With early diagnosis, scoliosis can often be stabilized with exercise therapy and even corrected. A corset is soon needed at a later stage. With a very severe and progressive bend in the spine (> 45º) is surgical straightening inescapable.
The disorder mainly affects young girls in growth. Not since school doctors anymore standard for scoliosis screening, the back defect is often discovered late and by chance. Podiatrists can perform a standard screening of new young patients play a crucial role in the detection and treatment of scoliosis.
With scoliosis there is a three-dimensional lateral curvature / distortion of the vertebral column. It can be a single bend in the shape of a (reverse) C or, more often, a double pendulum in the shape of an S. The C-bend can be one Become S-bend and vice versa. That change can be both an improvement and a change aggravation of the curvature. This varies per patient.
The curvature and distortion give the spine the appearance of a spiral staircase and eventually distorts vertebrae and ribs. A bulge (gibbous) is created the back, which can affect lung function in the longer term and for pain causes fatigue. Because the “hump” at some point also meets the visible from the outside, it also has a psychological, emotional and social impact, mainly because the disorder affects young girls in particular. These girls must be strong in their shoes to dare to participate with peers. Think at the gym class at school, going out in a nice dress or going with friends to the beach.
About 4% of 10 to 14 year old develop scoliosis. Usually it is mild shape and the bend in the back remains small. With a minority, the turn becomes (fast) bigger and bigger is treatment – exercise therapy, corset in combination with exercise therapy or surgery – required. Five times as often with girls as with boys. Scoliosis is most common during the period that children grow fast, so in puberty. After this growth period, the bends and turns usually do not increase anymore, which does not means that – at a later age – back complaints cannot occur. In by far in most cases (80%) there is idiopathic scoliosis. That is, the cause is unknown, heredity seems to play a role.
Source: Daniëlle Kraft