1 Description of the disease
Lateral deformities of the vertebralThe pillars in the neck, chest and waist are called scoliosis. VD Chaklin identified four degrees of the disease, taking as a basis the degree of curvature of the spine. Especially noticeable is scoliosis at grade 2 disease, when the angle of curvature is 11-25 degrees. The danger of the disease lies in the further development of the deformation of the spine and the occurrence of various complications in the work of internal organs. Scoliosis of the 2nd degree can arise due to congenital pathologies, as a result of injuries received, disorders of posture, due to diseases of the nervous system and the musculoskeletal system.
Pathological changes of the spinal column are dangerous for violations of the internal organs, the appearance of many chronic diseases, deformation of the chest. Usually scoliosis is diagnosed in children at the age of 8-10, but an ailment can occur after 18 years.2 degree of disease indicates that scoliosis is progressing and requires immediate treatment.
Description of the disease
Depending on the causes of the onset, scoliosis is:
- dysplastic and neurogenic;
- is idiopathic;
Causes of development of changes in the spinal column are defects in the development of the vertebrae, their fusion, various anomalies. Congenital scoliosis can form in utero. Dysplastic scoliosis develops as a result of neuromuscular diseases. A characteristic feature of the neurogenic form of scoliosis is the one-sided curvature of the spine.
- and total scoliosis.
The C-shape has one arc of curvature. The disease develops after a spinal cord injury, tuberculosis spondylitis.
S-shaped scoliosis of the 2nd degree has two arcs that are directed in opposite directions. Most often there is an uncompensated flow, where the primary arc is greater than the second arc in the level of curvature. With this disease is characterized by a rapid progression of the disease.
Compensated form of scoliosis is less common. It has a lumbar and thoracic curvature, which appears simultaneously. Total scoliosis is manifested by the curvature of all thoracic and lumbar vertebrae, which form a single flat arch. The flat form of deformation rapidly progresses and is difficult to cure. As a result, there is a violation of human posture, deformation of the chest and waist, severe breathing disorders occur.
Scoliosis is also distinguished by type. There are scoliosis cervical, thoracic, lumbar and chest-lumbar. Thoracic scoliosis of the 2nd degree develops at the level of 8-10 vertebrae. This form is characterized by deformation of the chest, respiratory failure, development of bronchial asthma. Specific signs of the disease are a large muscle and ribs on one side of the spine. A depression is formed on the back of the chest. Scoliosis of the thoracic region progresses very quickly and ends with disability. On the ribs a hump is formed, and the muscles acquire a cylindrical shape.
Lumbar scoliosis of the 2nd degree develops at the level from 8 thoracic vertebra to 3 lumbar vertebrae. This form of the disease is the result of its progression. Symptoms of the disease at the initial stage are almost invisible. Also masking the deformation of the spinal column can be overweight. With this scoliosis, the spinal disc acquires an asymmetric shape. If you do not carry out treatment, then eventually the pulpous nucleus of the disc loses fluid, and the vertebrae also become asymmetric. These destructive processes affect the muscle tone.
Depending on the direction of the curvature of the spine, right-sided and left-sided scoliosis is distinguished. Disease of the 2nd degree is characterized by a pronounced asymmetry of the shoulders and a sufficiently large bend angle of 25 degrees. Serious disorders can also provoke fused vertebrae.
Symptoms of scoliosis of the 2nd degree - photo
In scoliosis of the spine of the 2nd degree, the main symptoms are well visible signs of deformation of the spine and thorax:
- asymmetry of the shoulder and waist triangles, the curvature can be observed even through clothing;
- the appearance of a costal hump when the trunk is tilted forward;
- muscular cushion in the lumbar region;
- definition of C- or S-shaped deformation in palpation of spinous processes;
- the expressed torsion and a slope of a basin aside at a curvature of a lumbar department of a backbone;
- angle of curvature - 10 - 30C.
As a result of the development of the disease, there are also accompanying symptoms. Difficulty of breathing due to deformation of the chest is added to the main manifestations of the disease. The patient quickly gets tired, he develops asthenia. At a scoliosis of 2 degrees physical activity is complicated, and the gait is broken from the broken position of hips.
Right-sided scoliosis of 2nd degree
Characterized by pronounced deformity of the spine in the right side. When the cervical region is affected, there is a headache, stiffness with head movements, pain in the neck. Sometimes there is numbness of the upper limbs. In rare cases, deformities of the cranial bones may occur.
