Back pain

Back pain

Back pain in scoliosis


Back pain is one of the most serious problems for an adult with scoliosis, especially if it is a low back scoliosis.

There are caused from the disc’s stress in the concave side of the curve and the wedge deformation of them .

Consequently degenerative spondylarthritis is established, with the creation of osteophytes (spurs) and affecting the posterior vertebral joints, which mostly are responsible for the chronic pain.

Back pain

What causes them?


The problem is clearly mechanical. On the side of the curve, discs are subjected to larger loads than the curved side; this results in their plastic deformation and consequently an increase in the scoliotic angle.

The vertebral foramen (the holes that pass through the nerve roots), on the side of the cavity, narrow and result in the pressure of the nerves. Also, the posterior vertebral joints, connecting the vertebrae to each other, degenerate, resulting in the formation of spondylarthritis, which causes chronic pain worse with standing, walking and the weather changes.

Back pain

 

 

If this continued beyond a point usually occurs a lateral sliding on top vertebra of the curve.

Muscles such as the iliopsoas muscle in a main support of the lumbar spine, from the side of the concave curve increases and from the side of the convex atrophies.

Treatment


Treatment is usually symptomatic in the acute stage with rest, warm, pain relievers and anti-inflammatory. However, the pain after a while it will come back, as long as the cause remains. Therefore, causative treatment should be performed along with symptomatic treatment.

We should remove the causes, for example, the nerve pressure in the foramen, the decompression of the discs and the posterior vertebral joints

Back pain

The solution to this issue is to reduce the pressure in the hollow of the curve.

This is accomplished with daily exercise in asymmetrical exercises of the Schroth system

and the direct application for a few hours, of a specially made brace that will hold the result of the exercises.

Back pain
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