What is Scoliosis?
Scoliosis is a sideways curvature of the spine that visually shows a C- or S-shaped spine. It can affect any part of the spine, but the most common regions are at the level of the chest and the lower back. Scoliosis can appear at any age but it often presents from the age of 10 to 12 years or during the teens. Infants can sometimes have symptoms as well.
Types of Scoliosis
We provide expert care for various types of scoliosis, helping patients in Singapore manage their condition effectively. Here are the most common types:
1. Idiopathic Scoliosis
Idiopathic scoliosis is the most frequently diagnosed type, especially in adolescents. While the exact cause is unknown, it often occurs during periods of rapid growth. If left untreated, the spinal curve can worsen, affecting posture and movement. Early intervention is key to managing idiopathic scoliosis in Singapore and preventing long-term complications.
2. Congenital Scoliosis
Congenital scoliosis results from abnormal spinal development in the womb. Babies born with this condition may exhibit spinal curvature from a young age. The degree of severity can vary, but prompt treatment can help manage symptoms and support healthy growth in affected children.
3. Neuromuscular Scoliosis
This type of scoliosis develops due to neurological or muscular conditions such as cerebral palsy or muscular dystrophy. Neuromuscular scoliosis often progresses quickly and may require a combination of therapies to manage effectively.
4. Degenerative Scoliosis
As we age, wear and tear on the spine can lead to degenerative scoliosis. This condition is more common in older adults and often arises from spinal disc degeneration or arthritis. Patients in Singapore experiencing back pain or posture changes can benefit from our comprehensive treatment options.
5. Functional Scoliosis
Functional scoliosis occurs when the spine curves due to external factors like muscle spasms or differences in leg length. Addressing the underlying cause often resolves the curvature.
Causes of Scoliosis
Scoliosis can develop for various reasons. Here are some of the key causes that we address:
1. Idiopathic Causes
The majority of scoliosis cases are idiopathic, meaning the cause is unknown. While this type is most common in adolescents, early detection and treatment in Singapore can help manage its progression and minimise long-term effects.
2. Neurological Conditions
Conditions such as cerebral palsy and muscular dystrophy can affect the muscles and nerves that support the spine, leading to scoliosis. These patients often require specialised care to manage their symptoms and maintain mobility.
3. Congenital Factors
Scoliosis can be present from birth due to improper spinal development in the womb. This congenital form can cause varying degrees of spinal curvature, but with early intervention, children can often enjoy normal growth and movement.
4. Spinal Degeneration
Age-related degeneration of the spine can lead to scoliosis in older adults. Degenerative scoliosis typically results from weakened intervertebral discs or joints, often accompanied by pain or postural changes.
5. Trauma and Injury
Injuries to the spine, such as fractures or dislocations, can lead to scoliosis if the spine does not heal properly. Rehabilitation can help patients regain proper alignment and prevent further complications.
Scoliosis severity is measured by the degree of spinal curvature:
- Mild (10-20 degrees) – Minimal symptoms, often managed through non-invasive treatments.
- Moderate (20-50 degrees) – More noticeable curvature that may require physical therapy or bracing.
- Severe (greater than 50 degrees) – This level often impacts movement and may require surgical intervention to correct.
Symptoms of Scoliosis
Recognizing the symptoms of scoliosis early is important for effective treatment. Here are the common signs:
1. Uneven Shoulders
One of the earliest signs of scoliosis is uneven shoulders, where one may sit higher than the other. This is often noticed during routine health screenings or by family members.
2. Uneven Waist
Scoliosis can cause an uneven waistline, which may become more apparent as the curvature progresses. This can lead to discomfort when sitting or standing for long periods.
3. Prominent Shoulder Blade
As the spine curves, one shoulder blade may protrude more than the other, creating a noticeable asymmetry in the back. This is a common reason patients seek scoliosis treatment in Singapore.
4. Uneven Hips
A curved spine can lead to one hip sitting higher than the other, affecting posture and balance. This can make everyday activities like walking or running uncomfortable for scoliosis patients.
Spinal Rotation
In advanced cases, scoliosis can cause the spine to twist or rotate, resulting in ribs protruding on one side. This may create an uneven chest or back appearance.
Scoliosis Treatment
1. Manual Therapy
Manual therapy is an effective treatment for joint and muscle dysfunction caused by scoliosis. Through gentle manipulation techniques, our therapists work to correct spinal alignment and relieve pain. This hands-on approach helps patients regain movement and flexibility without invasive procedures.
2. Strengthening and Endurance Training
Strengthening the muscles around the spine is crucial for managing scoliosis. Our physiotherapists guide patients through exercises that improve core strength, helping to stabilise the spine and prevent further curvature. Endurance training enhances muscle stamina, supporting better posture and reducing discomfort during daily activities.
3. Posture Correction and Self-Management
Proper posture is key to preventing scoliosis from worsening. We teach patients techniques to maintain correct posture while sitting, standing, and sleeping. Self-management strategies empower patients to take an active role in their recovery, ensuring long-term success.
4. Flexibility and Mobility Training
Maintaining spinal flexibility is important for scoliosis patients to avoid stiffness and discomfort. Our mobility exercises are designed to enhance range of motion in the spine and surrounding muscles, making everyday movements more comfortable and natural.
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Professional Guidance and Support
If you are unsure about any aspect of your scoliosis or its treatment, it’s crucial to seek professional advice. Our dedicated team of physiotherapists is here to guide you through the rehabilitation process, ensuring your treatment plan is tailored to your specific needs for the best possible outcomes.