In the Greek, the word "scolios", which is translated as "bow". This is the word, the doctors indicate that the curvature of the spinal column. And no, not all of the deformation, and it is the deviation from the lateral to the vertical axis of the spinal column. The fact is that the rate at which our spine is not perfectly flat. They are available for both the front and back curves (lordosis and kyphosis) to protect our spine from excessive loads while maintaining the body in a specific position to move and carry heavy objects. Process the negative in our body, the carried out in extreme cases, if the kyphosis and the lordosis is expressed also in the acceptable range.
The main problems
However, even a small degree of lateral curve (scoliosis) in the spine, it is always the pathology of the. And it's not just in the field of a cosmetic defect. Although the feature looks dodgy when it is expressed or progressive scoliosis, it is always a tragedy for the man who seeks to live the quality of life in all its fullness. This is especially true for young people. It is as a child and young adult period of time (up to 15 – 16 years old) is diagnosed with a large part of the scoliosis.
The main problem with it is that it is due to the change of the setting, and the volume of the chest cavity, when expressed on the side of the bend will always suffer from the internal organs (heart, lungs, stomach, liver, bowel, major vessels). In men, it decreases tolerance for physical activity, women tend to have problems with the concept, the rolling of pregnancy and childbirth. In addition to this, a lot of times, deformation of the side of the vertebral column, is only a portion of the surface of the iceberg, and that it is a symptom of more serious diseases – cancers, tuberculosis, and endocrine disorders.
Causes of
So, for that is just the spinal column? Before I answer your question, it's worth it to decide what types of scoliosis. At its core, the scoliosis can be either structural and non-structural. Structural scoliosis may develop due to changes in the anatomical structure of the bone of the vertebrae, and also the coming from the muscles, nerves, ligamentous apparatus. These curves can be acquired, and defects, and on the part of the latter account for about one-fourth of all newly diagnosed scoliosis.
Among the main reasons for the development of structural scoliosis are:
- Addiction, intra-uterine, causing a dysplastic violation of one or more of the vertebrae
- Congenital anomalies of the development of the breast in the absence of the ribs, the ribs of the additional
- The inherent pathology of the connective tissue – neurofibromatosis, Marfan's syndrome
- The Cerebral insufficiency is due to infantile cerebral palsy (in the csip), leads to the violation of the nerve supply to a certain region of the vertebral column
- Osteoporosis, depression and bone) of the spine in rickets, diseases of the parathyroid glands, a lack of revenue of the calcium in the foods
- The osteomyelitis bone
- Degenerative changes in the neck, chest, and lower back muscles
- TB damage to the vertebrae
- Injury to the spinal column
- Tumors of the spinal cord.
Non-structural scoliosis, as the name suggests, it is the lateral deviations from the axis of the spinal column, the same anatomy of the vertebrae. As a general rule, such a scoliosis, the most often acquired, except where the curvature of the leads to the compensatory character of the defects, anatomic defects of the pelvis or the lower extremities. The reasons for scoliosis, the most common of these are:
- Injury to the pelvis and lower limbs
- Congenital defects of the pelvis and the lower part of the body
- With the constant bad attitude of students
- The disease of the internal organs, with unbalanced slack armbar syndrome
- Muscle inflammation (myositis)
- Burns, scars, and soft tissue, with one side or the other.
In such cases, in order to correct for the curvature of the spine, in enough to cure the disease, and, therefore, many of the non-structural scoliosis is easily reversible. In this connection, some of the doctors tend not to tell the non-structural deformation in the case of scoliosis, in general.
Most recently, in the case of the development of the young people of the scoliosis, and with excellent reason. This is the so-called idiopathic scoliosis. It so happens that he's in the younger years, in a period of rapid growth in the body. And the girls are suffering from idiopathic scoliosis, multiple times more often than men. Apparently, this is due to the relatively weak muscles of the back of the female, who is not able to complete the backbone of a full muscular frame. A very important role in the development of idiopathic scoliosis throws it out of balance for a meal with a low content of salts of calcium, the habit of the young people in each room. It is well known that the carbon dioxide in the bubbles of the acid, and phosphoric acid in the composition, the synthetic inclusions can contribute to the washout of the salts of calcium in the body.
The range and degree of
Depending on the location of the scoliosis, it can be a collar, breast, back, or joint (neck-breast-pain-breast). Maybe it's the presence of one or more arcs of curves. In this context, a distinction is in the form of scoliosis (as of 1 arch), in the form of S (with 2 bows), and a Z-figurative (with 3 bows). Most likely, the presence of a 2-or 3-day-takes a compensatory nature. When it is in the form of scoliosis, the axis of the spinal column turns. Looking to make up for that, the lumbar spine curves in the opposite direction. In this context, and scoliosis are divided into compensated and non-compensated. The offset bends of the vertebral column, and a vertical line, the bottom reflects that, as of the 7th cervical vertebra, then passes through a crease between the buttocks.
The curvature of the spine, often leading to a combined nature. For example, in the chest in addition to back bends is to be celebrated as pathological kyphosis, or are just on the hump. In these cases, talking about food in kyphoscoliosis . In addition to that, with higher degrees of scoliosis, in addition to the lateral displacement of the vertebrae, it is celebrated in a twist. In the word by word translation, it means to root for. Indeed, many of the scoliosis occurs a twist in the bone of the vertebrae about the vertical axis.
Depending on the magnitude of the angle of curvature of the arc include the 4-degree scoliosis:
- 1 the degree of the angle of twist of not more than 10 degrees. The asymmetry in the eye-it practically is not given. It draws the attention of the shoddy, uneven level of the shoulder strap of the seat belt.
