How To Treat Scoliosis In Children Under Five?
Since the age of my son, I began to suspect physically showing signs of the bones bent, and now at the age of 21 months the X-ray showed a degree of the curve of 15 degrees. What do I need to do to fix it? with what therapy? Can swimming help? And is a brace needed?
Hello. Good afternoon, Ms. Indiani, thank you for asking to HealthReplies.com.
Scoliosis is a condition of the spine that curves to the side to form the letter C or S, which generally occurs in children before the age of 15 years. Symptoms experienced by patients are:
- Posture with shoulders that are not parallel
- Shoulder blade on one side is more prominent
- Waist posture that is not parallel
- Ribs appear more prominent on one side
Some of the associated risk factors are the habit of maintaining posture in the wrong position, spinal cord injury, spinal infection, nerve or muscle disorders, conditions related to abnormalities in the birth process.
The diagnosis of diangosis is done through a direct examination by a doctor with the support of photos to calculate the degree of the slope of the scoliosis so that classification can be done based on the tilt angle called the cobb angle (cobb angle).
For therapy is largely based on the Cobb angle with the following treatment options
- Cobb angle of 10-19 degrees à observation by physical examination and photos every 6 months
- Cobb angle 20-29 degrees à use of a brace and observation by physical examination and photos every 6 months
- Cobb angle 29-40 degrees à use of a buffer and preparation of a referral to a bone specialist
- Cobb angle> 40 degrees à referral to a bone specialist in preparation for surgery
In the observation phase suggestions for exercise can be done which help to maintain body posture and prevent worsening conditions. Suggested sports like swimming, static bicycles, and light stretching. It is also important to maintain good posture and not be inclined to follow the slope experienced. It would be better if the posture improvement and recommended activities are discussed with medical rehabilitation specialists.
The use of a spinal support can be used to prevent the back arch from getting worse and is recommended at a cobb angle of 20-29 degrees with use under the arm, around the ribs, and under the back. Supports should be used throughout the day until bone growth stops about 2 years after menstruation in girls or when boys start showing mustache growth or when there is no increase in height.
More about: scoliosis
Thus the information we can convey. May be useful. Thank you