Managing Scoliosis: Tips for Lifting and Back Support

Spinal issues

Hello, doctor.
During my high school years, I carried a heavy backpack on one shoulder, which has led to my current right-sided scoliosis.
Ten years ago, I consulted a rehabilitation physician who advised me to keep my head up and chest out.
Currently, I work in cleaning for about 5 hours a day, which often requires bending to lift water buckets and mopping the floor.
A few days ago, I experienced lower back pain, but I am mostly recovered now.
I have purchased a lumbar support belt to prevent further disc herniation and worsening of my scoliosis, but I only wear it during work hours for about 5 hours and take it off after work.
I would like to ask: 1.
When lifting a water bucket, should I use my left hand or right hand to prevent worsening of my scoliosis? 2.
What should I do if I have an allergic reaction to the lumbar support belt?

DAVID, 40~49 year old female. Ask Date: 2023/08/08

Dr. Wang Zhaomin reply Rehabilitation

When the apex of the spinal curvature in scoliosis is on the right side, it is referred to as right-sided scoliosis.
In such cases, strengthening rightward stretching exercises can be beneficial.
Using the right hand to lift weights can have a similar effect; however, it should not be done too frequently or with excessive load to avoid causing further injury.
It is important to choose protective gear made from suitable materials.
If appropriate materials are not available, placing a towel or thin cloth inside can provide some assistance, although the effect may be slightly less effective.

Reply Date: 2023/08/08

More Info

Managing scoliosis, especially when it has developed due to improper lifting techniques or uneven weight distribution, requires careful attention to posture, lifting techniques, and the use of supportive devices. Here are some tips and recommendations based on your situation:

1. Lifting Techniques
When lifting heavy objects like water buckets, it’s crucial to use proper techniques to minimize strain on your back and prevent further curvature of the spine. Here are some guidelines:
- Use Both Hands: Whenever possible, use both hands to lift objects. This helps distribute the weight evenly across your body and reduces the risk of exacerbating your scoliosis.

- Bend at the Hips and Knees: Instead of bending at the waist, squat down by bending your hips and knees. This technique engages your leg muscles rather than putting stress on your back.

- Keep the Load Close: Hold the bucket close to your body when lifting. This reduces the leverage effect on your spine, which can cause more strain.

- Alternate Hands: If you must lift with one hand, alternate between your left and right hands to prevent overloading one side of your body. If your scoliosis curves to the right, you might consider lifting with your left hand more often to counterbalance the load.

2. Use of Back Support
Wearing a back support or brace can be beneficial, but it’s important to use it correctly:
- Duration of Use: It’s good that you wear the back support during work hours. However, wearing it for extended periods can lead to muscle weakness if your muscles become reliant on the support. Try to strengthen your core muscles through exercises recommended by a physical therapist.

- Sensitivity and Allergies: If you experience skin irritation or allergies from the back support, consider the following:
- Material: Look for a back support made from breathable, hypoallergenic materials. Cotton or moisture-wicking fabrics can help reduce irritation.

- Padding: Ensure that the support has adequate padding to prevent direct contact with sensitive skin.

- Consult a Professional: If the irritation persists, consult with a healthcare professional. They may recommend alternative supports or suggest ways to modify your current one.

3. General Tips for Managing Scoliosis
- Strengthening Exercises: Engage in exercises that strengthen your core, back, and abdominal muscles. A strong core can help support your spine and improve posture. Consult with a physical therapist for a tailored exercise program.

- Posture Awareness: Maintain good posture throughout the day. Keep your shoulders back, and avoid slouching. Regularly remind yourself to check your posture, especially when sitting or standing for long periods.

- Regular Breaks: If your job involves prolonged periods of bending or lifting, take regular breaks to stretch and relieve tension in your back.

- Physical Therapy: Consider ongoing physical therapy sessions. A therapist can provide personalized exercises and techniques to help manage your scoliosis effectively.

Conclusion
Managing scoliosis, especially in a physically demanding job, requires a combination of proper lifting techniques, the appropriate use of back supports, and ongoing physical conditioning. By being mindful of how you lift and support your back, you can help prevent further complications and maintain a healthier spine. If you have persistent pain or discomfort, it’s essential to consult with a healthcare professional for a comprehensive evaluation and tailored treatment plan.

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