Shoulder Dislocation

Shoulder dislocations tend to be a painful and inconvenient business. In general, a shoulder dislocation means that the arm bone has separated, either partially or completely from the shoulder socket. In the case of a partial shoulder dislocation, obviously the humerus is not entirely out of the scapula. The humerus (arm bone) rests in what is called the “glenoid fossa,” or the concave indentation in the scapula (shoulder bone). Partial shoulder dislocations are commonly referred to as subluxations, and they can happen to anyone. Fortunately, they aren’t uncommon and are typically very simple to treat.

Symptoms of shoulder dislocation:

The following are the most common symptoms of a dislocated shoulder. However, you may experience symptoms differently. Symptoms may include:

• Pain in your upper arm and shoulder, which is usually worse when you move them
• Swelling
• Numbness and weakness
• Bruising
• Deformity of your shoulder

The symptoms of a dislocated shoulder may resemble other conditions or medical problems. Always talk with your healthcare provider for a diagnosis.

Causes of shoulder dislocation:

Your shoulders are the most movable joints in your body. They are also the most commonly dislocated joints. The most common causes of shoulder dislocations are:

• Sports injuries
• Accidents, including traffic accidents
• Falling on your shoulder or outstretched arm
• Seizures and electric shocks, which can cause muscle contractions that pull the arm out of place

Shoulder dislocation diagnosis:

• In addition to a complete medical history and physical exam, diagnostic procedures for a dislocated shoulder usually include an X-ray.

Treatments for dislocated shoulder: The treatment for dislocated shoulder usually involves three steps:

• The first step is a closed reduction, a procedure in which your health care provider puts the ball of your upper arm back into the socket. You may first get medicine to relieve the pain and relax your shoulder muscles. Once the joint is back in place, the severe pain should end.
• The second step is wearing a sling or other device to keep your shoulder in place. You will wear it for a few days to several weeks.
• The third step is rehabilitation, once the pain and swelling have improved. You will do exercises to improve your range of motion and strengthen your muscles.

You may need surgery if you injure the tissues or nerves around the shoulder or if you get repeated dislocations.

A dislocation can make your shoulder unstable. When that happens, it takes less force to dislocate it. This means that there is a higher risk of it happening again. Your health care provider may ask you to continue doing some exercises to prevent another dislocation.

Our physio SPTRC team are leaders in exercise and sports physiotherapy. For more information on shoulder injury physio options, talk to a Spine Physiotherapy and Rehabilitation Centre (SPTRC) physiologist from our center today. If you are after more information regarding a shoulder injury book a Appointment or call us today on 01750-375987.

Sciatica

Sciatica is the term for leg discomfort, weakness, tingling, or numbness. It is brought on by pressure or damage to the sciatic nerve. Sciatica is a sign of a health issue. By itself, it is not a medical condition.

Sciatica Symptoms:

Pain from sciatica can vary greatly. It could have a slight burning, aching, or tingling feeling. Sometimes the pain is so bad that it prevents the sufferer from moving.

One side is typically the site of the pain. Some patients experience numbness in certain areas of their leg or hip and severe pain in another. The sole of the foot or the back of the calf may also experience discomfort or numbness. One leg may feel weaker than the other. Walking might occasionally cause your foot to become caught in the ground.

The pain may start slowly. It may get worse:

• After standing or sitting
• During certain times of the day, such as at night
• When sneezing, coughing, or laughing, especially if caused by a herniated disk
• When bending backward or walking more than a few yards or meters, especially if caused by spinal stenosis
• When straining or holding your breath, such as during a bowel movement

Sciatica Causes:

Sciatica results from irritation of the root(s) of your lower lumbar and lumbosacral spine. A herniated disk causes most cases of sciatic pain. Other common causes of sciatica include:

• Lumbar spinal stenosis (narrowing of the spinal canal in your lower back)
• Degenerative disk disease (breakdown of disks, which act as cushions between the vertebrae)
• Spondylolisthesis (a condition in which one vertebra slips forward over another one)
• Pregnancy
• Muscle spasm in the back or buttocks

Sciatica Diagnosis:

If your pain is severe or causing symptoms like muscle weakness, the doctor might order imaging tests to check for bone spurs and herniated disks. You could get tests like:

• X-ray, which makes pictures of the inside of your body, to check for bone spurs.
• CT scan, which combines a series of X-rays to get a better look at your spinal cord and spinal nerves.
• MRI, which uses radio waves and magnets to create pictures of your insides to get a detailed look at your back and spine.
• Electromyography (EMG), which measures how fast nerve signals travel through your muscles. This is to see if a herniated disk is compressing nerves that control muscles.

