Scoliosis in Children
Everybody has heard of scoliosis at one time before or knew someone that had it. I remember in elementary when the school nurse use to ask you to bend over and touch your toes while she feels down your back. Back then I did not know what that test was for, but now I do know. About half of the states require public schools to test for scoliosis. They try to catch it early so that it can be treated before it gets worse. Scoliosis is an abnormal curving of the spine. Everyone’s spine is supposed to curve a little, but when it is curved too much like a “S” shape then it is a problem. Scoliosis is typically classified as either congenital, idiopathic, neuromuscular, or secondary to a primary condition.
Congenital scoliosis is when a person is born with the condition. It is usually first detected in the initial newborn physical examination by a pediatrician or by the child’s parents soon after birth (Nordqvist, 2013). Children began to develop the curvature before the birth, during the fetal growth in the mother’s womb. Part of the vertebrae or more does not form completely, or the vertebrae does not separate properly (Nordqvist, 2013).
Idiopathic scoliosis is the most common type of spinal deformity. Idiopathic means unknown cause. Although many may not know what causes the majority of scoliosis cases, they do know that it can run in the family (Hreskno, 2013, p. 834). Idiopathic scoliosis usually occurs in adolescents 10 to 18 years of age, but can occur in younger children as well (Hreskno, 2013, p. 834). It is often seen more in girls than boys. Idiopathic scoliosis does not cause pain or neurological symptoms in the early stages. In the beginning of the disease there is no pressure put on the internal organs...
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...k for in children that has scoliosis or even if I suspect someone with scoliosis.
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The cause of pectus excavatum is not entirely understood. It has been researched that the cause of it is irregular growth of the cartilage that connects the ribs to the sternum that occurs during pregnancy. According to Pectus excavatum: MedlinePlus Medical Encyclopedia, 2013, October 18, some disorders can be linked with patients that have pectus excavatum, including: Marfan syndrome, Rickets due to the lack of vitamin D, scoliosis, Poland syndrome, and a family history of pectus excavatum. Even though family history is a risk factor, this anomaly can happen without a family history. Most parents are unaware of their child’s deformity until they begin to notice
Scoliosis is found and diagnosed in many ways. Some ways it is found is looking at medical history, having physical examinations, and X-rays. Most cases are unknown, or caused by already diagnosed medical conditions like cerebral palsy and muscular dystrophy. Also another kind is idiopathic scoliosis. Idiopathic scoliosis is also unknown why people get it. Medical
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He will also examine your spine to find out if it is upright. Height loss and a bent spine are indicators of osteoporosis.
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Scoliosis is a progressive disease. In its early stages a mild rotation and rib deformity is detected. As it progresses more vertebrae rotate, causing the ribs to crowd together on one side of the chest and to spread apart on the opposite side. The disease is usually first identified in persons 10 to 17 years old. Most cases occur in girls and become apparent during the rapid growth phase of puberty. Conditions also include shoulder unleveling, waistline discrepancies, acute headaches, shortness of breath, rib hump, chronic fatigue, and mood swings.
Arthrogryposis is a disorder in which a child is born with joint contractures; this means some of their joints may be stuck in one position (curved or crooked). Children born with this disorder may have thin, weak, stiff, or missing muscles around these joints. The most common cause of arthrogryposis is fetal akinesia which is where the baby doesn’t move around a lot in the womb during development. Extra tissue can form in the joints making movement more difficult for the child to move. The reasons that fetal akinesia can take place may be because the womb was abnormally shaped so there wasn’t enough room for the baby to move around, amniotic fluid may have leaked out of the womb, or the baby’s parts did not form normally such as joints, bones, and muscles. They have also found that in approximately one third of the children who have this disorder have been determined to be a genetic cause.
If the spine is normal then the issue is part of the child growing or a different issue that is causing enough pain to warent a trip to the doctors. If the angle is off however then it will be diagnosed as Scoliosis, Lordosis or Kyphosis respectively.
University of Maryland Medical Center. (2013, December 18). What is a Pediatrician?. Retrieved September 12, 2014, from http://umm.edu/programs/childrens/health/about/what-is-a-pediatrician