PDA

View Full Version : need help on physio...



ermintham
10-12-2006, 11:04 AM
hi i suffer frm mild scoliosis. the curvature is nt tt bad.....but the varying size of muscles on my body is worrying.

the physiotherapist(PT) said the cause of my scoliosis is due to my right back muscle being weak. thus i tend to sit or stand slanted to one side.....and even run like that...

so my left back, leg shoulder muscle is much stronger and bigger and i tend to use them thus causing back pain.

recently, i injure my right knee due to torn ligament and my muscle atrophied...causing the difference to be greater...

i am on physio...doing straight leg raises and all to strengthen my quads but i find it hard coz i tend to tense up on my left side and not work my quads in the end....coz of my difference in strength on both sides...

anyone can help teach me how to strengthen the right side of my back muscles to make it equal?

my left leg starts to bcum numb alr.

Jen-jen
10-12-2006, 02:05 PM
Hi, some ways that I were told were to stretch your right arm over your head then lean to your left and try to stretch your right arm so that you are kind of in a lunge position. Another one is to put weights (I find a heavy shoulder bag works) on your right hand side because that tends to make you lean slightly to the left to compensate it - and hence strengthen your muscles. These work for me but they haven't been recommended by a doctor or anyone superior.

I have a question that I need to ask you: do you have physiotherapy for just your legs or your back as well? I am looking into physiotherapy for my scoliosis and could do with advice.

x x

ermintham
10-12-2006, 08:13 PM
i have physio for my leg...

i stopped physio for my back 2 yrs ago coz i realise it doesnt help much....or rather i was performing all the excercises wrongly..


anyway, u were sayin weights on the right that will cause me to lean to my left? but im already leaning to my left coz of my scoliosis...dun really get wat u trying to say here

orangie0313
10-12-2006, 10:11 PM
Yea i have scoliosis and i am stronger on one side.My mom take me to pilates/physical threpy.Now since i have been doing pilates and physical threpy for a while i am getting stronger.I feel a huge diffrence.I also heard that pilates kind of helps your scoliosis.It wont strighten your spine but it helps it.Pilates is not just great for your spine but for lots more.Hope this helps! :p

ermintham
10-12-2006, 10:46 PM
Yea i have scoliosis and i am stronger on one side.My mom take me to pilates/physical threpy.Now since i have been doing pilates and physical threpy for a while i am getting stronger.I feel a huge diffrence.I also heard that pilates kind of helps your scoliosis.It wont strighten your spine but it helps it.Pilates is not just great for your spine but for lots more.Hope this helps! :p

does pilates help strenghthen ur weaker side? care to share some of the exercises?

i always use my stronger side sub consciously...

plz help....my back pain is getting worse...thanks

ermintham
01-09-2007, 04:57 AM
anyone to help

ermintham
01-09-2007, 04:58 AM
anyone to help me?

The Slice
01-09-2007, 06:48 AM
Ermintham, I have a couple of questions for you.
How old are you?
When is the last time that you had your scoliosis checked?

You say that you are experiencing numbness in your left leg? That could be a sign of a worsening curve. If you are concerned about a difference in the size of your two legs, I wouldn't, the difference is because your injured leg has been immobile for some time. While it may have a slight effect on your back, I doubt that it is a major factor in the development or severity of the curve. If you are still growing, I would definitely have your folks take you back to have your curve re-evaluated. Orangie313 is correct, exercising will NOT straighten your back, but it will keep everything more flexible and help in terms of stopping the progression of the curve with a brace, and if needed, may improve the amount of correction that can be obtained in surgery. The back pain and the numbness in the leg is a huge red flag that you need to see your doctor, or the orthopod and have your back checked again.

ermintham
01-09-2007, 06:51 AM
hi Slice, im actually 20..doubt im growing. my worry is not the lack of muscles in my injured leg. its getting it to work. due to my scoliosis its hard to work that side of my body.

ya i think its worsening, my arm (on the non-injured side and where the curve swings to) gets numb too.

ermintham
01-09-2007, 07:07 AM
i would also like to know wats the name of the condition in which the spine is twisted? not jus normal 2d curve. think of it in 3d.. like wringing my body like a cloth

tonibunny
01-09-2007, 01:52 PM
That's still scoliosis, Ermintham. Scoliosis causes the spine to twist (or rotate) as well as curve from side to side, but some people have more rotation than others.

