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Scoliosis is the development of an unnatural sideways bending curvature, and the spine also twists or turns into the concavity of the scoliosis, making it a true three-dimensional condition. Scoliosis is a progressive condition by nature, meaning it worsens over time. Scoliosis ranges in severity from mild to moderate to severe to very severe. It can become particularly progressive during specific times of development, especially during pubescent growth spurts, which normally trigger rapid progression in adolescent cases. In adult cases, we don't expect rapid progression; it tends to be more slow, steady, and compressive over time. However, there is an increased rate of progression in later stages of life.
There are different types of scoliosis, typically determined by their causation. The most common type is idiopathic scoliosis, which we will discuss in a moment. Another type is neuromuscular scoliosis, which occurs when there is a larger neuromuscular condition, such as cerebral palsy, Marfan syndrome, or neurofibromatosis. In these cases, scoliosis is diagnosed as neuromuscular scoliosis. Degenerative scoliosis is an adult-onset type that occurs when the spine unnaturally degenerates in a certain area, typically the lumbar spine. This degeneration is asymmetrical, leading to curvature, and it is usually diagnosed in people aged 60 to 70, with pain and stiffness often prompting the diagnosis.
Congenital scoliosis occurs when a person is born with scoliosis due to a malformation of one of the vertebrae in utero. Sometimes, these curvatures cause atypical curves, meaning that, in most idiopathic cases, we see a left lumbar and a right thoracic scoliosis. In these congenital cases, we might see a right lumbar and a left thoracic scoliosis, with the spine bending towards the heart and the thoracic spine.
Idiopathic scoliosis is diagnosed when none of the other types are present, meaning the cause of the scoliosis is unknown. This condition is considered multifactorial, meaning many different combinations of variables can lead to its development. Idiopathic scoliosis comprises over 80% of cases. Despite ongoing research, no specific gene or gene mutation has been identified as the cause. However, scoliosis can be familial, meaning it tends to run in families, although it is not purely genetic. Environmental factors such as diet, lifestyle, and stress responses can also play a role.
Even though the cause of idiopathic scoliosis is not fully understood, it can still be treated. By the time scoliosis is diagnosed, particularly in adolescents, the curves are often structural. Therefore, treatment focuses on addressing the structural nature of the curve, regardless of its initial cause. Early and proactive treatment can lead to significant improvements and reductions in idiopathic scoliosis. Conservative treatments include scoliosis-specific chiropractic care, physical therapy, corrective bracing, scoliosis rehabilitation, and neuromuscular education, all combined uniquely for each patient.
At the Scoliosis Reduction Center, we use a proactive, conservative treatment approach to reduce curves. We treat scoliosis structurally, aiming to achieve the best possible results. Early diagnosis and treatment are crucial for better outcomes.
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00:00 What Is the Cause of Idiopathic Scoliosis?
00:56 Different Types of Scoliosis
02:44 Idiopathic Scoliosis
03:34 Genetics & Idiopathic Scoliosis
04:54 Can We Treat Scoliosis If We Don't Know The Cause?
06:27 What We Look At When We Treat Scoliosis
07:41 The Scoliosis Reduction Center Benefits
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