
"Why are you standing to a bow shrimp rice like this? Then there is no waist of the waist!" Scoliosis refers to the spine to the left or to the right to present "C" or "S" shape, usually in adolescence.
Scoliosis affects approximately 3% of the population in Hong Kong, and the most common cause is of unknown origin, which is sudden scoliosis. Especially for developing children, due to their rapid growth between the ages of 10 and 15, the scoliosis angle can increase by 5 degrees or more every year. Therefore, it is necessary to use a low-radiation method to help monitor the status of scoliosis. In addition, there are other causes of scoliosis. For example, before the age of 10, doctors will consider other factors, such as congenital factors (for example, the fetus's bones do not grow well or are not sound in the mother's body). There are also scoliosis caused by some nerve and muscle problems. As the bones grow, doctors will consider other factors. For example, scoliosis that occurs in adults may be caused by degeneration or tumors.
【How to tell if your child has scoliosis? 】
Scoliosis has no obvious symptoms. If it is sudden scoliosis, the patient will not feel pain. Dr. Sum said, "Generally speaking, parents discover that their children have scoliosis. For example, if they have thoracic scoliosis, the child may have high and low shoulders, or if he is wearing some thin clothes, one side of the back will be more protruding than the other. If it is lumbar scoliosis, you will see a slight unevenness in the waists on both sides, with one waist recessed and the other side protruding. You may also see an asymmetry in the pelvic bones on both sides, with one side being higher than the other."
Once you find that your child has the above problems, of course you need to see a doctor to get appropriate control measures. The general clinical method is to first turn your back to the doctor so that the doctor can see whether there is any asymmetry in the entire back spine. In addition, the patient will also be asked to touch the tips of his toes with his fingertips. When he bends forward, he can know whether his back is higher on one side and lower on the other, and whether the spine in the middle is sideways.
【New technology for monitoring scoliosis]
EOS "standing full-body weight-bearing X-ray machine" is a new technology used to monitor scoliosis in recent years. It is much faster than traditional X-ray machines. It takes about 17 to 20 seconds to scan from head to toes, depending on the height of the patient. During the test, there are two X-rays from the front and side, from the patient's head to the toes. After collecting the 2D data, the radiologist uses computer software to convert it into 3D data, so that the entire skeleton can be displayed in front of the medical team in a three-dimensional manner. The doctor can explain the scoliosis to the patient, calculate the angle of the scoliosis, and know its lateral balance. Lateral balance refers to the center of gravity line. Everyone has a center of gravity line. If the center of gravity line is too far forward or too far behind, the patient will tend to lean forward or fall backward, causing poor walking ability. However, traditional techniques may not calculate this carefully.
If compared with traditional 2D X-ray machines, EOS requires 70%-90% lower radiation dose. Most sudden scoliosis occurs in teenagers, who should receive as little radiation as possible, especially growing girls, whose breasts are more sensitive to X-rays than adults. The EOS receiver is much more sensitive than a traditional X-ray machine, so it requires less radiation dose to achieve a very clear image. In other words, the patient receives less radiation dose.
【Instrument coordination and relief】
Mild scoliosis does not require relief, but requires regular observation and follow-up until skeletal maturity. However, if the situation is more serious, it will need to be monitored and treated by a specialist. Chiropractor Chen Huiling said that most scoliosis affects teenagers or children, and the most important principle of relief measures is to correct the scoliosis of the spine. Correction methods include manual relief and manual correction of the spine. The second is to use some instruments, traction, hot compress, etc. to coordinate the relief. Proper exercise can also help avoid or improve scoliosis problems, and listen to the following introduction from your doctor.
[Exercise demonstration to prevent and avoid scoliosis]
Main goal: Recreate ideal spine posture
How to do it: Open your shoulders on both sides, place your back against the wall, and hold your hands vertically. Then clasp your hands upwards, maintain the clasping action for 5 to 10 seconds, and repeat approximately 10 times. Do this action in 2 groups, each group doing 10 times.
[Exercise demonstration to improve scoliosis]
The main goal: to allow children with scoliosis to train the strength and flexibility of related muscles through this action.
How to do it: Lie on the ground, preferably on a yoga mat. Open your hands, and then lift your hands upwards. During this period, remember to tighten your buttocks and inhale to maintain the posture. The action is also maintained for 5 to 10 seconds and repeated 10 times. Do 2 sets of this action.
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