Tag: fitness

Scoliosis – Can I Play Sport?

Posted on May 7, 2024 by - Blog

Physical exercise is a vital component of overall health, even for those with scoliosis. At the UK Scoliosis Clinic, we advocate for an active lifestyle during scoliosis treatment. Despite common misconceptions, scoliosis doesn’t necessarily mean avoiding sports altogether – although you do need to ensure your exercise program is not slowing down your treatment.

 

How to Choose Sports for Scoliosis

While participating in sports and physical activities may not treat scoliosis, they can actually help to address some of the associated muscle weaknesses and imbalances which often come with the condition. Tailored scoliosis-specific exercises are ideal, but any core-strengthening activity could be considered valuable as part of a broader treatment program. Exercise should be approached cautiously to avoid worsening existing imbalances however, so professional guidance is key. In general, we can point to some popular exercises which can be highly beneficial, as well as some which can be problematic.

 

Good Sports for Scoliosis

  1. Swimming – A low-impact, full-body workout that enhances strength and cardiovascular fitness. Opt for strokes that maintain a neutral spine position, and avoid high-diving.
  2. Cycling – A low-impact sport providing excellent cardiovascular benefits. Limit off-road cycling to avoid high-impact jolting that may compress the spine.
  3. Cross-Country Skiing – Minimises shock to the vertebrae and engages both sides of the body, promoting a strong and balanced spine. Skiing machines at the gym are suitable alternatives for those not located near a slope.
  4. Strength Training – When performed under professional guidance, strength training can strengthen muscles supporting the spine. Emphasise proper form to prevent worsening scoliosis.
  5. Yoga – Beneficial for adults with scoliosis, offering calming effects and potential fitness improvement. Some limited research suggests yoga could assist in treating scoliosis, making it a valuable complement to targeted exercises.
  6. Stretching – Essential for relieving tension, restoring range of motion, and counteracting the spine’s curvature. Be mindful of safe stretches and avoid those that hyper-extend or severely rotate the spine.

 

Bad Sports for Scoliosis

Certain sports, due to their nature, may load the body unevenly or stress the spine in ways that can worsen scoliosis. While participation is not necessarily ruled out, caution and consultation with a practitioner are advisable.

  1. Gymnastics, Ballet, Dance – These activities, which involve spine-contorting movements, may promote scoliosis. Caution is advised, especially for individuals at risk of developing or already having scoliosis.
  2. Trampoline or Impact Sports – While jumping on a trampoline strengthens leg muscles, it may worsen lumbar scoliosis due to downward landing forces. Impact sports like rugby pose inherent spinal injury risks and are best avoided.
  3. Strength Training with Spinal Compression – Heavy lifting can compress the spine over time. Proper guidance from a scoliosis professional is essential to exercise safely without unnecessary compression.
  4. Tennis, Javelin, Skating – One-sided sports that stress one side of the body more than the other, potentially increasing scoliosis. Balancing with complementary exercises may be appropriate.

 

Can I Play?

Sports and physical activities are great fun and a key aspect of overall health. Participation in sports is of course encouraged for individuals with scoliosis, however it’s critical that the chosen exercises align with their treatment program.

 

 

 

Is Walking A Good Exercise For People With Scoliosis?

Posted on March 2, 2024 by - Blog

It’s well known that exercise is a great way to stay healthy whatever other conditions you may have – it’s all now well known that some sports and activities (especially those which focus only on one side of the body) may not be the best choice for those with Scoliosis.

We get many questions about exercise and which are the best options for people with Scoliosis – but the most important one is this, is plain old walking a good choice? The short answer is yes. Walking is generally considered a safe and effective exercise for people with scoliosis – it works both sides of the body evenly, it’s easy, does not put too much strain on the body, can be done with your brace on and is surprisingly effective!

 

The benefits of walking for people with scoliosis

Walking is a low-impact exercise that can help strengthen the muscles in the legs, hips, and back. This can be particularly helpful for people with scoliosis, as weak muscles in these areas can contribute to poor posture and spinal curvature. Walking also helps improve balance, coordination, and flexibility, which are important for maintaining good spinal health.

In addition to physical benefits, walking can also have mental health benefits. Exercise has been shown to reduce stress and anxiety, improve mood, and increase overall feelings of well-being. For people with scoliosis, who may experience pain and discomfort as a result of their condition, walking can provide a natural way to manage symptoms and improve their quality of life.

