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What to Know about Dextroscoliosis?

Medically reviewed by Dr. Loeb

Dextroscoliosis is a variety of scoliosis distinguished by abnormal spine curvature. Most often, this disease is referred to as idiopathic scoliosis. The word idiopathic has Greek roots and means “pathology in itself.” In simple terms, idiopathic means a condition not associated with any other disease or disorder. Unfortunately, the term idiopathic is widely used in the medical literature to refer to a disease for which the cause is unknown.

There are three main types of idiopathic scoliosis, which are divided according to the age of onset:

  • Infantile scoliosis is a curvature that begins to develop before two. In 9 out of 10 cases, this type of scoliosis disappears spontaneously. This sort of scoliosis is very rare.
  • Juvenile idiopathic scoliosis curvature of the spine that develops between the ages of two and ten. This type is also quite rare.
  • Adolescent idiopathic scoliosis – this type appears in early adolescence and is much more common in girls than boys. While mild curvature is equally common in girls and boys, the curvature requiring treatment is eight times more common in adolescent girls than in boys.

In this article, we will talk about the common manifestations of scoliosis in order to show the main differences between the main topic of idiopathic scoliosis, which differs from the typical disease.

 

Factors Influencing the Progress of Idiopathic Scoliosis

Factors influencing the progress of idiopathic scoliosis

The following aspects most often influence the development of idiopathic scoliosis:

  • Hereditary predisposition. This includes the tension on the spinal cord caused by a thickened/tight filum terminal, which can trigger a spinal curvature mechanism (idiopathic scoliosis). The disease that causes this symptom is genetic and can be inherited.
  • Age. Idiopathic scoliosis often begins to show during periods of intense growth during adolescence. It can also manifest itself at an earlier age or in adults. In the first period of life, the tension of the spinal cord can gradually increase, provoking a curvature of the spine.
  • Gender. Most current research agrees that although all children can suffer from scoliosis, girls are more likely to be at risk of worsening during development.
  • The degree of curvature. With scoliosis more than 40 degrees, regardless of the patient’s age, the curvature of the spine is influenced. Therefore, when the curvature exceeds 40-50 degrees, the development of scoliosis can continue up to the most severe form and reach more than 70-90 degrees.
  • A sudden increase in spinal cord tension. It was noticed that the tensile force might increase after a fall or spinal injury in patients with pre-existing filum termini disease. In these cases, there is an increase in the curvature of the spine. Thus, the cause of scoliosis is not trauma but the development of a pre-existing curvature.

 

Risk of progression of idiopathic scoliosis

Curvature angle

(according to Cobb)

Age

10-12 years old

Age

13-15 years old

Age

Over 16

< 20 25% 10% 0%
20-30 60% 40% 10%
30-60 90% 70% 30%
>60 100% 90% 70 %

 

The Mechanism of Development of Scoliosis

The process of spine curvature formation begins with the fact that the inner part of the intervertebral disc is displaced to the side. This entails displacement of the vertebrae and their deformation. As a result, an intermediate state is formed, which over time, due to insufficient muscle strength, turns into scoliosis. The most dangerous periods for the development and progression of scoliosis are the stages of intensive growth: from 4-6 years to 10-14 years. In this case, one should be especially attentive to the child’s health at the stage of puberty, which occurs in boys at 11-14 years old, and in girls at 10-13 years old.

Dextroscoliosis should not be confused with common poor posture. Poor posture can be corrected through normal exercise, table seating training, and similar activities and have certain reasons. On the other hand, idiopathic scoliosis requires a special complex systematic treatment throughout the entire period of the patient’s growth and has an unknown reason. The risk of aggravating scoliotic deformity increases in cases when, by the beginning of these periods, the child already has a radiologically confirmed first degree of scoliosis (up to 10 degrees).