If right-sided scoliosis develops in the chest region, then the characteristic symptoms are the restriction of the entire body's mobility, the appearance of muscle spasm, back pain and motion. The location of the internal organs and the activity of the cardiovascular system are disrupted. With this form of scoliosis, the asymmetry of the shoulders and shoulder blades is pronounced.
Right-sided scoliosis of the lumbar region is characterized by a change in the position of the pelvis, internal disorders, changes in gait and rapid fatigue. There may be irregularities in the activity of the genital organs.
Characterized by curvature of the spinal column to the left. Symptoms of the disease occur in the beginning is very blurred, but with the progression of the disease, dystrophic changes in the spine develop. So, at 2 degrees of left-sided scoliosis painful sensations in the loin, development of osteochondrosis are observed. The sensitivity of the extremities is disturbed.
In the left-sided form, severe pathology is rare. It can develop in patients of senile age - in older people, the dorsal muscles gradually lose their strength and are unable to support the spinal column any more. There is a pronounced asymmetry of the pelvic bones, a different level of location of the buttocks.
Treatment of spine scoliosis of the 2nd degree
Spine disease can be stabilized and eliminated by conservative treatment, exercise, wearing an orthopedic corset. At later stages, the spinal column can be restored only by surgical intervention. The treatment of scoliosis, in the first place, is focused on the elimination of pain and the maximum correction of the curvature of the spine.
In the treatment of scoliosis, methods such as:
- are used to take anti-inflammatory and analgesic medications;
- fixation with orthopedic corset;
- therapeutic exercises.
Complex treatment of the disease allows to accelerate the healing process, strengthen the muscle tissue of the back and improve metabolic processes in the body. At a scoliosis of 2 degrees there are no bases for surgical treatment.
The most effective is exercise therapy, which allows you to slow down the development of deformity of the spine and normalize the activity of internal organs. All exercises should be prescribed by a doctor and performed under his supervision. When performing exercises it is important to correctly distribute the load to different muscle groups. Otherwise, you can aggravate the course of the disease.
Exercises and LFK
Exercises for scoliosis of the 2nd degree strengthen the muscles and tissues of the back, and also stabilize the spine. Physical rehabilitation should be done regularly, without interruption and patiently. With scoliosis, you can perform various exercises with sports equipment, using dumbbells, benches, a Swedish wall and other objects.
When choosing a treatment, the doctor takes into account the degree and angle of curvature of the spinal column, the direction of curvature, the existing pathologies and the age of the patient. Scoliosis of grade 2 is often prescribed such exercises:
- In a pose "on all fours" perform the deflections of the spine to the floor. You can move around the room, bending under imaginary obstacles.
- Lie on your back and clasp your knees. In this situation, roll in different directions. Exercise to perform on a gym mat.
- Lie on the floor and raise your feet evenly, which is then withdrawn in one direction. After 9-12 repetitions, the legs begin to withdraw in the opposite direction.
- Lie on your stomach and stretch your legs and arms out as much as possible. Such a deflection in the beginning will have a small amplitude, but gradually increase with each workout. Perform the exercise until fatigue.
- Lie on your side and do an exercise with your feet "scissors".
The selection of therapeutic exercises at the 2nd degree of scoliosis is carried out by a qualified instructor in physiotherapy exercises. Curvature of the spinal column is accompanied by infringement of the spinal nerves. Incorrect exercise and incorrect sets of exercises can lead to an increase in the syndrome. In rehabilitation centers, the exercises are selected individually for each sick person.
In the treatment of scoliosis, the use of analgesics, biogenic stimulants, vitamin complexes is used. For severe pains in the spine are appointed:
These drugs are non-steroidal anti-inflammatory drugs and well eliminate pain in the neck, back, waist.
In the treatment of scoliosis, medication intake does not play a big role. The main methods of stabilizing the spinal column are therapeutic exercises, massage and physiotherapy. The appointment of vitamins and other drugs is used only as an additional measure to the complex treatment of the disease.
For scoliosis massage is performed in a smooth, gentle mode. Actions should be aimed at stimulating the relaxed muscles. Massage also helps to lower the tone of tense musculature.
The person performing the action must thoroughly know the features of the procedure. The task of differentiated massage procedures is relaxation of the back muscles and improvement of blood circulation. This technique also normalizes the cardiovascular system and strengthens the muscles.
