Scoliosis is one of the most frequently diagnosed diseases of the spine, characterized by a deviation of this laterally with respect to the vertical axis.
Treatment of scoliosis is a fairly long process, requiring a competent and integrated approach. It will be easier to get rid of the problem if we find it at the initial stages and start a competent complex work on the normalization of the patient's condition in a timely manner. There are also techniques to help patients of any age at different stages of scoliosis. About this further.
Content of material
- 1 Overview of conservative treatment methods
- 2 Recommendations for members of different age groups
- 2.1 Up to 25 years
- 2.2 Up to 40 years
- 2.3 After 40 years
- 3 Features of scoliosis treatment at different stages of
- 4 Important information about surgical treatment
- 5 Useful home exercise for prevention of
- 5.1 Video - How to get rid of scoliosis
Overview of conservative treatments for
So, the expert has studied a status of the patient, has familiarized with results of the appointed inspections, has confirmed the diagnosis of a scoliosis and has defined its degree. What's next?
If it is a question of young patients, whose period of growth has not yet ended, among other conservative therapies, it may be recommended to wear a corset. To combat the studied disease, the supporting and corrective varieties of the said device are used.
- Supporting corsets can reduce the strain on the spine and reduce muscle tension. They facilitate the patient's well-being, but they do not have the ability to eliminate distortions alone.
- Corrective corsets are selected for a specific patient( taking into account the peculiarities of his physique and degree of curvature) and are used to return the normal shape of the affected part of the spine.
In addition, special posture correctors can be recommended. They help maintain and form a correct posture. Effective as a preventive tool and a means to combat the initial stages of scoliosis.
Corrective corsets are designed for permanent use. Correctors of posture and supporting corsets usually wear no more than 4 hours during the day during the greatest stresses on the spine.
Other conservative methods used to treat scoliosis are listed in the table.
Table. Conservative treatment for scoliosis
Available Techniques | Description |
---|---|
One of the most important components of complex conservative therapy. Exercises are selected by a specialist individually for the patient. Gymnastics helps to strengthen the muscles, ensure the correct distribution of loads and eliminate the existing curvature of the spinal column. | |
An effective addition to therapeutic gymnastics. Typically, the performer of the massage and the instructor in curative gymnastics work together, making joint efforts to stop the progression of scoliosis and return the patient to a normal state. | |
Methods of physiotherapeutic effects are applied in complex with gymnastics and massage. Most often, a course of procedures is prescribed, the essence of which is reduced to electrostimulation of affected areas to restore their normal function. Before the appointment of a specialist, the patient carefully examines the patient's condition for contraindications. | |
Competently built sports training positively affects the condition of any person, and patients with spinal problems are doubly affected. The best solution is to visit the swimming pool - classes in the water improve mood and well-being, actively contributing to the development of the muscular framework and maintaining the correct shape of the spine. |
In addition to swimming, you can practice other sports. With regard to this point, everything is determined by the peculiarities of the patient's condition.
Recommendations for representatives of different age groups
As mentioned above, sports have a pronounced beneficial effect on the condition of patients with scoliosis. It is only necessary to choose an activity that best suits a particular patient. Let's give a conditional age gradation.
Up to 25 years old
Mobile dances are perfect. During such training, proper posture is formed and maintained. After the adaptation of the organism to the increased loads, special exercises performed on inflatable hemispheres can be included in the program. These contribute to strengthening the press, dorsal muscles, as well as reducing the load on the spinal column.
Up to 40 years
Ideal for swimming. In general, you can practice every day. In the absence of this opportunity, visit at least 2-3 workouts a week. The optimal duration of each lesson is 30-45 minutes.
After 40 years of
Representatives of this age category are very good at yoga. All kinds of asanas( poses) contribute to the normalization of the function of internal organs and systems, including the musculoskeletal system. Practicing yoga, a person becomes less stressed and more stress-resistant. As a rule, after a few months of regular practice, the scoliosis severely decreases, and the shoulders and back cease to hurt.
The above division into age groups is conditional and performed taking into account the optimal loads for patients of different ages. Of course, no one will prohibit a 60-year-old woman from going to the pool, and a 20-year-old boy practicing yoga. The main thing is that the trainings like, be useful and regular.
Important! Patients with scoliosis in most cases are not recommended to run. Instead of jogging, you can pay attention to long walks.
