Scoliosis – a sideways curvature of the spine – has been observed in human beings since the days of Ancient Greece (and probably much earlier). It has affected many notable people, and much has been written about it, although many aspects of the condition remain mysterious even today.
 
If you’ve been diagnosed with scoliosis and you’re eager to learn more about the condition, here are 10 interesting facts for you to memorise and share with friends and family:
 
Scoliosis
 
  1. The word ‘scoliosis’ is derived from the Ancient Greek word σκολίωσις (skoliosis), which literally meant ‘a bend‘ or ‘a twisting‘.
  2. The first notable person to treat and write about scoliosis was Hippocrates, the Greek physician who is often referred to as ‘the father of modern medicine’. He coined the name ‘scoliosis’, and he treated curved spines with extensions and stretches, performed using devices like the Hippocratic board, the Hippocratic ladder, and the Hippocratic bench.
  3. Many depictions of Alexander the Great show him looking up at an angle, as if he had a twisted spine. This has led some to theorise that Alexander – one of history’s most prolific conquerors – may have suffered from scoliosis or a similar spinal curvature.
  4. Richard III, who was King of England from 1483 to 1485, famously had scoliosis, although modern imaging techniques suggest that Richard’s condition was mild enough to be disguised with the right clothing.
  5. Scoliosis is significantly more common in females than in males. Adolescent females may be up to 10 times more likely to develop idiopathic scoliosis than their male peers.
  6. Usain Bolt has scoliosis – the Olympic gold medallist has said that the condition hampered his early career, but it obviously hasn’t stopped him from succeeding more recently! Click here for more famous scoliosis sufferers.
  7. It’s estimated that scoliosis affects roughly 3% of the population – that’s well over 200 million people worldwide.
  8. Animals can suffer from scoliosis. The condition has been found to exist in dogs, cats, horses, fish, and a number of other creatures; interestingly, though, it has not been observed in chimpanzees or gorillas, in spite of the fact that both are members of the same taxonomic family as humans (Hominidae).
  9. Severe scoliosis may be treated using a surgical technique known as spinal fusion. This operation dates back to the 1900s, and notable people who have undergone spinal fusion surgery include Princess Eugenie, actress Elizabeth Taylor, Chinese-American cellist Yo Yo Ma, and actress/singer Vanessa Williams.
  10. A lot of exciting scoliosis research is currently being carried out using zebrafish as test subjects. In 2016 alone, zebrafish experiments linked the development of idiopathic scoliosis both to a specific gene and to the flow of fluid in the spinal column – both of these findings could have huge implications for scoliosis treatment in the future.
The Scoliosis SOS Clinic is located in London, England, and is an internationally-renowned provider of non-surgical treatment for scoliosis and other spinal conditions. Click here for more information, or contact Scoliosis SOS to arrange a consultation today.
 
Lumbar scoliosis refers to the sideways curving of the lower back, known as the lumbar area of the spine. While this form of curvature can be linked with congenital scoliosis at birth, and may also occur as a result of a neuromuscular condition in adulthood, it is most commonly identified in patients with idiopathic scoliosis.  
 
Lumbar scoliosis can be visually identified using an X-ray or Adam’s forward-bend test, and is characterised by the distinctive ‘C’ shaped curve in the lower section of the spine and the apex of the curve has to be one of the lumbar vertebra. It differs from thoracolumbar scoliosis, which is when a single curve spans between the bottom few vertebrae of the thoracic spine and the top few vertebrae of the lumbar spine and the apex of a thoracolumbar curve has to be at either T12 (twelfth thoracic vertebra) or L1 (first lumbar vertebra). A lumbar scoliosis can occur in combination with a thoracic scoliosis to form an ‘S’ shaped curve, with the thoracic curve going in one direction (left or right) and the lumbar curve going in the other (right or left).
 
In most cases, symptoms of lumbar scoliosis will be distinguished during early to mid childhood, although in cases of adult degenerative scoliosis, it can also be linked with a number of corresponding conditions, including lumbar spinal stenosis and osteoporosis. 
 
Some visual symptoms of lumbar scoliosis include:
  • Uneven shoulders
  • Unusually raised hips
  • Uneven rib cage alignment 
  • Uneven waist 
  • Body leaning to one side

How is Lumbar Scoliosis Treated?

The recommended treatment for lumbar scoliosis may vary depending on a variety of factors, from the age and health of the patient, to the severity of the spinal curve, and its long-term implications. For those who experience pain and inflammation as a result of lumbar scoliosis, anti-inflammatory drugs such as ibuprofen may be prescribed, in an attempt to reduce discomfort for the patient. In other cases, doctors may recommend a course of corticosteroid injections into the spine, which are performed under X-ray, and can be received no more than four times in a 6-12 month period.
 
