Scoliosis Treatment in India
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What is Scoliosis?
Scoliosis is a condition of sideways curvature of the spine commonly diagnosed in adolescence. Most cases of childhood scoliosis have an idiopathic cause. Adults suffering from muscular dystrophy, cerebral palsy, and several other diseases may also experience this condition.
While most cases of scoliosis are mild, some curvature worsens as children age. Severe scoliosis may be disabling. A severe spine curve can reduce the space in the chest, making it harder for the lungs to work correctly.
What is the Importance of Timely Treatment?
Early therapy is essential because it slows disease progression, lowers complications, and enhances recovery. This improves quality of life, reduces healthcare costs, and increases the likelihood of effective treatment. It also lowers the risk of chronic conditions, prevents the spreading of infectious diseases, and improves mental health due to reduced stress.
What are the Common Symptoms of Scoliosis?
The symptoms of scoliosis can be:
- One shoulder blade stands out more than the other.
- Waist uneven.
- Higher on one hip than the other.
- Uneven shoulders.
- The rib cage extends forward on one side.
- When bending forward, some parts of the back protrude.
Causes and Risk Factors of Scoliosis
Causes
Idiopathic reasons cause scoliosis: These are the most common type of scoliosis in teenagers, but they have no recognised cause.
Congenital scoliosis: deformities in the spine caused by abnormal development in the spine during fetal life
Neuromuscular scoliosis is caused by neurological or muscular disorders that impact posture and muscle control, such as spina bifida and cerebral palsy.
Age-related changes in the spine, including osteoporosis or wear and tear, may cause degenerative scoliosis, which leads to spinal misalignment.
Traumatic Scoliosis: It can occur through trauma or injury to the spine, such as a sports injury or auto accident.
Risk Factors
Age: Scoliosis is more common in children and adolescents, especially during growth spurts.
Sex: Scoliosis is more common in women, especially with more severe curves.
Family History: There might be a hereditary factor if there is a family history of scoliosis.
Certain Medical Conditions: People with cerebral palsy, muscular dystrophy, and other neuromuscular disorders are more likely to have scoliosis.
Growth spurts: Adolescents are more susceptible to idiopathic scoliosis, especially during fast growth.
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Latest Research and Technologies in the Treatment of Scoliosis in India
The study indicates that the ApiFix treatment retains most of the spine's flexibility while improving its curve. It is easier to put it surgically than standard spinal operations. Patients recuperate more quickly at home and spend less time in the hospital.
Scoliosis Prevention Tips
Although scoliosis cannot be prevented, keeping the spine healthy may be achieved by avoiding heavy lifting, maintaining proper posture, and strengthening back and core muscles. Routine examination is also essential and should be encouraged, especially for young people experiencing periods of growth. Wearing supportive shoes, leading an active lifestyle through yoga or swimming, and eating a balanced diet with adequate vitamin D and calcium products can also help.
Treatment options for Scoliosis
Spinal Fusion: permanently combines two or more vertebrae within the spinal column and is required for severe scoliosis.
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Scoliosis Surgery: is usually recommended for severe cases of scoliosis or when the spinal curve worsens despite bracing or physical therapy.
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- Clinical assessment:
- Physical examination: During this examination, the physician looks for any indicators of asymmetry, readily apparent curvature, or uneven shoulders or hips. The physician might also check the patient's gait and posture.
- Range-of-motion tests: To assess the spine's flexibility or range of motion, the physician may ask the patient to bend forward or twist and observe how the spine moves.
- Neurological Examination: The physician checks for signs of nerve involvement, including weakness, numbness, or unusual reflexes, which could indicate spinal curve-induced nerve compression.
- ForwardBendTest: The examiner looks for abnormal spine curvature when the patient bends forward at the waist. This test helps detect scoliosis early.
- Imaging Tests:
- X-rays are the most common method of imaging scoliosis. Cobb's angle assesses the degree of spinal curvature. Structural abnormalities, such as deformity in the vertebral body or degeneration, can also be evaluated.
- MRI Scan: The soft tissues surrounding the spine, including the muscles, nerves, and spinal cord, are captured in fine detail. The scan finds nerve compression or spinal cord involvement abnormalities in these tissues.
- CT Scans: Less common. CT scans can provide 3D spine imaging to better view bone structures and abnormalities in the vertebrae, which may not be as clear on X-rays.
- Bone Scintigraphy: This is used to detect abnormalities of the bone structure, such as infections and tumours that may be causing scoliosis.
- Other diagnostic:
- Assessment of Posture and Gait: The physician examines the patient's posture for imbalance, leaning, or trouble keeping upright. This helps the physician determine how the spine's curvature impacts the spine's curvature impacts the body's alignment and mobility.
