Learn about the Causes and Treatments of Scoliosis and Curvature of the Spine

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Scoliosis is the lateral bending of the vertebral column, which is usually in the thoracic region.This is the most common of the abnormal curves of the vertebral column.Some of the reasons that this may result is congenitally (present at birth) malformed vertebrae, chronic sciatica, paralysis of muscles on one side of the vertebral column, poor posture, or one leg being shorter than the other.The pathophysiology of scoliosis occurs in approximately 7 million people in the United States.

Causes of Scoliosis

Adolescent idiopathic scoliosis is the most common form of scoliosis.However, there is no clear answer to the cause and is believed to have multiple causes.There is belief that genetics do play a role in the cause of adolescent idiopathic scoliosis.Scientists have implicated various causes but none of them have held up as the cause of scoliosis.The role of genetic factors has held up as being a factor in the development of scoliosis.

Females are diagnosed with scoliosis more often than males.When scoliosis is diagnosed at birth it is known as congenital vertebral anomaly.On occasion, the development of scoliosis that occurs at adolescence is caused from an underlying anomaly such as tethered spinal cord.However, the most common cause is unknown and usely inherited from several factors.This would include genetics.When the adolescence growth spurt occurs is usually when the scoliosis will appear or worsen.

Treatment of Scoliosis

Treatment for scoliosis can include:

**Braces:**The most common treatment choice for adolescents is bracing.It is for adolescents with a spinal curve between 25 to 40 degrees.This will hold true if their bones are still maturing and they have at least two more years of growing to do.The brace’s purpose is to stop progression of the curve.It will provide a temporary solution but once the brace is no longer used the curve will take its original magnitude.

**Surgery:**Those that have spinal curves 40 to 50 degrees often are considered for scoliosis surgery.The surgery does not straighten the spine completely but has the goal of making sure the curve does not get worse. Metallic implants are used during the surgery to correct the pathophysiology of scoliosis. The metallic implants will hold it in the correct place until a bone graft consolidates and creates a fusion in the curve area.The scoliosis surgery usually involves spinal fusion, which involves the joining of the vertebrae together permanently.

Occupational Therapy for scoliosis

A person with scoliosis may experience many physical symptoms that can prevent them from participating in leisure activities.The person may be experiencing chest pains, back pains, shortness of breath, and limited movement in the spine. An occupation therapist will play a role in helping a person manage these physical symptoms so that they can participate in more leisure activities.

A occupational therapists can teach a person to manage any heart and lung symptoms,such as shortness of breath or chest pains.To help with this the occupational therapist will teach the person energy conservation techniques.The technique will include scheduling routine breaks during the activity as needed by the individual.An example, would be when an occupational therapist recommends that a swimmer take a break between laps to conserve energy.The adaption of an exercise or sport is another way for a person that has scoliosis to be able to do it.

References

webmd.com-cause and treatments methods,https://www.webmd.com/osteoarthritis/guide/arthritis-scoliosis

mayoclinic.com-causes of scoliosis, https://www.mayoclinic.com/health/scoliosis/DS00194/DSECTION=causes