Category: Blog

Happy Easter!

Posted on March 31, 2024 by - Blog

🌟🐰 Wishing You a Joyous Easter Break from the UK Scoliosis Clinic! 🌷🥚

As we embrace the beauty of spring, it’s a perfect time to pause, reflect, and celebrate. Easter brings with it a sense of renewal, hope, and gratitude, and here at the UK Scoliosis Clinic, we’re feeling especially thankful for all the wonderful clients who make our journey so fulfilling.

To each and every one of you, we extend our heartfelt appreciation. Your trust in our team and our services drives us to continually strive for excellence, and for that, we are truly grateful. It’s your stories of resilience, determination, and courage that inspire us every day.

As Easter approaches, we hope you take this opportunity to enjoy a well-deserved break. Whether you’re spending time with loved ones, embarking on a springtime adventure, or simply taking a moment to relax and recharge, may these next few days be filled with joy, laughter, and great food!

Here’s to embracing the spirit of Easter — a time of new beginnings, hope, and endless possibilities. From all of us at the UK Scoliosis Clinic, we wish you a wonderful Easter break surrounded by the warmth of family, friends, and the beauty of the season.

Thank you for being a part of our journey. Happy Easter! 🌸🐣✨

 

Does poor posture cause Scoliosis?

Posted on January 17, 2024 by - Blog

Scoliosis is a medical condition that affects millions of people worldwide. It is characterised by an abnormal curvature and twist of the spine, which can result in physical limitations and discomfort. While the exact cause of scoliosis is not fully understood, it is believed to be the result of a combination of genetic and environmental factors.

 

Can poor posture cause Scoliosis?

One of the environmental factors that is often associated with scoliosis is poor posture – people with scoliosis are often perceived as having poor posture, and many parents worry that poor posture can cause Scoliosis – but can it? The bottom line is no – poor posture does not cause Scoliosis. Poor posture is a common problem that affects many people worldwide – and it can be a painful issue though. Poor posture can be caused by a variety of factors, including muscle weakness, joint stiffness, and poor ergonomics – but while Scoliosis might cause someone to appear to have poor posture, there’s no evidence to show that poor posture will lead to Scoliosis.

When we have poor posture, our bodies are not in alignment, which can lead to a variety of health problems, including back pain, neck pain, and headaches. Poor posture can also cause our muscles and joints to work harder than they should, leading to fatigue and discomfort. That “hunched” appearance which used to be associated with teens but seems to apply to almost everyone these days is more characteristic of Kyphosis, rather than Scoliosis – and in extreme cases, poor posture might be caused by Kyphosis, but not Scoliosis.

 

Is there any relationship between Scoliosis and Poor posture?

Most Scoliosis research focuses on establishing the true cause of Scoliosis, and the best ways to treat it, so there hasn’t been much research into whether poor posture might contribute once the condition already exists. Therefore, while poor posture is not a direct cause of scoliosis, it might be a factor which could contribute to the progression of the condition. When we have poor posture, our spines are not in the proper alignment, which can cause our muscles and ligaments to become strained and weakened, it’s feasible that this might make it more possible for scoliosis to progress.

Many aspects of a Scoliosis treatment plan are aimed at creating balance and strength in the core muscles which support the spine, so while maintaining good posture is important for everyone, it’s fair to say that focusing on good posture is especially important for those with scoliosis. Good posture can help to alleviate some of the painful symptoms which some people experience with scoliosis at the very least.

 

Maintaining good posture

Scoliosis or not, you can only do yourself a favour by maintaining good posture – Here are some tips:

  1. Stand up straight: When standing, make sure your weight is evenly distributed on both feet, and your shoulders are relaxed.
  2. Sit up straight: When sitting, make sure your back is straight, and your feet are flat on the ground.
  3. Use proper ergonomics: Make sure your desk and chair are at the proper height and distance to promote good posture.
  4. Exercise regularly: Regular exercise can help to strengthen the muscles and ligaments that support the spine, helping to prevent the progression of scoliosis.
  5. Stretch regularly: Regular stretching can help to alleviate the symptoms of scoliosis and improve flexibility.