In the most severe cases, where the curvature is seen as being likely to progress, and may impact the patient’s overall health and wellbeing, a doctor will often recommend that the patient undergoes a corrective surgical procedure. This is known as spinal fusion surgery, and involves the insertion of rods and screws into the backbones, which prevents the spine from curving. 

Are There Viable Alternatives to Drugs and Surgery for Lumbar Scoliosis? 

An increasingly popular method for treating scoliosis, is the use of physical therapy and exercises, which is the treatment approach that we employ here at Scoliosis SOS. Performing a variety of movements, a physical therapist will work to correct the existing spinal curve and strengthen the patient’s back muscles, for continued maintenance and progress. Those who enrol on our ScolioGold programme, will receive a treatment plan that is tailored specifically to their condition, with an at-home exercise routine to complete once they have concluded their treatment.
 
For more information about how we can treat patients with lumbar scoliosis, please feel free to get in touch today!  You can contact the Scoliosis SOS team by calling 0207 488 4428, or by filling in our contact form.
Bracing vs Scoliosis Surgery
If you suffer from scoliosis and the curve in your spine is becoming more severe, your doctor may recommend that you wear a back brace. A back brace won’t directly correct your spinal curve, but it can help with preventing the curve from progressing any further.
If the curve in your spine is quite severe, your doctor may recommend that you undergo spinal fusion surgery for your scoliosis. If successful, surgery will ensure that your curve doesn’t progress any further; however, there are risks involved in this procedure.
Both treatment options – bracing and surgery – have their pros and cons. Let’s weigh them up and compare the two:

Using a Back Brace to Treat Scoliosis

If you require a back brace for your spinal curve, the first step is to have a cast taken of your back; this will be done at an outpatient appointment, so an overnight stay at the hospital is not required. Scoliosis braces are often made from rigid plastic, although more flexible materials are sometimes used for milder curves. Most modern scoliosis braces are designed to be difficult to see under loose-fitting clothing, so there is no need to be worried about them being seen through clothing.
If you require a brace, you’ll usually need to wear it for 23 hours a day, taking it off only for showers and baths; however, in some cases, the patient is only required to wear the brace at night. 
Whilst you are wearing your brace, it is vital that you maintain the strength of your back muscles and not allow them to atrophy; a lack of back muscle strength can result in the benefits of this treatment being lost at the end of the bracing period, leading to an increase in spinal curve severity.

About Scoliosis Surgery

If your spinal curve is particularly pronounced, you may decide to undergo scoliosis surgery.  The operation is performed under general anaesthetic, so you’ll be completely unconscious for the duration of the procedure.
During the surgery, your surgeon will attach a series of rods to your spine. These rods will reduce the angle of your spinal curve and serve as a splint to hold your spine in place. The surgeon will then apply a bone graft to your spine – this bone will eventually fuse with your spine, preventing your curve from increasing any further. The rods are not a permanent measure; they’re only used to hold the spine in place until the fusion process is complete. However, the rods are usually not removed, as to do so would require another large (and potentially risky) surgical operation.
In theory, surgery should mean that your scoliosis cannot progress any further and that your curved spine does not impact your everyday life to the same degree. However, like most surgical procedures, there are a number of risks associated with scoliosis surgery, such as the possibility of nerve damage, infection, implants coming loose or breaking, and / or the development of a secondary curve. In some rare cases, patients can even find themselves in more pain post-op than prior to the surgery. 

Is There a 3rd Option?