Physiotherapy - additional techniques in the treatment of scoliosis, which allow normalize metabolic processes in the body and stop the inflammatory process. Pain in scoliosis perfectly removes electrophoresis, Charcot's douche, ultrasound, paraffin wraps, laser exposure.
A good method of fighting the disease is muscle electrical stimulation. All these physiotherapy procedures eliminate the process of inflammation in soft tissues and eliminate pain in the spine.
The essence of these techniques is that certain electrical impulses favorably affect muscles that are in a spasmodic state. As a result, the pain caused by squeezing the nerve roots of the muscles in the hypertension is eliminated.
In general, the treatment of scoliosis of the 2nd degree is long and requires patience. However, some forms of scoliosis with its help can be overcome. In severe cases, treatment allows you to ease your health, prevent the development of any complications, normalize the metabolism in the body.
There are significant chances to stabilize the spine while cartilage tissue remains in its vertebrae. With age, treatment is difficult and focused on strengthening the musculoskeletal system and preventing further curvature.
Swimming in the pool has a favorable effect on the posture. In such occupations, there is no significant difference in the load on both sides of the trunk. Scoliosis patients need to refuse to play badminton, bowling, tennis.
A diet rich in vitamins and minerals has a beneficial effect on bone tissue. It is recommended to eat foods rich in vitamins E, C and D. It is necessary to include buckwheat, oat flakes, millet, and manga in the daily diet. It is also useful to regularly eat fresh vegetables and fruits, spinach, sorrel, sea buckthorn, strawberries.
Wearing a corset helps to reduce the strain experienced by a sick spine. Such fixation does not impede movements at all and helps to correct the curvature of the spinal column. If the corset is worn by a child under 15, the probability of completely eliminating scoliosis is very high. Orthopedic corset affects the spine in the lateral and anteroposterior directions. Wearing the product is required daily until the skeleton ceases to form. During the treatment it is necessary to constantly monitor the condition of the spinal column. Wearing a corrective corset is prescribed by the attending physician.
Whether the army is taken with the 2nd degree of scoliosis of the spine
Today, many conscripts are interested in the question - do they take in the army for scoliosis 2 degrees? Young people diagnosed with this disease are required to undergo a medical commission and provide x-rays to doctors, as well as certificates and opinions of doctors.
Only a medical commission can decide whether a young person will get a 2 degree of scoliosis into the army or not. The result depends on which category the sick person is taken to.
- Category A includes healthy conscripts who can serve in all parts.
- Category B restricts the place of service.
- Category B relieves sick young people from military service.
- Category D gives a temporary exemption from the service with a second medical examination after six months.
- Category D provides a "white" military ticket and unfitness for service in the army.
Conscripts with scoliosis of the 2nd degree are recognized by the medical commission as having limited access to the army service. Usually young people with the disease get the category B.
An x-ray examination is performed, the angle of the spine deviation is determined and the diagnosis is confirmed. The army is taken with scoliosis 1 degree. With a large angle of deviation of the spine, the draftee can be assigned categories B and D.
Reviews for the treatment
My response to the lateral curvature of the spine in my chest is the curvature of the neck. It took a very long time to be treated in a specialized clinic. For a year I achieved very tangible and excellent results.
Used in the treatment of massage, electrical muscle stimulation, therapeutic exercises. I was constantly observed by doctors and went to a sanatorium. As a result, after a year of treatment, the angle of lateral curvature of the spine considerably decreased, and the neck became well aligned. Of course, scoliosis is treated, but it is necessary to put a lot of effort and money into it.
Arina, 33 years - Moscow
Son was diagnosed with scoliosis of the 2nd degree. Appointed to attend classes of physical therapy and electrophoresis. My wife still hired a masseur. Now the child is only engaged in physical education.
After a while we want to repeat the course of massage. The treatment progresses slowly, but we are constantly observed by the doctor and we hope for a full recovery and getting rid of scoliosis.
Vitaliy, 34 years old - St. Petersburg
Struggling with a scoliosis of the 2nd degree in a child. Treatment is conducted by the leading doctors of the clinic. We treat and massage, and exercises, and the laser.
My son's posture is badly damaged, but doctors promise a favorable prognosis and recovery.
Irina, 25 years old - Екатеринбург