

 

·      MYofascial Induction: It can be defined as a combination of sustained pressures, specific positioning and very gentle stretching.

·      Orthopedic and Osteopathic Manual Therapy: Set of methods and acts with therapeutic and preventive purposes, which is applied manually on the muscular, bone, connective, nervous and visceral tissues in order to succeed with Manchester deep tissue massage and sports massage Manchester that will obtain directly or reflexively, physiological reactions that will balance and normalize the alterations that the individual presents.

·      Klapp method: It is based on the belief that scoliosis is pathology of standing. For this reason, it develops a work system to unload the spine; it is made up of a series of quadrupedic postures and movements.

·      Classic physiotherapy: Stretches and exercises that will try to make the spine more flexible and strengthen by increasing its proprioception.

·      Exercise in the pool. Therapeutic Swimming.


 


Some Osteopathic techniques may help to improve your lumbar strength and posture.

·      Positional release technique, It is a therapeutic technique that relies on a comfortable position of the body, its appendages and its tissues to resolve alterations in vertebral alignment.As a result of scoliosis, tissues often kink or knot, resulting in pain, involuntary spasm, and a loss of range of motion. The positional release technique unties the tissues like a knotted cord would, gently twisting and pushing the tissues in order to remove the tension from the knot, producing profound pain relief.

 

·      Myofascial release technique, the myofascial release technique focuses on releasing muscle shortness and stiffness. Many patients seek myofascial treatment when they begin to lose flexibility and experience back pain from scoliosis.The myofascial release technique can help prepare scoliosis patients for more aggressive musculoskeletal strengthening therapies, or provide pain relief for those with restricted flexibility and movement, allowing a return to normal movement.

 

·      Muscle power technique, is a treatment used by physiotherapists and osteopaths, which includes alternating periods of muscle contractions and assisted stretching.Basically the joint of the affected area with scoliosis is bent, a little beyond the point where the muscular resistance to movement begins and is supported by forcing the patient to resist gently. After a few seconds the pressure is released. The osteopathic will insist once again by taking the joint even further in order to improve mobility.

Ron Miller (2019) indicates that exercise is an outstanding way to keep your back flexible, strong and a healthy posture. Some of these exercises are:

·       Arm/leg raise, strengthen your core and lower back muscles, which support your spine.

·       Pelvic tilt, aids to strengthen your abdominal muscles.

 

·       Cat/cow, this exercise stretches the tendons and muscles that support your spine.

 

 

 

 

 

 

 

 

 

 

 

REFERENCES

Mistovich RJ, Spiegel DA. The spine. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 699.

Negrini S, Di Felice F, Donzelli S, Zaina F. Scoliosis and kyphosis. In: Frontera WR, Silver JK, Rizzo TD Jr, eds. Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation. 4th ed. Philadelphia, PA: Elsevier; 2019:chap 153.

Sure DR, LaBagnara M, Smith JS, Shaffrey CI. Pediatric spinal deformities and deformity correction. In: Steinmetz MP, Benzel EC, eds. Benzel's Spine Surgery. 4th ed. Philadelphia, PA: Elsevier; 2017:chap 158.

Scoliosis in children and adolescents. National Institute of Arthritis and Musculoskeletal and Skin Diseases. https://www.niams.nih.gov/health-topics/scoliosis. Accessed May 3, 2019.

Introduction to scoliosis. American Academy of Orthopaedic Surgeons. https://orthoinfo.aaos.org/en/diseases--conditions/introduction-to-scoliosis. Accessed May 3, 2019.

Kliegman RM, et al. The spine. In: Nelson Textbook of Pediatrics. 21st ed. Philadelphia, Pa.: Elsevier; 2020. https://www.clinicalkey.com. Accessed May 3, 2019.

Scherl SA. Adolescent idiopathic scoliosis: Clinical features, evaluation and diagnosis. https://www.uptodate.com/contents/search. Accessed May 3, 2019.

Ferri FF. Scoliosis. In: Ferri's Clinical Advisor 2019. Philadelphia, Pa.: Elsevier; 2019. https://www.clinicalkey.com. Accessed May 3, 2019.

Scherl SA. Adolescent idiopathic scoliosis: Management and prognosis. https://www.uptodate.com/contents/search. Accessed May 3, 2019.

Shaughnessy WJ (expert opinion). Mayo Clinic, Rochester, Minn. June 5, 2019.

Shands AR. End result of the treatment of idiopathic scoliosis. Journal of Bone and Joint Surgery. 1941;23:963.

Morrow ES Jr. Alls EPSi. Mayo Clinic, Rochester, Minn. Jan. 21, 2019.


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