Sep 25, 2023
Scoliosis is a lateral curvature of the spine that is typically identified during adolescence. While scoliosis can affect adults who have diseases like cerebral palsy and muscular dystrophy, the majority of infantile scoliosis has an unknown origin.
Most scoliosis cases are moderate, however, some curvature gets worse as children get older. Scoliosis that is severe could result in disability. It may be more difficult for the lungs to work correctly if there is less room in the chest as a result of a particularly severe spinal bend.
Mild scoliosis in children is regularly watched to determine if the curve is worsening, usually with X-rays. Many times, no therapy is required. Some children may require the use of a brace to stop the curvature from worsening.
Others might require surgery to straighten in case of severe curves.
Though it appears to consist of genetic factors because the condition occasionally runs in families, healthcare specialists are uncertain of what causes the most prevalent type of scoliosis. Less frequent forms of scoliosis may be brought on by:
Scoliosis symptoms could include:
The following are risk factors for the most prevalent type of scoliosis:
A thorough medical history will be taken at the outset, and possible inquiries regarding recent growth will be asked by the healthcare professionals. To check if one side of the rib cage is more prominent than the other during the physical examination, your doctor may ask your child to stand up, lean forward from the waist, and hang their arms loosely.
An examination of your nervous system may also be done by your doctor to look for:
Your doctor can advise a particular imaging technique that produces a 3D model of the spine using lower radiation doses in order to reduce this risk. However, not all hospitals have access to this technology. Another technique is ultrasound, although it may not be as accurate in assessing the severity of the scoliosis curve.
If your healthcare provider suspects that an underlying issue, such as an irregularity in the spinal cord, is the base of your scoliosis, magnetic resonance imaging (MRI) may be advised.
Scoliosis has no known treatment, but it frequently resolves on its own. If you exhibit no symptoms or have minor symptoms, you might not even require treatment. Your condition's severity and scope will determine if you need treatment or not and also what type of treatment is needed.
You'll most likely be given medicine to treat your symptoms if they're severe or if your organ function is at risk. These may consist of:
To address particular symptoms or consequences, other drugs may be used.
Other therapies can be suggested based on your symptoms or problems. For instance, you might receive physical therapy to strengthen your muscle strength and reduce fatigue, pulmonary rehabilitation to lessen respiratory symptoms, or an implanted cardiac pacemaker or defibrillator to treat abnormal heart rhythms.
Depending on your symptoms and the medications you are taking, your doctor visit frequency may change. Even if you don't require treatment, it's still crucial to visit your doctor often.
Your doctor will keep track of your symptoms, evaluate the efficacy of therapies, and look for problems. Depending on your health, monitoring could involve regular testing. You might undergo routine chest X-rays, lab and urine testing, EKGs, and examinations of the lungs, eyes, skin, and any other affected organs. Care after treatment could last a lifetime.
If Scoliosis has severely damaged your lungs, heart, or liver, an organ transplant may be a potential solution.
The majority of scoliosis sufferers have a moderate form of the condition, however, it can occasionally result in consequences such as:
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