The Slice
01-10-2007, 08:39 AM
I would still go again and get checked out by an orthopod to see if your curve has progressed. If you are noticing an increase in the rotation, and are experiencing numbness, it's a god posibility that the curve has gotten worse. I know a young man who was 6' 4" when he was graduated from HS, and grew another 3" after that. If you were being treated for scoliosis 2 or 3 years ago, it is not unreasonable to think that the curve has worsened. It's also possible that you may have some other predisposing factor that may contribute to the scoliosis which could allow the curve to progress beyond the end of your adolescent growth. Get it checked out as the further it progresses, the more chances there are for problems and the more difficulty in correcting the curve with surgery.

ermintham
01-10-2007, 08:48 AM
ok thank you. will go and check it out.

from wat i know physio helps in relieving the pain and making our muscles stronger. but the curve can only be corrected thru surgery rite?

The Slice
01-11-2007, 09:30 AM
That is correct. Neither bracing or exercising will correct a curve. What they will do is hopefully stop or slow the progression of the curve (if caught early enough) to avoid surgery. The exercises will help keep the muscles in shape and will help keep your back limber. This is good if you do have surgery as it may help in the amount of correction that can be obtained.

ermintham
01-14-2007, 03:35 AM
i realise with the rotation...whenever we do daily activities, be it walking runniing climbing stairs...sitting down and even lying down...our body tends to be twisted.

and thus we tend to use the muscle (of the side our body twist to)more often..


my doctor told me to do more exercise...and as i do....i realise the imbalance gets greater..coz i subconsciously twist according to my rotation..so the weaker muscles remain unused and the stronger ones get stronger....how do we counter this?

anyone can share wat their physio taught them....

harmoniesdj
01-14-2007, 05:45 AM
Hi - I have been doing various physio for the 50+ yrs I first started wearing a brace. Exercise does work & surgery is not always necessary. I have not had surgery to date. Isometric exercises are helpful. I have several exercise bands I keep at work, near my bed & in the car. They are great for travel & can strengthen muscles efficiently. Yoga (25 yrs+ for me) has helped me stay flexible (Dr. Benson - UCD Medical Ctr, Sacramento, CA- always told me that as long as I could stay flexible I would stay out of surgery). Massage (deep muscle tissue) has assisted in releasing the tension held in muscles on one side of the body...those muscles are overcompensating for the weaker mucles on the other side...a good CMT will help to balance the muscles on both sides of the body. Stability Ball training assists with strengthening the core muscles as well as being used for stretching & pilates...get a good instruction book for assistance. Swimming is excellent for stengthen both sides of the body and is non-impact. I didn't have much luck w/ aqua-aerobics - too much impact - I had better luck just swimming laps. Light weights and the hyper-extension unit helped strengthen muscle mass as well as tendons & ligaments. Alexander Technique helped me learn how I was holding my body in positions due to pain, injury, bad posture, etc. that stressed my muscles contributing to pain & additional curvature. Muscle Activation Technique (MAT) therapy for the last 2 yrs helped to awaken muscles that were not used & the exercises reinforces their strength. This therapy also made me aware of my feet and how foot exercises + proper shoes could strengthen my core muscles.

I just had an x-ray friday after 2.5 yrs. From what I can tell (w/o Dr. consulation - that's on Wed) my curves have decreased and balanced (now 41 lower {from 49} w/ rotation to 39 upper{from 41}). I must contribute this mostly to the massage and MAT therapy. I'll give you an update after my Dr. app't.

Another peice of advice I have learned over the years is to be careful when working with physical therapists and/ or physical trainers. They can end up hurting you unintentionally and you must ask what experience they've had with scoliosis patients. You would be surprised at their lack of experience...."I studied it in classes" etc.....and they tend to have a one size fits all mentality. I have learned to be careful with their instructions because they can cause me damage & pain than someone else. Learn to listen to what your body is telling you. And tell them "No" that will hurt me.

