Therapy | Pain with scoliosis

Therapy

In rare cases, back pain, myogelosis and intercostal neuralgia all come together. It is often the case that patients only have some of the symptoms and that these do not occur permanently. Taking into account the type and intensity of the pain, an appropriate treatment strategy must then be developed.

Once the cause of the pain has been identified (scoliosis), adequate and regular anti-inflammatory pain treatment should be started. This usually consists of treatment with ibuprofen or diclofenac. This should be done either with a combination of stomach protection treatment if the treatment is of longer duration or without stomach protection if a short treatment duration is indicated.

Dosages range from 200 mg to 800 mg 3 times daily for ibuprofen and diclofenac 75 mg twice daily. If this medication is not sufficient, a stronger medication can be used. For example, Tramal 100 mg is often used.

This medication should be taken a maximum of two times a day. In addition to the anti-inflammatory painkillers, one can also try to help the patient with physiotherapeutic therapy. A physical pain treatment can also be tried.

In this case a regular, cooling treatment is used. This is usually done with ice or cool packs. Movements that lead to the complaints or even increase them should be reduced or avoided completely.

Especially sports that require constant rotating movements of the upper body should be avoided. These include racket-swinging sports such as tennis, table tennis or golf. Cycling should also be avoided if possible due to the posture that is taken.

On the other hand, swimming is recommended. Depending on the pain caused by scoliosis, there are various ways to alleviate it. It is important that the doctor treating the patient should be consulted if the pain is more severe.

Since scoliosis can lead to serious problems of the organs in some cases, these should be clarified before pain treatment so that they cannot go unnoticed. Often the pain in scoliosis is caused by tense and overstrained muscles. Regular physiotherapy and various exercises can be helpful here.

The focus is on strengthening and stretching the muscles to adapt them to the changed load. In cases of severe tension, massages and treatments with cold or heat wraps can also be helpful. Scoliosis is an S-shaped curvature of the spine, which is usually caused by a chronic incorrect load over a long period of time.

In most cases, this malformation is accompanied by a twisting of the spine, also known as torsion. This malformation is also caused by incorrect loading. In addition to scoliosis, increased kyphosis (spine bent forward) or lordosis (spine bent backward) can also occur.

In most cases, however, scoliosis is an S-shaped lateral bend with torsion. Normally, the vertebral bodies of the spine lie on top of each other in such a way that the edges of the bodies provide a certain amount of space between the vertebral bones. In this space between the vertebral bodies lie the intervertebral discs.

They serve to cushion the compressive forces that weigh down on the spine with every movement and also ensure that movement in the spine can take place with the least possible friction. In the course of a lifetime, there is inevitably little wear and tear of the vertebral bodies.As a rule, this proves to be a problem especially with older patients when their height is slowly reduced. This is usually not associated with pain as long as the vertebral bodies wear out regularly.

Physiological and natural wear and tear over the course of a lifetime, which is completely free of complaints, thus presupposes that the vertebral bodies wear evenly and that there is no incorrect posture or incorrect load. As soon as an incorrect load, especially chronic, occurs in the course of life, the protective vertebral bodies wear out irregularly.