Scoliosis Treatment with Dr. Tony Nalda

Episode 99: S-Shape Scoliosis: What is an S-Curve Scoliosis?


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Patients diagnosed with scoliosis often hear terms like the C curve or the S curve, leaving them curious about the implications. In this podcast, Dr. Tony Nalda sheds light on the specifics of S-shaped scoliosis, emphasizing the diagnostic parameters, classifications, and complexities involved in treating this unique curvature.

Understanding S-Shape Scoliosis

To comprehend an S-shaped curve, one must first understand scoliosis diagnosis. An unnatural sideways curvature of the spine, accompanied by a rotational twist, defines scoliosis. The Cobb angle, measuring the curvature, must be 10 degrees or greater for a diagnosis. Scoliosis can further be classified based on age, cause, severity, and location within the spine.

Types of Scoliosis Based on Severity and Location

  1. Mild Scoliosis - 10-25 degrees
  2. Moderate Scoliosis - 25-40 degrees
  3. Severe Scoliosis - 40 degrees or plus
  4. Very Severe Scoliosis - 80 degrees and greater
  5. The most common S-shaped curve involves two curves of similar size, typically a lumbar and thoracic curve. These double-curve scoliosis, resembling an S, are more complex to treat than single-shaped C curves.

    Challenges of S-Shaped Curves

    S-shaped curves tend to be more symmetrical, presenting challenges in reduction compared to less symmetrical curves. The degree of difficulty increases as both curves not only bend in opposite directions but also rotate in opposite directions.

    When treating S-shaped curves, it is important to seek a specialist due to their complexity. Flexible studies help identify the dominant curve, guiding more aggressive treatment for the stiffer curve.

    Effective Treatment Approaches

    • Chiropractic Care - adjustments to correct spinal positions
    • Scoliosis-Specific Exercises - targeted exercises for stabilization
    • Corrective Bracing - customized braces for pushing forces to reduce scoliosis
    • Physical Therapy - passive therapies, reflexive exercises, and gait therapy
    • An integrated approach, including chiropractic care, exercises, and corrective bracing, ensures coordinated efforts for the most effective treatment. In-office therapies utilize traction, vibration, neuromuscular education, and reflexive exercises to strengthen and mobilize the spine.

      Navigating S-shaped scoliosis requires a tailored approach, combining different therapeutic disciplines. At the Scoliosis Reduction Center, the focus is on achieving measurable results, improving spine health, and addressing symptoms associated with scoliosis.

      To explore these approaches further, listen to Dr. Nalda's podcast for additional insights on managing and treating not only S-shaped curves but various scoliosis types.

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