Who treats scoliosis in children

Which doctor treats spinal curvature in adults? – This question is asked by those who have symptomatic back problems, whether it is a visual change in shape (skew) or began to ache in the vertebrae after a long sitting. Depending on the type and stage, you need to contact a therapist, orthopedist or surgeon.

Basic inspection

Which doctor treats scoliosis? Perhaps all mothers are asking this question. Indeed, in adulthood, few people are involved in a routine examination of their body, especially on the condition of the spine. Before coming to the hospital, you need to clearly which doctor to apply for an examination, and who is responsible for the treatment?

Therapist

The first one to whom you should go is the local doctor (therapist). He will be able to determine the presence of a scoliosis problem in adults, and it is he who decides who to contact next. To the orthopedist or surgeon. In addition, sometimes a therapist is enough. He can dispel suspicions of a curvature, or prescribe a leveling corset for curving the spine, which will be enough for children.

If the curvature of the spine was found at a later age, then the corset and recommendations for gymnastics will not help, and then the therapist writes out the appointment to .

Orthopedist

To the orthopedist. This is a doctor specializing in the treatment of flat feet and flattening the back. If something can be done without surgery, then only an orthopedist is able to do this.

In particular, this doctor may prescribe:

  • Physiotherapy. A set of exercises normalizing the state of the muscle corset. Usually in the early stages, vertebral deformity is dynamic, and is caused by a person’s inability to hold his back correctly;
  • Appointment of a special corset. Suitable for those who are constantly in a sitting position. It is usually prescribed with physiotherapy;
  • Consult a surgeon. In case of scoliosis of the spine of the second degree, or lower vertebrae are bent.

Without going to the orthopedist, you will have to conduct a number of additional tests before you can be referred to a specialist in spinal diseases.

Surgeon

You should consult a treating surgeon only in the most extreme cases. Why? Because his methods are far from physiotherapy. But the surgeon will accurately determine the type and type of curvature. Because usually pronounced scoliosis may be accompanied by mild kyphosis or lordosis. And in this case, any physiotherapy, or alignment with a corset, is simply contraindicated.

Often, the surgeon may prescribe:

  • Straightening massage course. Usually these are intensive procedures in an amount of up to 50 pieces in 3 months. They help set the vertebrae in place. Quite rarely, but this method allows you to fully align your back, and to avoid their further displacement;
  • Metal holding plates. In this case, an operation is performed in which the doctor manually changes the position of the vertebrae and fixes them using special pins.

Then an additional operation is carried out (six months to a year) to remove these pins. The effectiveness of this alignment is 100%. In order to consolidate the result, it is necessary to adhere to an integrated approach to treatment in the postoperative period so that the spine does not begin to bend again. In particular:

  • Learns to independently hold posture;
  • Perform complex physiotherapy;
  • Strengthen muscle corset with athletics;
  • Regularly visit massage parlors.

Who heals

Spinal curvature Which doctor should I go for productive treatment? Depending on the stage, an orthopedist and surgeon can do this. If the situation is neglected, then it is worth contacting only the surgeon, he will be able to cure. In rare cases, surgery is additionally prescribed with the insertion of metal plates holding the spine in a straightening position.

It is not possible to identify the causes of scoliosis, however, of the frequently mentioned, it is possible to call “back memory”. If a person spends all his time at a computer, driving or sitting in an office, scoliosis, lordosis and kyphosis are his eternal companions. With scoliosis, you need to radically change your lifestyle. Curvature of the spine is the scourge of the twenty-first century. A sedentary lifestyle is observed everywhere:

  • At work in the office;
  • At home on the couch;
  • At the cinema;
  • Resting at the computer;

People always over-strain their backs. And as a result – in almost every second in our time there is a curvature of the spine.

Regularly contact the previously indicated specialists to prevent and slow down scoliosis, lordosis, kyphosis. Go in for sports. And then, perhaps – this will be enough to spend the rest of your life with healthy vertebrae and without problems accompanying curvature.

Author: Petr Vladimirovich Nikolaev

The doctor is a manual therapist, orthopedic traumatologist, ozone therapist. Methods of exposure: osteopathy, post-isometric relaxation, intraarticular injections, soft manual technique, deep tissue massage, analgesic technique, craniotherapy, acupuncture, intraarticular administration of drugs.

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Which doctor treats scoliosis?

Many adults and children have back problems. Often they are associated with scoliosis – a curvature of the spinal column to the right or left. Many patients, when they develop symptoms of pathology, do not know which specialist to contact. In this article, we will tell you which doctors treat scoliosis of varying severity.