Good luck :p & I'll let you know what happens on Wed.

ermintham
01-14-2007, 07:26 AM
that's a lot of info.....

wat kinda isometric exercises u do?

ermintham
03-19-2007, 01:35 AM
That is correct. Neither bracing or exercising will correct a curve. What they will do is hopefully stop or slow the progression of the curve (if caught early enough) to avoid surgery. The exercises will help keep the muscles in shape and will help keep your back limber. This is good if you do have surgery as it may help in the amount of correction that can be obtained.
hey slice.....how come i read some other post that some pple do experience their curve getting better?

Lab Dog
03-19-2007, 10:36 AM
If scoliosis is caught early enough bracing can be very effective in stopping curve progression. In some cases curve reduction is possible IF the brace is worn properly for the prescribed amount of time. In most of the accounts I have read of curve reduction it involved teens who were diagnosed at Risser 0, curves in the 20's, who exercised to achieve strong core muscles, maintained a healthy to low weight, and wore whatever brace they had just the way it was supposed to be. But this is unusual, which is why brace-wearers are told the goal of the brace is to stop progression. And braces generally do stop progression in 65-85 percent of patients.

ermintham
03-19-2007, 11:02 AM
hy lab dog...

my doctor din say that i need to wear a brace...well im meeting him agn in abt two weeks time..see how it goes...
the last visit..he told me to exercise...and stay active..

gerbo
03-19-2007, 11:46 AM
my doctor told me to do more exercise...and as i do....i realise the imbalance gets greater..coz i subconsciously twist according to my rotation..so the weaker muscles remain unused and the stronger ones get stronger....how do we counter this

you might be interested in this article, describing torsorotation exercises as a way of stopping scoliosis getting worse

http://corespinalfitness.com/downloads/research/measuredresistanceinscoliosis.pdf

the "beauty" of this exercise is that it appears to target selectively muscles on either side of the spine (depending on which direction you turn) and there is less risk of "strengthening the stronger side" Ofcours you do not expect any improvement once you stopped growing, it might just help stabilising things and at least will keep your backmuscles stronger.

ermintham
03-19-2007, 10:39 PM
?

you might be interested in this article, describing torsorotation exercises as a way of stopping scoliosis getting worse

http://corespinalfitness.com/downloads/research/measuredresistanceinscoliosis.pdf

the "beauty" of this exercise is that it appears to target selectively muscles on either side of the spine (depending on which direction you turn) and there is less risk of "strengthening the stronger side" Ofcours you do not expect any improvement once you stopped growing, it might just help stabilising things and at least will keep your backmuscles stronger.

ok thanks thanks...


the "?" was for?


or is it a typo?

gerbo
03-20-2007, 04:13 AM
it was a typo

ermintham
03-20-2007, 04:56 AM
so wat kinda torsorotation exercises i can do? any links?

that pdf only explains that it works or helps....

gerbo
03-20-2007, 05:33 AM
it tells you what type of equipment they used, so you can find the same equipment and use it as described. Failing that, find a "gym" with something similar (here in UK they call them "torsotwist")

ofcourse make sure you are properly advised by physician to make sure you are allowed to do these and properly supervised by instructor

structural75
03-20-2007, 09:01 AM
ermintham,

I wouldn't advise messing around with this on your own, or with a personal trainer at the gym. You should be working with someone much more knowledgeable about scoliosis for this... a reputable physiotherapist/PT for example. Every curve/rotation is unique to that individual. Checking with your Dr. is a good idea, but keep in mind it will yield different outcomes depending on how well versed your Doctor is on this type of treatment approach. Some Doctors have a very poor understanding of functional biomechanics... and some don't feel exercise is important in the matter (the Drs in Montreal don't give exercises to do with their brace :eek: ).

Basically, I'm just saying a generic approach may do more harm than good. These rotations should be done to ONE side in the PROPER place for corrective purposes. Otherwise.... .