 

Treating Scoliosis

Treating Scoliosis is about much more than altering postural imbalances – Scoliosis treatment requires a focus on good nutrition, exercise, and healthy lifestyle habits as well as a proactive approach such as Bracing. In this regard, there’s a lot we can do to help patients support treatment plans – and much of the advice would be beneficial to almost anyone!

For example, regular exercise can help to strengthen the muscles and ligaments that support the spine, and eating a balanced diet that is rich in calcium and vitamin D can also help to promote strong bones and a healthy spine.

So, while poor posture is not a direct cause of scoliosis, it’s not impossible that it might contribute to the progression of the condition. This being said, maintaining good posture is important for everyone, and might even help with pain relief in those with Scoliosis. By focusing on good nutrition, exercise, and healthy lifestyle habits, we can care for our spines, with, or without Scoliosis!

 

 

 

Black Friday – FREE X-RAYS!

Posted on November 23, 2023 by - Blog

This Black Friday, the UK Scoliosis Clinic is delighted to offer you the gift of Free X-rays! We understand the importance of early detection and personalised care when it comes to scoliosis, and that’s why we’re thrilled to announce our exclusive Black Friday X-Ray Special.

Take advantage of this limited-time opportunity to receive a FREE spinal X-ray at our state-of-the-art clinic. Scoliosis affects people of all ages, and early detection is key to effective management. Our team of experienced professionals is committed to providing comprehensive assessments to ensure you receive the personalised care you deserve.

Why choose the UK Scoliosis Clinic? Our clinic boasts cutting-edge technology, compassionate staff, and a patient-centered approach to spinal health. By offering free X-rays this Black Friday, we aim to empower individuals to take proactive steps towards a healthier, straighter tomorrow.

Don’t miss out on this chance to prioritise your spinal well-being. Simply book an in-clinic consultation between 23rd and 26th November and we’ll include a full set of X-rays totally free. The X-rays are yours to keep whether you become a client of the clinic or not!

 

How fast does Scoliosis get worse?

Posted on November 9, 2023 by - Blog

Scoliosis is a progressive condition – this means it tends to worsen with age, but the speed at which it does this can vary. Scoliosis is known to accelerate during growth spurts, and worsens more quickly in young people than adults. Then again, a form of scoliosis, known as “de-novo scoliosis” is common in older adults, and can also progress quite rapidly.

Each Scoliosis case is unique, and predicting growth rates depends on factors like severity, rigidity, and family history. Broadly speaking, Juvenile scoliosis over 30 degrees can rapidly progress, usually necessitating surgery, while 21 to 30-degree curves may lead to surgery or disability if left untreated[1][2].

Acting quickly and proactively is crucial to halt scoliosis progression and correct curvature before surgery is required.

 

Don’t wait and see

Research by the British Scoliosis Society reveals that even during the consultation process, scoliosis curves can progress considerably. In a 2018 study, patients waiting for scoliosis surgery experienced rapid curve progression, with some requiring more extensive surgery than initially planned. The study included curves ranging from 17° to 90°, emphasising the need for timely intervention[3].

This shows why “wait and see” is such a bad approach to scoliosis treatment – this study alone highlighted the impact of delayed consultation, turning smaller curves into larger, more challenging cases. This is all the more important when you consider that today, with modern approach to treatment, something like a 30-degree curve has an excellent prognosis with conservative treatments like scolibrace,

 

Older Adults and Scoliosis

In general, Scoliosis in adults can be described as slightly more predictable. Adult scoliosis cases tend to progress at a steadier rate, but an additional risk arises with age – degenerative or de-novo scoliosis. Caused by wear and tear on spinal discs, this form is common among older adults, affecting about 30% of those over 60 [6].

