Scoliosis Treatment Singapore

At Kissun Chiropractic, the treatment for scoliosis will be based on the patients age, curve pattern, curve size, likely rate of progression of the condition.

Main Types Of Scoliosis

Thoracic Scoliosis

This type of scoliosis affects the thoracic region of the spine, which is the upper and middle section consisting of 12 vertebrae. Thoracic scoliosis is the most common form and usually results in a right-sided curvature. The rib cage can be affected, which may cause breathing difficulties or other respiratory issues in severe cases.

Lumbar Scoliosis

Lumbar scoliosis involves the lumbar region of the spine, which is the lower back section consisting of five vertebrae. In this type, the curvature is typically found on the left side. Lumbar scoliosis may cause discomfort or pain in the lower back, but it usually has fewer complications compared to thoracic scoliosis.

Thoracolumbar Scoliosis

As the name suggests, thoracolumbar scoliosis affects both the thoracic and lumbar regions of the spine. This type of scoliosis involves a curve that spans from the lower thoracic vertebrae to the upper lumbar vertebrae. Symptoms and complications can vary depending on the severity and location of the curvature.

Combined Scoliosis

In combined scoliosis, there are two or more curves present in different regions of the spine. The most common form of combined scoliosis is the S-shaped curve, where one curve is present in the thoracic region and another in the lumbar region. This type of scoliosis can be more challenging to manage due to the presence of multiple curves, and treatment plans often require a multidisciplinary approach.

Although scoliosis may manifest through visible changes in appearance, the primary concern is the potential internal impact if left untreated, especially in severe cases. The rib cage could press against organs, leading to complications such as chronic back pain, heart and lung damage, respiratory issues, nerve damage, and in exceedingly rare instances, even death.

Underlying Causes Of Scoliosis

Idiopathic Scoliosis

Idiopathic scoliosis is the most common type, accounting for approximately 80% of all cases. The term “idiopathic” means that the cause is unknown. This form of scoliosis typically develops during adolescence and can be further subdivided into infantile, juvenile, and adolescent idiopathic scoliosis, depending on the age of onset.

It is possible to develop idiopathic scoliosis later in life as it can sometimes go undetected during adolescence, particularly in mild cases where symptoms are not obvious and difficult to identify without medical examination.

Congenital Scoliosis

Congenital scoliosis is a rare form of the condition that is present at birth. This type results from abnormal spinal development during embryonic growth. Vertebrae may be incorrectly formed, fused, or even absent, leading to spinal curvature. Treatment for congenital scoliosis depends on the severity and specific abnormalities present.

Neuromuscular Scoliosis

Neuromuscular scoliosis is associated with disorders that affect the nerves and muscles, such as cerebral palsy, muscular dystrophy, or spinal cord injuries. In these cases, the spinal curvature results from imbalances in muscle strength and function. Treatment for neuromuscular scoliosis may involve managing the underlying condition, in addition to addressing the spinal curvature.

Another form of scoliosis frequently seen in adults is degenerative scoliosis, also known as osteoarthritis or spondylosis. When spinal misalignment (subluxation) is not addressed early on, it can lead to dangerous consequences. Bones may begin to degenerate, and spinal discs can lose height, exacerbating spinal damage. If the damage occurs asymmetrically, it can cause tilting and slippage between the vertebrae, resulting in an abnormal curve.

The reason for this gender disparity is not entirely understood, but it is believed that hormonal differences, growth patterns, and genetic factors may play a role.

Girls tend to experience more significant growth spurts during puberty, which could contribute to the increased prevalence of scoliosis in females. Further research is needed to fully understand the underlying causes of this difference.

How Scoliosis Is Diagnosed

Scoliosis is typically diagnosed through a physical examination, followed by X-rays to determine the degree of curvature and the exact location of the curve. Each type of scoliosis can vary in severity, with mild cases often requiring only monitoring and conservative treatments, while more severe cases may necessitate bracing or surgery.

The severity of a scoliosis curve is assessed using the Cobb Method, which measures the angle of the curve in degrees. Standard approaches to scoliosis management include:

• Under 25 degrees: Regular monitoring through examinations and follow-up X-rays
• Between 25 to 40-50 degrees: Utilizing braces to halt curve progression
• Over 40-50 degrees: Surgical intervention, often spinal fusion, to correct the curve

Scoliosis develops gradually, with curves typically worsening at a rate of 1 degree per month. This progression can accelerate during adolescent growth spurts. Severe scoliosis cases can be life-threatening, while milder forms can lead to posture and appearance irregularities. Early detection and appropriate treatment are crucial for managing scoliosis and preventing complications.

How does chiropractic care help with scoliosis?

Chiropractic care can help manage scoliosis symptoms and improve overall spinal function by focusing on the biomechanical and neuromuscular aspects of the condition. While it is not a cure, chiropractic care can offer several benefits for those affected by scoliosis. Here are some of them:

1. Pain Relief: Chiropractic adjustments can help alleviate pain associated with scoliosis by reducing inflammation, muscle tension, and nerve irritation. By restoring proper alignment and motion in the spine, patients may experience improved comfort and a reduction in discomfort.

2. Improved Mobility: Spinal adjustments and mobilizations can help improve joint mobility and flexibility in the spine. This can lead to an increased range of motion and better overall functionality, making it easier for patients to engage in daily activities.

3. Postural Improvement: Chiropractors can provide personalized exercise programs and postural advice to help strengthen and stabilize the muscles surrounding the spine. This can lead to better posture and reduced stress on the spinal structures affected by scoliosis.

4. Complementary Care: Chiropractic care can be integrated with other treatment approaches such as physical therapy, bracing, or even surgery, depending on the severity of the scoliosis. This holistic approach can help optimize patient outcomes and overall spinal health.

Chiropractic treatment is generally considered safe for scoliosis patients when performed by a licensed and experienced chiropractor. Chiropractors use a variety of techniques, including spinal manipulation, soft tissue therapy, and rehabilitative exercises to help reduce pain and improve spinal function in patients with scoliosis. It is important to note that the effectiveness of chiropractic care for scoliosis may vary depending on the individual’s specific condition and needs.

Remember that it’s essential to discuss your specific condition with your healthcare provider before beginning any new treatment. First off, consult an orthopedic specialist, for a comprehensive evaluation and treatment plan. A chiropractor can be part of a multidisciplinary team to help manage symptoms and improve spinal health.