A: From the front or back, the normal spine should stand upright in a straight line. If it bends to both sides (left or right) in a "C" or "S" shape, the X-ray of the whole spine standing position shows that the scoliosis exceeds 10 degrees, which can be diagnosed as scoliosis.
2. Q: What are the manifestations of scoliosis?
A: Most scoliosis found in the early stage is asymptomatic, but there will be physical deformities, such as high and low shoulders, one shoulder blade protruding, unequal angle under the shoulder blade, one back muscle protruding when bending over, and the spinous process of the back is not a straight line. If the degree progresses to a certain extent, there may be problems such as low back pain, poor breathing, high blood pressure and secondary cervical spondylosis.
3. Q: What are the hazards of scoliosis?
A: Although the harm caused by adolescent scoliosis is often not fatal, it may have a very serious impact on the child's life. From the appearance, scoliosis will affect the height, which will make the child stunted and short; For girls, it will lead to uneven development of bilateral breasts and prominent ribs on one side, which will make children lack self-confidence and produce inferiority and autism; In addition, due to biomechanical changes, it will also affect the cervical spine and produce various symptoms of cervical spondylosis, such as headache and dizziness. Seriously, it will also affect the cardiopulmonary function, because scoliosis mostly occurs in the thoracolumbar segment. Severe scoliosis will lead to thoracic rotation deformity, reduced thoracic volume, affecting cardiopulmonary development, leading to decreased activity endurance, palpitation and shortness of breath and other symptoms.
4. Q: Will it develop into scoliosis in adulthood?
A: In adulthood, due to the influence of gravity and load, the lateral curvature above 35 degrees will develop slowly, with an average annual speed of 65,438 0 degrees, so it is necessary to control the development of lateral curvature through orthopedic gymnastics in adulthood.
5. Q: How to measure the degree of scoliosis?
Answer: The degree of scoliosis can only be determined by taking standing X-rays of the whole spine. Then measure the Cobb angle, that is, the degree of lateral bending, on the X-ray film.
6. Q: Why did you get scoliosis?
A: There are many reasons for scoliosis, which can be roughly divided into congenital and acquired. Congenital refers to the abnormal development of spinal column in fetal stage before death. The critical period of embryonic spinal development is the fifth and sixth weeks of pregnancy, which is the time of spinal segmentation. If the fetus is affected by drugs, viruses and physical and chemical factors during this period, it is easy to have spinal dysplasia.
Acquired scoliosis mostly occurs in adolescence, and the cause of adolescent scoliosis is still unclear, but generally speaking, it will not occur simply because of the incorrect sitting position or sleeping posture or the wrong way to carry a schoolbag. However, it is more internal reasons, which are related to abnormal development, neuromuscular imbalance, endocrine imbalance or impaired balance regulation function. At present, there is no way to predict who will get adolescent scoliosis and who will not. Others are scoliosis caused by other diseases, such as neurofibroma, chubby Willie's disease, spina bifida and so on. This scoliosis usually needs to be cured first.
7. Q: Is scoliosis hereditary?
A: Although some patients have a family history of scoliosis, most patients will not pass on scoliosis to the next generation.
8. Q: Is the incidence of scoliosis high?
A: The incidence of scoliosis is actually not low, about 5%, that is, 5 out of every 100 people get sick, but most of them are mild. Scoliosis can only be seen if you wear tight clothes above 30 degrees, and if you wear less tight clothes above 40 degrees. The incidence of scoliosis above 40 degrees is much lower, about three thousandths.
9. Q: Is there a difference in the incidence of scoliosis between men and women?
A: Acquired scoliosis, especially adolescent idiopathic scoliosis, girls are obviously more than boys, with a ratio as high as 9: 1, especially tall and thin girls.
10. Q: How should parents check whether their children have scoliosis?
A: Parents can carry out the "six-step screening method" for scoliosis at home. If one or more steps are positive, the child should be taken to a 3A hospital for standing X-ray examination of the whole spine (including cervical vertebrae, thoracic vertebrae, lumbar vertebrae and pelvis).
1 1. Q: If scoliosis really exists, how should it be treated?
A: Generally speaking, lateral bends within 10 degrees need to receive sports rehabilitation training and regular X-ray observation; /kloc-For lateral bends above 0/0 degree, you need to learn targeted orthopedic gymnastics, such as schloss intensive exercise, in which 20-70 degree lateral bends need orthopedic gymnastics and braces.