De-novo scoliosis progresses more slowly than childhood or adolescent scoliosis but faster than the very gradual development seen after reaching skeletal maturity and before age 60. De-novo Scoliosis can significantly impact quality of life. Patients often experience back and leg pain, making walking or standing difficult. Standard conservative treatments may not provide relief, and surgery may not be an option due to conditions like osteoporosis.

For these patients, a gentle supportive brace can offer relief, helping them stand more comfortably for longer periods. Early intervention and proper treatment can make a substantial difference in managing degenerative scoliosis in older adults.

 

Conclusion

Scoliosis progression is not a linear process, it’s unpredictable and that makes taking proactive action as soon as possible all the more important. Waiting for consultation or surgery can lead to rapid and undesirable changes, turning manageable cases into more severe ones. Both young patients with progressive scoliosis and older adults facing degenerative scoliosis require proactive approaches to halt progression, manage symptoms, and improve quality of life.

 

[1] Charles YP, Daures JP, de Rosa V, Diméglio A. “Progression risk of idiopathic juvenile scoliosis during pubertal growth.” Spine. 2006 Aug 1;31(17):1933-42.

[2] H V Dabke, A Jones, S Ahuja, J Howes, P R Davies. “SHOULD PATIENTS WAIT FOR SCOLIOSIS SURGERY?” Orthopaedic Proceedings. Vol. 88-B, No. SUPP_II.

[3] Angelo G Aulisa et al. “Brace treatment in juvenile idiopathic scoliosis: a prospective study in accordance with the SRS criteria for bracing studies.” Scoliosis. 2014; 9:3. DOI: 10.1186/1748-7161-9-3.

When Is It Too Late To Correct Scoliosis?

Posted on October 3, 2023 by - Blog

Scoliosis is a 3-Dimensional alteration to the structure of the spine, involving a sideways bend and twist it affects millions of people worldwide. While it is commonly associated with adolescence, scoliosis can develop at any age. Early detection and treatment are crucial for managing the condition effectively. However, many people wonder, “When is it too late to correct scoliosis?” In this blog, we will explore the possibilities of treating scoliosis at different stages of life and shed light on the importance of timely intervention.

 

Childhood and Adolescent

Scoliosis often manifests during childhood and adolescence, as the rapid growth spurts during these stages exacerbates spinal deformities. Detecting scoliosis early, allows for conservative treatment options such as observation, bracing, or specialised exercise systems. In most cases, correcting scoliosis is easier during this period, as the skeletal system is still growing and flexible and it is easier to control the growth of the spine. Non-surgical interventions can help prevent the progression of the curvature and minimize its impact on the individual’s quality of life. Therefore, it is vital for parents, educators, and healthcare professionals to be vigilant and screen children for scoliosis regularly.

 

Adulthood

But what happens if scoliosis goes undetected or untreated during childhood? Is it ever too late to correct the condition? While it is true that the optimal time for intervention is during childhood, scoliosis treatment can still be beneficial in adulthood. The goals of treatment shift slightly, focusing more on pain management, improving function, and preventing further curvature progression. Conservative approaches such as physical therapy, chiropractic care, and exercise can help alleviate discomfort and strengthen the surrounding muscles. In some cases, orthotic devices or spinal braces may also provide support and stability. By the time a person has reached adulthood, their spine is probably too rigid to actually correct the Scoliotic curve – however, it’s usually possible to stop the curve from progressing and getting any worse.

 

Later Life

Scoliosis – Specifically a form known as “de-novo” or “degenerative” scoliosis occurs frequently in the over 65’s. This is different from adult cases of Scoliosis since here the scoliosis starts to develop where it did not previously exist. The chances for correcting De-novo Scoliosis are low since the degeneration of the spine which causes the condition is due to ageing and sadly that cannot be prevented!

Intervention with bracing or exercised-based therapy can slow progression considerably, and in many cases will give people the ability to remain upright, independent and active, whereas they may otherwise struggle.

 

Conclusion

In summary, it is never too late to address scoliosis, although early detection and intervention are ideal.

