Assignment: Structured report. Research and write a short report on a medical condition(about 800 words). Adult Scoliosis
All spines have curves, but the spine develops curves in the wrong direction - sideways. It is natural for the spine to curve forward and backward to a certain degree; giving the spine an "S"-like shape. When a person's spine twists to develop an "S"-shaped side-to-side curve, then this condition is known as scoliosis. A 14th century woman who suffered from scoliosis, Limburgs Museum Venlo
A scoliosis curve can occur in different areas of the spine. The abnormal curve can occur in the thoracic spine, the lumbar spine, or both areas at the same time. The curves can range from10 degrees to more than 100 degrees. The degree of curvature from the normal is a measure of the severity of scoliosis is. It helps the surgeon decide what treatment to be given. Curves less than 40 degrees will be treated without while curves above this amount might require a surgery. Diagnosis
Scoliosis if suspected in an adult, appropriate treatment plan can be developed after a thorough diagnosis. History
To make a proper diagnosis and rule out other possible conditions, history of patient is taken in the first step. Family History - Scoliosis tends to have a genetic cause. The doctor want to know if anyone else in your family has scoliosis. Date of Onset – Time when first noticed the appearance of your spinal condition. Measured Curve Progression - This is be measured by comparing new X-rays with old ones, measuring the rib hump, or changes in height. Presence or Absence of Pain - If there is pain, doctor needs to know where and what brings on or induces the pain, and if there is any pain that radiates away from the spine, it usually comes from irritation of the nerves as they leave from the spine. Bowel or Bladder Dysfunction - If you are having problems when you urinate or have a bowel movement it could signal the presence of serious nerve...
References: 1. Adult Scoliosis | University of Maryland Medical centre http://umm.edu/programs/spine/health/guides/adult-scoliosis#ixzz2eJF7wEMP
2. Weiss HR, "Scoliosis-related pain in adults: Treatment influences," European Journal of Physical Medicine and Rehabilitation 3/3 (1993): 91–94.
3. Scoliosis Research Society website
Prepared and submitted to FRS Training Centre by Biju John
Tutor: Anita Greene
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