Scoliosis in Adolescents

Normally, a spine when viewed from rear should appear straight but if the spine is lateral or curved or sideways or rotated then it is affected by scoliosis. It gives an appearance as if the person has leaned to a side. According to Scoliosis Research Society the definition of scoliosis is the curving of the spine at an angle greater than 10 degrees on an x-ray. Scoliosis is a kind of spinal deformity and shouldnt be confused to poor posture. Usually there are 4 common kinds of patterns of curves experienced in Scoliosis which are: Thoracic wherein the right side has ninety percent curves, lumbar wherein left side has seventy percent curves, thoracolumbar wherein right side has eighty percent curves and double major where both right and left sides have curves.

In majority of the cases, as high as eight to eighty five percent, the cause of the deformity is unknown, this is also known as idiopathic scoliosis. It is observed that females have scoliosis more commonly than males. According to some established facts 3 to 5 children per 1000 has chances of developing spinal curves which is a number big enough requiring medical treatment. There are three types of scoliosis that can develop in children namely congenital, neuromuscular and idiopathic. Congenital scoliosis is seen in 1 out every 1,000 births which is caused due to vertebraes failure in normal formation, vertebrae is absent, vertebrae is formed partially and vertebrae is not separated. Neuromuscular scoliosis is linked with various neurological conditions and particularly in children who dont walk like cerebral palsy, muscular dystrophy, spina bifida, tumors in spinal cord, paralytic conditions and neurofibromatosis. The cause of third type of scoliosis called Idiopathic scoliosis is still unknown. It is further divided into infantile, juvenile and adolescent scoliosis. Infantile scoliosis occurs up to the age of 3 years from birth wherein the vertebrae curve is towards left and is more frequently observed in boys. The curve takes normal shape with the growth of child. Juvenile scoliosis is common in children of age three to nine. Adolescent scoliosis is common in kids of age ten to eighteen and this is also the most common form of scoliosis occurring more in girls than boys.

The other possible causes of the deformity include hereditary reasons, different lengths of legs, injuries, infections and tumors. There are numerous symptoms attributed to scoliosis which can vary from individual to individual. The symptoms are: Difference in heights of the shoulders, off-centered head, difference in the height or position of the hip, difference in the position or height of shoulder blade, different arm lengths in straight standing position and lastly different height back sides when the body is bent forward. Other symptoms include leg pain, back pain and change in bladder and bowel habits do not belong to the symptoms of idiopathic scoliosis and require medical checkup by a doctor. The symptoms may be similar to other problems related to spinal cord or other deformities or could result from an infection or injury and consulting a doctor is the best bet in this situation who may conduct diagnosis to know what exactly it is.

The diagnosis of scoliosis requires thorough medical history of the teenager, diagnostic tests and also physical examination. The doctor asks for entire prenatal history, birth history and also would want to know if anyone in the family has scoliosis. The doctor may also ask for the milestones related with the development of the teenager since some kinds of scoliosis are known to be related to neuromuscular disorders. The delay in development may need additional medical evaluation. Doctor may also prescribe x-ray, CT scan and MRI scan of the back to measure the degree of curvature in the spinal. There are various treatments available for scoliosis which is decided by the physician depending on teenagers age, medical history and health in general. The method of treatment also depends on the extent to which disease has reached. The tolerance of the teenager to certain medicines, therapies and procedures are also taken into consideration. Expectations and opinion of the parents or teenager is also the criteria in deciding the type of treatment. The main aim of the treatment is stop the curve from progressing and avert deformity. The treatments include observation and repetitive examinations, bracing and surgery to correct the defect.

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Arthritis exercise

Arthritis exercise
Robert Kokoska

Thinking about exercise and arthritis? It is not uncommon for
people to show their horror at this thought. For many years it
was believed that arthritis and exercise doesn’t go hand in
hand. However a recent study has revealed that exercise can in
fact help people with arthritis. Additionally exercise is
becoming a vital tool in managing arthritis.

Regular exercise helps in improving the flexibility of the
joints, decreasing pain and rigidity in the joints. It also
helps in improving the general muscular structure of the body.
Besides it brings extra benefits as well which includes, better
overall fitness, more self-esteem and lower levels of
depression.

This article aims to deal with several exercise approaches that
can be used by arthritis patients to get pain relief and manage
arthritis more effectively.