 

Complications of Idiopathic Scoliosis

Most complications of idiopathic scoliosis include:

  • Chronic pain. With scoliosis, spinal pain, headaches, gait problems, and blockages in the back or limbs can become chronic and more intense.
  • Appearance. With the development of scoliosis more than 20-30 degrees, as a result of the body’s adaptation to the curvature of the spine, may appear changes in the body and posture that affect the patient’s appearance and posture (for example, an asymmetry between the two halves of the body).  Such changes, especially in adolescence, can affect the psychosocial well-being of the patient in addition to the functional state.
  • Chest damage. The chest can press on the lungs and heart in severe scoliosis, making breathing and heart functions difficult.

Depending on the degree of curvature of the spine, scoliosis can, over time, cause additional harm to the body, for example, difficulties and dysfunctions that will increasingly affect an individual’s life. Therefore, you should not waste time and consult your doctor.

 

Symptoms of Dextroscoliosis

In the initial stages, dextroscoliosis is almost asymptomatic, so you should pay attention to the following signs:

  • One shoulder is higher than the other.
  • When a person stands with their arms at their sides, the distance between the arm and the waist is different on both sides.
  • The shoulder blades are located asymmetrically – the shoulder blade is closer to the spine on the concave side, its angle protrudes.
  • When tilting, the curvature of the spine becomes noticeable.

If the listed symptoms of scoliosis are detected, you should contact an orthopedist to conduct a detailed examination and prescribe appropriate treatment when confirming the diagnosis. Early diagnosis of dextroscoliosis is of particular importance for the effectiveness of subsequent treatment, compensation for impairments, and the child’s normal development.

Symptoms of dextroscoliosis

The following symptoms also characterize scoliosis:

  • Decreased range of motion or back stiffness
  • Back pain
  • Stiffness and pain after prolonged sitting or standing
  • Pain when lifting weights
  • Radiation of pain to areas away from the spine (often in the buttocks and legs)
  • Muscle spasm
  • Difficulty walking
  • Labored breathing

 

Diagnosis of Idiopathic Scoliosis

Diagnosis of idiopathic scoliosis includes procedures such as:

  • measuring the length of the lower limbs, kyphosis
  • determining the mobility of the ankle, knee, and hip joints
  • evaluating the mobility of the lumbar spine and the symmetry of the waist triangles
  • defining the position of the shoulder girdles and shoulder blades
  • an examination of the chest, abdomen, pelvis and lower back is performed
  • assessing muscle tone, muscle rollers, rib deformation, etc.

In the flexion position, the presence or absence of asymmetry of the spine is determined. In the sitting position, the length of the spine is measured, and the degree of lumbar lordosis is determined, lateral curvature of the spine and deviations of the trunk are detected. The position of the pelvis is assessed regardless of the position of the lower extremities. In the supine position, the change in the curvature of the spine’s arch is assessed, and the muscles of the abdomen and internal organs are examined.

 

Dextroscoliosis Treatment

The choice of treatment for a patient with juvenile idiopathic scoliosis depends on the magnitude of the deformity, the patient’s age, and the degree of maturity of the skeleton (growth potential) and usually includes:

  • Control. If the deformation is insignificant (15-20 °), the patient needs dynamic observation by the orthopedist at the residence. To this end, in addition to an examination, the doctor should prescribe X-ray control every six months during rapid growth and then once a year. If the deformation progresses, it is required to take measures to stop its development immediately.
  • Physiotherapy exercises. One of the key points in the conservative treatment of dextroscoliosis in children and adolescents is physical therapy. Patients with idiopathic scoliosis should continue active physical activity and participate in sports competitions. The most favorable sport is swimming. Outdoor games and hardening will have a great effect on the condition of the muscular system. The most unfavorable are working with heavyweights in a standing position and running.
  • Fixation in a corset. Fixation in a corset is usually used when the deformation is in the range of 25-40 °, especially if the patient retains the growth potential and the curvature may increase. However, orthopedists are ambivalent about the use of corsets for the treatment of spine curvature. In addition to the immobilizing effect on the spine, the corset also immobilizes the muscles, which leads to their further weakening. Therefore, it is prescribed in individual cases.

Dextroscoliosis treatment

It is also used massage, electromyostimulation, and electrophoresis in the treatment of spine curvature to achieve a therapeutic effect. As for surgical treatment, it should be considered the only justified method in patients with idiopathic scoliosis in the following cases:

  • if the deformation is more than 40-45 °;
  • with pulmonary heart failure caused by scoliotic deformity;
  • with neurological complications of scoliosis;
  • with pain;
  • with a steady progression of the deformity.