Timely treatment during childhood and adolescence can prevent progression and reduce the need for more invasive measures later in life. However, even in adulthood, conservative treatments and, if necessary, surgical interventions can provide relief, improve function, and enhance the quality of life. The key lies in seeking professional help, staying informed, and embracing the support available to manage the physical, emotional, and psychological aspects of scoliosis. Remember, it’s never too late to take control and seek the best possible outcomes for a life with scoliosis.

 

Does Scoliosis Make You Tired?

Posted on September 17, 2023 by - Blog

Scoliosis is a condition characterised by an abnormal curvature, affects millions of people worldwide. While the physical symptoms of scoliosis are well-known, such as spinal deformity and back pain (and even this has only recently been acknowledged!), there is a lesser-known concern associated with this condition: fatigue. In this blog post, we will explore the connection between scoliosis and tiredness, examining the factors that may contribute to fatigue in individuals living with scoliosis.

 

What is Scoliosis?

Scoliosis can occur at any age, although it is commonly diagnosed during adolescence. The exact cause of scoliosis remains unknown in most cases, with factors like genetics, muscle imbalances, and growth abnormalities playing a role. The curvature of the spine can vary in severity and individuals may experience different symptoms depending on the degree of their condition. While back pain is a prevalent complaint, some individuals with scoliosis also report feeling tired or fatigued more frequently.

 

The Impact of Posture and Muscular Imbalances

One of the primary reasons scoliosis may lead to fatigue is the impact it has on posture and the creation of muscular imbalances. The curvature of the spine can cause an imbalance in the muscles surrounding the spine, leading to strained muscles and increased effort required to maintain proper posture. The body’s attempt to compensate for the spinal curvature can put additional stress on muscles, resulting in fatigue. The misalignment of the spine can also affect the position of the ribs and restrict the expansion of the chest, potentially affecting lung capacity and oxygen intake, further contributing to tiredness. With larger curves, it’s not usual for a person’s functional capacity (that is to say their ability to move about freely) to be reduced.

 

Pain and Discomfort

It has only recently been realised that pain is a common complaint among individuals with scoliosis. The constant strain on the back muscles and the pressure exerted on the nerves can result in discomfort that hinders daily activities and disrupts sleep. Persistent pain can lead to disturbed sleep patterns, reduced quality of rest, and subsequent daytime tiredness. Additionally, the emotional toll of living with chronic pain can also contribute to fatigue, as individuals with scoliosis may experience increased stress and anxiety, which further impact their energy levels and overall well-being. Of course, these issues are not unique to individuals with Scoliosis – back pain is one of the major causes of stress and discomfort worldwide!

 

Limited Physical Activity and Endurance

Scoliosis can restrict movement and physical activity, particularly in cases of severe curvature. The limitations imposed by the condition may prevent individuals from engaging in regular exercise or participating in activities that require prolonged physical effort. Lack of physical activity can result in reduced muscle strength, decreased cardiovascular fitness, and diminished endurance, leading to increased fatigue during everyday tasks. Regular exercise and physical therapy tailored to address the specific needs of individuals with scoliosis can help improve stamina and energy levels.

 

Psychological Impact

The psychological impact of scoliosis should not be overlooked when considering its potential to cause fatigue. Dealing with a visible deformity and the social and emotional challenges it may bring can be exhausting. Body image concerns, self-consciousness, and the stress associated with managing the condition can all contribute to a sense of tiredness. Coping with scoliosis often requires emotional resilience, and seeking support from friends, family, or mental health professionals can be beneficial in managing the psychological impact and reducing fatigue.

 

Scoliosis and fatigue

While scoliosis primarily affects the physical structure of the spine, its impact on an individual’s energy levels and overall well-being should not be disregarded. It would not be accurate to say that the condition itself causes tiredness, however living with the condition may well have this impact. Factors such as posture and muscular imbalances, pain and discomfort, limited physical activity, and the psychological toll can all contribute to fatigue in individuals with scoliosis. Recognising and addressing these factors through appropriate treatments, including physical therapy, pain management strategies, and emotional support, can make a huge difference to the quality of life, and energy level of an individual with Scoliosis.