- Balance Test: Balance is evaluated to determine how scoliosis may affect coordination or cause instability. This is especially crucial in extreme situations where the curvature may impact the neurological system or cause problems with walking and balance.
MediRehab (chain of Rehab centres - Part of MediGence) provides comprehensive rehabilitation services designed to support scoliosis patients in India. These services include:
PhysicalTherapy: A physical therapist can suggest an exercise regimen to increase flexibility, strengthen the muscles that surround the spine, and encourage better posture. This could lessen discomfort, improve range of motion, and lower the curve's chance of worsening.
Bracing: In the case of moderate scoliosis, wearing a brace may help prevent curvature from worsening as a teenager ages. The brace controls the progression of the curve but does not repair it.
- Depending on the situation, your healthcare professional may prescribe medicine to help control your symptoms and support the treatment plan.
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Hospitals for Scoliosis in India
Clear Medi Hospital, Karkardooma
Delhi, India
Clear Medi Hospital, Karkardooma located in New Delhi, India is accredited by ISO. Also listed below are some of the most prominent infrastructural details:
- There are 12 Linear Accelerators in all hospitals of Clear Medi Hospital, Delhi, India and more in the development stage.
- Over 25 surgical and medical specialties across all Clear Medi Hospitals
- Care Medi is one of the biggest Oncology care organisations in India.
- Hospital management solutions provided to over 15 partner healthcare organisations managing more than 300 beds.
- The organisation consists of offerings such as clinical manpower management and equipment management.
- Advanced radiology and nuclear medicine centres
- Professionally managed international patient care
- Clear Medi Hospital, Delhi has a capacity of 100 beds.
- Clear Medi is a multispecialty hospital.
- It is a NABH (National Accreditation Board for Hospitals & Healthcare providers) certified hospital.
- It has Oncology and Cardiac departments with an Intensive Care Unit.
- It also has fully equipped Operation Theatres.
- Clear Medi Hospital ensures coordination with patients and International Patient assistance
- It has an online Tumor Board with a number of Medical, Surgical and Radiation Oncologists.
VPS Rockland Hospital
Gurgaon, India
VPS Rockland Hospital located in Gurugram, India is accredited by NABH, NABL. Also listed below are some of the most prominent infrastructural details:
- Well-designed compact 103-bed hospital expanding over120,000 square feet
- Well equipped modular operation theatres, intensive care unit, interventional Cath lab, and in-patient rooms ranging from economy to luxury
- Offers a bouquet of services like Internal Medicine, Obstetrics & Gynaecology, Surgery, Pediatrics
- High-end diagnostic services like 1.5 T MRI and 128 slice CT Scan
- Advanced non-invasive assessment with echo & TMT machines
- State of the art cardiac Cath-Lab
- Appointment Scheduling
- Treatment packages
- Accommodation arrangement for the accompanying attendant
- Customized diet for patient and attendant
- Laundry services
- Prayer room
- Visa assistance
- Pick and drop facility from/to the Airport
- Foreign exchange facility
- Registration with the Foreigners Regional Registration Office
- Dedicated Neuro-Intensive care unit managed by expert intensivists
- Accommodation arrangements post discharge
- Highly advanced instruments for deep brain stimulation, stereotaxy, micro-neurosurgery, pediatric neurosurgery & neurophysiology
- Most advanced dialysis machines and advanced diagnostic and therapeutic facilities
- Renal replacement therapy for hemo-dynamically unstable patient
- Technologically advanced endoscopy suite
- Wi-Fi/internet service in the room
- Travel arrangement for patient & attendant post discharge
- Tele-consults post discharge
- Dialysis beds
- 24x7 ‘Trauma & Emergency Center
- Dedicated blood bank
- 24x7 comprehensive patient care.
- Deployed high-end technologies & smart digital system
- Robust Hospital Information Systems to meet complex medical needs of patients
- Robotic-assisted surgeries
- International Patients Lounge
The Madras Institute of Orthopedics and Traumatology
Chennai, India
MIOT started its journey with only 70 beds and focusing on Orthopedics and Trauma care. However, we grew into a multi-specialty hospital with time. MIOT is now a 1000-bedded hospital and can offer an extensive range of services across 63 specialties. The state of art laboratory of our hospital is ranked 8th internationally. We have 21 super-specialty operation theaters equipped with cutting-edge technology to help our doctors with complex procedures.
We take great care to make our patient rooms comfortable enough. The patient rooms get plenty of fresh air as well as natural light. The soothing views from the rooms do not let the patients feel cut off from the outside world. We use separate entrances for emergency patients, out-patients, in-patients, and their attendants. We put our patients’ safety first which is why we use a superior air system to ensure a near-zero infection healthy environment.
