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About Montreal Chiropractic and Montreal Scoliosis

Definition

a deviation of the spinal curve, producing body disfigurement

The scoliotic curve may affect the cervical, thoracic, lumbar or combination of any of these areas of the spine.

Description

There are two types of scoliosis: adolescent onset and late stage degenerative

  • Adolescent: With scoliosis screenings at schools and by primary care physicians in annual check-ups, you probably knew you had scoliosis early on. Adolescent scoliosis affects 10% of people and occurs 7 times more frequently in girls than in boys. It is a lifetime-condition demanding gentle, watchful care during its growing years (the late teenage years). Whatever your curve at the end of the growth years, it is permanent and will not likely progress. Some severe cases may require surgery to slow or stop the curve's progression.
  • Degenerative: In late stage degenerative scoliosis, you may not recognize your spine's curve unless you experience some back pain or other symptom. Late stage degenerative scoliosis develops with aging, resulting in stenosis of the spinal canal.

Regardless, Cox Technic seeks to maintain mobility and function in the scoliotic spine and carefully monitor the progression of the curve. You will be encouraged to implement exercises (Mehta particularly), nutrition, bracing and Cox Technic. If surgery becomes evidently required, a referral will certainly be made.

 
 Scoliosis Condition Description

Examination

A thorough, clinical examination of the affected area(s) of the spine that may include imaging is important to your recovery.

Treatment

In office, Dr. Hoang's Chiropractic Clinic uses Cox Technic Flexion Distraction and Decompression to widen the canal space, drop the intradiscal pressure and increase the disc height to relieve pain and encourage as much mobility into the scoliotic spine as possible.

You will welcome the Cox Technic manipulation that gently "pulls you apart," as many patients describe the treatment or say they need. Depending on the area(s) of the spine affected, the appropriate Cox Technic Flexion Distraction and Decompression protocols, possibly combined with other forms of care, will be applied. Depending on the severity of your pain and symptoms, gentler Protocol I Cox Technic may be applied until 50% relief of pain or more restoring Protocol II may be applied to guide your recovery. You may lie facing down, up or on your side for treatment.

In office adjunctive care may hasten your recovery.

At Home Care

At home
 you may want to avoid sitting for long periods of time, wear a support brace if recommended, take nutritional supplements that help rebuild disc cartilage, do exercises - particularly Mehta exercises * - that strengthen your spine, sleep on a supportive mattress, sit in an ergonomically designed chair, and modify your daily activities as needed. 
 
 
 convex side of scoliotic curve
* Mehta Exercises - named after researcher Ruth Mehta who described these exercises as "side-shift therapy" - strengthen the musculature of the scoliotic spine, particularly on the convex side of the scoliosis. (1) Research does show that exercise is beneficial to the scoliotic spine. (2, 3)
 
Procedure: Tighten the quadratus muscles on the convex side of the scoliotic curve by lifting the hip to the rib.  Hold for 2 to 4 seconds. Relax. Repeat 25 times a day. This can be done while standing, sitting or lying down. It strengthens, mobilizes and even opens the concavity of the curve. Do this only under the direction of your doctor.
 
Contact Dr. Hoang's Chiropractic Clinic for maintenance of your scoliosis.
 
Reference
  1. den Boer, Andersen, Limbeek, Kooijian: Treatment of idiopathic scoliosis with side-shift therapy. Euro Sp J 1999; 8:406-410
  2. Mamyama T et al: Side shift exercise for idiopathic scoliosis after skeletal maturity. Stud Health Technol Inform 2002; 91:361-4
  3. Negrini S, Fusco C, et al: Exercises reduce the progression rate of adolescent idiopathic scoliosis: Results of a comprehensive systematic review of the literature. Disabil Rehabil 2008;30(10):772-85
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