 

After the onset of skeletal maturity, deformities are less than 40 °, do not tend to progress, and therefore do not require surgical corrections. Deformities greater than 100 ° are rare and can cause a threat to life due to the development of formidable complications from the heart, lungs, and spinal cord. The main task of surgical treatment is an instrumental correction in combination with fusion (formation of a total bone block). Despite the high prevalence of the disease, only a small percentage of patients require surgical treatment. Most people with scoliosis have the first degree, which often does not progress.

 

General Exercise Therapy Exercises

Patient-specific exercise has been shown to be effective in the initial treatment of spine curvature. They can include:

  • Exercises for mobility/flexibility of the spine.
  • Exercises to strengthen the muscles of the trunk.
  • Stretching hamstrings and other tense muscles of the lower limbs.
  • Correction of the walking pattern.
  • Difficult functional exercises such as squats or lunges.
  • Cardio and fitness tips.
  • Pilates/yoga.
  • An individualized rehabilitation program, for example, exercises aimed at optimizing the functions in the sports that the patient is involved in.

 

Schroth Method

The Schroth Method is a set of exercises specifically designed for patients with spine curvature, especially those with idiopathic scoliosis. It was developed by Katharina Schroth in Germany. The Schroth method is focused on preventing the progression of the curvature until the end of growth.

  • Active correction of the spine to avoid surgery.
  • Postural training to avoid or slow the progression of the curvature.
  • Communication to support the decision-making process.
  • Home exercise program.
  • Support network.
  • Pain prevention and management strategies.

 

Prevention of Dextroscoliosis

  • A patient with a curvature of the spine needs a special bed with a hard mattress. It is necessary to ensure that the patient sleeps more often on his back.
  • A child with a curvature needs to organize his workplace correctly. The table and chair should be selected based on the height of the child, not his age since furniture manufacturers sometimes do not take into account the acceleration processes.
  • Much attention should be paid to the nutrition of a child with scoliosis. The diet should contain at least one hundred grams of protein per day, and food should include calcium, magnesium, and sodium.

In conclusion, it should be said that scoliosis, especially in childhood and adolescence, is easier to prevent than cure. One of the main methods of preventing curvature of the spine is physical education, sports, and a healthy lifestyle. Also, do not forget to visit qualified specialists more often.

 

FAQ

  • What is infantile idiopathic scoliosis?

Infantile scoliosis is a deformity of the spine that develops in the first four years of life. The word idiopathic means that the cause of this scoliosis cannot be found out.

  • In what position to sleep with dextroscoliosis?

With dextroscoliosis, it isn’t easy to find a comfortable position and sleep all night soundly. The most favorite position is usually used – on the side, with one leg drawn in and the other extended. Sleeping on the back is allowed, but on the stomach is prohibited – in this position, the vertebrae are pinched, and the nerves are pinched.

  • What can’t you do if you have idiopathic scoliosis?

With scoliosis, you should:

  1. not “freeze” in one position – neither sitting nor standing
  2. not carry heavy in one hand
  3. avoid falls, injuries
  4. not overload the ridge
  5. office workers need to take a warm-up break
  6. not make sharp circular movements

 

  • What can you do if you have scoliosis?

With scoliosis, the following are allowed:

  1. hiking
  2. race walking
  3. walking with sticks
  4. backstroke
  5. amateur dancing
  6. yoga
  7. pilates

