Scoliosis Treatment

Scoliosis Treatment


Scoliosis Treatment in India - Types, Causes & Treatment

Scoliosis is a neuromuscular disorder caused due to several medical conditions of the spinal curvature. The spine of a normal person has a curve near the shoulders and at the lower back. However, in the case of scoliosis on the outside, it may look like a bone condition. The spine's three-dimensional alignment which causes a curve is one of the major symptoms of the Scoliosis. Scoliosis most commonly occurs in children of the age group 10-15 but also occurs in adults as well as infants. Scoliosis may describe a spinal curve of 15 degrees or more than 50 degrees. The curve can occur at the different points of the spine, which may or major bend the pelvis. Scoliosis is a progressive disorder. Therefore, it is essential to get scoliosis treatment as soon as the condition is diagnosed.

As per the American Association of Neurological Surgeons (AANS), 80% of scoliosis of the spine is non-identifiable. It is diagnosed over the first seven years of the child's life. Common causes can be:

  • Genetic conditions
  • Birth defects
  • Neurological abnormalities

Types of Scoliosis

There can be many types of scoliosis which are categorized according to the age when it starts to progress along with its cause. The main types of Scoliosis are:

1. Idiopathic Scoliosis

There can be many types of scoliosis which are categorized according to the age when it starts to progress along with its cause. The largest category of types of scoliosis is idiopathic scoliosis - a term used to refer to cases with no definite cause. Scoliosis whose causes are not identified terms as “idiopathic” by the doctor. It can be sub-divided into:

  • Scoliosis in Infants: 0 to 3 years
  • Scoliosis in Juveniles: 4 to 10 years
  • Scoliosis in Adolescents: 11 to 18 years
  • Scoliosis in Adults: 18+ years

Scoliosis in Adolescents is the most common amongst the types of scoliosis, according to AANS.

2. Congenital Scoliosis

This is a rare type of scoliosis, which is present at the birth and is caused due to partial development of vertebrae prior to birth. It occurs in only 1 in 10,000 newborns and is less common as compared to the type of scoliosis that begins in adolescents. Even if an infant is born with scoliosis, it is sometimes impossible to detect it until the child reaches adolescence.

Types of Congenital Scoliosis:

  • Incomplete Formation of Vertebrae
  • Failure of Separation of Vertebrae
  • Combination of Bars and Hemivertebrae
  • Compensatory Curves

3. Neuromuscular or Myopathic Scoliosis

Neuromuscular scoliosis in children is caused due to the diseases that affect the neurologic and muscular systems in the body. For eg., cerebral palsy, muscular dystrophy, metabolic diseases, and connective tissue disorders such as Marfan's syndrome trigger scoliosis in children. It happens when there is damage to the brain or nerves caused by illness or injury. They can affect the muscle-nerve pathways of the body from the brain down to the spinal cord. Patients with these conditions often develop scoliosis or kyphosis, or both.

Difference between Scoliosis and Kyphosis:

Kyphosis: The excessive curvature of the spine in the sagittal (A-P) plane is referred to as Kyphosis. The condition is sometimes known as 'round back' in severe cases as 'hunchback'.

Scoliosis: The curvature of the spine in the coronal (lateral) plane is referred to as scoliosis.

5. Degenerative Scoliosis

Adult scoliosis which is caused due to degenerative changes in the spine and typically occurs after age 65. The degeneration of facet joints intervertebral discs can result in asymmetry of the spine over a period of time, as the person ages.

Recommended Doctors for Scoliosis Treatment in India

CureIndia helps you choose the right doctor for your medical treatment. Most of the doctors in our associated hospitals have been internationally trained and are active members of many international medical councils and associations.

Let's hear from some of the most reputed doctor's for scoliosis treatment in India.

1. Dr Manoj Miglani

2. Dr Hitesh Garg

3. Dr(prof) Ramandeep Singh Dang

4. Dr. Saurabh Kapoor

dr-saurabh-kapoor-top-spine-surgeon-in-india

Causes of Scoliosis

In most cases, doctors have been unable to identify the exact causes of scoliosis. That being mentioned, about 30% of the children with idiopathic causes have a family history of scoliosis but the exact genetic association cannot be identified. However, some scoliosis does have exact causes. Doctors have classified the curve caused due to scoliosis into two categories: Nonstructural and Structural.

  • Nonstructural (functional): This type of Scoliosis causes the spine to curve but it is a temporary condition as it can later return to its normal alignment. The curvature that is caused in Non-structural is due to the result of another medical problem. Eg. One leg is shorter than another, muscle spasms, ruptured disc, or abdominal problems.
  • In this type of Scoliosis, the curvature of the spine is not normal and can not be reversed as this type of Scoliosis is not temporary. The condition is caused as a result of abnormally shaped vertebrae or neuromuscular diseases.

Scoliosis Signs and Symptoms

The most common signs of scoliosis in children start springing up during the adolescence starting from 10 years of age. Symptoms of scoliosis include:

  • The head is slightly off centre
  • An unsymmetrical ribcage, where the ribs may be at different levels
  • One hip is more prominent than the other
  • Clothes do not hang properly off the body
  • One shoulder, (or shoulder blade) is higher than the other
  • Back pain but not very severe 
  • Uneven lengths of both legs 
  • Uneven waist area 

In infants, the symptoms of Scoliosis may include:

  • A bulge on one side of the chest
  • The baby might consistently lie curved to one side
  • In more severe cases, problems with the heart and lungs, leading to shortness of breath and chest pain

Factors affecting Scoliosis Treatment in India

There are many treatment options for scoliosis in children and scoliosis treatment in adults, which may depend on factors like 

  • Age
  • Sex
  • The severity of the curve
  • Curve Position
  • Bone Maturity.

