fbpx

The fast facts:

  • A scoliosis cannot occur based on your preferred posture
  • Scoliosis occurs in only 3% of the population on average

Our spine is not naturally straight. There is a natural curvature forward (lordosis) and backward (kyphosis). With scoliosis, there is lateral curvature in the spine. In most cases it is an S-shape, in some cases it is a C-shape. Because our head will always occupy an upright position, it appears as if you are standing straight. With scoliosis there is also a twisting of the vertebrae. These then position themselves in such a way that a kind of spiral staircase is created.

    Gradations of scoliosis

    We classify a scoliosis into different degrees, depending on the severity of the deformity. This also helps in determining the right treatment policy. The Cobb's angle can be used for this. A distinction is made between different degrees; 

    • an angle of up to 10 degrees
    • an angle of 15-20 degrees
    • an angle of 20-40 degrees
    • an angle of 40> degrees
    Cruciate ligament injury

    Cause of scoliosis

    In more than 80% of all cases, there is no identifiable cause. We then call this an idiopathic scoliosis. The treatment depends on the age of the person. For this reason, there are 3 different types of categories: 

    • Adolecent scoliosis: 10-18 years of age 
    • Juvenile scoliosis: 3-9 years of age 
    • Infantile scoliosis: 0-3 years 

    Congenital scoliosis: A congenital scoliosis is a congenital defect. In this case, it occurs that vertebrae are only half constructed or that several vertebrae grow together. Often in a congenital scoliosis there are abnormalities in different parts of the spine. The abnormalities arise already during pregnancy. Why exactly these abnormalities arise is still unclear.

    Neuromuscular scoliosis: In some disorders or syndromes, the control of different muscles is disturbed. Here there is often a disorder of the nervous system such as spina bifida or Duchenne's disease. 

    Functional scoliosis

    How is scoliosis diagnosed?

    Diagnosing a scoliosis and its severity is done with an X-ray. In practice, we usually see that there are several steps to go through prior to this examination. A patient often comes to the physical therapist with back pain. Sometimes these symptoms have just arisen, in other cases they have been present for a long time. A smaller scoliosis (<20 degrees) is not always immediately noticed by health care providers because it is simply not visible from the outside. This also means that sometimes people are not diagnosed until relatively late, because loose-fitting clothing covers up the defect even more. During the physical examination, the physical therapist may notice a deformity in the back. To assess this, the patient is asked to bend forward with the back in a standing position. A deviant position (bulge) of the back may then become visible. We call this a gibbus. A gibus occurs because the ribs start to turn with the scoliosis and the shoulder blade changes position.

    Treatment of scoliosis

    The orthopedist will initially determine what kind of treatment is most appropriate. This is done on the basis of the previously mentioned Cobb's angle. The degree of distortion is thus decisive for the further policy. Making the scoliosis disappear is unfortunately not possible. 

    • For scoliosis between 10-20 degrees, observation combined with physical therapy is chosen. 
    • Between 20-40 degrees, a brace may be prescribed to prevent progression, in combination with a physical therapy program. 
    • With a scoliosis of 40> degrees, surgical intervention may be considered. Several surgical techniques are available for this purpose. 

    In the latter case, spinal fusion is often used, in which several levels of vertebrae are fastened together, preventing further growth.

    Surgical intervention or conservative treatment

    >The orthopedist initially makes a decision about what kind of treatment is most appropriate. This is done on the basis of the Cobb's angle mentioned earlier. The degree of distortion is thus decisive for the further policy. Making the scoliosis disappear is unfortunately not possible. 

    • >For scoliosis between 10-20 degrees, observation combined with physical therapy is chosen. 
    • Between 20-40 degrees, a brace may be prescribed to prevent progression, in combination with a physical therapy program. 
    • With a scoliosis of 40> degrees, surgical intervention may be considered. Several surgical techniques are available for this purpose. 

    In the latter case, spinal fusion is often used, in which several levels of vertebrae are fastened together, preventing further growth.

    Knee Osteoarthritis
    Ruben Luijkx

    Manual therapist Ruben Luijkx

    The different stages in the treatment of symptoms with scoliosis

    A successful rehabilitation consists of several stages and steps. A good strength, stability and control of the back is necessary to be able to perform your daily activities again without complaints. 

    During an acute phase:
    In this phase we focus mainly on symptom reduction. Sometimes the symptoms increase again, resulting in pain and possibly a decrease in mobility of the spine. Besides mobilizing exercises we can choose treatments that use muscle techniques or other techniques from manual therapy. 

    Strength and stabilization phase:
    In this phase, a build-up in strength is made. The greater the capacity in relation to the daily load, the less likely complaints will occur. Stabilizing exercises are also discussed. In addition, we work on the general condition.

     

    Rehabilitation at Fysio Fitaal

    For physiotherapy of symptoms of scoliosis you have come to the right place at Fysio Fitaal. Our specialists will guide you through this process as much as possible and motivate you where necessary. Fysio Fitaal works with specialists in the field of back rehabilitation. The combination of expertise, extensive facilities and passion for physiotherapy means that you have come to the right place.

    Team Physio Vital

    Make an appointment.