Lumbar scoliosis is the lateral deviation of the column that occurs in the lower part of the back, in the lumbar region. There are two types of lumbar scoliosis:
- Thoracolumbar Scoliosis: when the beginning of the curvature is between the T12 and S1 vertebrae;
- Lumbar: when the beginning of the curvature is between the L1 and S1 vertebrae.
Lumbar scoliosis can be classified according to the side where the deviation of the column is located, which can be right or left. In this way, lumbar scoliosis can also be called: left or right convexity, and dextroconvex. Learn more about other types of scoliosis.
In the majority of cases, the cause of lumbar scoliosis is not known, being considered as idiopathic. In other cases, scoliosis can arise due to inappropriate use of the backpack on the back, poor posture or sport.
Main signs and symptoms
The signs and symptoms of thoracolumbar scoliosis include:
- Back pain, especially in the lower part;
- Incline of the chair;
- Stiffness of the column;
- Size of the legs.
The diagnosis can be carried out by a doctor or physical therapist through observation of the posture of the person and confirmed by means of an X-ray in which Risser’s degrees are analyzed, the height difference between the legs, the degree of lateral inclination and the most deviated vertebra.
In milder cases, the doctor in the south may ask for other exams, without embargo when there is compression of the sciatic nerve, he may also request the performance of a magnetic resonance.
How is the treatment performed?
In all cases there is a need to carry out specific treatment, especially when it is a mild scoliosis and there is no manifestation of signs or symptoms. However, when there is pain and discomfort in the back, compression of the sciatic nerve or when there is a large deviation, a specific treatment can be indicated.
Normally, the curvatures of scoliosis greater than 50 degrees are considered serious and tend to increase over time, being necessary the performance of a surgery for corregirla. The curvatures of 30 degrees or more also tend to increase from 0.5 to 2 degrees a year, being important to carry out physiotherapy for its correction, preventing them from getting worse in time.
The curvatures of less than 30 degrees usually do not occur during the time, and the treatment need will depend on whether the person has pain or not, or if there are other associated complications.
What are the exercises for lumbar scoliosis
The treatment can be carried out through physical therapy with exercises, manual therapy, osteopathy, stretching exercises or global postural reeducation.
Likewise, exercises that strengthen the abdominal muscles, from the back, as well as RPG exercises, are recommended, specific that help to stretch the muscles that are shortened, in order to promote a balance between the muscular strengths. See some exercises you can do.
In many physiotherapy clinics, mirrors are used to help the person who has greater awareness of their posture, while performing the exercises. Although these can be carried out at home, it is recommended that they be accompanied by a physical therapist, who will carry out the relevant corrections to obtain the best results.
The practice of sports, such as the baloncesto, can be recommended in teenagers, while using an orthopedic vest.
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