Sciatica Treatment:

• Physical therapy: You can increase your flexibility, relieve strain on your sciatic nerve, and improve your posture with the help of a physical therapist. They will instruct you on strengthening the muscles that support your back.
• Steroid injections: Your physician may advise you to have cortisone shots or other steroid injections. For some people, this medication may lessen pain by reducing inflammation surrounding the nerve. The benefits of the shot, if it is effective for you, typically wear off after a few months.
• Alternative therapies: Occasionally, people decide to use unconventional techniques to manage their ailments. While they might not be as effective for sciatica pain as they are for other types of lower back pain, alternative therapies could include: 

1. Acupuncture
2. Spine adjustments from a chiropractor
3. Massage therapy

• Cold packs: Your doctor or physical therapist can show you how to use these and tell you what kind to get. But they might suggest you put a cold pack (or a pack of frozen peas wrapped in cloth) on your lower back several times a day for up to 20 minutes each time.
• Hot packs: If your pain doesn’t get better with a cold pack, your doctor might suggest you alternate with heat after a few days. If you use a heating pad, always use the lowest setting so you don’t burn your skin.
• Stretching and moving around: You can rest for a few days if you’re in a lot of pain, but movement is generally a good thing for sciatica pain. 

Sciatica exercises: Examples of stretches and exercises that may ease sciatica pain include:

• Glute bridges
• Lying knee-to-chest stretches
• Clamshells
• Bird dogs
• Child’s pose stretch
• Hamstring stretches
• Pelvic

Why Do You Come to Spine Physiotherapy and Rehabilitation Centre (SPTRC) for Sciatica Treatment ?

Our physiotherapy staff in Shyamoli is very skilled in treating Sciatica Treatment. Before treating you, we must first assess the patient, discuss with them, and create a treatment plan. We offer shockwave therapy, acupuncture therapy, electromagnetic field therapy, intermittent cryotherapy, and more. We can immediately relieve your pain.  

Click for Appointment

Spinal Cord Injury

A spinal cord injury involves damage to any part of the spinal cord. Damage to the cauda equina, or end of the spinal cord, nerves, may also be a possibility. Signals between the brain and the body's other organs are transmitted and received via the spinal cord. Below the site of the injury, a spinal cord injury frequently results in lifelong impairments to feeling, strength, and other bodily processes. Individuals with spinal cord injuries may also have psychological, emotional, and social repercussions.

Symptoms of spinal cord injury:

The ability to control your arms or legs after a spinal cord injury depends on two factors. One factor is where the injury occurred on the spinal cord. The other factor is how bad the injury is.

The lowest part of the spinal cord not damaged after an injury is known as the neurological level of the injury. "The completeness" of the injury refers to how much feeling, known as sensation, is lost. Completeness is classified as:

• Complete: If all feeling and all ability to control movement are lost below the spinal cord injury, the injury is called complete.
• Incomplete: If some feeling and control of movement remain below the affected area, the injury is called incomplete. There are varying degrees of incomplete injury.

Spinal cord injuries can cause the following symptoms:

• Loss of movement.
• Loss of or a change in sensation. This includes a change in the ability to feel heat, cold and touch.
• Loss of bowel or bladder control.
• Exaggerated reflex activities or spasms.
• Changes in sexual function, sexual sensitivity and fertility.
• Pain or an intense stinging sensation caused by damage to the nerve fibers in the spinal cord.
• Trouble breathing, coughing or clearing secretions from the lungs.

