Scoliosis: Exercises, Treatment Options, and Care Tips

Q: Scoliosis: Exercises, Treatment Options, and Care Tips

Hello： Since you are already 19 years old, your height is generally not expected to change. <br>If the curvature angle is not severe, the scoliosis angle is unlikely to worsen. <br>There are no specific restrictions on daily activities or general exercise. <br>Long-term use of a

Scoliosis

During the fourth and fifth grades of elementary school, I discovered a slight scoliosis and went to the hospital for an X-ray.
The result showed a 15-degree curvature to the right, located in the lumbar and sacral regions.
I remember the doctor mentioning that the right side of the pelvis was not separated properly.
If it were severe, surgery might be necessary, but at that young age, I didn't fully understand.
Later, due to academic pressures, I did not continue with follow-up treatment, and I still have signs of curvature.
The left side of my back has more muscle, and the right side of my buttocks also protrudes more.
Currently, I wear a lumbar support brace purchased from a sports store, and I don't have any severe symptoms, but my lower back becomes particularly sore if I stand for a long time.

I would like to ask the doctor:
1.
What exercises can be done for scoliosis? Will using a hula hoop worsen the curvature?
2.
If treatment is needed, should I see a rehabilitation specialist or an orthopedic doctor?
3.
What should be avoided with scoliosis, or what should I pay attention to?
4.
Does wearing a lumbar support brace help prevent the curvature from worsening, or is it ineffective for scoliosis?
5.
Can the lumbar support brace be worn all day, or should I take breaks?
Thank you for your guidance, doctor.

eur, 10~19 year old female. Ask Date: 2010/08/04

Dr. Lin Shuhuan reply Rehabilitation

Hello: Since you are already 19 years old, your height is generally not expected to change.
If the curvature angle is not severe, the scoliosis angle is unlikely to worsen.
There are no specific restrictions on daily activities or general exercise.
Long-term use of a back brace is not recommended.
It is advisable to engage in more stretching exercises.
If there are any concerns, you may consult a rehabilitation or orthopedic specialist for an examination.

Reply Date: 2010/08/04

More Info

Scoliosis, a condition characterized by an abnormal lateral curvature of the spine, can be a source of concern for many individuals, especially when it leads to discomfort or aesthetic issues. Understanding the condition, its treatment options, and appropriate exercises can significantly improve quality of life. Based on your inquiry, let’s address your questions one by one.

1. Exercises for Scoliosis: Engaging in specific exercises can help manage scoliosis. Generally, exercises that focus on strengthening the core and back muscles are beneficial. These include:
- Pelvic Tilts: This exercise helps strengthen the lower back and abdominal muscles.

- Cat-Cow Stretch: This yoga pose can improve flexibility and relieve tension in the spine.

- Side Planks: Strengthening the oblique muscles can help support the spine.

- Bridges: This exercise strengthens the glutes and lower back.

As for using a hula hoop, it can be a fun way to engage your core, but if you feel discomfort or if it exacerbates your scoliosis, it may be best to avoid it. Always listen to your body and consult with a healthcare professional before starting new exercises.

2. Choosing the Right Specialist: For scoliosis, both rehabilitation specialists and orthopedic doctors can provide valuable insights. A physical therapist can create a tailored exercise program to strengthen your back and improve posture, while an orthopedic doctor can assess the curvature and determine if any further intervention is necessary. If you have not been monitored for a while, it may be wise to start with an orthopedic evaluation.

3. Things to Avoid: Individuals with scoliosis should be cautious about certain activities that may exacerbate their condition. High-impact sports, heavy lifting, or any activity that places excessive strain on the spine should be approached with caution. Additionally, maintaining good posture while sitting and standing is crucial. Avoid slouching or leaning to one side, as this can worsen the curvature over time.

4. Effectiveness of Back Support: Wearing a back support or brace can provide stability and may help prevent further curvature in some cases. However, it is not a standalone treatment. It is essential to combine the use of a brace with exercises that strengthen the back muscles. The effectiveness of a brace can vary based on the severity of the scoliosis and the individual’s specific condition.

5. Wearing a Back Support: While wearing a back support can be beneficial, it is generally recommended to avoid wearing it all day. Continuous use may lead to muscle weakening over time. It is advisable to wear it during activities that may strain your back or when you anticipate being in a position that could exacerbate your condition. Taking breaks from wearing the brace allows your muscles to engage and strengthen naturally.

In conclusion, managing scoliosis involves a combination of appropriate exercises, regular monitoring by healthcare professionals, and lifestyle adjustments. It is crucial to stay active while being mindful of your body’s signals. If you experience any new symptoms or increased discomfort, seek medical advice promptly. Regular follow-ups with a healthcare provider can ensure that your condition is monitored and managed effectively, allowing you to maintain an active and healthy lifestyle.

Similar Q&A

Exercises to Avoid and Embrace for Scoliosis Management

Hello! I have scoliosis since middle school and wore a brace for four years. I would like to ask why it is advised to avoid exercises such as forward bending while sitting, long jump, and sit-ups, as they may worsen the condition? And why are swimming and jogging considered suita...

Dr. Wang Shouji reply Orthopedics
Hello: In terms of scoliosis, it is important to consider the degree of curvature. Excessive weight-bearing and slouching can exacerbate symptoms and increase the curvature angle. Excessive training of the abdominal and back muscles can help stabilize the spine and reduce symptom...

Understanding Scoliosis: Treatment Options and Rehabilitation Exercises

Hello Dr. Cheng, A few days ago, I visited an orthopedic doctor who informed me that my spinal curvature is 16 degrees. I inquired about possible treatments, but he said that given my age and the degree of curvature, treatment is not necessary. He advised me to pay attention to...

Dr. Zheng Shunping reply Rehabilitation
Hello: In response to your question, given your age (25 years) and curvature (16 degrees), you do not require spinal braces or surgical treatment. Surgical intervention to correct spinal curvature is indicated for scoliosis with a curvature greater than 40 degrees that is progres...

Managing Scoliosis: Treatment, Exercises, and Nutritional Tips

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, ...

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 curvat...

Preparing for Scoliosis Surgery: Tips for Patients and Families

Hello, doctor. My younger sister (19 years old) has had scoliosis since childhood and is scheduled for surgery this summer. Since there is still a long time before the surgery, is there anything we should prepare in advance? I hope to do something for her. She usually doesn'...

Dr. Wang Zikang reply Orthopedics
Hello: The indications for spinal fusion surgery for scoliosis generally include a significant curvature, severe spinal deformity, neurological symptoms, and symptoms of cardiopulmonary compression, necessitating corrective and stabilizing surgery. Preoperative preparation over t...