Children
are routinely screened for scoliosis in school. Nurses
and volunteers are looking for a variety of symptoms.
Those
include:
-An
obvious curve of the spine when bending over.
-A
head that is off center.
-A
hip or shoulder that appears higher than the other.
Screenings
occur at around the age of ten in schools. While it
is not meant to replace the evaluation of a trained
doctor, you can perform a simple screening for scoliosis
in your own home.
Have
your child turn and face away from you.
Take
notice to their posture. When they say they are standing
straight, take a look at their posture. Is their head
centered on their body? Do their ribs, hips or shoulders
appear uneven or higher than the other? A symptom
of scoliosis is uneven shoulders, ribs and head. If
you have any concerns after performing an in-home
screening on your child, contact their pediatrician.
Ask
them next to tuck their chin as tight as they can
to their chest. Have your child bend slightly to the
left and the right. Take note of the shape of your
child’s spine. Using your hands to feel the
spine will also help you distinguish the shape. The
spine should appear as a smooth arc when moving in
both directions.
If
you have any concerns after performing an in-home
screening on your child, contact their pediatrician.
If
you receive a notice from your child’s school
that they are concerned with their results, you should
make an appointment with their pediatrician. If your
child’s doctor suspects scoliosis, he/she may
order an x-ray and then a follow-up x-ray in several
months to measure the curve and look for any change.
The
treatment for scoliosis depends on several factors.
The degree of curvature and the amount of time the
child has left to grow is taken into account. A child
with mild curvature and several years of growing left
may require no treatment. A severe curve could be
treated with a back brace or surgery. Most cases of
scoliosis require no treatment.
Some
doctors refer teens to chiropractors. Chiropractors
specialize in the back and the spine. Therapy from
a chiropractor could involve spinal manipulation or
a referral for back bracing.
Changes
in diet and nutrition can also be beneficial.
Another
option your child’s doctor may give you, if
they feel it necessary, is the treatment of physical
therapy. While no research indicates that exercise
will stop the progression of a curve, it may help
with your child’s over all health and well being.
Since
it is unknown what exactly causes scoliosis, there
is no way to prevent it.
Scoliosis
is not, however, caused from poor posture, slouching
in chairs or sleeping on an unsupportive mattress.
The
diagnosis of scoliosis can be found not only during
an early childhood screening, but be secondary to
another condition. Another syndrome or disease could
be causing scoliosis. Neuromuscular diseases such
as Cerebral Palsy, Polio or Muscular dystrophy have
been related to causing structural scoliosis. Injury,
birth defects, connective tissue disorders, infections
and tumors have also been known to cause scoliosis
to develop.
The
prognosis for most cases of scoliosis is good. Close
observation from your child’s doctor will probably
be necessary to make sure the condition does not get
worse.
Since
most cases of scoliosis are diagnosed in children
around the age of ten, special considerations should
be made. The body is already going through major changes
around this time. If you find that scoliosis is affecting
your child’s self esteem, try looking into scoliosis
support groups in your area.
©
Rebecca Pillar 2007