Recognize the Early Signs of Scoliosis and How to Detect It Early

Under normal conditions, when a person stands upright, the right and left shoulders have an even height. However, sometimes there are certain health problems that cause differences in shoulder height, making a person look slanted when standing or walking. One of the causes is scoliosis. 

What is Scoliosis?

Scoliosis is a condition in which the spine curves to the side, forming an S or C shape. This condition can occur in anyone, but is more often found in children and teenagers. Although the exact cause of scoliosis is often unknown, there are several factors that can increase the risk, such as genetic factors or nerve and muscle disorders. 

Scoliosis diagnosed in adolescence often continues into adulthood. The severity of the spinal curvature may influence the development of this condition. The greater the curvature, the higher the chance that the scoliosis will worsen. Therefore, it is important for those of you who have experienced scoliosis to have regular check-ups with a doctor with the aim of monitoring the condition of the spine. 

Early Signs of Scoliosis 

Scoliosis often causes no symptoms in its early stages. However, some signs you need to be aware of include:

• One shoulder is higher than the other.
• Uneven hips.
• A shoulder blade that protrudes more to one side.
• Body leans to one side.
• Clothes that don't lie flat when worn.
• Back pain.
• Breathing problems due to lack of area in the chest for the lungs to expand. 

Causes of Scoliosis

The cause of scoliosis is often uncertain. However, there are several common causes that doctors can identify, including: 

• Cerebral palsy, a group of nervous system disorders that affect movement, learning, hearing, vision, and thinking.
• Muscular dystrophies, a group of genetic disorders that cause muscle weakness.
• Birth defects that affect the baby's spine, such as spina bifida.
• Spinal injury or infection.

The Importance of Early Detection 

Early detection of scoliosis is very important, because proper treatment at an early stage can prevent the development of more severe spinal curvature. Physical examination and x-rays are the most common ways to diagnose scoliosis. 

Some diagnostic processes to detect scoliosis are:

Physical examination

Through this examination, the doctor will check body posture, body symmetry and spinal flexibility. The doctor will also check for protrusion of the ribs, differences in leg length, or misalignment of the shoulders and hips. Next, the doctor will ask the patient to bend forward. If there is a curvature of the spine, it will be clearly visible when bending.

Supporting investigation 

• X-ray: This examination is the most commonly performed to confirm the diagnosis of scoliosis. X-rays will show the severity of the spinal curvature and the location of the curvature.
• MRI (Magnetic Resonance Imaging): This examination can provide more detailed images of the spine and surrounding soft tissues. MRI is often used to look for underlying causes of scoliosis, such as tumors or infections.
• CT Scan: This examination can provide a cross-sectional image of the spine. CT scan often used for spinal stability. 

Scoliosis Treatment 

Scoliosis treatment will be adjusted to the severity of the spinal curvature, the patient’s age, and other factors. Some possible treatment options include: 

Observation

If the spinal curvature is mild and does not progress, the doctor may only periodically monitor the progress of the scoliosis. This is done by carrying out regular physical examinations and x-rays. If the curvature of the spine does not get worse, then no further action is needed. 

Braces

Braces or corsets can be used to slow the progression of scoliosis in adolescents. Braces work by putting pressure on the spine to help straighten it. Braces are usually used for 16-23 hours per day, and must be used until the bones stop growing. 

Physiotherapy

Physiotherapy can help strengthen back muscles and improve posture. Physiotherapy exercises can also help reduce back pain associated with scoliosis. 

Operation

Surgery may be necessary to straighten the spine and prevent further complications. Surgery is usually only performed in severe cases, namely when the spinal curvature is more than 45 degrees. There are several types of surgery that can be performed depending on the type and severity of scoliosis. 

Use of Painkillers

Painkillers, such as acetaminophen (Tylenol) and ibuprofen (Advil) can help relieve back pain associated with scoliosis.

Alternative Therapies

Alternative therapies such as acupuncture and yoga can help relieve back pain and increase flexibility.

Scoliosis is a condition that can be treated if detected early. By knowing the early signs and having regular check-ups, you can prevent the development of more severe scoliosis and improve your quality of life. 

If you have any concerns about scoliosis, don't hesitate to consult a spine specialist at Spine Center at Premier Bintaro Hospital. Premier Bintaro Spine Center offers services for the diagnosis and treatment of scoliosis, using the latest technology and a comprehensive approach. Contact us to make an appointment, now!

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