If you would rather not treat your spinal curve with surgery or a back brace, you will be happy to know that we at the Scoliosis SOS Clinic offer a non-surgical alternative to these scoliosis treatments.
Our chartered physiotherapists treat scoliosis sufferers using the Clinic’s own ScolioGold method; this treatment programme combines proven non-surgical techniques from around the world, including the Schroth Method, the FITS Method, the PNF method, and several others. We’re constantly monitoring and developing our methods to reflect the latest advancements, and because of this, our non-surgical method continues to deliver gold-standard results.
To find out if we can help you treat your scoliosis without surgical intervention or the use of a back brace, please contact us now and arrange an initial consultation.
Scoliosis & Cerebral Palsy While the majority of scoliosis cases occur without any prominent connection to the sufferer’s overall health and lifestyle, there are several medical conditions which can lead to what is commonly known as neuromuscular scoliosis, or myopathic scoliosis. This is caused by abnormalities of the myoneural pathways of the body, and often leads to a more rapid progression of the spinal condition, due to existing weaknesses. One of the most commonly-associated conditions which can lead to myopathic scoliosis, is cerebral palsy: a neurological disorder which causes muscle weakness, uncontrolled body movements, and poor co-ordination, among other issues. Due to the neurological impact of cerebral palsy on an individual’s spinal muscles, the chances of developing myopathic scoliosis are increased by around 20% in these cases. Depending on the severity of the cerebral palsy, the chances of developing scoliosis can increase further still, with the rate increasing to almost 100% in bedridden children. The type of scoliosis caused by cerebral palsy differs from the more common idiopathic form in various ways, including:
  • The rate of progression  – As previously mentioned, the neurological impact of cerebral palsy can cause the severity of the spinal curve to progress far more rapidly, even once the patient has reached skeletal maturity.
  • The age of development – Patients with cerebral palsy will often develop scoliosis at a younger age.
  • Treatment – While bracing is commonly used to treat scoliosis, for both correction and prevention of progression, this is often deemed to be less effective in patients with cerebral palsy.

How is Scoliosis Treated in Patients With Cerebral Palsy?

As mentioned above, bracing is often deemed to be ineffectual in scoliosis sufferers with neurological disorders, which means that this treatment approach is usually ruled out straight away. Due to the progression of the curve, spinal surgery is often recommended as the primary form of treatment, although the goal is to delay this until the patient reaches an older age. Due to the additional complications posed by cerebral palsy, however, the planning and execution of this surgical procedure is often made far more difficult, due to the number of additional factors which must be taken into consideration before attempting surgery.

Can Scoliosis SOS Help?

While each individual case is completely unique, we aim to provide the best treatment possible to each of our patients, and have worked with countless individuals suffering from additional medical conditions in the past. When it comes to all forms of scoliosis, the prevention of progression is key, and is particularly important in those who show signs of scoliosis from a very young age. Over the years, we have treated patients from ages as young as 4, in order to provide these children with the ability to manage their condition and prevent deterioration at an early stage. For those who have already undergone spinal fusion due to the severity of their condition, we have also provided treatment to aid recovery and mobility, while reducing the levels of pain which are often experienced by post-op candidates. If you would like to find out more about the treatment options offered by Scoliosis SOS, then please feel free to get in touch with us today for more information. You can do so by filling in our contact form here, or by calling us on 0207 488 4428, to discuss your condition or to arrange an appointment.
Scoliosis refers to a sideways (lateral) curvature of the spine, but when your spine curves forward, this is often referred to as a Dowager’s Hump. If you have Osteoporosis of the spine (a medical condition in which the bones become brittle and fragile from loss of tissue), your vertebrate can fracture, causing Kyphosis (an excessive outward curvature of the spine, causing hunching of the back) or a spinal back hump.

Where did the term originate from?

Because so many women suffered from untreated bone loss, Kyphosis was mainly associated with older women. Since the definition of dowager is “dignified elderly women”, and due to the fact that many older women developed this particular condition, people began to refer to the curvature as a ‘dowager’s hump’ – regardless of the sufferer’s age or gender.

What Causes Dowager’s Hump?

When your spinal vertebrae are impacted by osteoporosis, they can become brittle, and fracture as a result. This is more common with patients who bend forward at the waist, putting pressure on the spine. There are 3 types of spinal fractures: Wedge Fractures, Biconcave Fractures and Crush Fractures. The primary cause for developing Dowager’s hump, is a wedge fracture, which refers to the collapsing of the front vertebrae. This causes the vertebrae to tip forward, which results in the spine to becoming misaligned. As more and more vertebrae collapse, the sufferer’s back will become increasingly bowed. Quite often, you won’t realise that you have a wedge fracture, as they are a silent abnormality which rarely cause pain. If you notice slight rounding of your back, however, it’s important that you seek medical help before it increases in severity. 

Can Dowager’s Hump be Treated?

If you suffer from Dowager’s Hump, you’ll be happy to know it can be treated without the need for surgery. Here at Scoliosis SOS, we treat a variety of spinal conditions using our carefully developed ScolioGold method, including those suffering from kyphosis. This treatment programme is our own, unique approach to spinal therapy, which combines a wide range of proven, non-surgical techniques, to provide the best possible results for our patients.
If you wish to learn more about the methods included in our ScolioGold treatment programme, click here. To book an initial consultation, or to approach us with any additional questions, simply click here to get in touch.