- A 2-degree angle of curvature, that is, from 11 to 25 degrees celsius. At this level, is already celebrated in the torsion ones. It can be done once in the eye, asymmetry of the shoulders and the pelvis. Due to the harmful tension in the muscles is formed by the muscular pad at the lower part, with a concave side, and in the region of the chest with the convex.
- 3 the degree of the curl varies from 26 to 50 degrees. Thus, the deformation of the chest to the retraction of the intercostal periods of time, with the concave side of the curvature and the camber with a convex. The weakening of abdominal muscles, the training of the inner man.
- A 4-degree angle of curvature of the I-exceeds 50 degrees celsius. It expresses "cosmetic" defect, and in all of the above signs. Low portability, even in a small-sized physical one. In addition to the musculoskeletal system are the internal organs.
The angle may vary, depending on the position of the body are stable, and an unstable scoliosis. Unstable scoliosis, it goes down in the prone position, when the load goes down her spine. The stable, the curvature of the spinal column, this value will remain unchanged.
The symptoms of
Recently, podiatrists often use the term 'scoliosis ' illness'. And shall indicate the complex of those negative changes that occur in the body during the bending of the spinal column. Generally, the scoliosis is the disease that develops in childhood and early adulthood, the period of the formation of the musculoskeletal system. At present, there is a good chance that the scoliosis will progress.
Apparently, there is a more recent role in the increase of the bend angle playing the intervertebral discs. Next, the offset to the disk to try it on himself unequal to the pressure of the vertebral bodies. The concave side the pressure is less convex. The result is this album even more if you wear it with the side of the scoliosis, it creates pathological tension in the muscles (the muscle look), and the twist ones – all this leads to the appearance of hernias of a disk, and a further increase in the angle of the bend.
Along with the spine when scoliosis disease with the secondary changes in the thorax. From then on, the so-called rib hump with the convex side of the curvature, the intercostal intervals of increase and, with a concave back wall. When the scoliosis in 4 of the degree of deformity of the chest is so pronounced, that the lower ribs on the side of the curves touch each other, with the iliac crest.
Because of the marked deformation of the thorax of a ride for the heavy breathing. At the end of the body, when expressed in scoliosis, it does not receive the necessary amount of oxygen that develops in the so-called hypoxia chronic to the violation of all of the metabolic processes in the body. The condition is made worse by the fact that the change in the internal volume and the shape of the cavity of the chest. Because of this, you have interrupted the circulation of the blood through the blood vessels in the face in light, changes in the shape of a heart, the development of chronic cardiovascular, respiratory (breathing) failure.
Similar changes occur in the abdominal organs if the lower back pain and thoracic scoliosis. It decreases the mobility of the stomach and of the intestines, which results in a deficiency of the enzyme gland of the digestive tract. All of this further aggravates the charges of rape. These violations often result in delayed sexual maturity in both boys and girls. In addition to this, due to a scoliosis in the lumbar spine secondary curved taz. This creates a problem for many mums-to-be-bearing-with pregnancy and childbirth.
The diagnosis
The diagnosis of scoliosis, especially in a large measure, it usually does not cause a problem. For the detection of the deformation of the spinal column, which is often very common for the visual inspection. Worthy of note is how the curvature of the contour of the spine, asymmetry of the shoulders, the angles of the blades, however, the curvature of the pelvis, and shortening of the lower limb on the side of the contorcionismo.
When you have at least one of each of these signals are shown on the x-ray of the spinal column. The x-ray, to define the configuration and the degree and location of curves. During the inspection, and a radiographic examination can determine if the scoliosis is corrected, and stable. Most recently, she received the seed of a new method for the investigation of the spine – magnetic resonance imaging (MRI), in which, on the screen of the monitor, you can obtain a three-dimensional image of the spinal column. When significant sagging, you should investigate the functioning of the internal organs – pass spirometry, electrocardiography, and make ultrasound of the heart and internal organs.
Treatment
In the treatment of scoliosis can be approached in a conservative manner and very quickly. The conservative methods include drug therapy, massage therapy, physical therapy, manual therapy. It should be noted that the formation of the spinal column, ending 20 years of age, and after age correction of the curves is nearly impossible. When the scoliosis 1-2 degree, in an effort to meet the original, normal configuration of the vertebral column. When expressed in scoliosis in a 3 – to 4-degree cannot be achieved, the main thing here – to stabilize the spine and prevent the progression of scoliosis.
Medicines, chondroprotectors, vitamins, nutraceuticals, and the use of the drug in the treatment of scoliosis, they play only a supporting role. Strengthen your muscles, eliminating muscular look, and even to a degree of stabilisation of the spinal column can be done with the help of massage and therapy in the handbook. A good end to learn to deal with physical exercises. But here, the physically disabled, it amplifies the instability of the spinal column, and the progress of the scoliosis. Therefore, a series of exercises is developed for each patient individually, taking into account the location and the expression of contorcionismo. When a high degree of scoliosis, it is not suitable to race, the exercise of a power, jumping, playing games in the open air.
A lot of good for the results it gives for the correction of the position is created, a great attitude, thus contributing to the normalization of the position. To this end, we use the special devices, orthopedic crib in which the patients are young, they spend much of their time. When a failure of conservative measures, then the progression of the curvature, is shown, the treatment aimed at stabilization of the spinal column. Correction surgery, is not shown to be in childhood take place at the beginning of the adult age, when the formation of the spinal column which is now almost complete.