Features of scoliosis treatment in different stages
When designing a treatment program, the doctor takes into account not only the age and condition of the patient as a whole, but also the degree of scoliosis. About this in the table. Table 1. Scoliosis scores
Table. Methods of treatment of different stages of scoliosis
Scoliosis degree | Description | Preferred methods of exposure |
---|---|---|
Deviation does not exceed 10 degrees | Recommended therapeutic gymnastics, physiotherapy methods of massage, massage. | |
Curvature holds within 25 degrees | A corset is added to the gym and physiotherapy treatment, usually supporting. | |
Curvature up to 40-50 degrees | In addition to traditional conservative means, resort to the use of a corrective corset and special methods of exposure( extract, etc.).If necessary, conservative treatment may be recommended. | |
Deviation of vertebral column from vertical beyond 50-degree boundary | Assign surgical treatment to |
Important! If during the next school medical examination your child is "put" scoliosis, do not rush to panic. It is impossible to confirm the presence of this ailment with a single visual inspection - X-rays are always performed.
At present, many specialists are inclined to regard scoliosis of the first degree as one of the variants of the norm, a kind of peculiarity of the structure of the organism. But even in such circumstances, one must constantly monitor the curvature and prevent its further progression. Specific recommendations will be given by the treating specialist.
Important information about surgical treatment
The need for surgical treatment arises predominantly in 3-4 stages of the pathology under study. Surgical intervention is a radical method used in the absence of the proper effect of conservative treatment, or in the presence of a real threat to the health and life of the patient.
Operation can be carried out in two key ways.
- With dorsal access .The specialist prepares an incision along the length of the thoracic part of the spinal column. The rod is introduced with subsequent fixation with screws and hooks. The created spinal traction helps to reduce the severity of its curvature. If necessary, the patient is implanted with his own or donor bone material, thanks to which the vertebral fusion with other tissues is ensured. The process of adhesion takes an average of 1 year. In advanced cases, the intervertebral disc is removed with its further replacement with bone, which ensures the fusion of the vertebrae. Such an operation helps to get rid of existing deformations and normalize the processes of growth and formation of the spine, which is especially important for children of childhood.
- With ventral access. Used primarily in the case of localization of curvatures at the location of the thoracolumbar junction. The specialist prepares a cut along the lateral line of the ribs. To perform the operation, the rib is removed - otherwise the subsequent necessary manipulations are not obtained. To remove curvature, some intervertebral discs are removed. A rod is inserted, followed by fixation to the spine with screws. Instead of the removed intervertebral discs, native or donor bone material is implanted.
In the absence of complications, the patient will be allowed to get out of bed after 2-3 days after surgery. In total, the clinic will have to stay up to 1 week with the normal course of the postoperative period.
The specialist will give recommendations on limiting physical activity for up to 1 year. In this case, the regularity is simple - the less the patient burdens the spine, the faster it is restored. It is assigned to wear special fixing corsets.
For at least 1-2 years, the patient regularly undergoes examinations and X-ray examinations.
Useful home exercises for the prevention of
As noted, the curative gymnastics program can be made exclusively by a qualified specialist, taking into account the individual characteristics of the patient. The following exercises can only be considered as prevention of curvature.
- Lie on your back and relax. All the exercises of this group are performed in a reclining position. Pull your arms along the body. Inhale, in parallel with this raising your hands, then lower them, breathing out.
Next you need to put your hands under your head. On inhaling, press your elbows to the floor, exhale - reduce. Keep your back still. During the exercise, strain the neck and shoulders.
Proceed to the next part of the workout. At this stage, you need to straighten your legs, then alternately bend each leg, pulling it to the press( done exhalation), and then return to the initial position( on inspiration).
At the end of this exercise, pull the upper limbs along the body, then lift one of them, while pulling the other to the side. Strand your hands.
- All exercises of this group are performed in the supine position. Take the indicated position, stretch your arms along the body and press them with the palms to the base. While inhaling, raise the body slightly with your hands, making an exhalation - return to the starting position. Together with the body, at the same time, one leg should be raised. Alternate your legs.
- Exercises of this group are performed in a standing position on all fours. Take this position. Inhale, gently bending his back to the top, then exhale, just gently pulling the chest forward.
When doing the exercises, check that the spinal muscles receive the main load. Train every day. Try different exercises. Over time, you yourself will understand which ones are most beneficial specifically in your case.
Remember: Scoliosis is easier to win in the initial stages. Respond in a timely manner to adverse changes in your condition, follow medical recommendations and be healthy!