Scoliosis

Scoliosis checkup

Last Updated December 20th, 2021

Overview of scoliosis

Spinal curvature disorders are common in elderly people especially in men above 65 years old. Women, young adults, and children are also found to suffer from spine curvature disorders, the number of cases reported was less. According to reports by World Health Organization, each year 25,00,000 to 50,00,000 people suffer from spine injuries. Also, more than 1.7 billion people suffer from lower back and neck pain. A very serious disorder belonging to the above category is scoliosis. It is characterized by deformities of the rib cage and the spine. In the recent years, it has increased the global burden of spine disorders and demands medical attention.

 

What is scoliosis?

Scoliosis xrayScoliosis is defined as the lateral curvature of the spine that affects the spine and the ribcage. It is commonly observed in the thoracolumbar area (portion between thoracic and lumbar regions). But it may also develop only in the thoracic region (upper back) and lumbar region (lower back). Scoliosis may develop as a single C-shaped curve, an S-shaped curve (consisting of a primary curve and a compensating or secondary curve), forming a three-dimensional deformity. The disease is more common among teenage girls between 10-12 years of age. It is of two types- structural and non-structural. Both types interfere with normal lifestyle and may disable an individual for life.

 

What are the common causes of scoliosis?

Scoliosis is idiopathic in many cases, that is, the root cause is not traceable. Extensive research work over the years have brought to light the following causes of scoliosis-

  • Age: Natural degeneration of vertebral bones and discs occur with age due to the erosion of the spine, protruded discs, trapped nerves, muscular degeneration or spinal injuries.
  • Anatomical problems: Abnormalities in muscles around the vertebra, the presence of abnormally high arches can lead to scoliosis.
  • Co-ordination problems: In some people, inherited spine disorders or co-ordination abnormalities can cause asymmetric growths in the spine. In due course of time, this may lead to spine curvature disorders.
  • Proteins: Collagen is an important structural protein present in muscles and bones. Maintenance and repair of collagen are done by a particular enzyme called matrix metalloproteinase. Extremely high quantities of these enzymes can cause abnormalities in the spinal disc components causing anomalous progression of the spine curvature, leading to disc degeneration and spine curvature disorders. Again, abnormalities in another type of protein called platelet calmodulin (which binds to calcium) can also contribute to defective spine curvature.
  • Hormones: Abnormalities in the functioning of a specific hormone called “melatonin” which is associated with sleep and growth has accounted for spine curvature disorders in some reported cases.
  • Birth defects: Certain congenital defects such as absent or fused or deformed vertebrae can lead to abnormal spine growth and spine curvature disorders. These problems are very prominent in the growing years (8-13) of a child. During these years the spine growth in very fast and it exerts more stress on the spinal disorders already present. In a few children, the defective positioning of the kidney, or presence of only one kidney is closely linked to spine curvature disorders. Birth defects such as spinal bifida or myelomeningocele (Hernia of the Central Nervous System) can also cause scoliosis.
  • Heredity: Familial dysautonomia is a very rare variety of genetic disease which accounts for spine curvature problems in few cases.
  • Medical conditions: Few existing diseases like muscle paralysis, muscular dystrophy, cerebral palsy, polio, osteogenesis or rheumatoid arthritis can lead to scoliosis at some point in time.
  • Spinal tumors: Presence of spinal tumors in case of existing malignancies can give rise to abnormal spine curvature.
  • Non-structural causes: Spinal injuries, poor posture, long periods of standing, muscle spasms and differences in leg length are some of the non-structural causes of scoliosis.

 

What are the different types of scoliosis?

Scoliosis checkupBased on the etiology and the manifestations, scoliosis is categorized into the following types-

Structural Scoliosis: This condition is characterized by abnormal curvature, rotation, and twisting of the spine. Due to this, one half of the rib cage is pushed forward (creating large gaps between the ribs) and another half is pushed inward (causing compression of the ribs). The shoulder blade juts out causing differences in levels of the shoulders. Structural scoliosis has the following subtypes- 

  • Idiopathic scoliosis: Origin or cause of this type of scoliosis is not known. 8-10 cases of scoliosis are idiopathic in nature.
  • Neuromuscular scoliosis: It is mainly observed in cases of muscular dystrophy and neurofibromatosis. The abnormal curvature of this condition is an outcome of disorders of the posterior muscles and nerves. 1 out of 10 cases of scoliosis belongs to this category.
  • Osteopathic scoliosis: It results due to some major bone defect(s).
  • Congenital scoliosis: This type of scoliosis occurs due to abnormal spine growth of the fetus in the womb. 1 out of 10 cases of this category is reported.

Functional scoliosis: It is also called Non-structural or Postural Scoliosis. In this case, the spine curvature is actually normal but looks curved due to other factors. It occurs due to non-anatomical defects of the spine such as the difference in leg length, poor postures, muscle spasms or spinal injuries.

Thoracic scoliosis: It is caused due to abnormal curvature in the upper portion of the spine.

Lumbar scoliosis: It is caused due to abnormal curvature in the lower portion of the spine.

Fixed scoliosis: It occurs due to infections of the spine or presence of spine tumors. It is characterized by visible deformities of the bone and back.