 

 

 

Online Consultations – Which X-Rays Do I Need?

Posted on August 22, 2023 by - Blog

X-rays are critical for diagnosing and managing Scoliosis. They are used to diagnose scoliosis by taking an image of the spine from different angles, which allows specialists to measure the degree of curvature, identify the location and type of scoliosis, and track the progression of the condition over time. For scoliosis to be diagnosed, there must be a measurable curve in the spine which is over 10 degree’s.

X-rays are also used to monitor the effectiveness of scoliosis treatment, during bracing or exercised based therapy, X-rays are used to monitor the response of the curve to treatment, and adapt the treatment plan to ensure that the spine is responding as expected.

Which X-Rays do I need?

If you’re planning on booking an online consultation at the UK Scoliosis Clinic, it can be very helpful to have an X-ray to send us. You don’t have to have one – but as you can imagine we can give you better information if you do have one to hand. While those who attend the clinic in person can have X-rays taken here, those attending remotely will often need to arrange their own X-rays, or at least request copies from their medical doctor or hospital. So which ones are most useful from a Scoliosis point of view?

The correct type of X-ray to request for a Scoliosis consultation is a standing full spine X-ray taken at 180cm focal distance. Typically, two X-ray images are needed: one from the back (posterior-anterior or PA view) and one from the side (lateral view). It is also important to make sure that the pelvis and hips are in the images. Laying on your back x-rays are not accurate for scoliosis diagnosis and measurement, as they do not allow for the effect of gravity on the curve when standing.

The two X-ray images provide healthcare professionals with crucial information to measure the degree of curvature of the spine. The Cobb angle is the most commonly used method for measuring the degree of curvature and is calculated by adding the slant/slope of the most tilted vertebrae at the top and most tilted vertebrae at the bottom of the curve together. A Cobb angle of 10 degrees or less is considered within the normal range, whereas a Cobb angle of 10-25 degrees is classified as mild scoliosis, 25-40 degrees is moderate scoliosis, and 40 degrees or more is severe scoliosis.

As you can imagine, having the ability to determine the Cobb angle is a critical aspect of a Scoliosis diagnosis, and this is why having an X-ray to have for your consultation allows us to provide you with much more certainty.  To confirm the diagnosis of structural scoliosis we need to confirm a Cobb angle of 10 degrees or more, combined with vertebral rotation. Without X-rays, we can still give a professional opinion – however, especially for smaller curves an X-ray is often the most important item to have so far as diagnosis is concerned.

 

If you don’t have X-Rays

If you don’t have X-rays you’re still more than welcome to book an online consultation – there’s still a great deal of advice we can give even without X-rays, however, if you can get your hands on an X-ray it’s a huge advantage.

If this is an issue for you, we would recommend that you consider an in-clinic consultation instead, if possible. At the clinic, your appointment can include a full set of Diagnostic X-rays utilising our state-of-the-art digital X-ray machine, allowing Scoliosis to be definitely diagnosed and understood. You will also receive a digital copy of your X-rays to take away.

Our in-clinic consultations are generally the most suitable for those who are concerned that they may have scoliosis but do not have X-rays or other documentation to rule the condition in, or out. It’s also ideal for those who know they have Scoliosis and are actively looking to take up non-surgical treatment or are wanting to change treatment, perhaps from another provider.

 

Diet and Scoliosis

Posted on August 12, 2023 by - Blog

Scoliosis is a condition characterised by an abnormal curvature of the spine. While there is no definitive cure for scoliosis, various treatment approaches aim to manage symptoms and improve quality of life. In addition to medical interventions, there is growing interest in the role of diet in supporting overall health for individuals with scoliosis. While diet can have a role in promoting overall health and its optimisation may be a valuable part of a treatment program, it’s important to remember that dietary choices themselves cannot cause or cure Scoliosis.