 

Precautions to take when walking with scoliosis

While walking is generally considered safe for people with scoliosis, there are a few precautions you should take to minimise any potential risks.

First, it is important to work with a healthcare professional, such as a physical therapist or orthopaedic specialist, to develop a safe and effective exercise program. They can help you identify any limitations or areas of weakness that may need to be addressed before starting an exercise program. This is less about the way you walk and more about taking sensible steps to avoid things like walking with a heavy backpack etc – each case is different here, but follow any relevant guidelines you are given.

It is also important to wear supportive shoes and to choose a safe walking route. Avoid uneven or rocky terrain that could increase your risk of falling or injuring yourself.

Another important consideration is posture. Good posture is important for maintaining a healthy spine, and people with scoliosis may need to work on improving their posture as part of their exercise program. Focus on keeping your shoulders back and down, your chest lifted, and your chin level.

It is also important to start slowly and gradually increase the intensity and duration of your walking sessions over time. This can help prevent injury and reduce the risk of overexertion.

 

Alternative exercises for people with scoliosis

While walking is generally considered a safe and effective exercise for people with scoliosis, it may not be suitable for everyone. Some people may find that other exercises are more beneficial or more comfortable for them.

For example, swimming and water aerobics are often recommended for people with scoliosis, as they provide a low-impact workout that is gentle on the joints and muscles. Yoga and Pilates can also be beneficial, as they focus on building strength, flexibility, and balance, all of which are important for maintaining good spinal health.

Ultimately, the best exercise program for people with scoliosis will depend on their individual needs and limitations. It is important to work with a healthcare professional to develop a safe and effective exercise program that takes into account any medical conditions, injuries, or other factors that may affect your ability to exercise.

 

Is walking a good choice for those with Scoliosis?

Walking can be a safe and effective exercise for people with scoliosis, as long as certain precautions are taken. Walking can help strengthen the muscles in the legs, hips, and back, improve balance and coordination, and provide a natural way to manage symptoms and improve overall quality of life.

 

5 Tips to Help Reduce Scoliosis Pain

Posted on January 14, 2023 by - Blog

For most of the history of Scoliosis treatment, the widely held view has been that Scoliosis does not cause pain. It’s certainly true that many Scoliosis patients present at our clinic with no pain nor discomfort – but recent research, as well as our experience, has shown that in many cases Scoliosis can be painful.

At least one research study suggests evidence of a possible 35-42% prevalence of lower back pain in adolescents with idiopathic scoliosis[1] (AIS), in another study of 2400 patients with AIS, 23% reported back pain at their initial contact[2]. Chronic non-specific back pain (CNSBP) also seems to be frequently associated with AIS, with a greater reported prevalence (59%) than seen in adolescents without scoliosis (33%)[3]  – in addition, patients diagnosed with AIS at age 15 are 42% more likely to report back pain at age 18.[4]

In patients under 21 treated for back pain, scoliosis was the most common underlying condition (1439/1953 patients)[5] and Scoliosis patients have between a 3 and 5-fold increased risk of back pain in the upper and middle right part of the back[6].

While this does not mean that everyone with Scoliosis will experience pain – in fact the numbers roughly support about a 50/50 chance – there are still a significant number of individuals for whom the management of Scoliosis & pain is a factor. At the UK Scoliosis Clinic, we utilise a number of approaches to help manage the pain associated with scoliosis – but there are also some steps you can take yourself.

 

1 – Keep active, Keep fit

Being physically active and reducing the amount of time spent in sedentary positions is very important, not only for pain management but for your overall health and well-being. While it’s true that Scoliosis can make some activities more difficult, and there are some exercises (especially “one-sided” activities, like racket sports) which we might advise against – there’s no reason why Scoliosis should stop you from being as active as possible. If pain is already a significant issue, low-impact activities such as Yoga or Pilates  can be an excellent way to keep moving, and may even provide some additional pain relief. Swimming, once thought to treat Scoliosis (sadly, based on current research, does not[7]) is nonetheless an excellent way to stay fit with almost no risk or injury.

 

2 – Improve your posture.

While it’s not true that poor posture causes Scoliosis – poor posture can cause pain, both for Scoliosis sufferers and those without Scoliosis.