The spine has a complex structure. It performs not only the supporting function, but also contains the spinal cord. Therefore, any diseases of this part of the musculoskeletal system may be accompanied by neurological disorders. This is due to the fact that scoliosis can be treated by many specialists – a general practitioner, neurologist, orthopedist, and surgeon.

The need to visit a specialist is determined by the presence of evidence, the severity of the disease and the presence of complications. Most patients undergo conservative treatment with a neurologist or orthopedist. In more severe cases, it is necessary to perform a surgical intervention that can be performed by a surgeon, neurosurgeon or vertebrologist.

Doctors treat scoliosis

Therapist

Most people with signs of scoliosis and other diseases of the spine first go to the local GP or general practitioner. The specialist collects all the information necessary for the diagnosis and directs the patient to further examination and consultation of other specialists.

The therapist may recommend an x-ray of the spine. This research method can reliably determine the presence of scoliosis and establish the degree of curvature. Having received the x-ray data and direction, the patient goes to other specialists, especially a neurologist and vertebrologist.

Neurologist

Even a slight curvature of the spinal column can lead to compression of the spinal cord or nerve fibers. Therefore, neurological disorders may occur. A neurologist is involved in their diagnosis and treatment.

To assess the degree of damage to nerve fibers, determine the presence of spinal hernias and other pathologies, the doctor may prescribe an MRI of the spine. Only after passing all the required diagnostic procedures does the neurologist decide which method will be most effective.

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In most cases, conservative methods of treatment are used. For example, a patient may be prescribed massage, manual therapy. An important role in improving the mobility of the spine is played by physiotherapy.

If there are indications for surgical treatment, then a consultation with a neurosurgeon or vertebrologist is necessary.

Orthopedist

This specialist treats diseases of the musculoskeletal system. An orthopedist at the initial stages of scoliosis prescribes conservative therapy, which includes:

  • the use of corsets;
  • physiotherapy;
  • massage and manual therapy.

The purpose of this treatment is to strengthen the back muscles and restore the normal location of the vertebrae. Daily wearing of a corset makes it possible to correct posture even for those patients who spend a lot of time in a sitting position. The effectiveness of the method increases if it is combined with physiotherapy.

Physiotherapy is aimed at increasing blood circulation in the muscles of the back, which helps to increase their tone. The combination of physiotherapeutic treatment with massage allows you to create conditions in which the patient can independently maintain proper posture.

It is important to remember that conservative methods for treating scoliosis in an orthopedist will be effective only in the initial stages of the disease. If a patient comes to a doctor with advanced pathology, significant curvature of the spine, he will most likely be referred to a surgeon or vertebrologist.

Surgeon

In some cases, conservative treatments for scoliosis are ineffective. Often, curvature of the spine leads to severe complications that are associated with impaired functioning of the internal organs and central nervous system.

Such patients are referred to a surgeon who carries out treatment in an operative way. There are several methods for surgical correction of spinal curvature, many of them based on the use of special metal structures. For example, a doctor may fix the vertebrae in the correct position using a metal plate.

During the recovery period after surgery, the patient undergoes procedures that help increase the strength of the muscle corset. This is necessary in order to consolidate the result of surgical treatment, to prevent relapse of the disease.

Vertebrologist

A doctor who specializes in the diagnosis and treatment of diseases of the spine is called a vertebrologist. It combines the knowledge of an orthopedic surgeon and a neurologist. Therefore, patients are referred to him more often in difficult cases, when standard conservative therapy or surgical treatment is not enough.

Chiropractor

Manual therapy refers to conservative methods of correcting impaired posture. This technique is often painful, and if used improperly, it can be harmful. Therefore, it is recommended to contact specialists who have undergone professional training in neurology, neurosurgery or vertebrology.

Manual therapy consists in manually correcting vertebral location disorders. Usually the effect becomes noticeable after the first session. However, over time, the curvature may return again. You should take repeated courses of manual therapy several times a year, as well as engage in physical therapy to consolidate the result.

Treatment in hospital

Hospitalization for patients with scoliosis is indicated for the progression of the disease and the ineffectiveness of outpatient treatment methods. More often in hospitals, surgical treatment of scoliosis or its complications is performed. They are sent to hospitalization only after a sufficient examination of the patient. Such a direction can be given by a surgeon, neurosurgeon or vertebrologist.

Useful video

Below you can find out more about who treats scoliosis.

Conclusion

Scoliosis treatment cannot be delayed. If a person has any symptoms of this pathology, it is recommended to consult a doctor as soon as possible. It is best to first visit a general practitioner who will determine the availability of indications for a particular type of treatment and, if necessary, refer to specialized specialists.

