Time：2022-09-26 01:57:26 source：psychiatricethics.com author：Emergency treatment Read：106次

Is a hunchback with a chest and high and low shoulders a scoliosis? What to do if you have scoliosis? doctor to explain

With the continuous popularization of health knowledge, more and more parents have begun to pay attention to adolescent scoliosis. "Every winter and summer vacation, the outpatient department of rehabilitation medicine always sees a lot of anxious parents bringing their children over to see a doctor to determine whether they have scoliosis. These children may have bad posture, such as hunched chests and shoulders. Waiting for higher..." said Liu Peng, chief physician of the Department of Rehabilitation Medicine of the First Affiliated Hospital of Sun Yat-sen University. The pathogenesis of idiopathic scoliosis is still unclear. Scoliosis is a spinal deformity disorder in which a certain part of the spine deviates from the normal spinal axis. According to different etiologies, it can be divided into congenital scoliosis, idiopathic scoliosis, and other diseases combined with scoliosis, among which idiopathic scoliosis is the most common in adolescents. At present, the pathogenesis of idiopathic scoliosis is still unclear, but a large number of research data show that the occurrence of scoliosis may be related to factors such as genetic hormones, connective tissue dysplasia, nerve-balance system dysfunction, neuroendocrine abnormalities and other factors. . In addition, various bad postures in daily life, such as poor sitting and standing posture, carrying heavy school bags, one-shoulder backpacks, or biomechanical changes in the lower limbs, such as unequal lower limbs, pelvic tilt, etc., may also be related to the spine. The occurrence and progress of scoliosis are closely related. Scoliosis can bring about 5 major harms. Many people know that scoliosis can cause changes in posture and frustrate patients' self-confidence. However, Chief Physician Liu Peng reminded that the harm of scoliosis is far more than that, which is manifested in the following five aspects: 1. External image changes: it can affect the height of the patient, resulting in short stature, and there will be uneven heights of the shoulders and scapulae. Asymmetry of the waist and back, deviation of the spine from the midline, thoracic deformity, kyphosis, razorback, etc.; 2. Cardiopulmonary dysfunction: Severe thoracic deformity can compress the heart and lungs and affect the development of the heart and lungs, causing symptoms such as dyspnea, palpitation, shortness of breath, etc.; 3. Pain: It can cause different degrees of neck and shoulder pain, low back pain, and even lower extremity pain; 4. Spinal cord injury: In severe cases, spinal cord compression can cause spinal cord injury, resulting in paraplegia, bowel and bladder dysfunction; Under the influence of , it is inevitable that self-confidence will be frustrated and various negative psychology will arise. Through 3 symptoms, it is not uncommon to identify children with scoliosis problems early in life, but how can parents identify scoliosis early? Chief Physician Liu Peng suggested that parents should go to the hospital as soon as possible to find a professional doctor for examination and evaluation if they find the following symptoms in their children: 1. Unexplained dull chest and back pain, low back pain and dyspnea symptoms; 2. Changes in body shape , for example, the shoulders are unequal, the two sides of the trunk are asymmetrical, and even the feet are long and short; 3. When the upper body is exposed, it is found that the torso is asymmetrical, with partial bulge, and the two sides are not equal in height when bending over. Once diagnosed with scoliosis, the doctor will carry out corresponding intervention and treatment according to the size of the scoliosis angle (Cobb angle). At the same time, in the process of scoliosis treatment, we should also pay attention to avoid the influence of adverse factors. If there are other diseases that cause scoliosis, active treatment is also required. Active rehabilitation intervention to prevent the occurrence and development of scoliosis in adolescents is also an important part of preventing the occurrence and development of scoliosis in adolescents. The rehabilitation treatment of scoliosis mainly includes corrective gymnastics, trunk muscle strength training, breathing training, equipment exercises, electrical stimulation therapy, etc. At the same time, it will also guide children to choose some suitable sports, such as gymnastics, running, swimming, single-bar training, etc. , to promote scoliosis rehabilitation. When the Cobb angle is >20°, professional evaluation by a doctor should be performed, and spinal orthoses may be required for treatment. According to Chief Physician Liu Peng, the Department of Rehabilitation Medicine of the First Affiliated Hospital of Sun Yat-Sen University conducts scoliosis rehabilitation training camps every winter and summer, providing centralized and professional scoliosis rehabilitation training camps for the majority of adolescent scoliosis patients. Professional comprehensive rehabilitation services. Finally, Chief Physician Liu Peng reminded parents to pay attention to their children and maintain a good posture; when children enter puberty, they must consciously pay attention to their spine health. Screen and diagnose scoliosis in a timely manner, and conduct appropriate intervention and treatment according to the assessment results, so as to minimize the impact on the physical and mental health of adolescents. Family doctor's online feature, may not be reproduced without authorization

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