The Three-Dimensional Aspects of Scoliosis
Defined as the lateral curvature of the spine, scoliosis tends to be seen as a two-dimensional structural malformation. However, as put forward by leading researchers, scoliosis should be looked at and treated based on a three-dimensional approach. This article will explain in detail the three-dimensional aspects of scoliosis and its successful outcomes. More importantly, we will discuss the three-dimensional aspects of scoliosis along with the need for targeted scoliosis treatment.
- Diagram A shows three rectangular, superimposed blocks illustrating the pelvic girdle, rib cage, and shoulder girdle in a normal and healthy spine.
- However, in diagram B, a truncal deviation starts to occur in a scoliotic individual, causing a lateral shift. The axial load does not pass straight down the center anymore.
- As a result of the prolonged deviation of the axial force, the three blocks (pelvic girdle, rib cage, shoulder girdle) will start to develop a wedge-like structural formation. Above this, rotational changes will begin to occur due to muscle imbalances. The blocks will rotate against each other around the vertical axis, making the treatment of scoliosis that much more difficult. Spinal vertebral bodies and the ribs will also follow suit.
- Diagram D illustrates the effects of prolonged untreated scoliosis. As a compensatory mechanism, the body will start inducing additional lumbosacral counter curvatures. The newly-formed distribution of axial loading will call for additional pelvic corrections; thus, inducing a significant pelvic torsion.
With the induced rotational component of the vertebral bodies and the added pelvic torsion, the likelihood of spinal disc damage that may occur increases significantly. The rate of degeneration will also happen at a faster pace, causing many functional limitations in the lives of scoliotic patients.
Essential to Successful Outcomes: Early Detection and Treatments that Focus on the Three-Dimensional Properties of Scoliosis
The moment a person with scoliosis experiences any form of neuropathic pain or a loss of systemic functional capability (loss of breath, chest wall tightness, constipation, etc.), this indicates their condition is in a dangerous state and must be addressed immediately; delaying it will not do you any good. Do not give scoliosis the satisfaction of crippling you. Our God-given bodies are stronger than that and can overcome those biomechanical changes if given the right form of treatment.
The above solidifies our belief that scoliosis MUST be detected at a young age and treatment should start then and there. The concept of “watching and waiting” to check for the curvature development is a thing of the past and should be put to death. Any child above four to five years of age should start being treated for their condition as soon as possible. Time can indeed tell us if a minor spinal curvature will further develop or not. However, let me ask you, what happens if it does, in fact, develop? What happens if the slight curvature your child once had is now a major spinal curvature with the rotational forces already being induced? Remember, prevention is always better than cure, and the same is true for scoliosis.
The Importance of the Three Dimensional Characteristics of Scoliosis
The three-dimensional component that scoliosis possesses must be properly understood and thoroughly studied by every practitioner, regardless of whether they are a doctor, chiropractor, physiotherapist, or neurosurgeon, before any form of treatment is administered. A common mistake is a misconception that scoliosis is just two-dimensional, as many physicians fail to see the rotational aspect that comes into play. Exercises being prescribed then will not be helpful and, in fact, may further worsen the condition. Always choose your healthcare providers wisely.
Our Doctors of Chiropractic, along with our clinical teams of physiotherapists, take scoliosis seriously. They are well-trained to take on any scoliosis case. Visit one of our centers to understand the do’s and don’ts of scoliosis better today. We hope you enjoyed reading the Three Dimensional Aspect of Scoliosis; now read about scoliosis and its descriptive curve shapes.