Is it possible to cure scoliosis in a child

A crooked back, stoop, one shoulder above the other – what other problems with posture have you noticed in your children? It turned out that sports and dancing are not a panacea for this problem.

Experts told Lethidore in detail about scoliosis and scoliotic posture, how they differ, why the spine is formed incorrectly, and what parents can do if the doctor has noted a violation of the child’s posture.

Comments on Olga Borisovna Zugel, children’s traumatologist-orthopedist at the Zdravitsa clinic network (Novosibirsk)

Olga Borisovna Zugel

Posture is a complex concept of the habitual position of the body of a laid-back person. It is determined and regulated by reflexes of posture and reflects not only the physical but also the mental state of a person.

When evaluating posture, attention is paid to physiological bends and to the deflection of the spine in the frontal plane (i.e. to the side).

Violation of posture is an unfixed curvature, that is, a person can independently, by willpower (actively turning his head on) eliminate this violation, and when examined in a prone position, the doctor will not see deviations from the age norm.

Scoliotic posture – deflection of the spine in the frontal plane.

What habits badly affect posture

The main thing: posture = habit.

Habits, good and bad, are formed in the process of raising a child. Some children have predisposing factors: decreased muscle tone, muscle imbalance, poor nutrition, genetically weak fixative ligamentous apparatus, etc.

But this is no excuse. With a properly organized regimen, rational physical activity, inclusion of elements of therapeutic gymnastics in the day regimen, and a balanced diet, the child develops a normal posture.

Everyone knows that at school you need to sit up straight and not hunch. But along with this there are still many reasons for concern.

  1. The child has a long bang, covering one eye, which causes the habit of tilting the head – because of this, the shoulder girdle is skewed and the spine deviates to the side.
  1. A schoolboy carries a bag on one shoulder, sits, leaning in one direction, engages in an asymmetric sport (tennis, fencing) – this is how a violation of posture develops.
  1. At the age of 13-14, teenagers who practice classical or folk dancing, have rhythmic gymnasts forming a flat back (the back of the habit and training to keep the back straight), which leads to the deviation of the spine to the side. This is because physiological bends are needed to cushion during shock during walking, and if they are not there, a lateral bend is formed.
  1. Gadgets (phone, tablet), when working with which the head is lowered, the child sits leaning forward. The result is stoop, “gadget neck”, “accounting tubercle”, “double chin”.
  1. The child has a small difference in the length of the legs (3-5 mm), which is a variant of the norm for a person, but this gives a distortion of the pelvis and a compensatory deviation of the spine to the side. Also, asymmetrical flattening of the feet (flat feet, valgus installation of the feet) will be the cause of the pelvic distortion.
  1. Psychological factor: remember the expression “hung his nose”, “slave pose”, etc. Often seeing the relationship of the parents with the child at a reception, even in the presence of an outsider, I personally want to hide, pull my head in my shoulders or shyly lower it, and the child lives and constantly hides “in itself”. The same thing happens in school.

The key to success is the desire of the parent and child, as well as consistency and efforts to strengthen the so-called muscle corset (daily for 30-40 minutes a day, gymnastics, constant control of the posture).

Violation of posture is treated comprehensively, so massage as a panacea and wearing a posture corrector are ways to clear conscience, not treatment.

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Types of Scolis

What is scoliosis? Scoliosis (Greek. Σκολιός – “curve”, Latin scoliōsis) – a three-plane deformation of the spine in humans. Curvature can be congenital, acquired and post-traumatic.

These scoliosis are called idiopathic (which means “unknown reason” in Greek). Such scoliosis occurs in girls about 4-7 times more often than in boys.

Idiopathic scoliosis has nothing to do with the so-called infant scoliosis, which manifests itself before the year of life and in which there are no abnormalities in the development of the bodies of individual vertebrae (in contrast to congenital scoliosis).

“Infant scoliosis” can disappear on its own. Idiopathic scoliosis occurs mainly in the phase of accelerated skeletal growth.

Scoliotic disease and causes of scoliosis

Scoliotic disease is a lateral curvature of the spine with mandatory rotation of the vertebral bodies (torsion), a characteristic feature of which is the progression of deformation associated with the age and growth of the child.

Scoliotic disease is a progressive (i.e. worsening) dysplastic disease of the growing spine of children aged 6-15 years (girls are 3-6 times more likely).

Let me explain, this is not a habit, this is a disease. And the best that can be expected from conservative treatment is the stabilization of the deformation or the slowdown in the rate of progression. Scoliotic disease is mainly treated promptly.