Apart from that, MIOT’s 24 hours blood bank provides all kinds of blood work related services which include blood collection to component separation. This state-of-art blood bank alone handles more than 30,000 units of blood over the course of a year. Every month around 600 blood transfusions are managed by this blood bank.
MIOT’s SIGNA Pioneer 3T MRI machine is made with noise reduction technology. This silent MRI machine can deliver superior quality neuroimages without wasting any time. The department of Radiology and Imaging Sciences can give tough competition to any international hospital with its advanced technology and accuracy.
The PET CT service at MIOT International is the first of its kind in South India enabling better and more accurate diagnosis than earlier. The superior diagnosis is also possible for the two digital cath labs at MIOT Heart Revive center.
We also have a physiotherapy team where a team of highly efficient physiotherapists deals with the mobility and functional disability issues of our patients. They listen to the patients carefully to identify the root of the pain and use therapeutic exercises to reduce their pain.
The CCU of MIOT is something to be proud of. The specially-trained staff of this unit is dedicated to ensuring top-quality medical support to serious patients. This unit along with the MIOT International Laboratory is the backbone of our facility.
Furthermore, what makes MIOT unique is our Telemedicine service. In the new normal, we are trying everything to reach our patients. Our one of its kind Telemedicine service connects our patients to our 250 full-time doctors over email, phone, chat and video consultations.
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Why Choose India for Scoliosis Treatment?
India is the most popular destination for scoliosis treatment due to its world-class medical facilities, highly qualified doctors, and up-to-date technology. The expense of therapy without compromising quality is very low compared with Western countries. Indian hospitals offer modern techniques, quicker accessibility to care, and excellent post-surgery rehabilitation. With a rich record of positive results and advanced medical tourism infrastructure, India is providing scoliosis patients across the globe with an inexpensive, reliable, and efficient solution.
Frequently Asked Questions
The course of treatment for scoliosis depends on the degree of the curve. For minor cases, regular monitoring and observation may be enough. Bracing can help stop the growth of moderate scoliosis, especially in developing youngsters. Specific exercises and physical treatment can strengthen the spine and improve posture. In extreme situations, spinal fusion surgery can be required to support the spine and correct the curvature.
You should consult if you can feel and notice the following visible curvature conditions of the spine: uneven shoulders, uneven hips, or sagging posture. Moreover, if your curvature is worsening, causing pain, or affecting your day-to-day activities, it is essential to treat it. Early treatment is crucial to prevent problems from worsening for kids and teens, especially during growth spurts.
The degree of the curve and the child's age will determine the type of treatment scoliosis is given in children and adolescents. Doctors can advise routine follow-up to watch for any changes that might occur with moderate scoliosis (curves less than 20 degrees). A brace is often recommended for mild cases (20–40 degrees) to prevent curvature from worsening with time as the kid grows up. Muscles around the spine may also need to be strengthened and improved with posture, where physical therapy or some exercises can be recommended.
Exercise alone does not treat scoliosis; however, the condition can be controlled. Schroth Method-based exercises enhance flexibility, strengthen the muscles around the spine, and improve posture. These exercises also increase the spine's general functions, decrease the pain level, and postpone the advancement of the curve. Exercise can play a significant role in treating mild and moderate cases of scoliosis, but for severe cases, bracing or surgery (spinal fusion) may still be required.
Spinal fusion surgery treats severe scoliosis by permanently connecting two or more vertebrae in the spine. The procedure uses bone grafts, rods, and screws to support the spine and prevent it from curving further. The goal is to reverse the advancement of the curve and improve spinal alignment.
Recovery usually takes a few months after scoliosis surgery. Most patients should expect to stay in the hospital four to seven days after surgery. It may take six to twelve months to fully recover, including regaining strength and flexibility. Patients should limit their activity level during the first few weeks and follow post-surgery orders given by the surgeon, such as wearing a brace, undergoing physical therapy, and gradually increasing movement.
Yes, Scoliosis can be painful, especially in cases of significant curvature or complications such as nerve compression, muscular strain, or other effects. Most backaches and pain are caused by the muscles' difficulty maintaining a correct posture against the incorrect bend.
Scoliosis can affect respiration at severe levels of curvature. When the degree of curvature becomes significant enough, less space is available for the expansion of the lungs, especially in the thoracic spine area. This space restriction can also lead to respiratory distress.
Yes, if the scoliosis is extreme, it could lead to more serious health complications. Some examples include chronic back pain, nerve compression that may lead to pain or numbness, breathing problems caused by a decreased lung capacity, digestive issues caused by organ compression, and poor posture that affects balance.