Scoliosis is a curvature of the spine that causes pain and stiffness. Since the cause is unknown, it is defined as an idiopathic disease. Scoliosis usually starts in childhood when the bones are growing. It affects more females than males. Early screenings and detection are necessary to prevent progression over time.
Scoliosis is Greek for curvature. A sideways curve that has a “C” or “S” shape occurs in the spine in those with scoliosis. When the spine bends, the vertebrae move in a “coupled motion”. So sideways bending results in rotation of the vetrebrae. This rotation will result in a hump in the middle back near the rib cage. A curve that is more than sixty degrees is considered serious. Often, the curve will make the waist or shoulders appear uneven. The curve can lead to pre-mature osteoarthritis.
Many schools have adopted The Adam's Forward Bending Test as a screening for scoliosis. Spinal alignment is assessed when the child bends forward at the waist. A prominent hump requires further evaluation by a physician or doctor of chiropractic. X-rays may be necessary to assess the degree and location of the curvature along with range of motion testing to evaluate mobility. If needed, we will refer you to a specialist for further evaluation and treatment.
For more serious cases, orthopedic bracing can be used to prevent worsening of the curve. If bracing is not successful, surgery may be required.
Observation of curve progression in a child who is still growing is essential in the management of scoliosis. Regular chiropractic adjustments can help decrease pain, restore normal function and slow down the degenerative process. If you have any questions, please do not hesitate to contact us.