Causes of spinal cord injury: Spinal cord injuries can happen for many reasons. Possible causes include:

• Motor vehicle crashes: These are the most common causes. They make up more than 37% of all SCIs.
• Falls: They make up about 31% of all SCIs.
• Violence-related injuries: This includes penetrating injuries from bullets or sharp objects like knives. They make up about 15% of all SCIs.
• Sports-related injuries: These account for about 8% of SCIs. Diving is the most common sports-related spinal cord injury.

Other common causes of or contributing factors to spinal cord injuries include:

• Conditions that make it easier for your bones to break, like osteopenia and osteoporosis.
• Spine tumors, including cancers.
• Cysts or fluid-filled cavities within your spinal cord.
• Infections that attack your spinal cord, or cause swelling and inflammation in surrounding tissues that then press on your spinal cord.
• Lack of blood flow to your spinal cord.

Diagnosis of spinal cord injury:

• A physical exam: Your provider does this to look for clues or evidence of the injury’s extent.
• A neurological exam: Your provider will do this to test specific abilities of your nervous system.
• Imaging scans: Examples include computed tomography (CT) and magnetic resonance imaging (MRI) scans.

• Diagnostic tests: Examples of these include electromyography and nerve conduction tests. They measure electrical signals reaching your muscles, which can help locate nerve or spinal cord damage interfering with signals.

Physiotherapy Treatment of spinal cord injury:

This type of traditional therapy involves a lot of hands-on therapy, exercises, and stretching maneuvers to facilitate movement. The goal is to help a patient manage pain, improve circulation, prevent or reduce muscle atrophy, contractures, and weakness, and improve their overall health and wellness. This is done by helping to retrain your brain and body in an attempt to regain some or all lost mobility.

There are many different types of physiotherapy treatment techniques, including:

• Muscle stretching,
• Massage therapy,
• Joint manipulation,
• Acupuncture, and
• Neurodynamic exercises

Spinal cord injury physiotherapy treatments are available at Spine Physiotherapy and Rehabilitation Centre (SPTRC) throughout Dhaka. Furthermore, some treatments can be combined with PT to result in greater recovery results. When combined with hours of daily physiotherapy, the treatment led to increased muscle growth and helped him learn to walk again, as well as regain some bladder, bowel, and sexual functionality.

Click for Appointment

Ankylosing Spondylosis

Ankylosing spondylitis is a type of arthritis that affects joints in your spine. Healthcare providers sometimes call it axial spondylarthritis.

Ankylosing spondylitis also affects the joints where the base of your spine meets your pelvis. Your sacroiliac joints are the connection between your spine and pelvis. Specifically, they’re the place where the sacrum (the triangle-shaped last section of your spine) meets the ilium (the top and back part of your pelvis).

Symptoms of ankylosing spondylitis: In the early stages, ankylosing spondylitis is likely to cause:

• Stiffness and pain in your lower back in the early morning that lasts at least 30 minutes and then eases through the day or with activity
• Pain that wakes you in the night
• Pain in one or both buttocks and sometimes the backs of the thighs.
• The condition can sometimes be mistaken for common backache.

Common backache often comes in short and painful spells. But the pain from ankylosing spondylitis is likely to be long lasting.

You may also have neck, shoulder, hip or thigh pain, which is worse when you’ve not been active for a time, for example if you sit for long periods working at a desk. Some people have pain, stiffness and swelling in their knees or ankles.

The pain and stiffness can vary over time. If most of the spine is affected, it can cause difficulty with activities that involve bending, twisting or turning.

Causes of ankylosing spondylitis:

• An autoimmune condition is ankylosing spondylitis. When your body is attacked by your immune system rather than kept safe, autoimmune illnesses result.
• The exact cause of ankylosing spondylitis is unknown to experts. Research has revealed a strong genetic correlation between AS and particular genetic alterations. Genetic mutations are alterations in the sequence of your DNA that result from cell division.
• More than 60 different genes have been shown to be mutated in AS. The gene for human leukocyte antigen-B, or HLA-B27, is one instance. Over 90% of white individuals with AS also carry a mutant copy of the HLA-B27 gene.

