Managing Scoliosis: Treatment, Exercises, and Nutritional Tips - Orthopedics

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Scoliosis


Hello Dr.
Chu,
I have developed scoliosis over the past two to three years.
I have undergone rehabilitation at the hospital, received general massage therapy, and tried folk remedies.

1.
Should I continue rehabilitation and treatment indefinitely? (Due to my work and studies, I am unable to maintain a consistent schedule.)
2.
How can I strengthen the muscle groups around the curvature? (I often feel weakness in my lower back due to prolonged sitting at work.)
3.
What exercises can I do that won't strain my spine? (Running seems to cause knee pain.)
4.
How can I prevent osteoporosis, considering I have been a long-term vegetarian? What type of nutrients should I supplement?
I look forward to your response, Dr.
Chu.
Thank you!

Xiao Qing, 20~29 year old female. Ask Date: 2005/11/03

Dr. Chu Baijun reply Orthopedics


Hello: The presence of symptoms and the need for treatment of scoliosis are significantly related to the degree of curvature.
Strengthening the back muscles is indeed a common recommendation for patients with back pain, and it is not limited to the muscle groups around the curvature.
Among various exercises, swimming is particularly suitable for patients with back pain.
As for the prevention of osteoporosis, it is important to consume foods rich in calcium.
For example, spinach is a vegetable that is high in calcium.
There are other calcium-rich foods suitable for vegetarians, which can be discussed with a nutritionist.
Sincerely, Dr.
Chu, Orthopedic Surgeon.

Reply Date: 2005/11/03

More Info


Managing scoliosis can be a multifaceted approach that includes physical therapy, exercises, and nutritional considerations. Here’s a comprehensive overview addressing your concerns about scoliosis management.


1. Continuous Rehabilitation and Treatment
It is essential to understand that scoliosis management often requires ongoing treatment, especially if you are experiencing discomfort or functional limitations. While your busy schedule may make it challenging to commit to regular rehabilitation sessions, it is crucial to find a balance. Consistent physical therapy can help strengthen the muscles around your spine, improve posture, and potentially slow the progression of the curvature. If traditional rehabilitation is not feasible, consider incorporating home exercises into your routine. These can be tailored to your schedule and can still provide benefits.


2. Strengthening the Muscles Around the Curvature
To strengthen the muscles around the curvature of your spine, focus on exercises that target the core, back, and hip muscles. Here are some effective exercises:
- Planks: This exercise strengthens the core, which is vital for spinal support. Start with a basic plank and gradually increase the duration as your strength improves.

- Bridges: This exercise targets the glutes and lower back. Lie on your back with your knees bent and feet flat on the floor. Lift your hips towards the ceiling, hold for a few seconds, and lower back down.

- Side Leg Raises: This exercise can help strengthen the muscles on the side of your body. Lie on your side and lift your top leg while keeping it straight. Hold for a moment and lower it back down.

- Cat-Cow Stretch: This yoga pose helps improve flexibility and mobility in the spine. Start on all fours, arch your back (cat), and then lower your belly while lifting your head and tailbone (cow).


3. Safe Exercises for Scoliosis
When it comes to exercise, it’s essential to choose activities that do not exacerbate your condition. Since running has caused knee pain, consider low-impact alternatives such as:
- Swimming: This is an excellent full-body workout that is gentle on the joints and can help strengthen the back muscles without putting pressure on the spine.

- Cycling: Stationary cycling can be a good option, as it allows you to engage your leg muscles without the impact associated with running.

- Yoga: Certain yoga poses can improve flexibility and strength while promoting relaxation. However, avoid poses that involve deep twists or excessive bending.


4. Nutritional Considerations for Bone Health
As a long-term vegetarian, ensuring adequate nutrition for bone health is crucial, especially to prevent osteoporosis. Here are some dietary recommendations:
- Calcium: Aim for calcium-rich foods such as fortified plant-based milk, leafy greens (like kale and bok choy), tofu, and almonds. If you struggle to meet your calcium needs through diet alone, consider a calcium supplement.

- Vitamin D: This vitamin is essential for calcium absorption. If you have limited sun exposure, consider fortified foods or a vitamin D supplement.

- Protein: Ensure you are consuming enough protein, as it plays a vital role in muscle and bone health. Include sources like legumes, nuts, seeds, and whole grains in your diet.

- Magnesium and Zinc: These minerals are also important for bone health. Foods rich in magnesium include nuts, seeds, and whole grains, while zinc can be found in legumes and whole grains.


Conclusion
Managing scoliosis requires a holistic approach that includes consistent rehabilitation, targeted exercises, and proper nutrition. While it may be challenging to maintain a regular treatment schedule, integrating exercises into your daily routine can significantly benefit your condition. Additionally, focusing on a balanced diet rich in essential nutrients will support your overall bone health. Always consult with your healthcare provider or a physical therapist before starting any new exercise program to ensure it is safe and appropriate for your specific situation.

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