 

Understanding Scoliosis

Scoliosis affects people of all ages, and its causes can be diverse. In some cases, scoliosis is congenital or results from spinal abnormalities present at birth. Other cases develop during adolescence and the most common form is called adolescent idiopathic scoliosis (AIS), where the exact cause remains unknown/multifactorial. While genetics and factors such as growth spurts and hormonal changes may contribute to scoliosis, the exact triggers are still under investigation.

 

The Role of Diet in Scoliosis Management

One of the most important questions around diet and scoliosis, is whether a specific diet can prevent or even cause Scoliosis. Unfortunately, the answer is that there’s no absolute evidence that either is true.

Although diet alone isn’t a tool for managing Scoliosis, there is some evidence to suggest a correct diet may help in slowing the progression of scoliosis. At least one study has noted that many idiopathic scoliosis patients also have lower selenium levels than normal.[1]  It has also been suggested that osteoporosis may be a factor in worsening of scoliotic curves when vertebrae collapse, and there are dietary modifications which can be made to help avoid osteoporosis. Therefore, while diet alone cannot reverse or correct the spinal curvature associated with scoliosis, it can play a vital role in supporting overall health, managing symptoms, and minimizing potential complications. A wholefoods balanced diet providing essential nutrients, is crucial for maintaining strong bones, muscles, and connective tissues.

This means that there are certain aspects of a diet which may be worth considering as part of an overall treatment program. Vitamin D is an important nutrient that helps prevent osteoporosis and enhances absorption of calcium.  Sources of vitamin D include cereal, saltwater fish and eggs. Calcium is a critical for building bone mass – this is the case in anyone, but might be especially important in a Scoliosis sufferer. In the long term, regular calcium consumption during childhood helps prevent osteoporosis during late adulthood, which may slow the development of scoliosis. Examples of calcium sources include yogurt, skim cheeses and one percent or skim milk. Broccoli and orange juice also contain calcium.

Calcium and vitamin D are particularly important for skeletal health. Consuming foods rich in Vitamin D, which aids in calcium absorption an be obtained through sun exposure and dietary sources like fatty fish, egg yolks, and fortified cereals.

Omega-3 fatty acids, found in fish, flaxseeds, and walnuts, have anti-inflammatory properties that may help reduce pain and inflammation associated with scoliosis. Including a variety of fruits, vegetables, and whole grains in the diet provides essential vitamins, minerals, and antioxidants, supporting overall health and well-being.

 

Other Dietary Considerations for Scoliosis

While no specific diet plan exists exclusively for scoliosis, individuals with this condition may benefit from certain dietary considerations. Maintaining a healthy weight is crucial as being underweight is linked with scoliosis development, while excess weight can exacerbate spinal stress. Adopting a   well-balanced, nutrient dense, calorie-controlled diet can help achieve and maintain a healthy weight, thus strengthen the spine and reduce the stress placed upon it.

Additionally, some individuals with scoliosis may choose to explore an anti-inflammatory diet. This approach focuses on reducing inflammation in the body by avoiding processed foods, refined sugars, and unhealthy fats. Instead, emphasis is placed upon whole, nutrient-dense foods, including fruits, vegetables, lean proteins, and healthy fats. This diet promotes overall well-being and may help manage pain and inflammation associated with scoliosis.

 

Diet and Scoliosis

While diet cannot cure scoliosis, it can play a supportive role in managing symptoms and promoting overall health. A balanced diet rich in essential nutrients, including calcium, vitamin D, and omega-3 fatty acids, can help maintain bone health, reduce inflammation and support overall well-being for individuals with scoliosis. But always consult with a healthcare professional for personalized advice and guidance.

 

 

[1]Yalaki, Zahide et al. Investigation of Serum Levels of Selenium, Zinc, and Copper in Adolescents with Idiopathic Scoliosis Dicle Medical Journal / Dicle Tip Dergisi. 2017, Vol. 44 Issue 1, p35-41. 7p.

Can Scoliosis Be Cured?