3 Types of Scoliosis Treatment in India are:

The treatment of scoliosis depends on the severity of the condition of the individual. Severe scoliosis progresses with time, so the doctor might suggest surgery to reduce the severity of the spinal curvature.

1. Braces

For patients suffering from mild scoliosis, the doctor may recommend a brace. This is done to prevent the further curvature of the spine. However, this will not cure the existing scoliosis condition. As a patient, you would have to wear the brace all the time, including night. Longer the brace stays with your body, more effective the treatment is. In case of any activity, children or adults with mild scoliosis can take this brace off and play. 

2. Casting

Sometimes, the doctor may use casting instead of braces to treat infant scoliosis so that the infant's spine can retain its normal position while it further grows. The casting is usually made of plaster of Paris.

Because such type of casting can get worn off with time, the casting can be changed over time.

3. Scoliosis Surgery: Spinal Fusion

In severe cases of scoliosis, where it has progressed over time to become worse, the doctor may go for the scoliosis treatment of Spinal infusion. It is a scoliosis surgery where two or more vertebrae are conjoined with new bone grafts. To hold some part of the spine for better healing of the bone, instruments like hooks, screws, metal rods or wires may be used. After you may be shifted to ICU for a few days for better care by the medical staff and be discharged after a few days.

Conclusion

Scoliosis is a type of spine curvature that can be found in both children and adults. It is caused by an imbalance of the muscles and ligaments that support the spine. In most cases, the symptoms are mild and may not be noticeable. However, there are some cases where scoliosis can cause serious health problems, such as spinal pain, muscle weakness, and spasms. Scoliosis can be treated by wearing a back brace to support the spine, and it can also be treated by wearing a brace when the person is sleeping.

Scoliosis is a condition in which the spine curves to one side, which may cause a curvature of the spine or deformation of the rib cage. It can occur at any age and often has no symptoms. It can be detected by an X-ray, but it is not always possible to determine the extent of the curvature with an X-ray. The severity of the curvature can also vary, but it is most often mild. If scoliosis is left untreated, it can cause serious complications, such as muscle weakness and paralysis.

Scoliosis Surgery FAQs

Scoliosis: Is it genetic?

The source of the spinal abnormality is unknown in the great majority of idiopathic scoliosis cases. In actuality, there are conflicting data regarding the condition's genetic etiology. Nevertheless, even though researchers have not yet discovered a "scoliosis" gene, a third of individuals have been found to have a family history of the condition.

How is the condition identified?

Your doctor will probably start by gathering information before doing anything else. Naturally, this entails learning about the patient's medical background, and a physical exam is frequently added on top of that. During the physical examination, the doctor will often bend the patient forward to see if one side of the rib cage is more pronounced than the other. Your doctor might also examine you for numbness, muscle weakness, and strange reflexes. Your doctor may also request imaging tests, such as X-rays or possibly an MRI, to support a diagnosis.

What scoliosis patients' conservative treatment choices are there?

Most mild cases of scoliosis just need preventative bracing as a form of treatment. While bracing is not a cure, it will stop the progression of your or your child's scoliotic curvature, which may save you from having to undergo an expensive surgical operation. Additionally, there are several exercises that are excellent for those with scoliotic curvature. Having said that, before attempting them on your own, see a medical professional or specialist. When an exercise is done incorrectly, more harm than good may result.

Should I refrain from certain activities if I have scoliosis?

Deep backbends and changes in spinal posture during certain activities might cause scoliosis curve advancement, despite the fact that they cannot cause the disorder. We're not saying you can't do these specific things, but you should be aware that doing them now could affect how you'll feel later on.

Does scoliosis increase with age?

Idiopathic scoliosis is characterized by the gradual progression of the curvature of the spine, which often begins around the time of the patient's entry into puberty and continues throughout their teenage until their spine has stopped developing (generally at age 16-18).

Can scoliosis be cured?

Scoliosis is a condition that, in most cases, does not indicate anything seriously wrong with the patient. Also, treatment is not necessarily required if the condition is moderate. Although it can affect persons of any age, from kids to adults, it most frequently begins in youngsters between 10 and 15.

Is scoliosis hereditary?

There is much circumstantial evidence to support the hypothesis that scoliosis tends to run in families. However, no direct proof has been discovered. Also, nearly one-third of patients diagnosed with teenage idiopathic scoliosis have a history of the illness in their families.

What are the benefits of Scoliosis exercises?

Most people have the misconception that those who have scoliosis should give up their active lifestyles, including their participation in sports, physical activity, and exercise. In point of fact, those with scoliosis can benefit from exercise – the right sort of exercise — the same amount, if not more, than everyone else.

Does scoliosis affect height?

In most cases, the severity of a person's scoliosis will not affect their eventual height. Yet, if a person has a significant curvature and it is not addressed, it is possible that the individual may not grow to be as tall as they otherwise could have been. If you observe any of the warning symptoms of scoliosis, you should make an appointment with a doctor as soon as possible.

Does scoliosis cause paralysis?

Rarely can adult scoliosis produce paralysis or other serious neurologic disorders by itself. However, it may be accompanied by lumbar stenosis, which can cause nerve irritation, leg discomfort, and perhaps weakness.

What is the herbal treatment for scoliosis?

Ashwagandha, Triphala, and Guggulu are just a few of the herbs that are typically used in an Ayurvedic treatment plan for scoliosis. It is believed that the anti-inflammatory and pain-relieving qualities of these herbs can assist in reducing the symptoms associated with scoliosis.