Adult-onset scoliosis, a condition that causes an abnormal spine curvature, is becoming more common in Singapore. With an ageing population, more adults are experiencing this condition, which can significantly impact quality of life. Effective physiotherapy treatments are available at BMJ Physiotherapy to help manage and alleviate the symptoms of adult-onset scoliosis.
BMJ Physiotherapy provides tailored treatment plans designed specifically for the unique needs of adults facing scoliosis. Techniques such as spinal mobilisation, strength training, and posture correction are implemented to reduce pain and improve mobility. These interventions alleviate the discomfort and enhance patients’ daily functioning and overall well-being.
Individuals with adult scoliosis should seek professional help to manage their condition effectively. BMJ Physiotherapy’s expertise ensures personalised care, focusing on immediate relief and long-term spinal health.
Understanding Adult-Onset Scoliosis
Adult-onset scoliosis is a complex condition characterised by spinal curvature development in adulthood. This section explores the critical aspects of scoliosis in adults, including its definition, progression, and methods for assessing severity and impact.
Defining Scoliosis in Adults
Adult-onset scoliosis is identified by an abnormal lateral curvature of the spine, which can affect the sagittal and frontal planes. Unlike idiopathic scoliosis seen in adolescents, adult scoliosis often stems from degeneration of spinal structures.
Osteoporosis, intervertebral disc degeneration, and facet joint arthritis contribute to its development. In adults, spinal deformities can result in noticeable posture and alignment changes, impacting aesthetics and physical function.
A Progressive Condition
Scoliosis in adults is typically progressive, with curvature worsening over time. Unlike adolescent scoliosis, adult scoliosis progression can be more unpredictable and influenced by underlying conditions such as osteoporosis and degenerative disc disease.
Periodic X-ray assessment is crucial to monitoring curve progression. The Cobb Angle is a critical measurement used to evaluate the degree of curvature and track changes over time. Timely intervention is necessary to prevent significant spinal deformity and maintain quality of life.
Assessing Severity and Impact
Accurate assessment of adult-onset scoliosis involves measuring curve magnitude and evaluating its impact on daily living. Practitioners can determine the extent of spinal deformity through clinical examination and imaging techniques, such as X-rays.
Factors like the location and degree of curvature, combined with symptoms such as back pain and compromised physical function, guide treatment decisions. Understanding biomechanics and the progression of scoliosis helps tailor effective physiotherapy interventions to improve physical function and quality of life.
Treatment Options in Physiotherapy
Effective physiotherapy treatment options for adult-onset scoliosis focus on improving the curvature of the spine, enhancing quality of life, and reducing pain through tailored exercises and other techniques. BMJ Physiotherapy follows the latest SOSORT guidelines to provide targeted interventions, which can include initial management strategies, advanced techniques, and, when necessary, surgical recommendations.
Initial Management Strategies
Initial management for adult-onset scoliosis at BMJ Physiotherapy includes conservative treatment options. Physical therapy is vital, focusing on exercises designed to strengthen the back muscles and increase spinal flexibility. Specific exercises can help in reducing the curve and pain, such as:
- Core Strengthening: Improves stability.
- Stretching Routines: enhance flexibility.
Custom bracing, which may help prevent further curvature progression, may require referral to a specialist. Regular monitoring and adjustments ensure the brace remains effective.
Advanced Physiotherapy Techniques
Advanced techniques involve more specialised approaches to managing scoliosis. BMJ Physiotherapy leverages technology and innovative methods, such as:
- Schroth therapy: A series of exercises focusing on muscular symmetry, breathing, and body posture.
- Pelvic Alignment Exercises: Correct pelvic imbalances that may contribute to the curvature.
- Electrical stimulation: Stimulates muscle activity in the spine.
These techniques are performed by trained physiotherapists and are complemented by routine sessions to monitor progress and adjust treatment plans as needed.
When Surgery Is Considered
Surgery is considered for severe cases where conservative treatments and physiotherapy have failed to halt the progression of the curvature. Spinal fusion is the most common surgical treatment for adult-onset scoliosis. BMJ Physiotherapy works with surgical specialists to identify patients who meet the indications for surgery, such as:
- Severe Pain: Not manageable by physiotherapy alone.
- Curve Progression: Rapidly worsening.
Post-surgical rehabilitation is crucial to regain mobility and strength. Complications can occur, so careful monitoring and a tailored rehabilitation programme ensure the best recovery outcomes.
These strategies collectively aim to improve patients’ quality of life by addressing scoliosis through a comprehensive, evidence-based approach.
BMJ Physiotherapy has seven clinics in Singapore: Orchard, Raffles Place, Marine Parade, Tampines, Ang Mo Kio, Kovan, and Kallang Wave Mall.
Headquarters
1 Marine Parade Central, Parkway Center, #06-03, S449408
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