Scoliosis of the lumbar - quite a common disease. There are scoliosis thoracolumbar and lumbar spine, as well as combined scoliosis with two primary curvatures - thoracic and lumbar. The cause of scoliosis is often a long sitting at the wrong table or desk picked up at school age.
Lumbar scoliosis and causes of
Scoliosis - a curvature of the spine to the right or to the left. If you do not detect changes in the spine in the early stages, it may eventually cause quite serious health problems. The most common changes in the scoliotic thoracic spine, but they may be affected and some departments are located - cervical and lumbar.
When lumbar scoliosis changes in the spine may develop due to the inherent characteristics of the connective tissue (congenital scoliosis), due to extensive post-traumatic or post-surgical scars on the body, leading to the displacement of the center of gravity of the spine (gravitational scoliosis), muscle weakness against various diseases (myotic scoliosis ).
Also, distinguish structural and nonstructural scoliosis
Scoliosis - when the spine is curved
. Structural scoliosis is characterized by a change in the structure of the vertebrae, and in unstructured or functional scoliosis these changes yet, so it is easy to correct.
With long flowing lumbar scoliosis of the spine begins to twist about its axis, which leads to pain in the chest, waist and lower extremities.
Symptoms of lumbar scoliosis
The magnitude of the lumbar scoliosis curvature of the spine is divided into four degrees: 1 degree - curvature of the spine at 5-10˚, 2 degree - 11-30˚, grade 3 - 31-60˚, 4 degree - 60-90˚ and more.
Scoliosis 1 degree of the lumbar almost imperceptible, it can be detected only on radiographs or during the inspection of a specialist (orthopedic traumatologist). Scoliosis 2 degrees of the lumbar more noticeable: already clearly visible light asymmetry of the triangle in the waist and the deviation of the spinous processes of the lumbar midline. In addition, the convex side of the curvature (scoliosis arc) formed by the roller.
When scoliosis 3 degrees
Scoliosis 3 degrees - may need surgery
clearly visible skew pelvis and tilt to one side. With further progression of lumbar scoliosis has been increasing natural forward protrusion of the spine (lumbar lordosis) in combination with thoracic kyphosis (protrusion of the spine back into a hump), or the formation of a lumbar kyphosis combined with thoracic lordosis.
Scoliosis of the lumbar spine is shown by the fact that the patient concerned about severe pain in the lumbar region and fatigue, worse after exercise or being in a forced position. As a result of spinal deformity can change gait, impaired general patient mobility. The muscles along the spine, gradually atrophy and can not support it, which leads to compression of the nerve endings, reducing the sensitivity in the extremities and increased back pain.
Scoliosis of the lumbar: Diagnosis
Localization and degree of curvature of the spine is detected during the inspection of a specialist and confirmed by radiographic examination of the spine. Sometimes, to clarify the diagnosis carried out a computer or magnetic resonance imaging (CT or MRI).
Treatment of scoliosis of the lumbar spine
Scoliosis Treatment should begin as soon as possible. If you only have functional disorders of the spine may complete his recovery. In advanced stages it is also possible to help the patient: the partial restoration of spinal function allows you to remove or significantly reduce pain.
Treatment of lumbar scoliosis should be carried out under the supervision of an orthopedic traumatologist. Appointed complexes of medical gymnastics, massage, manual therapy, reflexology
Reflexology - a policy of non-drug therapies
. Drug therapy helps to relieve muscle spasm and reduce back pain. Correction of the curvature of the spine is possible by wearing a special corset which is made individually for each patient, taking into account its physiological characteristics.
Of great importance is a healthy lifestyle, proper nutrition, organization of work (properly selected table or desk), fizkultpauzy with a long stay in a sitting position. Sleeping
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also must be organized properly, the bed should not be too soft and with a smooth surface. Patients are encouraged to swimming lessons, walking.
Lumbar scoliosis requires a long persistent and timely treatment.