Non-fixed scoliosis: It is a secondary form of scoliosis and occurs due to paralysis of back muscles, misaligned hip, spinal injuries, and arthritis. This type of scoliosis is curable if the causative factors are eliminated.

Diagnosis, treatment, & prevention

Scoliosis in childrenFor proper diagnosis of scoliosis, a proper examination of the Angle of Trunk Rotation is necessary. Forward bend tests are recommended in the initial stages. X-rays of spines are carried out in the later stages to determine the degree of scoliosis or presence of abnormal curvatures. MRI scans or CT scans can also be performed to detect any tumors in the spine. Surgical procedures are necessary for curing scoliosis since it is a basic structural defect and cannot resolve by means of medications.

Depending upon the severity and the degree of curvature of the spine, the treatment method will be prescribed by the doctor. The treatment comprises observation of the curvature, use of bracing, and surgery of the spine. Whether surgery is required or not depends upon the individual patient. Neuromuscular scoliosis has the maximum chances of exacerbation so only bracing will not help such patients. In the rare case, the scoliosis is associated with back pain, pain-relief medications and/or physiotherapy may be prescribed.

Currently, there are no ways to completely cure this condition. Nor can it be prevented. Only the symptoms can be controlled and reduced with the help of proper diagnosis and therapies. Scoliosis can lead to serious clinical complications, affecting lung functions in the acute stages. Proper diagnosis is essential in the early stages to prevent the disease from attaining a chronic nature.

 

 

 

Dos and Don'ts

Dos
  • Refrain from sleeping in lighted rooms as scoliosis impedes natural melatonin production.
  • Don’t carry heavy luggage or play on the trampoline.
  • Sleep on a quality mattress which is suitable for providing proper orthopedic support to your back.
Don'ts
  • Involve in competitive sports such as swimming. It is not good for scoliosis spine.
  • Similarly, play sports such as soccer as it can cause trauma and irreversible damage to the spine.
  • Sleep on your stomach. Always sleep on your back.

 

 

 

