True scoliosis is a complex disease that is accompanied not only by asymmetrical posture, but also by “twisting” of the vertebrae, structural (at the bone level) deformation of the vertebral bodies and requires mandatory treatment. This is what the rehabilitation specialist and instructor at the anatomy studio Evgeniy Babydov told socialbites.ca.
“There are two fundamentally different conditions: scoliotic posture disorder (asymmetrical posture) and scoliotic disease. The first is a visual cosmetic defect; The patient may have different shoulder heights, pelvic tilt, and other signs of asymmetry that are also present in scoliosis. However, in this disease, the vertebral bodies also rotate relative to each other and deformation occurs in the vertebral bodies, meaning true scoliosis is a three-plane disorder. Speaking to socialbites.ca, Babydov said that scoliosis disease can be suspected during visual examination or tilt test, but can only be confirmed with the help of x-ray.
In addition to X-ray examination, there is also computerized optical topography. In this study, a light grid is projected onto the surface of a person’s back and sensors are attached to the spinous processes of the spine and pelvic bones. Then, muscle imbalances, spinal curvature and spinal rotation are determined with a special photo analysis program.
“Studies have shown that optical computer diagnostics are close to X-rays in terms of accuracy in detecting scoliosis. Since the method does not use radiation exposure, there are no restrictions on the frequency of application. This is important for patients being treated for scoliosis: they need to monitor progress frequently; The less exposure you have to radiation, the better,” the instructor explained.
As the expert notes, asymmetrical posture, especially in childhood and adolescence, is rarely accompanied by significant pain. In scoliotic disease, especially if left untreated, structural changes in the ribs and vertebrae may be accompanied by progressive pain and respiratory dysfunction.
“There are many causes of back pain. For example, lower back pain in adults may be associated with poor posture or intervertebral hernia. In the latter case, the pain is often felt like an electric shock in the legs. In kidney, intestinal, pancreatic diseases and gynecological diseases, pain can also “give” to the lumbar region. First “It is recommended to first exclude serious diseases and only then consult a specialist with postural disorders and suspected scoliosis disease. Back pain in children is rarely associated with poor posture and therefore always requires a visit to a doctor,” concluded Babydov.
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