Posted on June 30, 2023 by - Blog

For those who are diagnosed with scoliosis, the first question is almost always “can scoliosis be cured?”.  Scoliosis is a complex condition – and so is the answer to this question.

 

What is Scoliosis anyway?

Before we can address the issue of a cure, we first need to properly understand the problem.

Scoliosis is a complex condition which consists of several issues occurring all at once. While a normal spine will appear straight when viewed from behind, in Scoliosis a 3-dimensional shift in the spine takes place, most notably causing a curvature to one side or the other, but it also tends to lead to rotation of the spine itself. Over time, scoliosis affects the balance of the body, leading to muscle imbalances, postural problems and issues with range of movement.

Scoliosis, especially in the early stages, can be hard to spot – scoliosis has typically progressed for some time before there are visual signs – however, once signs have appeared:

  • From the back, the spine may have a C or S shape curve rather than that of a straight line, this can make the waistlines uneven or one shoulder lower than the other.
  • From the side view, the normal spinal curves are often straightened, which makes the mid-back appear flat. Shoulder blades may be prominent.
  • While looking from the head down to the feet, there is a rotation or twist which can cause ribs or one side of the lower back to appear humped or more prominent.

Scoliosis is typically divided into two main categories – adult, and childhood scoliosis. Adult scoliosis is caused either by the degeneration of spinal discs with age or as a result of childhood scoliosis which was not treated. Childhood scoliosis (affecting infants through to young adults) has several known causes, but in 80% of cases, the exact cause is unknown. This is termed “Idiopathic” scoliosis. The remaining 20% of cases are typically caused by congenital or genetic conditions, spinal malformations, underlying neuromuscular conditions, metabolic conditions or trauma.

 

Can Scoliosis be cured?

It’s important to be clear about what we mean when we talk about a “cure”. Scoliosis, depending on the type is (probably, according the current research) either genetic (idiopathic), or the result of denegation in the spinal discs (de-novo). Neither of these underlying issues can be “cured” per se.

Therefore, while some symptoms can be alleviated, addressing the root cause, especially when unknown or age-related (as in de-novo scoliosis), looks more like management rather than a definitive cure.

In young people, Scoliosis which is spotted early may be possible to correct to an extent that the spine is considered “normal” – but the individual will still have the underlying genetic factors which predispose them to developing Scoliosis. Ongoing monitoring will be required to stop the curve from coming back, at least until adulthood is reached.

In order people, it’s not possible to reverse the ageing process or reduce the damage which may have already occurred to vertebra – however, it is possible to support the spine and prevent it from worsening quickly, and complementary treatments may well be able to reduce any associated pain and greatly improve mobility.

At the UK Scoliosis Clinic, our aim is to allow people to live a normal life with Scoliosis.

 

 

[1] ‘A population-based cohort study of 394,401 children followed for 10 years exhibits sustained effectiveness of scoliosis screening’
Fong DY, Cheung KM, Wong YW, Wan YY, Lee CF, Lam TP, Cheng JC, Ng BK, Luk KD, Spine J.  2015 May 1;15(5):825-33. doi: 10.1016/j.spinee.2015.01.019. Epub 2015 Jan 20.

[2] Scoliosis bracing and exercise for pain management in adults—a case report
Weiss et al, J Phys Ther Sci. 2016 Aug; 28(8): 2404–2407.

 

 

 

Can people live a normal life with Scoliosis?

Posted on June 17, 2023 by - Blog

Scoliosis is a condition that affects the spine’s shape, causing it to twist and bend sideways. It affects approximately 2-3% of the adolescent population, and as much as 30% by the time we reach 60. While scoliosis can be a debilitating condition that affects a patient’s quality of life, it is possible to live a normal lifestyle with scoliosis.

