The degree of left-sided scoliosis and methods of its treatment

Scoliosis is presented in the form of a common pathology, which is characterized by side curvature of the vertebral base. The direction of the scoliotic arc can be right- or left-sided, this factor determines the name of the disease. Left-sided scoliosis is most common among schoolchildren, but the positive side of the aspect is that at this age the disease is not too pronounced and the problem is easy to fix.

Scoliosis in a simple form is characterized by one pathological arc, while in a complex form, the disease is accompanied by two or more arches. The diagnosis of the initial stage in the vast majority of situations is random and occurs during a routine examination or during treatment of concomitant problems.

Degrees of pathology

Only a specialist is able to pay attention to pathological deformities of the spine, while the patient will not be bothered by serious problems, especially in the first stages. In general, it is customary to distinguish four degrees:

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Causes

The origin of the disease in question may be due to various factors, but the main causes can be grouped as follows.

  1. Idiopathic scoliosis is determined if the root cause could not be found even through a thorough examination. During a period of active skeletal growth, the risk of curvature formation increases.
  2. Acquired disease has been steadily developing over decades, and women are more likely to suffer from this form.
  3. Congenital left-sided scoliosis is often associated with abnormal processes at the stage of spinal formation. This form of pathology is a rare case, which may be due to the presence of an excessive number of ribs or vertebrae.

The systematic flow to the second stage will be a natural consequence of ignoring the need to change the way of life. Nevertheless, conservative treatment is effective even at these stages. Treatment of left-sided scoliosis in progressive stages with visually visible or invisible signs is possible if an examination is carried out in time.

It is in childhood that the disease begins to develop, therefore already at this stage it is necessary to strictly monitor posture. All school-age children go through three stages of development, which are characterized by special anatomical changes. It is they that can serve as the cause of the development of the disease.

  • At the age of 8 years, the structure of the vertebrae is still cartilaginous;
  • 8-14 years – the formation of the first ossified areas on the arches and processes;
  • 15-17 years – the spine goes through the final stage of formation.

At the last stage, the intervertebral discs and the vertebrae themselves are combined into a single system, which the individual will use until the end of his life. The most effective and fast treatment is possible at the stages when the vertebrae are at least partially composed of their cartilage tissue. The older the person, the more difficult it is to adjust the shape of the spine.

Classification

In the initial stages, the patient’s disease does not bother, so there is no targeted treatment. Most often, left-sided scoliosis accompanies more serious diseases, including osteochondrosis and intervertebral hernias. Among subspecies of left-sided scoliosis, one can distinguish thoracic, lumbar, and also combined.

Shishkevich Vladimir, orthopedic and traumatologistShishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.

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Breast

The reason for the formation of left-sided chest scoliosis is primarily in the absence of active movements during the day or in the habit of sleeping exclusively on the right side. Among the secondary reasons, it is worth highlighting birth trauma. Carrying weights in the right hand can also be a predisposing factor. Athletes are subject to left-sided scoliosis of the thoracic region, no matter how absurd it sounds, due to myositis and regular load on certain muscles. As a result, the spine shifts to the side opposite to the side where the muscles are strained.

External signs of the initial stage are practically absent, as well as manifestations of discomfort. Therefore, the patient does not take any therapeutic measures, although it was at this stage that treatment could be most successful. If the progress of the pathology continues, we can expect an early development of the right-sided compensation arch in the cervical or lumbar spine.

In the first case, the reason is the need to stabilize the position of the head, while in order to maintain balance, lumbar right-sided scoliosis is formed.

If left-sided scoliosis of the thoracic spine progresses further, the internal organs located on the right side begin to work unstably, cardiac activity is disturbed, and pulmonary failure is formed.

Lumbar

Left-sided lumbar scoliosis in the vast majority of cases does not progress. Experts are convinced that the pathology is localized in a zone that borders the physiological center of gravity of the trunk relative to the curvature arc. Even if secondary arcs are formed, they are expressed to a small degree, especially if they are located below the primary arc. However, the vast majority of cases are not 100% of situations, so the progress of the disease can still be observed.

