Causes of right-sided scoliosis
Most often, the disease develops in childhood due to an uncomfortable position during study and sleep. The following factors also contribute to the development of right-sided scoliosis:
- injuries and fractures: cause deformation of the vertebral bones;
- excess weight: increases the load on the spine;
- chronic diseases: disrupt metabolism and other processes in the body, depleting bones and leading to their deformation;
- uneven load on the spine: constant use of the left arm or shoulder to carry heavy objects.
Like left-sided pathology, right-sided scoliosis exists in several varieties with specific symptoms.
Causes
As medical practice shows, right-sided scoliosis is often discovered in adolescence, when the body undergoes active growth and development. In this case, the pathology appears as a result of insufficient muscle development, but this is by no means the only cause of spinal curvature. Thus, right-sided scoliosis can be diagnosed due to:
- sitting in an uncomfortable position for a long period;
- improper metabolism;
- being overweight;
- congenital pathologies;
- sleeping on one side;
- carrying heavy objects;
- carrying a shoulder bag on one shoulder;
- spinal injury or contusion;
- destructive processes in the spine.
The above factors stem from the following root causes of the disease:
- engaging in dangerous sports;
- presence of bad habits;
- sedentary work;
- sedentary lifestyle;
- complete lack of physical activity or excessively intense training;
- poor nutrition.
It is these reasons that cause right-sided scoliosis, as well as a number of other diseases of the musculoskeletal system.
Types of right-sided scoliosis
Right-sided scoliosis is classified according to its location in the spinal column. The following types are distinguished:
Cervical
This is a rare pathology that appears for the following reasons:
- Weakness of the spinal muscles of the cervical spine: characteristic of infancy, when the slightest careless movement can lead to the development of right-sided scoliosis.
- Cervical spine injuries: This type of curvature can happen at any age if the bones do not heal properly.
Despite its rarity, this type of right-sided scoliosis is fraught with serious complications, including compression of blood vessels and deformation of the skull bones.
Thoracic department
This type of right-sided scoliosis is most common as a consequence of a sedentary lifestyle, and at first it does not manifest itself with any symptoms. The main danger of this type of disease is that it can lead to compression of important organs and blood vessels in the final stages, as well as cause irreversible changes in the functioning of body systems.
Lumbar
Right-sided scoliosis in the lumbar region occurs as a result of heavy physical exertion. The danger of this disease is that in its final stages it cannot be treated. With right-sided scoliosis in the lumbar region, the organs of the genitourinary system are affected.
Prevention
Since surgery does not cure the disease completely, an important component of complex treatment is the prevention of right-sided scoliosis. The following rules should be followed:
- watch your posture;
- Healthy food;
- properly arrange the workplace and greasy area;
- refrain from extreme sports;
- avoid spinal bruises;
- strengthen back muscles;
- bring your weight back to normal;
- See a specialist regularly.
It is necessary to prevent spinal curvature, as well as other pathologies of the musculoskeletal system, from early childhood, and not when the disease has reached its final stage. No one is immune from scoliosis, but we can do everything to ensure that back pain never bothers us.
Signs of right-sided scoliosis
At the first stage, right-sided scoliosis is diagnosed very rarely, since in most cases there are no visual signs. At the second stage, during a medical examination, slight asymmetry of the body is visible. The third degree is characterized by a displacement of the chest or lower back to the right side and the appearance of a rib hump. With right-sided scoliosis at this stage, patients complain of a deterioration in general well-being associated with disruption of the functioning of important body systems. With fourth degree scoliosis, there is a high risk of irreversible disruption of the functioning of important organs. This stage of right-sided scoliosis is characterized by a deterioration in the functioning of body systems and is more difficult to treat than others.
Signs and symptoms
The main sign of deformation of parts of the spinal column is slow curvature, which is accompanied by rotation of the entire vertebra and a delay in its growth. Wedge-shaped changes, changes in intervertebral discs and decreased muscle tone occur.
Symptoms of right-sided scoliosis:
- poor posture;
- numbness of the limbs;
- body asymmetry;
- pain in the head and back;
- fast fatiguability.
A visual examination of the spine is carried out in three positions - standing, sitting and while moving.
In a standing position, it is noted that the right shoulder is much higher than the left. The specialist, conducting the study, looks at the location of the angles of the shoulder blades in relation to the line that was drawn through the spinous processes of the vertebrae.
In a sitting position, the presence of asymmetry, the level of establishment of the pelvis and changes in the curvature of the spinal column are determined.