Treatment of ankylosing spondylitis: It can be slowed down and pain and stiffness can be treated with various methods. Maintaining the mobility of your spine and enabling you to lead a normal life requires both exercise and careful attention to your posture.

Physical therapies:

• Physiotherapy is a very important part of the treatment for ankylosing spondylitis. A physiotherapist can put together a programmed of exercises to improve your muscle strength and help you maintain mobility in your spine and other joints.
• It’s especially important to exercise your back and neck to avoid them stiffening into a bent position.
• A physiotherapist will advise you on how to maintain good posture and may be able to offer you hydrotherapy, also known as aquatic therapy. This involves specific exercises for the spine, hips and shoulders carried out in a special warm-water pool.
• Many people with ankylosing spondylitis find this therapy helpful and continue their programmed at their local swimming pool or with their local National Ankylosing Spondylitis Society (NASS) group.

Exercise:

• Stand against a wall
• Waist turn
• Lay down, knees bent, breathe
• Superman
• Head and shoulder raise
• Bird-dog

Why Do You Come to Spine Physiotherapy and Rehabilitation Centre (SPTRC) for Ankylosing Spondylosis ?

Our physiotherapy staff in Shyamoli is very skilled in treating Ankylosing Spondylosis. Before treating you, we must first assess the patient, discuss with them, and create a treatment plan. We offer shockwave therapy, acupuncture therapy, electromagnetic field therapy, intermittent cryotherapy, and more. We can immediately relieve your pain.  

Click for Appointment

Tennis Elbow

An inflammation of the tendons connecting the forearm muscles to the outside of the elbow is known as tennis elbow. It frequently happens as a result of overusing these tendons and muscles. Lateral epicondylitis and lateral elbow pain are other names for tennis elbow.

One of the most typical reasons of elbow pain is tennis elbow. According to experts, 3% of American adults suffer with tennis elbow annually.

Despite being named for the game of tennis, over 90% of cases of tennis elbow are thought not to be related to tennis or other sports.

Symptoms of tennis elbow: The following are the most typical signs of tennis elbow:

Elbow pain, particularly on the outside of the elbow, which is the side of the body that is farthest from the center when your arms are at your sides and your palms are facing front.

• Rigidity.
• Growing.
• A weak grasp, particularly while attempting to hold a pen, racquet, or shake someone's hand.

Causes of tennis elbow: 

• Repetitive misuse of the arm movements is the root cause of tennis elbow. Tiny rips in the tendon connection at the elbow may result from this. This corresponds to hitting a ball with a racquet repeatedly and with force in a game of tennis.
• When racquet swing power is executed incorrectly, it can rotate through and around the wrist. As a result, the wrist moves as opposed to the shoulder or elbow joint. This may put more strain on the tendon and result in inflammation and discomfort.
• Most often, the extensor muscles become painful due this tendon breakdown. The extensor muscles are those that straighten the wrist. Tennis elbow is associated with the extension of the fingers and the wrist. This is the kind of movement that allows the person to “snap” or flick the wrist, such as during a racquet swing.

Other causes :

• using scissors
• cutting tough food
• gardening
• sporting activities that involve high amounts of throwing
• swimming
• manual work that involves repetitive turning or lifting of the wrist, such as plumbing, typing, or bricklaying.

Diagnosis of tennis elbow: 

• There is an easy test that a person can do at home to decide whether they have tennis elbow.
• Stand behind a chair and place your hands on top of the chair back, with downward-facing palms and straight elbows. Try to lift the chair.
• If this action causes pain on the outside of the elbow, it is a likely indicator of tennis elbow.
• An X-ray or MRI scan is sometimes needed to rule out other more severe conditions, such as arthritis or an elbow joint injury. However, imaging is rarely necessary. The doctor will test a range of motions with the arm before asking about the location and nature of the pain.

