Modern medicine has reached a high level of specialization. A person’s teeth hurt – he goes to the dentist, a throat or a cold – to a therapist. And if there are back problems, he has a direct road to a vertebrologist. That is, to a doctor who deals with problems of diseases of the spine.
Diseases of the back are much more common than is commonly believed, and one of its common types is lumbar scoliosis. Doctors have learned how to diagnose and treat this disease, give recommendations for its prevention.
The initial diagnosis is carried out by a doctor through an external examination. A potential patient is forced to undress and examined from all sides, forced to bend down, stretch his arms forward, perform a number of strange and incomprehensible actions for a non-specialist. But a vertebrologist can often make a correct diagnosis using these simple tricks.
X-ray diagnostics gives more reliable and visual results for the patient. The anteroposterior projection clearly shows whether there is a curvature or not – this is visible not only to the doctor (in most cases, he accurately determines lumbar scoliosis already during an external examination), but also to the one whose spine is depicted on the radiograph.
Important measures for the prevention of scoliosis, especially in childhood, are: the education of correct posture and exercise training aimed at developing strength and endurance of the main muscle groups. Treatment, like prevention, uses physical activity, only specially designed for a particular patient in accordance with the methodology of physiotherapy exercises.
In the most difficult cases that cannot be corrected by physiotherapeutic methods and physiotherapy exercises, surgical treatment is prescribed. Surgery for the treatment of scoliosis is quite complex, and, despite the successes of modern orthopedic surgery, their results are not always favorable.
Regarding the causes of scoliosis, doctors' opinions diverge. They agree only in one thing – there are two groups of causes that cause it – acquired and congenital. Congenital scoliosis is caused by anomalies in the development of the spine, they have their own classification, but the very cause of the anomalies remains unknown.
Doctors call the cause of acquired scoliosis diseases that have been transferred earlier, but the vast majority of causes are idiopathic. They tried to explain the occurrence of this disease with rickets, impaired muscle balance, the consequences of polio, and impaired nervous trophism.
Strictly speaking, doctors do not know the causes of scoliosis. But they can treat it. And this is the main thing for the patient.