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Erythritol: A healthy sugar substitute or yet another marketing ploy? Erythritol is a popular choice of a healthy alternative sweetening agent in foods. But how healthy can a…
Experts reveal the safest ways to perform an enema at home The idea of pushing some up your rectal area might make you queasy but an enema could actually…
Tart Cherry: The healthiest excuse for taking that second serving of pie Tart cherry has been traditionally used in delectable desserts such as pies. Recent studies have revealed that its…
What is the right way to take a pregnancy test? A pregnancy test is undertaken to determine if you have conceived. A home pregnancy test is the most…
Gua sha: Scraping away layers of pain with this ancient healing tool Gua sha is an ancient oriental healing method which focuses on scraping the body with specific tools to…
SIBO Diet: The important dos and don’ts of this gut-healing diet A SIBO diet is a diet that works by eliminating certain sugars from your diet and adding fibers…
Glucose-6-Phosphate Dehydrogenase (G6PD) test Glucose-6-phosphate dehydrogenase (G6PD) is an enzyme that is found in every cell of the body and it plays…
Okra: How can this nutrient-dense vegetable help you fight diabetes? Okra is a food which is rich in nutrients and minerals which are extremely essential for a healthy…
shiitake mushrooms healthy
What are Shiitake Mushrooms and why should you eat them? Shiitake Mushrooms are well known for their smoky and robust taste. However, did you know they are replete…
woman with abdominal pain holding ovulation calendar
Ovulation – facts to know about ovulation Learn how and when ovulation occurs, demystify common misconceptions, identify symptoms, methods of detection and right period for…
alcohol toxic
7 startling facts that will make you quit alcohol today Does drinking really make you friendly and happy? How many calories does a can of cold beer add…
Psyllium Husk: More than just an effective natural laxative Psyllium husk, or isabgol, is a popular natural laxative . But did you in addition to regulating bowels,…
Hydroquinone: Is it the best topical treatment for hyperpigmentation? Darkening of the skin due to high melanin levels is called hyperpigmentation.  Hydroquinone interferes with melanin production thus treating…
The Cabbage Soup Diet: The healthiest way to instant weight loss Cabbage soup diet rapid weight loss diet for those who want to shed those extra pounds in less…
sodium chloride
Halotherapy: How inhaling salt can work wonders for your body Halotherapy is quickly gaining popularity amongst those with respiratory diseases. It has shown promise in its treatment.
How to scrub away stress and fatigue with an Epsom salt bath? Epsom salt is a popular home remedy for many skin ailments. Though there is a lack of scientific…
reflexology massage
Top reasons why you should go for a reflexology massage today Reflexology involves the application of pressure to your feet and hands to encourage self-healing. Could this be beneficial…
CERULOPLASMIN- triple marker
Triple Marker Test A triple marker test is an important prenatal test that is performed to detect the presence of chromosomal…
beta hcg test
Beta hCG Test A Beta hCG test measures the level of human gonadotropin hormones present in the blood that is primarliy…
piles fissure fistula
Allopathy vs homeopathy vs ayurveda treatment for piles, fissures, and fistula Read to know the best form of treatment among allopathy, homeopathy,or ayurveda for piles, fissures, and fistula
improve digestion weight loss
Power up your gut: 8 proven steps on how to improve your digestion Did you know you have a colony of bacteria in your gut that help you in digesting food?…
Anhedonia: Does the chronic inability to feel joy affect you too? How often do you feel dragged down by an invisible force? Do you feel an inexplicable emotional numbness…
How seitan proved to be a blessing in disguise for vegans worldwide Can only meat-eaters enjoy delicious juicy steaks and burgers? With seitan, the best meat substitute available today,even vegans…
10 reasons why you should up your selenium intake Selenium, though a trace mineral, is very much integral to your health. Find out how much selenium intake…
waterchestnut
Water Chestnuts: The tastiest ways to include this healthy tuber in your diet Water chestnut is not a nut after all. It is a tuber (much like the potatoes) growing close…
Vagus nerve: 7 health benefits of stimulating the “gut-brain” connection As a matter of fact, there are two vagus nerves namely the left and the right but is…
Urologist: When should you visit one and why? A urologist can treat not only genitourinary problems of both men and women but also can treat various…
Appendix pain: Recent findings on this not-so vestigial organ The exact function of the appendix is still not clear. Some consider it as an organ that once…
shakeology woman
Meal replacement or protein drink? Learn all about Shakeology and its claims Shakeology from Beachbody claims to be the most suitable shake that can aid in weight loss, regulate blood…
tonometry
Tonometry Tonometry uses a device called tonometer to measure the pressure inside the eye. This pressure is depends upon…
phenytoin test
Phenytoin test Phenytoin is a drug that is administered mainly to epilepsy patients. The phenytoin blood test measures the level…
fructosamine test
Fructosamine Test A fructosamine test measures blood sugar glucose content. Fructosamine level can indicate blood sugar level in past 2-3…
anoscopy
Anoscopy Anoscopy is an invasive diagnostic procedure where a small device known as anoscope will be inserted in the…
antiHEV IgM test
Anti hepatitis E virus (Anti HEV) IgM Test Anti HEV IgM test determines the level of the IgM antibodies in the blood, The disease is often…
Holistic Healing: How does it harmonize your mind, body, and soul? Holistic healing is not one healing method, holistic healing encompasses a variety of techniques such as reiki, accupuncture,…
hidden causes obesity
8 hidden causes of obesity you probably didn’t know! Did you know that around 2 billion people worldwide are either overweight or obese? Are you too a…
lose weight fast
12 easy and instant steps to successful weight loss Do you want to lose weight without losing your mind? Does weight loss always mean saying goodbye to…
High Fiber Diet – Fire up your fiber intake for these health benefits! Regular bowels, healthy detox, higher immunity, and guaranteed weight loss - a high fiber diet can bring all…
Moringa drink
Moringa: This could be the most nutrient-dense food known to us! Moringa is a lush green tree brimming with over 90 essential nutrients required for a healthy mind and…
Agave nectar: The bitter truth about this sweetener revealed Agave nectar is considered to be sweeter than the normal table sugar and even contains higher amounts of…
Bromelain: 11 reasons why you should start adding pineapple to your pizza! If you didn't love pineapples already, here are some of the top health benefits that bromelain can bring…
The right way to prepare Alfalfa sprouts at home Alfalfa or lusan ghas is not just a nutritious animal fodder. This flavonoid-rich herb has some amazing health…
biopsy procedure
Biopsy Biopsy is a procedure of studying a live tissue sample collected from a specific organ for diagnosing a…
ASTtest-liver
AST- Aspartate Aminotransferase Test AST test is a blood test that is used to measure the level of a particular liver enzyme…
hemoglobin variant analysis
Hemoglobin Variant Analysis Hemoglobin variant analysis is a blood test that is used to detect the presence of hemoglobin variants which…
valproic acid test
Valproic Acid Test Valproic acid test is performed to generally check for psychiatric and even neurological conditions such as bipolar disease…
malarial antigen test
Malaria Antigen Test A malaria antigen test is a rapid diagnostic test (RDT) that can detect malarial antigens (proteins) in your…
apolipoprotein a1 test
Apolipoprotein -A1 (APO-A1) Test Apolipoprotein A-I (Apo-A1) constitutes 70% of protein content in high-density lipoprotein (HDL) and helps in lipid metabolism.
Rheumatoid Arthritis xray
Arthritis Profile Arthritis profile is a panel of primarily blood tests used to detect the presence of arthritis or check…
social media adddiction
Your health in the age of Social Media: Why is digital detox a necessity? Did you know that more than 400 million people are dangerously addicted to social media? Are you one…
acne removal tips
Anatomy of acne: 7 instant steps to kiss those zits goodbye Blackheads, whiteheads, or pimples-call them what you may. Acne is never good news.Did you know some of the…
sugar toxic health
Sugar: 7 new shocking truths revealed about the sweet poison Can drinking soda bring you closer to death? Is sugar slowly poisoning you and your family? You would…
L-theanine attention
L-Theanine: Better sleep, higher focus, and many other benefits Did you know that L-theanine found in green tea can make you sleep better and be focused at…

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