The consequences are especially noticeable in old age, and the symptoms are represented by the following symptoms:

  • Problems with physical activity;
  • Visually noticeable curvature of the silhouette;
  • Improper position of the hips leads to an awkward gait;
  • A prolonged stay in one position provokes a feeling of fatigue;
  • Pain is localized in the sacrum or lower back.

Asymmetry of the back muscles leads to left-sided scoliosis of the lumbar region in combination with lowering or bulging of the hips and a significant increase in the bends of the spine.

Among them, the gall bladder, intestines, liver and one of the kidneys. Nevertheless, such complications are an extreme case and arise only when ignoring the disease for decades.

Thoracolumbar

The combined form or thoracolumbar scoliosis involves the defeat of two parts of the spine simultaneously. The first stages of the pathology are treated very successfully, and the use of conservative methods can achieve excellent results in 80% of cases.

Diagnostics

In most cases, examinations by a specialist are not enough to diagnose the disease in question with a % guarantee. Additional diagnostic studies should include MRI, CT and radiography, thanks to which it is possible to find the location of the focus of the disease and determine the magnitude of the angle of deviation. The course of treatment is developed on the basis of an accurate diagnosis.

Treatment

Early diagnosis and treatment can not only stop the progress of left-sided scoliosis, but also significantly improve the patient’s condition.

Choosing between conservative and surgical methods of treatment, it is customary to give preference to conservative, especially when it comes to young patients.

Manual correction is also an important component of therapy. Manual therapy should complement the wearing of a corset and gymnastic exercises. As soon as the doctor notes significant changes for the better, it is worth consolidating the result through visits to the physical cabinet and massage courses.

Throughout therapy, it is not recommended to engage in sports where only one arm should be involved, for example, badminton or tennis. It is better to prefer skiing, rowing, basketball, swimming or gymnastics. The load on both hands should be the same.

Therapeutic exercise

Treatment in this case is carried out on an outpatient basis and is primarily aimed at restoring the flexibility and strength of the ligaments and muscles of the vertebral corset. To this end, gymnastic exercises developed by a specialist are performed depending on the form and type of scoliosis, as well as the degree of its progression. Additional posture correction should provide a special corset, which is also selected by a doctor.

Exercise therapy for left-sided scoliosis is performed under the supervision of a doctor in a supine, standing and abdominal position. Over time, independent execution of a complex selected by a specialist is allowed. Exercises for left-sided scoliosis must be performed on a daily basis, it is advisable to divide the entire complex into the morning and evening approach. Supplementing the exercises is by occupations in the pool 3 times a week. It is advisable to conduct classes with a rehabilitologist.

Massage

As for massage, the course is better to take a couple of races per year for 15 sessions. On the concavity side, relaxing techniques should be directed, while in the convexity zone the muscles should be stimulated. The purpose of the massage is to enhance the nutrition of tissues around the spinal column, as well as to strengthen the muscle corset.

Physiotherapy

Physiotherapy for the pathology under consideration is represented by ultrasound for the relief of pain symptoms, as well as magnetotherapy and muscle electrical stimulation. Mud therapy, Sharko shower, as well as sea and sodium chloride baths are advisable in dispensaries. The final choice should be made by a physiotherapist, taking into account all the nuances of the clinical picture and the general physiological condition of the patient.

Surgical intervention

Physiotherapeutic and manual treatment is not suitable for everyone, in addition, the search for a truly qualified manual therapist often turns into a problem. In the later stages, general muscle strengthening and a rollback of the pathology to the previous stage are enough. While the disease is treatable, it is advisable to use conservative methods if the activity of internal organs is not disturbed. Some cases allow extracting in a clinic or at home, but the decision always remains with the doctor, especially if it comes to the last stages.

Shishkevich Vladimir

Shishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews. It specializes in the treatment of diseases in orthopedic, traumatological, vertebrological profiles

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