Does your child have scoliosis?
Don't worry about denying it, in fact, scoliosis is a very common disease, and it is not a rare disease for a long time.
Some scholars even estimate that the number of scoliosis in primary and secondary schools on the mainland has exceeded 5 million.
And there are reports that a school in Shanghai has done screening, and the number of scoliosis in 700 students is very large, even reaching 30%.
30% of people in a class have spinal problems, now do you think scoliosis is a rare disease?
In fact, in the mainland, scoliosis is really not uncommon, among all residents, the incidence of scoliosis has reached 1% to 3%, especially in adolescents, the incidence has even reached 12% to 15%.
If you do not pay attention to it, so that the disease continues to worsen, a small lateral bend will make the human body become deformed, and the heavy will cause nerve problems, and even have the possibility of paralysis.
What exactly does scoliosis mean? How can it be so terrible?
1. Scoliosis.
We call the three-dimensional deformation of the spine scoliosis, of course, there are also places called scoliosis, whether it is anteroposterior or left, as long as there is something wrong, it can be called scoliosis.
Although there are many types of scoliosis, the most common is idiopathic.
The main reason for this type is that there is no reason, many people do not know why the disease occurs, but only to a certain stage of development, or scoliosis will be found during random physical examination.
If it is mild scoliosis, it is usually no problem and difficult to detect, but a slightly heavier one is different, because severe deformities are likely to cause physical and mental problems in patients.
After all, the child is so small, if the appearance is different from other children, this deformed state is easy to cause serious psychological problems in the child, feeling that they are not beautiful, affecting the child's physical and mental health.
In addition to psychological, physical problems can not be ignored. Because scoliosis can easily lead to changes in the thoracic spine and lumbar spine, so cardiopulmonary function is easily affected, many children's exercise volume plummets, and a little activity will be breathless chest tightness to no.
As a result, scoliosis became more and more serious, and the state of the body deteriorated.
Moreover, in the most severe cases, scoliosis is also prone to abnormal soft tissues in the spine, which are very important, which is what we call the spinal cord.
Mild spinal cord compression may be small, but severe spinal cord changes are likely to lead to spinal cord injury or even paraplegia.
This is not alarmist, similar cases appear every year.
But how should scoliosis be screened? Are there any good ways to see scoliosis signals?
Second, try to bend over.
In fact, in the clinic, we have many ways to see scoliosis. The most direct is definitely a radiography, which can directly and clearly see the curved spine.
But before the test, is there a way for the child to be exposed to radiation and quickly detect problems in the spine?
It can also be said that the most commonly used is Adam's preflux test, or many doctors refer to it as the preflux test.
What to do? To put it bluntly, it is also very simple, that is, to make the child bend over.
Bend your waist forward, preferably a little more, at least 90 degrees.
Just like bowing, you will see some clues at this time.
What to see?
It is to see whether the height of the two sides is consistent, you can find a level or a simple wooden board, you can find whether the state of the two sides is consistent.
If one side is high and the other is low, be careful, this is most likely scoliosis.
In addition, some different phenomena can be seen when standing upright:
1. Shoulders, one high and one low.
2. Shoulder blades, one high and one low.
3. Backbone bone, not straight line.
4. Hip lines, one high and one low.
5. Waist lines, one high and one low.
In fact, these are typical manifestations of scoliosis, and they should also be looked at together when examining.
But what should I do if scoliosis occurs? Do I have to have surgery?
Third, don't rush to do surgery first.
In general, the spine of all people may not be absolutely "straight", after all, there is no absolutely perfect person, there are more or less bends or rotations, but as long as the rotation angle does not exceed 5 °, no tube is required, which is a minor lesion, only need regular follow-up on the line.
But if the angle exceeds 10 degrees, then you must be vigilant and should consider treatment.
In simple terms, the most basic treatment is functional exercise, and there are many exercises that can make the muscles of the spine more coordinated and pull the curved spine back with the strength of the muscles.
But if the angle is still progressing, has exceeded 10 degrees or even 15 degrees, this time to be careful.
If it is a more severe side bend, in addition to functional exercises, you should also consider wearing a brace.
These braces are generally tailor-made and adjusted to the specific situation of each small patient, which can help the bones develop better.
However, when scoliosis has exceeded 45 degrees or even 50 degrees, if the situation is appropriate, surgery should be considered, which is already dangerous, and it is easy to have nerve problems if not corrected in time.
summary.
Scoliosis is actually a very common spinal disease, many people even if they have the disease, but they may not realize that they may accidentally find it when examining other diseases, but in fact, many people are scoliosis patients.
What should I do if I have a side bend? Don't be afraid, don't be scared, although some pictures are very bloody and uncomfortable, but in fact scoliosis is generally not so serious, small scoliosis may not need to be dealt with at all.
Only those who have symptoms but still don't care and ignore scoliosis will have serious problems, even surgery to correct them.
Don't take small problems seriously, and don't expand them.
bibliography
[1] HUANG Ren,WANG Xing,LI Zhijun,ZHANG Shaojie,LIN Peng. Advances in the diagnosis and treatment of idiopathic scoliosis in adolescents[J].Chinese Journal of Clinical Anatomy,2016,34(04):472-475.DOI:10.13418/j.issn.1001-165x.2016.04.025.