Treatment of tennis elbow: 

• Rest: Resting the arm is important. A break in activity allows the tears in the tendon attachment to heal. Tennis players treat more serious cases with ice, anti-inflammatory drugs, soft tissue massages, stretching exercises, and ultrasound therapy.
• Physical therapy: Physical therapists commonly advise that racquet sports players strengthen their shoulder, upper arm, and abdominal muscles. This can help to reduce the wrist extensors during shoulder and arm movements.
• Ice massages and muscle stimulating techniques: These can also help the muscles to heal.

• Strapping or taping the forearm: Supporting the area can help realign the muscle fibers and relieve pressure on the area. A physician may recommend using a splint for 2 to 3 weeks to take the elbow out of action.
• Steroid injection: If symptoms are very painful, and the condition is making movement difficult, a physician may recommend a steroid injection.
• Other conservative treatments: Further options include injections of botulinum toxin, also known as Botox, and extra-corporeal shock wave therapy (ESWT).
• ESWT is a technique thought to trigger the healing process by sending sound waves to the elbow. Heat therapy, low-level laser therapy, occupational therapy, and trigger point therapy are other options.
• Exercises: Stretches and progressive strengthening exercises involving the use of weights or elastic bands can be helpful. They can increase pain-free grip strength and forearm strength.

Why Do You Come to Spine Physiotherapy and Rehabilitation Centre (SPTRC) for tennis elbow ?

Our physiotherapy staff in Shyamoli is very skilled in treating tennis elbow. Before treating you, we must first assess the patient, discuss with them, and create a treatment plan. We offer shockwave therapy, acupuncture therapy, electromagnetic field therapy, intermittent cryotherapy, and more. We can immediately relieve your pain.  

Click for Appointment

ACL Injury

An anterior cruciate ligament (ACL) tear is a damage to the ACL in your knee. One of the ligaments in your knee is the ACL. It joins the tibia, your shin bone, to the femur, your thigh bone. Each knee has one ACL that you have. Together with your posterior cruciate ligament (PCL), it creates a "X" shape inside your knee. Nearer the front of your knee is the ACL. The PCL is situated nearer the rear of your knee.

Many persons who have an ACL damage report hearing a pop or feeling a "popping" sound in their knee. Your knee could get swollen, unsteady, and excruciating to walk on.

Symptoms of ACL Injury:

• Knee pain and swelling: After an ACL tear, your knee will swell. The swelling is typically quite significant and occurs quickly within hours of the injury. The pain is caused by joint swelling and the extent of the damage in and around the knee joint.
• Loss of range of motion: Following an ACL tear, you may be unable to bend or straighten your knee as usual.
• Instability of the knee: Pivoting or cutting movements, common in many sports, can cause the knee to become unstable or give way.
• Walking causes discomfort.
• Tenderness along the line of the joint.
• When your anterior cruciate ligament is injured, you may hear a popping sound and feel a snapping sensation in your knee. This, however, does not happen to everyone.

Causes of ACL Injury:

Ligaments are strong bands of tissue that connect one bone to another. The ACL, one of two ligaments that cross in the middle of the knee, connects your thighbone to your shinbone and helps stabilize your knee joint.

ACL injuries often happen during sports and fitness activities that can put stress on the knee:

• Suddenly slowing down and changing direction (cutting)
• Pivoting with your foot firmly planted
• Landing awkwardly from a jump
• Stopping suddenly
• Receiving a direct blow to the knee or having a collision, such as a football tackle

When the ligament is damaged, there is usually a partial or complete tear of the tissue. A mild injury may stretch the ligament but leave it intact.

How are ACL injury diagnosed?

A physical examination and certain tests are used by a medical professional to detect an ACL injury. They will examine your knee and question you about your symptoms. Inform your healthcare physician of your activities just prior to suffering a knee injury and the onset of your symptoms.

Your provider might perform some movements or motions with your knee and leg. These tests might feel uncomfortable. Tell your provider if any position or motion hurts or makes your symptoms worse.

You’ll probably need at least one of a few imaging tests, including:

• X-rays.
• A computed tomography (CT) scan.
• Magnetic resonance imaging (MRI).

