Considerations for Manchester Scoliosis Patients
Scoliosis is not an issue all Manchester parents, families or persons have to consider. For those whose lives or loved ones’ lives are concerned with scoliosis, Manchester scoliosis is a big matter. Manchester Chiropractic & Sports Injuries shares these new findings about Manchester scoliosis development and treatment of scoliosis.
CAUSES OF Manchester SCOLIOSIS: PHYSICAL ACTIVITY AS YOUTH
Being physically active is a usual recommendation for Manchester chiropractic patients. It’s important for all Manchester kids and especially for kids at risk for scoliosis. Recent research on the mechanism, diagnosis and treatment of spinal scoliosis - though not very much is understood about the origins of adolescent onset idiopathic scoliosis (AIS) – documented that reduced physical ability and activity in those who go on develop scoliosis by age 15 was noted as early as age 18 months. Those children who did more objectively measured moderate/vigorous physical activity at age 11 were 30% less likely to develop scoliosis. (1) Manchester Chiropractic & Sports Injuries knows Manchester parents will want to keep their kids moving!
Manchester SCOLIOSIS TREATMENT: OUTCOME PREDICTION
Beyond understanding the development of scoliosis, treatment of scoliosis intrigues Manchester scoliosis patients. The spine holds some clues as to just how it will respond to Manchester chiropractic treatment. A noticeable tilting of the L3 and L4 vertebrae at skeletal maturity, specifically one greater than 16°, foretells future curve progression and low back pain in adulthood. (2) Such a spine with adolescent idiopathic scoliosis profits from spinal mobilization and therapeutic exercise. They both may slow the progression of the curve and reduce the already increased degree of the curve. A form of spinal manipulation termed Cox® Flexion Distraction spinal manipulation involves spine distraction with mobilization of vertebral segments into their normal ranges of motion. This may allow increased mobility and aid in stopping curve progression and in reducing the curvature. (3)
Manchester SCOLIOSIS TREATMENT: SPINAL MOBILIZATION
A recent study reported support for spinal mobilization of scoliosis spines. Researchers discovered significant improvements in the neutral angles of both the lower thoracic spine curve and the lower lumbar spine curve after triple-treatment trunk stretching. Triple-treatment trunk stretching may well better the spinal curve and the physical fitness status of the scoliosis patient. (4) Again, Cox® flexion distraction manipulation stretches the basic anatomical posture of scoliosis.
Manchester SCOLIOSIS TREATMENT: SURGICAL VS NON-SURGICAL
Clear evidence of the clinical expectations and outcomes of non-surgical and surgical care for adolescent idiopathic scoliosis (AIS) is lacking. While AIS can develop throughout the growth years and cause a significant deformity, It’s typically not symptomatic. However, the risk of health problems and curve progression increases if the final spinal curvature reaches or exceeds a certain degree. Scoliosis-specific exercises, bracing, and surgery are more typical interventions to prevent the progression. The main goals of all types of interventions are to fix the deformity, stop additional deterioration of the curve, and bring back the spine’s asymmetry and balance. Further, reducing morbidity and pain and allowing return to full function are also important. Surgery is normally recommended for curvatures over 40 to 50 degrees to stop the curvature. There are several reports of short-term (few months) promising surgical treatment outcomes but not many long-term outcomes (over 20 years). For those with curves over 45 degrees, there are no randomized controlled trials and prospective controlled trials comparing spinal fusion surgery with non-surgical interventions in people with AIS with a Cobb angle greater than 45 degrees to show that one is superior. (5)
Manchester SCOLIOSIS TREATMENT: CHIROPRACTIC
Chiropractic medicine can be first line care for AIS. The chiropractor determines the curvature angle and establishes a Manchester treatment plan that can incorporate spinal manipulation, specialized exercises, postural control, and bracing. If required, interdisciplinary care will be incorporated in the Manchester chiropractic treatment plan. Concerning chiropractic Cox® Technic spinal manipulation, consider the study (6) on stiffness of the thoracic spine which is the main area of the spine affected by scoliosis. This study found that changes in spinal stiffness with chronic thoracic pain show association of pain and muscle activity. Spinal stiffness is intensified in chronic spine related pain. Increased spine motion is a aim of non-surgical treatment of scoliosis whether in the adolescent or middle to older aged individual.
CONTACT Manchester Chiropractic & Sports Injuries
Listen to this PODCAST about Cox® Technic chiropractic care of scoliosis presented by Dr. Roberto Branca, an Italian chiropractor using Cox® Technic, on The Back Doctors Podcast with Dr. Michael Johnson. He discusses how he helps keep an active woman who has scoliosis active.
Schedule your Manchester chiropractic visit. Considering all the treatments available for Manchester scoliosis is vital to the adolescent or adult with scoliosis as well as his/her family. Manchester Chiropractic & Sports Injuries teams up with Manchester scoliosis patients and their families to find the right path for spinal mobility, strength, and health.