Range of motion exercises involves trying to
move the joints in all possible directions. It is more of a
gentle exercise. It needs to be carried out on a regular basis
in order to decrease the rigidity of the joints and avoid
deformities. This exercise becomes more important for arthritis
patients who tend to avoid much joint movement due to high
inflammatory pain.

It is believed by some people that normal day activities like
dressing, bathing, housework are a substitute for ROM exercises;
however this is not the case.

Strengthening exercises are used in everyday
life to improve the muscular structure of the body, which allows
the body to withstand pain more easily. Similar arthritis
patients can use this exercise to help build strong muscles,
which will lead to more stable joints and less pain. This type
of exercise comes in two packages, which includes isotonic and
isometric.

Isometric exercises are used in conditions where the joint
motion is impaired. It involves tightening the muscles without
moving the joints.

Isotonic on the other hand, involves tightening the muscles in
coordination with joint movements.

Endurance exercises involve bringing the heart
beat level of your heart to an optimal level for a short period
of time. This optimal level of heart performance is acquired on
the basis of the patient’s age and physical condition using
computer. It helps in improving the cardiovascular fitness. In
order to increase the effectiveness of these exercises, these
shall be undertaken around 3 times a week. Carrying out theses
exercises helps patients achieve better physical strength and
improve mental attitude.

There are several exercises that be can undertaken by an
arthritis patient. Walking is an ideal choice. It helps in
building strength and improves mobility of the joints. It is
also helpful for maintaining bone health.

Similarly running can bring about pain relief to arthritis
patients. Research has shown that running on soft surfaces
doesn’t cause osteoarthritis. This is a good option for people
suffering from less extreme version of arthritis.

Yoga has long been an ultimate exercise for arthritis patients.
Yoga can help bring relief to joints, decrease pain and relax
muscles. It is also a good range-of-motion exercise as it
includes controlled movements, maintaining pressures, and deep
breathing relaxation. However this exercise must be carefully
used if the condition is getting worse rapidly and try not to
put pressure on the inflamed joints.

Cycling can be used as a low level exercise option. This
exercise can be carried in either position; freestanding or
stationary. Additionally, cycling equipment can be fixed and
altered according to the condition of the patient, in order to
make the experience easier and less physically imposing.

The aforementioned exercises give an insight into possible ways
of improving the health of patients suffering from arthritis. In
order to effectives of each technique it is essential to be
consistent. The exercise shall be started on a low note and then
build up gradually in order to allow the body to adjust to the
outside pressure.

Also it is important to keep in mind, that each exercise shall
be carried within its own limit. Excess exercise during
flare-ups can worsen symptoms. However before the exercise is
undertaken, it is important to contact your nearest doctor and
seek professional advice as each case of arthritis shall be
dealt on an individual basis. This can be help in seeking a more
effective approach to this condition.

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How to Avoid Needing a Chiropractor

Chiropractic care has many benefits. It relives pain for either a longtime or permanently. Although you do not need a reason to seek chiropractic care, because this natural form of medicine is safe, most turn to a chiropractor when in pain. If you are uninsured or have coverage that does not extend to chiropractic care, you want to limit your visits. How can you reduce the need for a chiropractor?

With good posture. Poor posture is the leading cause of back and neck pain. It is important to sit up straight, but vital when sitting at a desk or computer eight hours a day. If you have slouched for years, still visit a chiropractor. They can see if any damage has been done and fix it. Then, work on correcting your posture. Each time you find yourself slouching, sit up straight.

With good exercise habits. Those who want to lose weight, rely heavily on exercise to achieve their goal. Unfortunately, many make costly mistakes. These mistakes include overdoing it and poor exercise habits. Lifting weights is good for building muscle strength, but it is easy to damage the back, spine, and other joints. Hold all weight right and choose a low weight. Never overdo it. Stop exercising when tired.

With ideal weight. Not only should you exercise, but eat healthy too. When combined these should result in weight loss or the maintaining of a healthy body weight. Those who are overweight or obese are at an increased risk of back pain, neck pain, and knee pain. The body can carry around excess weight, but it isnt healthy. Lose weight, maintain a healthy weight, and you eliminate the need for chiropractic care.

