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How Massage Benefits Scoliosis

For scoliosis, massage is adjunctive to stretching and exercise for pain management. Massage is great for the pain caused by the muscle strain due to Scoliosis.


Scoliosis

Scoliosis is an abnormal curvature of the spine. In scoliosis, the spine curves to the side when viewed from the front, and each vertebra also twists on the next one in a corkscrew fashion.

Our spine is an engineering marvel that supports our weight and ties our body together. The spinal column consists of a stack of small bones that range in size from 2-3 inches to 5-6 inches in diameter. When viewed from the front, the spine appears to be straight, but when looked at from the side, the normal spine has 2 gentle s-curves.

Scoliosis affects girls twice as often as it affects boys. About 3-5 of 1,000 people are affected. Scoliosis usually occurs in those older than 10 years, but the condition can be seen in infants.

In most cases (85%), the cause of scoliosis is unknown (what doctors call idiopathic). The other 15% of cases fall into 2 groups:

  • Nonstructural (functional): This type of scoliosis is a temporary condition when the spine is otherwise normal. The curvature occurs as the result of another problem. Examples include 1 leg being shorter than another from muscle spasms or from appendicitis.
  • Structural: In this type of scoliosis, the spine is not normal. The curvature is caused by another disease process such as a birth defect, muscular dystrophy, metabolic diseases, connective tissue disorders, or Marfan syndrome.

These symptoms are only those associated with the spine being curved:

  • Your head may be off center.
  • One hip or shoulder may be higher than the other.
  • You may walk with a rolling gait.
  • The opposite sides of the body may not appear level.
  • You may experience back pain or tire easily during activities that require excessive trunk (chest and belly) movement

Scoliosis usually occurs around age 10 years. Most school systems have screening programs that look for scoliosis. The most common test is to have the child stand with his or her feet straight ahead and with knees locked and then slowly bend over to touch their toes. If the school notifies you that they are concerned, you should contact your doctor to make a routine appointment within the next 1-2 months.

If your doctor (or pediatrician) examines your child and is suspicious, the doctor may repeat the exam in 4-6 months to see if there is any change. Most children do not need to be treated for scoliosis when the curvature is mild.

The physical exam involves having the child undressed from the waist up. The child faces forward with the feet straight ahead and the palms inward. With the knees locked, the child slowly bends over at the waist and tries to touch their toes. The doctor then looks at the spine for the appearance of straightness.

X-rays may be necessary in order to measure the curvature. Depending on the degree of the curvature and whether it gets worse over time, the doctor may recommend treatment.

The majority of cases of scoliosis do not require treatment.

  • If the curve is less than 25°, no treatment is required, and the child can be reexamined every 4-6 months.
  • If the curve is more then 25° but less than 30°, a back brace may be used for treatment.
  • Curves more than 45° will need to be evaluated for the possibility of surgical correction. Surgical correction involves fusing vertebrae together to correct the curvature and may require inserting rods next to the spine to reinforce the surgery.
  • Treatment options depend more on how likely it is that the curve will worsen than on the angle of the curve itself. A child with a 20° curve and 4 more years of growth may require treatment while a child with 29° of curvature who has stopped growing may not require treatment.

Scoliosis is not preventable. At this time, we do not understand what causes the condition in the majority of children.

How massage can help Scoliosis

For scoliosis, massage is adjunctive to stretching and exercise for pain management. Massage is great for the pain caused by the muscle strain due to Scoliosis.

 

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Spinal Curves: Kyphosis, Lordosis, & Scoliosis
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