Managing Scoliosis: Home Rehabilitation Tips During COVID-19 - Neurosurgery

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Scoliosis


Hello, Dr.
Shao.
I would like to ask about rehabilitation for my scoliosis.
Due to the current SARS situation, it is inconvenient for me to go to the hospital for rehabilitation.
During this period, what can I do to prevent my scoliosis from worsening, and how can I alleviate the pressure and pain in my back? Thank you.

Amy, 20~29 year old female. Ask Date: 2003/05/12

Dr. Shao Guoning reply Neurosurgery


Hello: In response to your question, rehabilitation for scoliosis can only alleviate back pain and cannot correct an established curvature.
Swimming can strengthen the back muscles and help prevent the worsening of scoliosis in later years.
The degree of curvature is important, and it is still necessary to consult a specialist for evaluation.

Reply Date: 2003/05/12

More Info


Managing scoliosis, especially during the COVID-19 pandemic when access to healthcare facilities may be limited, can be challenging. However, there are several home rehabilitation strategies that you can implement to help manage your condition and alleviate discomfort. Here are some tips and exercises that may be beneficial:

Understanding Scoliosis
Scoliosis is a condition characterized by an abnormal lateral curvature of the spine. It can lead to discomfort, pain, and in some cases, affect lung function if the curvature is severe. The degree of curvature can vary, and while some individuals may not experience significant symptoms, others may require more intensive management.


Home Rehabilitation Tips
1. Posture Awareness: Maintaining good posture is crucial for managing scoliosis. Be mindful of your sitting and standing positions. When sitting, ensure your back is straight, shoulders are relaxed, and feet are flat on the ground. Use ergonomic chairs if possible.

2. Stretching Exercises: Gentle stretching can help alleviate tension in the back muscles. Focus on stretches that target the spine, hips, and shoulders. Here are a few examples:
- Cat-Cow Stretch: This yoga pose helps improve flexibility in the spine. Start on your hands and knees, arch your back upwards (cat), and then dip it downwards (cow).

- Child’s Pose: Kneel on the floor, sit back on your heels, and stretch your arms forward on the ground. This pose can help relieve tension in the lower back.

3. Strengthening Exercises: Strengthening the muscles around your spine can provide better support. Focus on core strengthening exercises, as a strong core can help stabilize the spine. Some effective exercises include:
- Planks: Hold a plank position on your forearms and toes, keeping your body in a straight line. Start with 15-30 seconds and gradually increase the duration.

- Bridges: Lie on your back with your knees bent. Lift your hips towards the ceiling, squeezing your glutes at the top. This exercise strengthens the lower back and glutes.

4. Breathing Exercises: Deep breathing can help improve lung capacity and reduce tension. Practice diaphragmatic breathing by inhaling deeply through your nose, allowing your abdomen to rise, and exhaling slowly through your mouth.

5. Heat and Cold Therapy: Applying heat to your back can help relax tight muscles, while cold therapy can reduce inflammation. Use a heating pad or a warm towel for heat therapy, and ice packs for cold therapy, depending on your symptoms.

6. Regular Movement: Avoid prolonged periods of inactivity. Incorporate short walks or light physical activity into your daily routine to keep your body moving and reduce stiffness.

7. Mindfulness and Relaxation Techniques: Stress can exacerbate pain and discomfort. Consider incorporating mindfulness practices such as meditation, yoga, or tai chi to help manage stress and promote relaxation.


Monitoring Your Condition
While these home rehabilitation strategies can be beneficial, it’s essential to monitor your condition closely. If you experience increased pain, significant changes in your posture, or any new symptoms, it’s crucial to seek medical advice as soon as possible, even if it means using telehealth services.


Conclusion
Managing scoliosis at home during the COVID-19 pandemic requires a proactive approach. By focusing on posture, incorporating stretching and strengthening exercises, and utilizing relaxation techniques, you can help alleviate discomfort and prevent further progression of the condition. Always listen to your body and consult with a healthcare professional when needed to ensure you are on the right track.

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