What is Scoliosis?
This is a condition involving the curving of the spine. It is often observed that the spine might curve sideways or simply away from the middle. Scoliosis is a Greek word which means crooked. This is simply a medical condition in which an individual’s spine will curve from side to side. This can be a very complex three-dimensional deformity. When this condition is viewed from the rear and will be observed that the spine of a person who is suffering from scoliosis may represent a C or an S and not a straight line.
In most cases Scoliosis as either idiopathic signifying unknown causes, it might also be congenital signifying vertebral anomalies which might have been present at birth. It might also be sometimes classified as adult, juvenile, infantile or adolescent depending on the when the conditions started. In some cases, it may be termed as neuromuscular when the problems have developed consequent to another condition.
Such conditions may have been cerebral palsy, spinal muscular atrophy, spina bifida or some form of physical trauma. According to statistics as many as 7 million people are currently suffering from Scoliosis in the US alone. Clearly more than pilates should be done to treat this, as research suggests.
A mixed basket
According to statistics an estimated 15% of cases are congenital, 65% idiopathic while the remaining 10% can be consequent to a neuromuscular disease. As far as adolescent idiopathic scoliosis is concerned there is seldom any clear cause. This is why most medical examiners believed the condition to be multifactorial but it is generally accepted that genetics have played a role.
Many different conditions have been examined but until now none of those possibilities have been proven to be the cause of scoliosis. However, the role of genetic factors as far as the development of scoliosis is concerned is no longer in doubt. Despite the negative research results, there is still at least one gene known as CHD7 which has been linked with the idiopathic form of scoliosis.
As far as scoliosis is concerned which has resulted from the neuromuscular disease this is something which will appear during adolescence. Things such as tethered spinal cord syndrome will be observed. It is especially during adolescence that tethered spinal cord syndrome not only presents itself but will also worsen rapidly. It is also more frequently diagnosed in females.
Most common symptoms
Once skeletal maturity has been reached it is unlikely that an existing case may become worse. It is also well-known that more severe cases of scoliosis can result in restricted lung capacity. There were also cases where the condition has placed pressure on the heart and also where physical activities have been restricted. Some of the visible signs may be an uneven musculature on just one side of the spine. Some ribs may be more prominent and this might also apply to shoulder blades. This could result because of the rotation of the rib cage because of thoracic scoliosis.
Other signs may be an uneven length of legs and also uneven hips. In some cases, slow nerve action will be observed. It has been observed that scoliosis is sometimes closely associated with other conditions such as floppy baby syndrome, Ehlers–Danlos syndrome also known as hyper flexibility, Prader–Willi syndrome, Proteus syndrome, Amniotic Band Syndrome, Charcot–Marie–Tooth disease, kyphosis, craniospinal axis disorders, neurofibromatosis, CHARGE syndrome, spinal muscular atrophy, Proteus syndrome, spina bifida, and many other debilitating conditions.
Common Treatment of scoliosis
Before medical practitioners can proceed with treatment it is important to determine the possible cause of scoliosis. It is also important to determine the location and size of the visible curve. Another important factor is to determine how much more the patient can be expected to grow. The majority of cases as far as adolescent idiopathic scoliosis may require no treatment if the variation is less than 20°. Even then it is important to keep the patient under observation over the next couple of years. It is important that a checkup is done every six months.
Among children where the condition is worsening such as variations above 25° especially when the child is still growing this may require bracing in an attempt to slow down possible further deterioration. This disease has been around for some time and this is why different braces have been developed. This includes the Wilmington Brace, The Boston Brace, Milwaukee Brace, and Charleston Brace. These names correspond to the centers were braces have been developed. It is easy to see that each different brace looks different. Likewise, there are different ways in which these braces will be used.
The selection process
Important factors during the selection process will be things such as the particular characteristics of the curve. The final decision will be made by the healthcare provider and by the patient. It should be noticed that a back brace cannot reverse the curve. What it can do is to use pressure in an attempt to straighten the spine. This is why most available braces can be adjusted as an individual grow. In the event of congenital or neuromuscular scoliosis, a brace will not work.
As far as a juvenile and infantile idiopathic scoliosis are concerned they will be a lot less effective. Many things have to be considered before proceeding with surgery. It is well-known that after bone growth has stopped there will be little or no variation in the skeleton. This is why it often happens that surgeons prefer to wait until bone growth has ceased. This might change if the variation in the spine is particularly severe or are rapidly deteriorating.
In most cases, a variation of 40° or more will mostly require surgery. In most surgical procedures it will be attempted to correct the spinal curve however, not completely. The next process will be to fuse the curve together. Two metal rods will be used to hold the bones together. Some hooks and screws will also be needed to hold everything together until the fusing process has been completed.
The surgery process
Different entry routes will be used during surgery depending on the particular condition. Sometimes surgeons will enter from the back, beneath the ribs and sometimes through the abdomen. After surgery, a brace will be required to ensure the stabilization of the spine. This can be a very difficult process for the patient and the treatments can be very limited. This can have an impact on self-image, especially in the teenage years.
CBD, Chronic Pain, and Scoliosis
Chronic pain can come in many forms such as headaches, arthritis, and back pain. However, the most common forms of chronic pain are phantom limb pain, fibromyalgia, neuropathy, and carpal tunnel syndrome. Other sources can be debilitating diseases such as osteoporosis, scoliosis and multiple sclerosis. For increasing numbers of people suffering from scoliosis medical marijuana has become one of the few viable options. By this stage, many of them have exhausted all of the available pharmaceutical products.
In the early stages of scoliosis medications such as ibuprofen or aspirin can be sufficient. The problem is when those things are used over extended periods of time this can result in serious side effects. Even though they may still be effective as pain relievers such relief will only last for a short period of time. When those typical first treatment medications fail patients might have to turn to narcotic opioids which include things such as oxycodone, morphine, and codeine. Although they are normally fairly effective there is a very high possibility for abuse and eventual addiction. In order to avoid all of those problems, medical marijuana may be prescribed.
There are numerous studies that indicate that cannabinoids are an integral part of the body’s own pain mechanisms. Medical marijuana can therefore stimulate and improve the body’s natural processes.