Considerations for New York City Scoliosis Patients
Scoliosis is not a condition all New York City parents, families or persons have to consider. For those whose lives or loved ones’ lives are affected by scoliosis, New York City scoliosis is a big consideration. Rosenberg Wellness Center shares these new findings about New York City scoliosis development and treatment of scoliosis.
CAUSES OF New York City SCOLIOSIS: PHYSICAL ACTIVITY AS YOUTH
Being physically active is a customary recommendation for New York City chiropractic patients. It is important for all New York City kids and especially for kids at risk for scoliosis. Recent research on the mechanism, diagnosis and treatment of spinal scoliosis - though not very much is understood about the origins of adolescent onset idiopathic scoliosis (AIS) – verified that reduced physical ability and activity in those who go on have scoliosis by age 15 was noted as early as age 18 months. Those children who did more objectively measured moderate/vigorous physical activity at age 11 were 30% less likely to develop scoliosis. (1) Rosenberg Wellness Center knows New York City parents will want to keep their kids moving!
New York City SCOLIOSIS TREATMENT: OUTCOME PREDICTION
Beyond understanding the development of scoliosis, treatment of scoliosis intrigues New York City scoliosis patients. The spine itself may help predict its respond to New York City chiropractic treatment. A significant tilting of the L3 and L4 vertebrae at skeletal maturity, especially one greater than 16°, foretells future curve progression and low back pain in adulthood. (2) Such a spine with adolescent idiopathic scoliosis profits from spinal mobilization and therapeutic exercise. They both may decelerate the progression of the curve and decrease the already increased magnitude of the curve. A form of spinal manipulation called Cox® Flexion Distraction spinal manipulation involves spine distraction with mobilization of vertebral segments into their normal ranges of motion. This may allow increased mobility and help in stopping curve progression and in decreasing the curvature. (3)
New York City SCOLIOSIS TREATMENT: SPINAL MOBILIZATION
A new study presented support for spinal mobilization of scoliosis spines. Researchers discovered significant improvements in the neutral angles of both the lower thoracic spine curve and the lower lumbar spine curve after triple-treatment trunk stretching. Triple-treatment trunk stretching may well improve the spinal curve as well as the physical fitness status of the scoliosis patient. (4) Again, Cox® flexion distraction manipulation stretches the basic anatomical posture of scoliosis.
New York City SCOLIOSIS TREATMENT: SURGICAL VS NON-SURGICAL
Definitive evidence of the clinical expectations and outcomes of non-surgical and surgical care for adolescent idiopathic scoliosis (AIS) is scarce. While AIS can advance during the growth years and cause a surface deformity, it is typically not symptomatic. Nevertheless, the risk of health problems and curve progression rises if the final spinal curvature reaches or goes over a certain point. Scoliosis-specific exercises, bracing, and surgery are more standard interventions to stop the progression. The main aims of all types of interventions are to correct the deformity, prevent further deterioration of the curve, and restore the spine’s asymmetry and balance. Additionally, minimizing morbidity and pain and permitting return to full function are also important. Surgery is normally suggested for curvatures over 40 to 50 degrees to stop the curvature. There are many reports of short-term (few months) favorable surgical treatment outcomes but not many long-term outcomes (more than 20 years). For those with curves over 45 degrees, there are no randomized controlled trials and prospective controlled trials comparing spinal fusion surgery with non-surgical interventions in people with AIS with a Cobb angle greater than 45 degrees to say one is better. (5)
New York City SCOLIOSIS TREATMENT: CHIROPRACTIC
Chiropractic medicine can be first line care for AIS. The chiropractor determines the curvature angle and sets up a New York City treatment plan that can include spinal manipulation, specialized exercises, postural control, and bracing. If needed, interdisciplinary care will be assimilated into the New York City chiropractic treatment plan. Concerning chiropractic Cox® Technic spinal manipulation, consider the study (6) regarding stiffness of the thoracic spine which is the main area of the spine affected by scoliosis. This study found that changes in spinal stiffness with chronic thoracic pain demonstrate correlation with pain and muscle activity. Spinal stiffness is intensified in chronic spine related pain. Increased spine motion is a aim of non-surgical treatment of scoliosis whether in the adolescent or middle to older aged individual.
CONTACT Rosenberg Wellness Center
Listen to this PODCAST about Cox® Technic chiropractic care of scoliosis told by Dr. Roberto Branca, an Italian chiropractor using Cox® Technic, on The Back Doctors Podcast with Dr. Michael Johnson. He discusses how he helps keep an active woman who has scoliosis active.
Schedule your New York City chiropractic visit. Considering all the treatments available for New York City scoliosis is key to the adolescent or adult with scoliosis as well as his/her family. Rosenberg Wellness Center teams up with New York City scoliosis patients and their families to plan the right path for spinal mobility, strength, and health.