 

Causes of Scoliosis

Scoliosis can have different causes, including genetic factors, congenital disabilities, and neuromuscular conditions. In some cases, the cause of scoliosis is unknown, and it’s referred to as idiopathic scoliosis. Different forms of Scoliosis include:

  1. Congenital scoliosis: This type of scoliosis is caused by spinal abnormalities that occur during fetal development.
  2. Neuromuscular scoliosis: This type of scoliosis is caused by conditions that affect the muscles and nerves that control the spine, such as cerebral palsy, muscular dystrophy, or spinal muscular atrophy.
  3. Degenerative scoliosis: This type of scoliosis occurs in older adults due to wear and tear on the spinal discs, causing them to weaken and collapse.
  4. Idiopathic scoliosis: This is the most common type of scoliosis, and it occurs in adolescents aged 10-18 years old. The cause of idiopathic scoliosis is unknown, but it’s believed to be genetic.

 

Symptoms of Scoliosis

The symptoms of scoliosis vary depending on the severity of the curvature. The main symptom is of course the curvature of the spine – although this isn’t typically what most people think of as it relates to quality of life. In fact, mild scoliosis may not cause any noticeable symptoms, while severe scoliosis can cause pain, discomfort, and breathing difficulties. Symptoms, depending on curve severity, can include:

  1. Uneven shoulders or hips: A visible curve in the spine can cause one shoulder or hip to be higher than the other.
  2. Back pain: Scoliosis can cause back pain
  3. Difficulty breathing: Severe scoliosis can compress the lungs and reduce lung capacity, making it difficult to breathe.
  4. Fatigue: Scoliosis can cause fatigue due to the strain on the back muscles and lopsided posture requires more energy to keep upright.
  5. Reduced mobility: In severe cases, scoliosis can limit a patient’s mobility and ability to perform daily activities.

 

Can Patients Live a Normal Lifestyle with Scoliosis?

The good news is that patients with scoliosis can live a normal lifestyle with the right treatment and management. Ideally, Scoliosis will be detected early on – giving the best possible treatment chances at any age. For children diagnosed with Scoliosis, a proactive treatment program involving exercise-based therapy and bracing can often allow them to reach adulthood with no more issues from Scoliosis than the rest of the general population.  For those who develop Scoliosis in adulthood, or have a childhood case which is not detected, it’s not usually possible to reduce the curve – but improving torso appearance, stopping progression and managing any associated symptoms is certainly possible.

Those living with Scoliosis can also make lifestyle choices which help to make living with Scoliosis easier – actually, most of these points are good advice for anyone! You should:

  1. Exercise – Regular exercise can help strengthen the back muscles and improve mobility. Low-impact exercises such as swimming, yoga, pilates and walking can be beneficial for patients with scoliosis.
  2. Maintain a healthy weight – Having a low Body Mass Index (BMI) or being underweight is linked with a increased risk of scoliosis due to softening of bones and weakening of muscles and ligaments. While excess weight can put a strain on the back muscles, exacerbating scoliosis symptoms. Maintaining a healthy weight can help to strengthen the spine and alleviate the stress on the back muscles and improve overall health.
  3. Wear proper footwear – Wearing shoes with good support and cushioning can help reduce the strain on the back muscles and improve balance and stability.
  4. Seek out scoliosis specific physical therapy – scoliosis specific physiotherapy such as Schroth, SEAS & Side shift methods, can help patients with scoliosis learn exercises to strengthen the back muscles and improve posture.
  5. Find a chiropractor, osteopath or physiotherapist who can help the body to feel and move better.
  6. Practice good posture – Maintaing more upright posture can help reduce the constant strain on the back muscles and ligaments reducing the likelihood of the scoliosis worsening slowly over time.
  7. Manage pain – Patients with scoliosis may experience back pain, and it’s important to manage the pain to improve quality of life. While over-the-counter pain relievers may be required at times, it is better in the longer term to use hot or cold therapy, acupuncture or massage to manage symptoms.
  8. Periodic check-ups – Patients with scoliosis should attend check-ups over the years with their healthcare provider to monitor the condition for progression and adjust the treatment plan as necessary.

 

Need help with Scoliosis?

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