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Scoliosis

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Overview

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Scoliosis is a curvature of the spine from its normal deviation, usually in a sideways direction with the curvature attributed to the rotation or wedging of the spinal vertebrae. There are many types of scoliosis such as idiopathic, congenital or neuromuscular scoliosis, and it affects 2-3 % of the population.

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Symptoms

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Symptoms of scoliosis include uneven shoulder height, one shoulder blade more prominent than the other, the head not centred over the body and one hip joint more prominent than the other. If symptoms get worse, the spine will rotate causing the ribs on one side of the body to protrude further than the other side of the body, resulting in diminished pulmonary activity.

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  • Dull ache
  • Sharp pain
  • Burning
  • Spasm
  • Pins and needles

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  • Numbness
  • Localised pain
  • Diffuse pain
  • Onset sudden or slowly
  • Constant or intermittent symptoms

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Causes

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It is relatively unknown what causes scoliosis but there is a vast amount of evidence that shows scoliosis is hereditary, with symptoms first occurring during puberty. The most common type of scoliosis is idiopathic scoliosis (scoliosis that is not associated with any other disorders) which comprises of 80% of all cases and is usually hereditary. Congenital scoliosis is caused when the development of the vertebral column is malformed during pregnancy, with one part of the spinal cord growing at a slower rate than the other, causing the curvature. Neuromuscular scoliosis is most likely to occur in conjunction with muscular disorders such as muscular dystrophy, cerebral palsy or spina bifida. Moreover, injuries to the spine can also cause scoliosis.

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Diagnosis

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Generally the angle of the spinal curve (or the Cobb angle) is measured to determine whether you have scoliosis, with an angle of 10° or greater resulting in a diagnosis. Movement tests are conducted to provide a better view of scoliosis symptoms, such as the forward bend test which shows the protrusion of the shoulder blades and any abnormal spinal curvatures. Medical and family history is also taken into account along with radiographic tests such as X-rays or CT scans which show the extent and severity of the scoliosis.

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Chiropractic Care

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The purpose of chiropractic care at Turramurra Chiropractic is help you to be able to do the thing that you love to do and to do them well. To do this it is first necessary to get a clear picture of the problem which is done by taking a thorough history and performing a comprehensive assessment. Understanding your history is critical to identifying the cause(s) and contributing factors that have led your health to where it is currently. The assessment includes a neurological, orthopaedic, motion, posture examinations amongst others. In some cases further investigation may be required. Once we have all the relevant information we will discuss your specific needs and develop a plan of action with you. There will be ample opportunity for you to discuss the proposed care and ask any questions before proceeding.

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Do you or some one you know have back pain? Give your chiropractors a call on 9440 8003 to discuss.

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References

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Aans.org. (2019). Scoliosis – Symptoms, Diagnosis and Treatment. [online] Available at: https://www.aans.org/Patients/Neurosurgical-Conditions-and-Treatments/Scoliosis.

Aebi, M. (2019). The adult scoliosis. European Spine Journal, 14(10), pp.925-948.

Scoliosis-australia.org. (2019). Scoliosis Australia – About Scoliosis – causes, symptoms and treatment. [online] Available at: https://www.scoliosis-australia.org/scoliosis/about_scoliosis.html.

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