The remaining 20% ​​of scoliosis occurs due to:

congenital deformities of the vertebrae (for example, Klippel-Feil syndrome);

diseases of the neuromuscular system (e.g. polio);

abnormalities in the development of vertebral bodies;

connective tissue diseases, bone metabolism;

acquired spinal deformities after injuries and amputations due to accidents or operations to remove malignant tumors;

in children after heart surgery;

due to the pronounced difference in the length of the legs;

in adolescents with Scheuermann’s disease – Mau (“juvenile kyphosis”).

Which doctor treats scoliosis in children and adults

The traditional answer to the question “Which doctor treats scoliosis in adults and children”

Scoliosis is a curvature of the spine in the lateral plane, so it is not surprising when patients are sent to a specialist in the field of diseases of the musculoskeletal system – that is, to an orthopedist.

It should also be added here that scoliosis in children is very often combined with flat feet and valgus deformity of the legs, and in adults, curvature of the spine in the lateral plane provokes the development of a whole bunch of orthopedic diseases, such as early osteochondrosis of the spine, arthritis and arthrosis of the joints of the lower extremities and even halus valgus .

Therefore, it looks quite logical when the attending physician for scoliosis will be a specialist who can help get rid of all the above diseases.

An alternative answer to the question “Which doctor treats scoliosis in adults and children”

Nevertheless, as testimonials on online forums and statistical surveys conducted in the real world indicate, many patients prefer to contact scoliosis with alternative specialists – osteopaths.

Indeed, compared with traditional medicine, osteopathy has a number of advantages:

o treatment is aimed at finding and eliminating the causes of curvature of the spine (birth injury, etc.);

o osteopathy considers the body as an integral system capable of self-regulation, osteopathic techniques are aimed not only at correcting scoliosis, but also at restoring the disturbed functioning of internal organs and body systems;

o osteopathy is a relatively mild effect on the body, so osteopathic techniques have virtually no contraindications;

o Osteopathic doctors can alleviate the severity of scoliosis and relieve gross symptoms of spinal curvature even in cases where orthopedists offer exclusively surgical intervention.

The practical answer to the question “What kind of doctor treats scoliosis in adults and children”

In our Clinic of Restorative Medicine (SAO, Moscow), scoliosis treatment is carried out on the basis of osteopathic techniques. But, as our experience shows, the best effect can be achieved using a comprehensive individualized approach.

This is especially true for adult patients. After 25 years, the growth of the skeleton completely stops and the body “gets used” to its defect, therefore, in such cases, a comprehensive treatment is necessary that allows not only to smooth the severity of curvature of the spine, but also to fix the spinal column in the correct position.

Our clinic has developed special complexes of physiotherapy exercises that help to correct the curvature of the spine, develop proper posture and recreate the natural muscle corset, which will reliably protect the spinal column from recurrence of scoliosis.

In addition, it should be borne in mind that the pathological stress of certain muscle groups is an important mechanism for the development of spinal curvature. Therefore, important supporting procedures in the treatment and rehabilitation of patients with scoliosis are techniques that normalize the state of muscle tissue, such as:

As recent studies show, even in the very initial stages of scoliosis in children and adolescents, functional disturbances in cardiac activity may occur, therefore, it is often necessary to consult a cardiologist with an ECG.

In children, and especially in adolescents, the development of scoliosis is often associated with gross violations of posture. In cases where the usual stoop is caused by psychological complexes, the help of a psychotherapist will be needed.

I must say that it is extremely difficult for both adult and young patients to learn self-discipline in order to constantly monitor the position of their own body, developing proper posture. Therefore, in the most difficult cases, we offer our patients such a modern, completely safe method of correcting posture as artificial correction of movements.

In addition, the range of therapeutic measures to combat scoliosis includes the production of individual orthopedic insoles. The fact is that the curvature of the spine violates the normal distribution of the load on the foot, it is for this reason that scoliosis is often combined with flat feet.

Violation of the load on the foot, in turn, reduces its depreciation function, which is extremely negative for the spine. To break the vicious circle, we advise all our patients with curvature of the spine to use modern orthopedic insoles, made individually in accordance with the identified pathologies.

In order to sign up for an initial specialist consultation for free, call:

Shishkevich Vladimir
Shishkevich Vladimir
Orthopedic doctor, traumatologist
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I have been treating joints for many years. I can say with confidence that the joints are always treatable, even in the very ripe old age.

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Rheumatologist. For more than 20 years, he has been involved in the diagnosis, treatment and prevention of joint diseases. Specialization: diagnosis, treatment and prevention of diseases and deformations of the musculoskeletal system.

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