During movement, the mobility of the spinal column, changes in the spinous processes of the vertebrae and the nature of muscle tension are determined.
X-rays can be used to determine the degree of scoliosis. Moiré topography allows for dynamic control of deformation.
Treatment of right-sided scoliosis
Exercise therapy and physiotherapy
Exercise therapy and physiotherapy for right-sided scoliosis are prescribed as a way to restore blood supply and muscle elasticity, which helps strengthen the spine and restore its previous shape. Exercises for right-sided scoliosis of the thoracic and lumbar spine are usually prescribed for grades 1 and 2. Physiotherapy exercises at the third stage of the disease are effective only if the curvature has minimal impact on the organs.
Massage and manual therapy
Massage and manual therapy are also aimed at restoring muscle elasticity by improving blood supply. For right-sided scoliosis, these methods are used only on the recommendation of the attending neurologist
, otherwise they may worsen the patient's condition.
Operation
Surgical intervention for right-sided scoliosis is prescribed if there is severe pain and the disease is rapidly developing. The operation also helps if conservative treatment methods are powerless.
Scoliosis in adults and children
Treatment of scoliosis in children is carried out with the help of physical exercises selected in a special complex. The set of exercises depends on the physical condition of the child. The child will not be forced to wear a corset or lie on strange applicators - such treatment is useless and even harmful. Dr. Bubnovsky's center offers rehabilitation through kinesitherapy. In addition to correcting the position of the back, the physical condition of children and adolescents develops.
Adults also come to the center. For those who have 1 or 2 degrees of illness, a private training program is drawn up for them.
People with grades 3 and 4 are difficult to help, but exercise reduces pain.
Diagnosis of the disease
Diagnosis of right-sided scoliosis should be carried out in a medical facility. For early diagnosis, you should undergo a routine examination by a surgeon. A specialist can identify right-sided scoliosis visually at the initial stage. The following diagnostic studies will provide more accurate information about the disease:
- X-ray
: provides comprehensive information about the condition of the bone structures of the spine, including the angle of curvature. - MRI
: the main method for diagnosing right-sided scoliosis in a child, since radiation exposure is contraindicated for children. MRI also provides information about the condition of organs and tissues adjacent to the spine.
Early diagnosis of right-sided scoliosis is very important, since the disease develops quickly and can result in irreversible complications.
Features of curvature
Right-sided scoliosis is a localization of pathology on the right side. Such curvature can be either congenital or acquired. Most often in medical practice, an idiopathic form of the disease is observed, which indicates the impossibility of determining its exact cause. Right-sided scoliosis can be exclusively C-shaped, since in this case there is one arch directed to the right side. As a rule, such curvature appears in children during adolescence. The pathology not only carries an external defect and spoils the patient’s posture, but also has a detrimental effect on internal organs, blood vessels and nerve endings, which is caused by a gradual displacement of the ribs. If the disease progresses, destruction of spinal tissue, cartilage and intervertebral discs is observed.
Right-sided scoliosis is practically no different from left-sided curvature. They have the same clinical picture, similar treatment methods and prognosis. As a rule, the diagnosis is made in the initial stages, so in most cases the disease can be managed without surgical intervention. But if the symptoms of the pathology are ignored and there is no timely treatment, the risk of progression of scoliosis complications increases significantly. The curvature very quickly develops into critical forms and leads to disability.
Diagnosis of lumbar scoliosis
An initial visual examination does not always help to identify lumbar scoliosis. Comprehensive diagnostics in our clinic includes:
- Load tests, in which a painless effect is applied to the deformed area;
- Pulse examination to assess the condition of the patient's lumbar region.
Research hardware can be used together with them:
- Magnetic resonance imaging (MRI) - examination of the condition of the vertebrae and soft tissues;
- Ultrasound examination (ultrasound) is a procedure that does not require preparation and gives results immediately after scanning;
The development of scoliosis causes damage to organs, so in the later stages of the disease the doctor prescribes additional examination. Based on the results obtained, we will select a suitable treatment program for you.
Proper nutrition for scoliosis
A properly selected diet is one of the measures to prevent the disease and prevent its relapse. It is selected individually by the doctor and includes:
- Vegetables and fruits rich in microelements and vitamins;
- Porridges containing carbohydrates, iron, magnesium and other elements;
- Meat, caviar, cottage cheese, rich in proteins;
- Potatoes, legumes, spinach containing vitamins B1, B2, B6 and B12;
- Dairy and seafood containing calcium to strengthen bones;
- Products containing phosphorus: seaweed, fish;
- Berries (currants, rose hips, strawberries) to replenish the lack of vitamin C in the body.
