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Back pain in scoliosis
Back pain is one of the most serious problems for an adult with scoliosis, especially if it is a low back scoliosis.
There are caused from the disc’s stress in the concave side of the curve and the wedge deformation of them .
Consequently degenerative spondylarthrosis is established, with the creation of osteophytes (spurs) and affecting the posterior vertebral joints, which mostly are responsible for the chronic pain.
When do they appear?
The pain may appear at the beginning after long hours of standing and fatigue. Gradually, however, they increase in number and appear more and more often.
At some point they are very intense in the morning, especially when we get out of bed while the stiffness is also intense. The pain increases at the end of a long day, often continues in bed.
Later it starts due to the spondylarthrosis that is created to increase in the changes of the weather, while the distance that we can walk decreases ..
What causes them?
The problem is clearly mechanical.
On the side of the curve, discs are subjected to larger loads than the curved side; this results in their plastic deformation and consequently an increase in the scoliotic angle.
The vertebral foramen (the holes that pass through the nerve roots), on the side of the cavity, narrow and result in the pressure of the nerves.
Treatment
Treatment is usually symptomatic in the acute stage with rest, warm, pain relievers and anti-inflammatory.
However, the pain after a while it will come back, as long as the cause remains.
Therefore, causative treatment should be performed along with symptomatic treatment.
We should remove the causes, for example, the nerve pressure in the foramen, the decompression of the discs and the posterior vertebral joints
Causal Therapy with Individual model
The Individual Model in Adults is a holistic approach to the problem at all levels.
1- First of all, the patient should not be in pain when starting the treatment. Thus, symptomatic treatment is initially performed with anti-inflammatory and analgesic drugs, reduction of activities and sometimes severe pain in bed rest.
2- Once the pain has passed, the patient should wear a support, a special brace, who will press on the scoliosis curve by decompressing the vertebral nerves.
3- Then the patient starts the exercises of the Schroth and SEAS methods, at first gently, with easy exercises that do not cause pain, wearing his brace after the exercises. Later the exercises become more intense and difficult.
4- He is also trained in analgesic pain relief exercises such as the Mc Kenzie method
5- The patient should enter a diet plan for weight loss. Its weight should be less than normal.
6- He should be trained in lifestyle change instructions (weight lifting, crouching with bent legs, etc.) and sleep (mattress change, etc.).
7- The correction of concomitant diseases such as Thyroid gland, hormonal disorders, osteoporosis etc. should be balanced with the right treatments.