Physiotherapy treatment for an ACL injury:

• Modalities: Heat and cold therapy is applied to enhance relaxation and reduces pain. It is important to use ice after exercise and after any activity that causes discomfort. Pulsed electrical stimulation can also be used to relieve the pain. Electric stimulation will helps to improve the blood circulation, thus enhancing the healing process and reducing any swelling or discomfort.
• Safest ACL Rehab Exercises to Start: The following exercises should begin within one to three days post-operation, and continued for two to four weeks. As you move through these exercises, pay close attention to the sensations in your knee. If an exercise is causing pain, stop doing it. Exercises that do not cause pain can be performed one to four times per day.

• Heel Slides: This exercise extends the knee without bearing any weight. Start by sitting on the floor with your legs outstretched. Slowly bend the injured knee while sliding your heel across the floor toward you. Slowly slide the foot back into the starting position. Repeat 10 times.
• Isometric Quad Contractions: This exercise is also done while seated. Sit on the floor with your injured leg extended and your other leg bent. If you feel pain, place a rolled towel under your knee for support. Slowly squeeze the quadriceps of the injured knee without moving the leg. The quadriceps are the muscles on the front of your thigh. Hold for 10 seconds. Relax. Repeat 10 times.
• Prone Knee Flexion: This exercise is performed while lying on your stomach. Lie on your stomach with your legs straight. Bend your injured knee and bring your heel toward your buttocks. Hold 5 seconds. Relax. Repeat 10 times.
• Sitting Towel Calf Stretch: For this exercise, all you will need is a towel and somewhere to sit. Sit on the floor with both legs straight in front of you. Place the middle of the towel on the bottom of the foot on your injured side while holding both ends. Pull the ends of the towel toward you, feeling the stretch in your calf. Repeat twice for 30 seconds each.
• Ankle Pumps: This exercise begins by lying flat on your back with your legs outstretched. Bend your "good leg" up, propping your foot on the floor for support. On your injured side, flex your toes up toward the ceiling. Then point your toes away from you. Do ten repetitions. Repeat twice.

Effective management of ACL Injury at Spine Physiotherapy & Rehabilitation Centre (SPTRC) in Shyamoli requires teamwork among medical professionals and patients, which in turn improves the patients' quality of life.

Click for Appointment

Herniated Disc

A spinal injury is a herniated disk. Your spine is made up of a number of bones that go from the base of your skull to your tailbone. You have disks, which are circular cushions, in between your vertebrae. Your bones are cushioned by the disks, which makes it easy for you to move and bend. A herniated disk is the result of one of these disks rupturing or leaking.

Symptoms of Herniated Disc: Although they can sometimes happen in the neck, herniated disks typically occur in the lower back. The location of the disk and whether it is pushing on a nerve determine the symptoms. One side of the body is typically affected by herniated disks.

• Arm or leg pain: You may experience pain in your lower back, buttocks, thigh, and calf if you have a lower back herniated disk. You may also be experiencing discomfort in a portion of your foot. Your arm and shoulder will usually hurt the most if you have a herniated disk in your neck. When you cough, sneeze, or move into specific positions, this pain may shoot into your arm or leg. Sharp or searing pain is a common description of pain.

• Numbness or tingling: People who have herniated disks often have radiating numbness or tingling in the body part served by the affected nerves.
• Weakness: The afflicted nerves' supplied muscles typically deteriorate. This may impair your ability to lift or grip objects, or it may make you stumble.

Causes of Herniated Disc: Disk herniation is most often the result of a gradual, aging-related wear and tear called disk degeneration. As people age, the disks become less flexible and more prone to tearing or rupturing with even a minor strain or twist.

For most people, the etiology of their ruptured disk is unknown. A herniated disk can occasionally result from lifting large objects with the back muscles engaged rather than the leg and thigh muscles. An additional way to get a herniated disk is to twist and turn when lifting. Seldom is the reason a traumatic incident such a fall or knock to the back.

How is a herniated disk diagnosed ?

Your healthcare provider will do a thorough exam. During the physical, your provider will assess your pain, muscle reflexes, sensation and muscle strength. Your provider may also order tests such as:

• Magnetic resonance imaging (MRI)
• X-rays
• Computed tomography (CT)
• Myelogram
• Electromyogram (EMG)

Treatment of Herniated Disc: A herniated disc can develop anywhere along the spine, but the lower back is where it usually occurs. Depending on where it occurs, a herniated disc may result in pain, numbness, tingling sensation or weakness in an arm or leg.