A diet for lumbar scoliosis at the same time helps to get rid of excess weight.
Conservative and surgical treatment methods
Doctors successfully use two treatment options for thoracic scoliosis - conservative and surgical. Conservative methods are indicated in the early stages of the disease. This group includes the following techniques.
- Physiotherapy
. This includes electrophoresis with analgesics in place of tense back muscles, ultrasound, electrical stimulation of weakened areas, magnetic therapy, and therapeutic baths. - Massage
. Effective only at stages 1 and 2 of the disease. The complex is selected based on the individual characteristics of the patient. The purpose of the massage is to strengthen the back muscles, increase the tone of the abdominal muscles, reduce spinal deformation, and improve nutrition of the tissues and cells of the spine. - Physiotherapy
. The exercises are performed first with a physical therapy methodologist, then treatment continues at home, which involves performing the recommended set of exercises. - Corsets
. The corset is made to order individually for the patient. Wearing it allows you to keep the spine in the correct position, preventing the progression of the disease. Wearing a corset is recommended for 16 hours a day, excluding sleep and exercise.
Conservative methods are used only in cases where the disease can be corrected and does not threaten the condition of the internal organs.
Operative methods of influence are indicated in the following situations:
- severe and constant back pain;
- Exercise therapy, massage and corset did not give the expected results;
- the disease has reached stage 4;
- internal organs are severely displaced;
- there is significant deformation of the spinal column (angle of inclination - more than 40 degrees).
Surgical treatment of scoliosis of the thoracic spine is possible through two types of operations.
- A one-stage operation involves attaching a metal structure to the spinal column to hold the vertebrae in the correct position.
- Step-by-step is carried out more often in children. In this case, at the first stage, a temporary metal structure is installed, then regularly during the period of growth it is extended to the length of the spinal column.
You can ask questions by phone +7 (495) 726-54-14
DOCTORS
Klimov Leonid Vladimirovich Chief physician. Neurologist, reflexologist, chiropractor, candidate of medical sciences, doctor of the highest category
Full list of medical team
Exercise therapy for lumbar scoliosis
Dosed loads maintain muscle tone. They should only be carried out in accordance with the plan drawn up by our doctor. Self-study is not allowed. Exercise therapy for lumbar scoliosis:
- While lying on your back, while exhaling, pull your bent legs towards your stomach, and while inhaling, return them to their original position. Repeat 5 times;
- Lying on your back, bending your knees, raise your pelvis. Repeated up to 4 times;
- Lie on your back and put your hands on the back of your head. Bring your elbows towards each other, bringing them as close as possible, and return to the starting position. Repeated 3-4 times;
- Lie on your stomach. Raise your leg from the side of the arch up and move it to the side. Repeat 3-4 times;
- Lying on your side, place your hands behind your head and, as you exhale, return to the starting position. Repeat up to 5 times.
After stopping training, you need to rest for about 15 minutes. If you feel unwell, you need to stop the exercise and temporarily suspend classes.
Causes of lumbar scoliosis
Good to know
- A set of exercise therapy exercises for scoliosis
- Massage for scoliosis
A sedentary and sedentary lifestyle, lack of physical training are common causes of lumbar scoliosis. That is why office workers or programmers often encounter this disease. Other reasons:
- Being overweight
- Spinal injuries
- Past infectious or autoimmune diseases
- Hereditary predisposition
Diagnostics
Diagnosis of lumbar scoliosis involves an examination by a specialist who, if certain symptoms are detected, refers the patient to x-rays and MRI. These instrumental studies make it possible to determine the location, extent and characteristic features of the pathology.
So, with left-sided lumbar scoliosis, the gap between the iliac bone of the pelvis and the lower rib is smaller than on the right side, and with right-sided scoliosis the picture is exactly the opposite.
Symptoms of lumbar scoliosis
Listing the main symptoms, it is worth mentioning pain in the back, stooping, asymmetrical position of the shoulders. Often the patient does not pay attention to this, allowing the disease to develop further. Other signs, if detected, you should immediately contact the clinic:
- Slanted pelvis and stretched muscles in the area of curvature
- General weakness of the body, which can manifest itself against the background of pain during physical activity
- Stiffness and swelling of the joints
- Possible crunching in the lumbar region when bending or turning the body
