social security disability SSD Disability

A blog by a former social security disability claims examiner about social security disability and SSI Disability issues and questions, but also general, health, and medical news.

Monday, September 14, 2009

Eight Things About Scoliosis

1) Scoliosis is a lateral curvature of the spine and can be classified as idiopathic, congenital, or as a symptom of another spinal condition such as spinal muscular atrophy, cerebral palsy, or spina bifida.

2) There are three different categories of scoliosis: dextroscoliois, levoscoliosis, and rotoscoloiosis. Dextroscoliosis refers to scoliosis with a right side convexity, while levoscoliosis refers to a left side convexity. Rotoscoliosis is a term used when the vertebrae is very prominent due to scoliosis, and is oftentimes meshed with the other two forms when categorizing.

3) Scoliosis if often present at birth, but may not be found until adolescence. Many times it is inherited. Sometimes it is not developed until adolescence, due to idiopathic reasons or due to a tethered spine. Adults may develop the condition due to trauma.

4) Symptoms can include a prominent rib or shoulder blade, uneven rib cage, shoulder, or hip, imbalanced distance between arms and body, and in females, an imbalanced or uneven location of breasts. Sometimes slow nerve action can be a symptom for scoliosis.

5) If left untreated, pain can result, as can pressure on the heart, reduced lung capacity, and limited physical activities.

6) There is a higher risk of progression for patients that are still developing skeletal maturity, and for those with larger thoracic and double primary curves, as opposed to those already fully matured, with smaller, thoracolumbar or single lumbar curves.

7) Observation, chiropractic, physical therapy, and bracing are the main forms of management. Bracing is effective especially when patients are still growing and maturing. Bracing is also used for pain management in some adults. Infants and some small children have been helped by (and sometimes cured by) applying several coats of a plaster cast that is applied to a corrective frame, also known as a plaster jacket.

8) Spinal fusion surgery is the most common surgery used for scoliosis. While it does not usually cure the scoliosis completely, it can make spine corrections that lessen pain and deformity, or curves that affect daily living and may make health matters worse. It is usually used on curves that are at least 40 degrees or more, or those with a high probability of becoming much worse than they already are.






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