Scoliosis is a medical condition marked by an abnormal three-dimensional curvature and rotation of the spine. While this curvature can manifest at any age, it’s often observed during periods of rapid growth, such as adolescence.

The causes are diverse, including idiopathic factors, genetics, muscle imbalances, or neurological conditions.

Our treatment approaches encompass physiotherapy, specifically practicing the Schroth’s method, along with options like bracing or, in severe cases, surgery.

Regular medical assessments play a crucial role in the effective management of scoliosis, considering its three-dimensional nature.

Moreover, several risk factors contribute to the progression of scoliosis, and being mindful of these can help mitigate its impact on your children

Poor Posture:

Encourage good posture habits to counteract the risk of scoliosis progression. Flat back, swayback, slouching, and other poor postures, especially those putting more weight on the major curve side, can increase the likelihood of progression.

Trunk Hyperextension and Rotation:

Excessive trunk backward leaning or rotation can exacerbate the curvature, considering that scoliosis not only deviates to one side but also involves rotation in some segments.

Activities requiring significant hyperextension and rotation, such as ballet or gymnastics, may need to be either reduced or stopped to manage the condition effectively.

This proactive approach can contribute to slowing down the progression of the scoliotic curve.

Risser Sign:

Another crucial factor in managing scoliosis is the Risser sign, detectable through X-rays, indicating bone maturation.

This becomes especially critical when dealing with juvenile or adolescent patients with scoliosis, as their growth during puberty can influence the curve.

Typically, the curve stops increasing when it reaches maturation. However, for curves exceeding 30 degrees, there remains a risk of further progression.

In summary, scoliosis management requires a comprehensive approach. Beyond established treatments, addressing risk factors like poor posture and limiting activities involving trunk hyperextension is crucial. The Risser sign assessment aids in predicting curve progression, especially in juvenile and adolescent patients.

By collectively addressing these aspects, we aim to enhance care and outcomes for individuals with scoliosis, with regular medical assessments playing a pivotal role in ongoing management.

Prepared by

Tneh Xian Hooi

Your Physio Ampang

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