With good stretching habits. Everyone should stretch. It is important to stretch before any strenuous activity, but some can benefit from regular stretching. Those with rheumatoid arthritis can seek relief pain relief and reduce the risk of stiffness and deformities. Stretching can promote healthy joints and muscles, which should reduce the need for a chiropractor.

With good sleeping habits. A lot of focus is placed on our activities during the day, but how you sleep can also bring on pain and the need for a chiropractor. For starters, always sleep on a bed. It is easy to fall asleep on a couch or in a recliner when watching television, but prolonged sleep in this position can lead to pain. A good mattress is also important. Even if on a budget, a good, quality mattress is a wise investment.

With good lifting habits. We all lift things. Whether it be boxes when moving, grocery bags from shopping, or when shoveling snow, we all do it. Most people do not lift properly. Yes, it is easier to lift with your arms and elbows, but this places a strain on all joints. The spice, back, and neck are susceptible to pain. Instead, lift with your entire body. Bend your knees and keep your back straight. Never carry loads that are too heavy.

As you can see, there are many ways to reduce or eliminate the need for a chiropractor. What are you waiting for? Get started now. But, if you are getting a late start in life, see a chiropractor first. Ensure all joints and the spine are in tact and properly. Then, get started.

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Arthritis Patients: Do You Need Surgery?

If you have recently been diagnosed with arthritis or if you suspect you have it, thoughts of surgery may automatically pop into your head. Yes, some patients must undergo surgery, but it is actually very rare. Despite the common belief, it is possible to treat and manage the symptoms of arthritis, such as joint paint, swelling, and difficulty moving, without surgery.

When is surgery considered an option?

Unbearable Pain. When the pain is so severe that over-the-counter pain relievers and prescription pain relievers do not work, surgery may be the last resort. Overtime, our bodies get use to the pain relievers we ingest. Overtime the Tylenol that once provided with you with relief, may no longer do so. If and when that point arrives, speak to your doctor about prescribed medications. He or she will likely want to try those first before opting for surgery.

Joint damage. The elderly and those who let their arthritis go untreated are susceptible to joint damage. This includes deformities. For example, a patient with severe rheumatoid arthritis may have bent out of shape fingers. This not only looks different, but it is excruciating in terms of pain. Surgery can be used to correct these deformities and other severe joint damage.

What type of procedures may be performed?

Arthroscopy. This is a minimally invasive surgery and a great alternative to open surgery. A small incision is made in the skin. Then, a thin viewing instrument, known as an arthroscope is inserted. Its destination? The painful joint. Many surgeons use this procedure to diagnose a problem and decide on a course of treatment. It can also be used to perform small surgeries. It has many benefits, including less pain, lower costs, and less hospitalization. So, if you need surgery, offer an arthroscopy as a suggestion.

Arthrodesis. This surgery is very rare, as there is a high risk of complications. And, it results in a permanent disability. So, why is it even offered? It is the only hope of pain relief for some individuals. These individuals have a diseased joint that cannot be fixed any other way. Pain and swelling are common and unmanageable. Arthrodesis involves fusing two bones into a joint. This prevents joint movement. For many, this is a last and only resort.

Joint replacement. Joint replacement surgeries are common with the shoulders, knees, and hips. With joint replacement surgeries, the ends of nearby bones are replaced. This results in new joint surfaces. It will take time and physical therapy, but most patients experience a reduction and pain and an increase in mobility. For the fingers and toes, joint replacement is less common. Typically, surgeons opt for the fusion of smaller joints, as opposed to total replacement.

What are the alternatives to arthritis related surgery?

It depends. For starters, how severe is your arthritis? When were you diagnosed? The earlier osteoarthritis and rheumatoid arthritis are diagnosed, the easier it is to treat without surgery. Exercise is vital. Yes, it is difficult to move your joints, so exercise may seem like it is out of the question, but it is not. Start with low impact exercises or opt for water exercises or physical therapy. The more a joint is moved, the less stiffness you experience. This can later reduce the chance of deformities.

As for the pain, remember that surgery is only used as a last resort. First, try over-the-counter pain pills and cream or ask for stronger prescription medications. Heat also helps many. Soak in a warm bath daily or use a heating pad. Although there is little scientific proof to back these claims, many arthritis patients report long-term relief with continued use of natural remedies and supplements, including cayenne pepper, pineapples, ASU, and ginger.

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