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Edward Medina
Edward Medina
15:34 30 Jun 22
Just such an amazing staff that makes you feel like part of their family. I’ve been going there for over 5 years now... and each visit I get the very best care and treatments that I have ever received in the 20+ years that I’ve been dealing with severe debilitating migraines. Since i started seeing them the number of my migraines has dropped from 15-20 a month to 2-3 every 3 month. I highly recommend them …they will change your life!read more
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Daneisha Johnson
22:20 19 May 22
Dr. Askari was very kind and explained everything so I could understand. The other staff were nice as well. I would... have gave 5 stars but I was a little taken aback when I checked in and had to pay 600.00 upfront. I think that should have been discussed in a appointment confirmation call or email just so I could have been prepared.read more
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Jean Cooper
16:54 29 Apr 22
I love the office staff they are friendly and very helpful. Dr. JODIE is very caring and understanding to your needs... and wants to help you. I will go back. would recommend Dr. Dr. Jodie to other Patients in a heart beat. The team works well together.read more
Linda M
Linda M
19:40 02 Apr 22
I was obviously stressed, needing to see a neurologist. The staff was so patient and Dr. Ansari was so kind. At one... point he told me to relax, we have time, when I was relaying my history of my condition. That helped ease my stress. I have seen 3 other neurologists and he was the only one who performed any assessment tests on my cognitive and physical skills. At one point I couldn't complete two assessments and got upset and cried. I was told, it's OK. That's why you're here. I was truly impressed, and super pleased with the whole experience!read more
Leslie Durham
Leslie Durham
15:05 01 Apr 22
I've been coming here for about 5 years. The staff are ALWAYS friendly and knowledgeable. The Doctors are the absolute... best!! Jodie Moore is always in such a great mood which is a plus when you are already stressed. Highly recommendedread more
Monica Del Bosque
Monica Del Bosque
14:13 25 Mar 22
Since my first post my thoughts have changed here. It's unfortunate. My doctor and PA were great, but the office staff... is horrible. They never call you back when they say they will, they misinform you, they cause you too much stress wondering what's going on, they don't keep you posted. They never answer the phone. At this point I've left four messages in the last week, and I have sent three messages. Twice from their portal and one direct email. No response. My appointment is on Monday morning at 8:30am, no confirmation on my insurance and what's going on. What the heck is going on, this is ridiculous!I've given up... the stress her office staff has put me through is just not worth it. You can do so much better, please clean house, either change out your office staff, or find a way for them to be more efficient please. You have to do something. This is not how you want to run your practice. It leaves a very bad impression on your business.read more
Ron Buckholz
Ron Buckholz
23:32 23 Mar 22
I was actually pleasantly surprised with this visit! It took me a long time to get the appointment scheduled because no... one answers your phones EVER! After a month, I finally got in, and your staff was warm, friendly, and I was totally impressed! I feel like you will take care of my needs!read more
Steve Nabavi
Steve Nabavi
16:28 16 Mar 22
It was a nice visit. Happy staff doing all they can do to comfort the patients in a very calming environment. You ask... me they are earned a big gold star on the fridge. My only complaint they didn't give me any cookies.read more
Katie Lewis
Katie Lewis
16:10 10 Feb 22
Had very positive appointments with Jodie and Dr. Sheth for my migraine care. Jodie was so fast with the injections and... has so much valuable info. I started to feel light headed during checkout and the staff was SO helpful—giving me a chair, water, and taking me into a private room until I felt better. Highly recommend this practice for migraine patients, they know what they’re doing!!read more
Joshua Martinez
Joshua Martinez
16:02 10 Dec 21
I was scheduled to be checked and just want to say that the staff was fantastic. They were kind and helpful. I was... asked many questions related to what was going on and not once did I feel as though I was being brushed off. The front desk staff was especially great in assisting me. I'm scheduled to go back for a mri and am glad that I'll be going there.read more
Isabel Ivy
Isabel Ivy
21:42 03 Nov 21
I had such a good experience with Lone Star Neurology, Brent my MRI Tech was so awesome and made sure I was very... comfortable during the appointment. He gave me ear plugs, a pillow, leg support and blanket, easiest MRI ever lol 🤣 My 72 hour EEG nurse Amanda was also so awesome. She made sure I was take care of over the 3 days and took her time with the electrodes to make sure it was comfortable for me! Paige was also a huge help in answering all my questions when it came to my test results, and letting me know her honest opinions about how I should go forth with my treatment.read more
