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Syndromes
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Scoliosis

Symptoms

<20°: elevated shoulder; paraspinal muscle imbalance and tightness

20°-40°: change of alignment of thoracic, with concave side muscle spasm

>40°: severe spinal mal-alignment; cardiopulmonary function would be affected if conditions get worse which is life-threatening.

Consequences

Spinal development mutation; leg length discrepancy; etc.

Causes

Congenital; adolescence prevalence: 80%

Introduction:
According to government data, 2500 out of the 40000 newly diagnosed scoliosis students need orthopedic follow-ups. 2000 new cases reported per annum, i.e. every 11 students, one would carry scoliosis symptoms. Many parents always ignore their kids’ kyphotic posture and delay interventions until symptoms emerge.

Treatments:
Surgical operation: with the advancement of internal fixation technique and biomechanics, the risk of operation is reduced. However, post-operation complications such as limited spinal movements, muscles atrophy, osteoporosis, osteophytes, etc. are still encountered.

Video of Surgical operation on Scoliosis
Warning: This video contains some scenes which some people may find offensive or upsetting

Physiotherapy: stretching exercise, muscle strengthening exercise and breathing exercise assigned by physiotherapist would help reduce recurrence and minimize complications.

Chiropractic adjustment: chiropractor would correct the mal-aligned spine by means of biomechanical lever concepts.

Back orthosis: daily use can prevent scoliosis from fast-worsening

TENS: domestic use for symptomatic relief.

Treatment aims:
Prevent surgical intervention
Decelerate deterioration / degeneration
Relieve symptoms;
Train cardiopulmonary functions;

Scoliosis mailbox:
Q: scoliosis must require surgical operation?
A: not a must, depending on the degree of Cobb’s angle. If Cobb’s angle <40°, conservative treatment is considered.

Q: how long does it take to treat scoliosis?
A: treatment frequency should be three sessions per week and continue for six months as one treatment course. Cobb’s angle <20°, 20°-40°, >40° requires 1, 2-3, 3-4 treatment courses respectively.

Q: I’m 33 years old now. I had been diagnosed with scoliosis for a decade and symptoms started to get worse recently. I would like to ask what should I do at my age?

A: patients should choose the treatment methods according to their goal. Surgical operation is the only method to cure scoliosis. However, it would bring along with series of side effects and post-operative complications. If patients don’t prefer surgical intervention, conservative treatments such as chiropractics and physiotherapy would be the appropriate choices.

 

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