Physical therapy can ease symptoms, stop flare-ups and recurrences, enhance lumbar spine function and mobility, and treat disc herniation. Spine Physiotherapy and Rehabilitation Centre (SPTRC) often includes a combination of therapies to help you relieve your pain, improve mobility and promote healing effectively and rapidly. We can help you:

• Relieve leg, lower back, and knee pain
• Reduce muscle spasms and neck pain
• Improve lower body mobility
• Restore pain-free movement
• Improve posture and motion
• Strengthen core muscles
• Improve strength and endurance
• prevent future pain flare-ups

We at Spine Physiotherapy and Rehabilitation Centre (SPTRC) can develop a one-on-one physical therapy treatment plan customized and suitable for your needs to help you recover more quickly. Our highly-trained physical therapists will make your treatment our primary focus and your recovery our primary goal.

Click for Appointment

Scoliosis

The human spine naturally curves differently in different places, which is significant for their activities. Spinal deformities arise when a person's spine curvature deviates from its usual state by 2–3%. Of them is scoliosis. A spine's abnormal sideways curvature is called scoliosis. Typically, the curve has a S or C shape in three dimensions. The most usual age range for it to happen is between 10 and 20. Women are more impacted.

Reasons for scoliosis:
According to “American Association of Neurological Surgeons”, 10% are neuromuscular, 15% are congenital and 65% is the idiopathic cause of scoliosis. Injury or infection is another reason for scoliosis.

Types of Scoliosis: 

• Idiopathic  Scoliosis- The reasons are mainly unknown

• Congenital Scoliosis-This is a rare condition and it begins at birth.

• Neuromuscular Scoliosis-The condition caused by other disorders like spina bifida, cerebral palsy or spinal cord injury.

• Degenerative Scoliosis-The condition usually develops at an older age.

Sign and symptoms of Scoliosis: 
Generally, most of the scoliosis is mild but sometimes the deformities get more severe as the child grows and leads to disability.

• Uneven shoulder

• Uneven waist

• Pain in back, shoulder, neck and buttock

• Prominent shoulder blade

• Chest pain

• Restricted Physical activity

• Breathing difficulties

• Gait Deformity

• Constipation

Diagnosis of Scoliosis:
Confirmed diagnosis of Scoliosis is X-ray, MRI.

Treatment of Scoliosis: 
Treatment depends on age of patient, sex, family history, degree of curves and location. Some factors related to effectiveness of treatment .They are-

• Age-The treatment of children is more effective than adult or teenager.

• Curve of spine-‘S’ shaped curves or double curve is more worse than ‘c’ shaped curve

• Location of Curve– Thoracic curve is worse than others

Although the effectiveness of treatment for scoliosis is very minimal and has many side effects, scoliosis patients require to remain under observation of a doctor to prevent further progress.

Treatment of scoliosis include Physiotherapy-
Physiotherapy is a recognized treatment for milder forms of scoliosis helping to:

• Correct side-shift

• Improve coordination and control

• Increase endurance and strength.

The Schroth method is the most studied and widely used technique for treating scoliosis through physiotherapy. The exercises are designed to:

• Improve muscular symmetry

• Improve postural awareness

• Rotate the spine with breathing to help reshape the rib cage and surrounding soft tissue (known as rotational angular breathing).

The Schroth method:

• Improves back muscle strength

• Improves breathing function

• Slows curve progression

• Improves Cobb angles (the standard measurement used to track the progression of scoliosis)

• Reduces the need for back surgery

• Eases pain

• Boosts self-image.

When children's bones are still growing and he or she has moderate scoliosis, the doctor may recommend a brace. Wearing a brace won't cure scoliosis or reverse the curve, but it usually prevents further progression of the curve.

If you’d like to experience Spine Physiotherapy and Rehabilitation Centre (SPTRC) differences, please book an appointment today.