A huge part of Physiotherapy based approaches to Scoliosis is increasing awareness of posture – when sitting and standing and to take note of the position of your spine. Are you collapsed to one side or slouching? Try to straighten & lengthen your spine and keep balanced, avoid leaning to one side as this can aggravate pain – instead, try to remain in a neutral or corrected position. Many people with Scoliosis pain find that regular movement helps to reduce pain too.

 

3 – Avoid extended sitting/extended standing

Where possible, avoid extended sitting when working, studying or at school. Regular postural changes/breaks (every 20-30 minutes) are very important and can be as simple as standing up, walking to the other side of the room, or stretching, before sitting back down.

This is, like most of these tips, a good idea to do regardless of your Scoliosis status as long periods of sitting encourage imbalances in muscles and ligaments – in fact, it’s the cause of a huge percentage of back pain cases treated by Chiropractors every year.

 

4 – Light Stretching or Massage

Stretching or Massage, either as a targeted activity or part of something like Yoga can be highly beneficial for Scoliosis suffers –focussing on elongation and decompression of the spine is likely to help relieve pain for many, and can often be performed at home using a tennis ball, foam roller or massager. That being said it’s best to consult with a Scoliosis expert when it comes to stretching or flexibility routines, for example many people with AIS will have reduced spinal curves or flat backs, so it is important that significant hyper-extension/arching backwards is not performed as it may increase the flattening of the back which may in turn progress the scoliosis.

Repetitive one-sided movements, or exercises & stretches leading to excessive spinal rotation may actually worsen pain – due to the 3D nature of scoliosis. Repetitive twisting or one-sided movements can potentially put your spine into an unfavourable position or even counteract an ongoing treatment program, so use with care.

 

5 – The Best Option, Scoliosis Specific Exercise

The best option to address Scoliosis pain is, of course a professional plan. A Scoliosis professional can design a series of Scoliosis Specific exercises, that will help improve posture, manage pain and slow the progression of your condition. These scoliosis-specific exercises, once mastered, can be incorporated into your day-to-day life or form part of an active treatment program.

In some cases, the part-time use of a Scoliosis brace could also be considered – for example, while bracing in adults is not likely to reduce the Scoliotic curve itself, research does indicate that bracing can be effective in reducing chronic pain.[8]

 

 

 

 

[1] Théroux, J., et al.Prevalence of low back pain in adolescents with idiopathic scoliosis: a systematic review. Chiropractic & manual therapies, 25(1), 1-6.

[2] Ramirez N, Johnston CE, Browne RH. The prevalence of back pain in children who have idiopathic scoliosis. J Bone Joint Surg Am. 1997;79:364–8

[3] Jean Theroux et al. Back Pain Prevalence Is Associated With Curve-type and Severity in Adolescents With Idiopathic Scoliosis Spine: August 1, 2017 – Volume 42 – Issue 15

[4] Clark EM, Tobias JH, Fairbank J. The impact of small spinal curves in adolescents that have not presented to secondary care: a population- based cohort study. Spine (Phila Pa 1976) 2016; 41:E611–7.

[5] Dimar 2nd JR, Glassman SD, Carreon LY. Juvenile degenerative disc disease: a report of 76 cases identified by magnetic resonance imaging. Spine J. 2007;7:332–7.

[6] Sato T, Hirano T, Ito T, Morita O, Kikuchi R, Endo N, et al. Back pain in adolescents with idiopathic scoliosis: epidemiological study for 43,630 pupils in Niigata City. Japan Eur Spine J. 2011;20:274–9

[7] Berdishevsky H, Lebel VA, Bettany-Saltikov J, et al.: Physiotherapy scoliosis-specific exercises—a comprehensive review of seven major schools. Scoliosis Spinal Disord, 2016, 4: 1.

Zaina, F., Donzelli, S., Lusini, M., Minnella, S., and Negrini, S. (2015). Swimming and spinal deformities: A cross-sectional study. The Journal of Pediatrics, 166(1): 163-167.

Gonen Aydin C, Oner A, Hekim HH, Arslan AS, Oztas D, Akman YE. (2020) The prevalence of scoliosis in adolescent swimmers and the effect of swimming on adolescent idiopathic scoliosis. Turk J Sports Med.;55(3):200-6.

[8] 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.