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Physio treatment for Scoliosis

Physio treatment for Scoliosis

Physio treatment for Scoliosis

 

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Scoliosis is a curvature of the spine, usually developing in adolescents as a result of a growth spurt, or can be as a result of congenital birth deformities.

Young people often develop muscle imbalances as a result of poor posture or too much sport causing tightening of overused muscle groups. When a growth spurt occurs tight muscles are unable to lengthen at the same rate as the bones grow. This leads to abnormal pulling forces on the newly lengthened bones. The bones react to the forces by twisting and tensioning in abnormal directions.
This then causes the muscles to work in a different direction from their normal, which can lead to a considerable amount of muscle and fascia pain. The underlying joints can also become painful as they are also under abnormal loading.
The area of the spine that has deviated then causes an alteration both above and below it. It is not uncommon for someone with a thoracic scoliosis to also present with neck and shoulder pain and possibly pelvis, hip and lumbar pain.
Older people can develop a scoliosis usually following a trauma to the pelvis, hip, knee, ankle or ribs. Any loss of mobility following a fracture can result in abnormal muscle pulls on the soft tissues above the fracture influencing structures above and below producing all of the above mentioned symptoms.

Symptoms

• Multi area fascia pain (often diagnosed as fibromyalgia in older patients)
• Body asymmetry
• Rib hump
• Poor posture
• Round shoulders
• Neck pain and headaches
• Radiating shoulder pain
• Poor sleep
• Low back, hip, knee, foot and rib pain
• Burning symptoms usually linked to overloading of fascia
• Deep neural pain

Treatment

• Full biomechanical musculoskeletal examination to determine the direction and area of the scoliosis
• Lengthen shortened structures
• Strengthen weakened structures
• Mobilise stiff joints
• Correct fascia systems with connective tissue massage
• Full stretching programme
• Core re education
• Postural realignment and muscle re education
• Home maintenance programme
• Psychological support if necessary