idiopathic scoliosis can develop at any stage in childhood. it is not known how or why it develops.
it is not due to poor posture and you cannot prevent it
it most commonly develops during the growth spurt of puberty and early adolescence. this is usually between the ages of 10-12 for girls and 11-16 for boys
about 1 in 40 children have some degree of scoliosis
mild scoliosis affects about the same number of girls and boys
inherited = hereditary
it is not straightforward hereditary condition.
in most cases the onset of scoliosis is gradual and painless
scoliosis is usually noticeable on bending down
it is usually noticeable on bending down
sometimes mild-to-moderate scoliosis can develop without being noticed by the child or his or her parents
this is often because the condition usually develops during adolescence when children often become more self-conscious.
parents are not likely to see a naked back
scoliosis can cause mild pain and imbalance of muscles
if scoliosis becomes more severe it can become more DISFIGURING (oszpecajacy, znieksztalcajacy)
this is because when the spine curves sideways, as the curve becomes more severe, the small bones that make up the vertebrae (spine) also twist round
twist round = twist around – skrecic sie, odwrocic
this pulls any attached muscles, ligaments (wiezadla, poloczenia wzmacniajace miedzy koscmi, he tore a ligament in his right knee)
tear – naderwac
as a consequence :
if the scoliosis is in the chest region, the ribs and shoulder blade stick out like a bulge
also, one shoulder may hang lower than the other and one shoulder blade may be higher than the other
one shoulder blade may be higher than the other
if the scoliosis is in the lower region, it can make the pelvis thrust forward on one side and one leg may appear to be shorter than the other
if scoliosis becomes more severe and is not treated, it can cause problems later in life. for example, persistent back pain may develop
and breathing problems or heart problems may develop if the deformity in the chest is severe. this is uncommon though.
scoliosis is often seen when you bend forward, a bulge on the back is more obvious when bending forward
if your doctor diagnoses scoliosis then you will usually be referred to a specialist
x-ray pictures of the back are sometimes done to assess the angle of the curve. this gives an idea of the severity of the condition and the likelihood of getting it worse.
for people with mild curves, the aim of treatment is to prevent the curve progressing and worsening. people with more severe curves need treatment to stabilize the spine. many people with scoliosis do not need treatment. treatment depends on various factors such as the person’s age, whether they are still growing, the severity of the curve, the exact location of the scoliosis and the chance that it may progress..
treatment options include observation, wearing a brace and surgery
a specialist can arrange regular reviews to make sure that the scoliosis does not worsen as children get older.
once the main bone growth ends after puberty, scoliosis does not usually become worse.
sports and other activities can be done normally for most people.
occasionally, a specialist may advice against certain activities such as heavy contact sports or gymnastics
there are several different types of back brace. if the scoliosis is moderate or becoming worse, then a back brace may be advised.
a brace does not cure a scoliosis.
the aim of brace is to prevent the scoliosis from getting worse as the child grows.
a brace is worn most of the day and night
towards the end of treatment they often only need to be worn at night.
most normal activities can be don whilst wearing a back brace
an operation is sometimes advised for people with severe scoliosis. the aim of the operation is to correct the curve, stabilise the spine and also to fuse the curve(polaczyc)
fusion – spojenie
fusion is the joining of two or more vertebrae. implants or rods are usually used to keep the back straight after the operation.
these rods are usually lengthened every 4-6 months as you grow.
there are different surgical techniques used. your specialist will be able to advise which type of surgery, if any, may be beneficial for you
in general, the operations done for scoliosis are usually very long operations and involve many months of recovery afterwards.
also, they re not always successful
there are no reliable evidence that other techniques as osteopathy, chiropractic, physiotherapy, and so on, can make any difference to a scoliosis. however, there complementary techniques may be useful to improve backache or pain.
i should cut down on eating sweets to improve my health
when the weather improves, we will go outside