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Scoliosis is a complex three-dimensional condition characterized by an unnatural sideways curvature of the spine, coupled with rotation. To be diagnosed as scoliosis, the curvature must have a Cobb angle of at least 10 degrees, as measured on an X-ray. The Cobb angle is crucial in diagnosing and assessing scoliosis, categorizing it into mild (10-25 degrees), moderate (25-40 degrees), severe (40 degrees or more), and very severe (80 degrees or more). The severity of scoliosis significantly influences the treatment plan and its outcomes.
Adolescent idiopathic scoliosis, most commonly diagnosed between the ages of 10 and 18, accounts for the largest category of scoliosis, with no single cause identified. Puberty is a critical period for monitoring scoliosis due to potential rapid progression triggered by growth spurts, especially in girls who are at a higher risk than boys with a four to one ratio.
Early signs of scoliosis in adolescents are subtle, often presenting as postural asymmetries like uneven shoulders, hips, or waist, without any significant pain or discomfort. Such asymmetries, although mild, should not be overlooked as they can be early indicators of scoliosis. An Adams forward bending test is a preliminary screening tool, followed by an X-ray to confirm the diagnosis and measure the Cobb angle.
Monitoring for rapid progression during puberty is essential. Rather than waiting for annual check-ups, monitoring posture and growth over shorter intervals, such as every three months, is advised to catch significant changes early.
When scoliosis is diagnosed, treatment options range from surgical to non-surgical. Surgical options are invasive and used when the curvature reaches severe levels, whereas non-surgical treatments aim to manage and reduce curvature to avoid surgery. These can include chiropractic care, therapy, rehabilitation, and bracing, focusing on preserving spinal function and preventing curve progression.
Early detection and treatment are key to managing scoliosis effectively. Regular posture checks and monitoring growth can aid in early diagnosis, allowing for timely intervention and potentially better outcomes. Parents and caregivers should be vigilant about any signs of postural asymmetry and seek professional assessment and advice on the best course of action.
You can learn more about this topic here:
www.scoliosisr...
Ready for a consultation or want more information? You can contact us here:
www.scoliosisr...
00:00 Scoliosis During Puberty: What Parents Should Watch Out For
00:37 Cobb Angle
01:36 Adolescent Idiopathic Scoliosis
03:09 Early Signs of Scoliosis in Adolescents
04:51 The Degree of Posture Is Often Unrelated to the Size of Curve
05:43 Adam's Forward Bending Test
06:19 X-Ray For Diagnosing Scoliosis
07:42 Surgical and Non-Surgical Treatment Options
09:13 Early Detection and Early Treatment
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