Leslie Luce
Leslie Luce
17:37 20 Oct 21
The professionalism and want to help attitude of this office was present from the moment I contacted them. The follow... up and follow through as well as their willingness to find a way to schedule my dad was above and beyond. We visited two offices in the same day with the same experience. I am appreciative of this—we spend a lot of time with doctors and this was top notch start to finish.read more
robert Parker
robert Parker
16:38 16 Apr 21
I love going to this office. The staff is friendly and helpful. The doctor is great. I am getting the best... neurological tests and treatment I have ever had. The only reason I did not give them a 5 star rating is because it is impossible to reach a live person at the office to reschedule appointments. Every time I have tried to get through to the office it says all people are busy and I am sent to a voicemail. If they could get their phone answering fixed, I would give them a strong 5 stars.read more
MaryAnn Hornbaker
MaryAnn Hornbaker
00:26 25 Feb 21
Dr. Harney is an excellent Dr. I found him friendly , personable and thorough. I evidently am an unusual case. ... Therefore he spent a Hugh amount of time educating me. He even gave me literature to further explain my condition and how to follow up. This is something you rarely get from your doctors. So I am more than please with my doctor and his staff.read more
Roger Arguello
Roger Arguello
03:05 29 Jan 21
Always courteous, professional. The staff is very friendly and always work with you to find the best appointment time.... The care team has been great. Always taking the time to listen to your concerns and to find the best treatment.read more
Margaret Rowland
Margaret Rowland
01:12 27 Jan 21
I have been a patient at Lone Star Neurology for several years. Now both my adult daughters also are patients there. I... love Jodie. She is always so prompt whether it is a teleamed call are a visit in the office. She takes the time to explain everything to me and answers all my questions. I am so blessed to have Jodie as my doctor.read more
Susan Miller
Susan Miller
03:01 13 Jan 21
My husband had an accident 5 years ago and Lone Star Neurology has been such a blessing to us with my husbands care.... Jodie Moore is his provider and she is amazing! Jodie is very knowledgeable, caring, and thorough. She takes her time with you, making sure your needs are met and she is happy to answer any questions you may have. Lone Star Neurology’s patients are very lucky to have Jodie providing their care. Thank you Lone Star Neurology and especially Jodie for everything you have done for us. Jodie, you are the best!read more
Windalyn C
Windalyn C
01:32 09 Jan 21
Jodie is wonderful. She is very caring and knowledgeable. I have been to over a dozen neurologists, and none were able... to help me as much as they have here. Thanks!read more
Katie Kordel
Katie Kordel
00:40 09 Jan 21
Jodi Moore, nurse practitioner, is amazing. I have suffered from frequent, debilitating headaches for almost 20 years.... She has provided the best proactive and responsive care I have ever received. My quality of life has been greatly improved by her caring approach and tenacity in finding solutions.read more
Ellie Natsis
Ellie Natsis
15:41 07 Jan 21
I have had the best experience at this neurologist's office! For over a year I have been receiving iv treatments here... each month and my nurse, Bobbie is beyond wonderful!! She's so attentive, knowledgeable, caring, and detail oriented. She makes an otherwise uncomfortable experience much more pleasant and definitely puts me at ease! She also helps me with my insurance,ordering this specialty medication and dealing with the ordering process which is no easy feat.Needless to say, she goes above a beyond in every way and I'm so grateful to this office and to Bobbie for all they do for me!read more
Matt Morris
Matt Morris
15:39 07 Jan 21
Let me start by saying that I have been coming here for years. Due to my autoimmune disease, I am in this office... once every three weeks for multiple hours at a time. The office is very clean and the staff very friendly. My only complaint would be there communication via phone. They aren't the best at responding if you leave a voicemail and expect a call back. I understand that this is prob just due to the sheer number of alls they receive daily. What I can say I like the best about the office are the people. Bobby who handles my infusions is great. I never have any issues with her setting up my infusions. She is very quick to reply to messages sent via text and if she were to leave then my whole opinion of the office may change. I also enjoy people like Matt, Lauren, and Jodi. I appreciate all that they do for me and without this team I'm not sure I would be as happy as I am to visit the office as frequently as I have to. Please ensure that these folks are recognized as they are what makes my visit to this office so tolerable :).read more
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