Explore the medical stories around you, and convey health signals to Foshan citizens with a scientific attitude and easy-to-understand expression. The editorial department of Foshan Press launched the [Doctor Says] column to reveal the secrets of medicine for you.
When it comes to scoliosis, many parents' first reaction is: it's not a big deal, adjusting the sitting posture can correct it. In fact, scoliosis has become the third biggest "killer" that endangers the health of children and adolescents in mainland China after obesity and myopia, and the problem needs to be taken seriously!
Teenagers with high and low shoulders and hunchbacks?
It could be scoliosis!
Idiopathic scoliosis, commonly known as scoliosis, is a spinal deformity in which one or more segments of the spine are curved sideways or accompanied by vertebral rotation.
Because the skeletal development is rapid and the deformity worsens more pronounced during puberty, the disease is more common than in adolescence.
Hazards of scoliosis
- Hair disease perennial
Scoliosis can lead to problems such as round shoulders and hunched back, pelvic forward, and pelvic tilt, which may cause low back pain in the long run, which in turn will affect the patient's respiratory system, digestive system, blood circulation system, etc.
- Ugly society died
Scoliosis progressively worsens, and changes in appearance become apparent. Abnormal appearance can lead to psychological inferiority, affect interpersonal communication, and over time appear psychological disorders.
2 easy-to-use methods
Diagnose your child's scoliosis
👉 General visual inspection
The upper body of the male examinee is bare, and the female examinee wears underwear, takes off the shoes, and adopts a natural standing posture, with the feet shoulder-width apart, the eyes are level, the arms are naturally drooping, and the palms are inward. Observe the subject from the back:
- Whether the shoulders are of equal height and whether the head is centered.
- Whether the left and right shoulder blades are symmetrical on either side of the spine, and whether the subscapular angle is of equal height.
- Whether the waist concave on both sides is symmetrical.
- Whether the iliac crest is of equal height (i.e., whether the pelvis is level).
- Whether the spinous line is tilted or deviates from the midline.
Photo source/Nanhai People's Medicine
👉 Forward flexion test (Adam test)
- Subject: Straight knees, feet closed, upright, arms straight, head bowed slowly forward to about 90°, hands together gradually placed between the knees.
- Examiner: The eyes should be at the same height as the back of the examinee, and the eyes should be parallel to the examinee's bend from head to tail, from the thoracic spine to the lumbar spine, and observe whether the two sides of the spine are uneven.
Seize the golden hour
"Break" the spine of the scoliosis back
Liu Hu, director of the Department of Orthopedics (Spine Surgery) of Nanhai District People's Hospital of Foshan City, reminded that the key to scoliosis is early detection, early intervention and early treatment. The younger the age, the better the spine flexibility and the better the correction effect. Mild scoliosis detected early can be effectively prevented from progressing to surgery with aggressive rehabilitation intervention.
The 3rd year of junior high school is the prime time for scoliosis detection and treatment.
Scoliosis treatment options
(1) <10°: regular follow-up observation, pay attention to posture in daily life.
(2) 10°-25°: For mild scoliosis, physical training, physical therapy is recommended, and brace therapy is recommended for more severe cases.
Under the guidance of doctors, scoliosis physical exercises are carried out in combination with the Department of Rehabilitation Medicine. Photo source/Nanhai People's Medicine
Training effect. Photo source/Nanhai People's Medicine
(3) 25°-45°: moderate scoliosis, it is recommended to wear a brace for treatment.
Personalized brace function: Keeps the spine in the correct position as it grows. Photo source/Nanhai People's Medicine
Before putting on the brace
(Photo source/Nanhai People's Medicine)
After wearing the brace
(Photo source/Nanhai People's Medicine)
(4) >45°: severe scoliosis, surgery is recommended.
Quit Erlang's legs and Ge You lie down
Cultivate good posture habits!
The doctor said
How can I prevent scoliosis?
- Avoid bad postures such as cross-legged legs and Ge You lying down.
- Avoid sitting for long periods of time, and it is recommended to get up and move every 30 minutes.
- Avoid carrying heavy backpacks
- Don't bend over and bow your head too much when reading a book or video
- Usually strengthen the waist, hips and abdominal muscles training
- Posture problems are found, and appropriate treatment is intervened in a timely manner.
Review expert of this article: Liu Hu
Nanhai District People's Hospital of Foshan City
Director of the Department of Orthopaedics (Spine Surgery).
He has been engaged in orthopedic work for more than 20 years, specializing in spinal trauma, degeneration, and minimally invasive surgery, and has designed a nail plate for anterior cervical vertebral body advancement surgery, which has obtained national patents and realized its transformation and clinical application.
Review expert of this article: Jin Rong
Nanhai District People's Hospital of Foshan City
Head of the Department of Rehabilitation Medicine
He is good at using small needle knife, shock wave, ultrasound-guided minimally invasive treatment of neck, shoulder, waist and leg pain, as well as accurate assessment and rapid rehabilitation of scoliosis.
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Foshan Publishing Editorial Department, Foshan Nanhai District People's Hospital Joint Planning Editor: Du Jiayu, Huang Yingting Review: Li Minxian, Liu Yanjun The copyright of the picture belongs to the original author, if there is any infringement, please contact to delete.