12. Q: Is brace treatment not needed within 20 degrees of scoliosis? Why?
Answer: The corrective effect of braces is directly proportional to the degree of scoliosis. The greater the degree, the greater the correction space of braces. If the degree is very small, less than 20 degrees, the correction effect of the brace is limited, which may limit the child's thoracic development, so it is best to wait until the degree exceeds 20 degrees before considering the brace treatment.
13. Q: If you don't wear braces and just shoot regularly, how often do you shoot?
A: If it is at the peak of children's development, shoot 1 time every 6 months. After 18 years old, you can shoot 1 time every 1 year.
14. Q: If the degree is 20-40 degrees, what is the brace treatment?
A: Brace therapy must be tailored by a professional brace teacher. Don't simply buy a back brace. The back brace can only remind you of hunchback, but it has no correction effect. It is useless for real scoliosis. The braces must be worn for 20-22 hours every day, including when sleeping. You can only take a shower or exercise without wearing it. As children grow taller, braces need to be replaced once a year. Girls usually wear it for at least 2 years after menstruation.
15. Q: What are the precautions for brace treatment?
Answer: After the brace is finished, you have to wear it to take a new photo to see the effect of the brace correction. You have to wear it for 1 hour to take a photo. The effect at this time is the effect of brace correction, and you can also feel whether the brace is suitable. If you feel uncomfortable, you can ask a technician to adjust it.
It is necessary to take off the brace 4 hours in advance every six months to truly reflect the current degree. Because the degree will rebound after taking off the brace, but everyone will rebound to different degrees. We need to look at the real degree after the rebound when we review the filming.
16. Q: What should I pay attention to in my diet?
A: Patients with scoliosis don't need to pay too much attention to diet, so they can eat normally.
17. Q: Is scoliosis related to schoolbags? How much should the schoolbag weigh?
A: One-shouldered schoolbags or overweight schoolbags may accelerate the formation of adolescent scoliosis. The weight of the backpack should be controlled below 10% of the backpacker's weight, preferably a backpack, and the strap should be as wide as possible, not too loose.
18. Q: Will watching TV and playing computer and mobile phone for a long time affect the health of spine?
A: Working or studying in a fixed posture for a long time, bowing your head for a long time, lying on the sofa on your side and other bad habits will cause excessive strain on the neck and back muscles, weaken the ability to protect the spine, and lead to dislocation of the spine joints, such as upper limb weakness, finger numbness, lower limb weakness, difficulty walking, dizziness, nausea, vomiting, and even discomfort symptoms such as blurred vision, tachycardia and dysphagia. It is suggested that friends who watch TV, use computers and play mobile phones for a long time should pay attention to the combination of work and rest and take a break of 5- 10 minutes every 40 minutes. You can drink some warm water when you rest, and slowly move your neck muscles by pressing back and forth. At the same time, hanging horizontal bar training is feasible.
19: Can I hang the horizontal bar in scoliosis?
Answer: If the physiological curvature of the spine exists, you can hang the horizontal bar 1~2 minutes in the morning and evening; If the physiological curvature disappears, it is not suitable for hanging the horizontal bar. Hanging the horizontal bar may reduce the physiological curvature. The standing X-ray film of the whole spine can show the physiological curvature of the spine.
20. Q: Can I wear braces for exercise?
A: No, if you exercise with braces, it will increase the friction between braces and skin and damage the skin, so you must take off braces when exercising.
2 1. Q: How to care for the skin after wearing braces?
Answer: After taking a bath every day, you can apply aloe vera gel to places where there is friction or support. If the skin is damaged, you should consult a doctor immediately, stop wearing braces, and wear them after the damaged part heals.
22. Q: Can scoliosis go to physical education class? ?
A: If the degree is below 30, you can participate in physical exercise normally. If the degree exceeds 30, pause the physical education class to avoid bouncing and weight-bearing exercise.
23.？ Do adults find scoliosis can be corrected?
A: Adult scoliosis can be improved by targeted corrective training. At this time, bone development has ended and tends to be stable, and the possibility of degree reduction is relatively low. Unless there are more than 6 hours of training every day, it is possible to reduce the degree.
24.？ Q: When is the golden period of treatment?
A: The first 10 months of menarche for girls and the last two years of voice change for boys are the peak periods of growth and development, when the bone growth potential is the highest. If the spine is treated correctly during this period, the treatment effect will be the best.