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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
  • Sex
  • Family History
  • Certain Medical Conditions
  • Growth spurts

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Latest Research and Technologies in the Treatment of Scoliosis in Singapore

Advancements in treating scoliosis in Singapore involve establishing the Ibn-I Sina spine System, which improves correction of spine curvature, and magnetically controlled growth rods for non-invasive lengthening in children. In addition, robotically assisted procedures enhance precision, reducing risks and improving outcomes. Such advanced technologies demonstrate Singapore's commitment to providing safer and more effective treatments for scoliosis.

Scoliosis Prevention Tips

Although scoliosis cannot be prevented, maintaining a healthy spine can be achieved by avoiding heavy lifting, maintaining proper posture, and strengthening the 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.


Cost Start From USD 50000 - USD 100000Explore Options

Scoliosis Surgery: is usually recommended for severe cases of scoliosis or when the spinal curve worsens despite bracing or physical therapy.


Cost Start From USD 20000 - USD 100000Explore Options

  • Clinical assessment:
  • Physical examination: During this examination, the physician looks for any indicators of asymmetry, readily apparent curvature, or unevenness in the 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 detects nerve compression or abnormalities involving the spinal cord 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 signs of imbalance, leaning, or difficulty maintaining an upright position. This helps the physician determine how the spine's curvature affects 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.

Our MediRehab facilities, part of MediGence in India, offer physical therapy services for international patients. We also have convenient teleconsultation options so that patients all over the globe can receive expert treatment remotely. A few services such as:

  • 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 Singapore

Mount Elizabeth Novena Hospital: Top Doctors, and Reviews
Mount Elizabeth Novena Hospital

Novena, Singapore

Mount Elizabeth Novena Hospital located in Novena, Singapore is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Capacity of 333 beds
  • Intensive Care Unit beds
  • Endoscopy beds
  • Day ward with 20 beds
  • 13 Operating Theatres, which includes 1 Neurological operating room, 2 Cardiac operating rooms, 4 Orthopaedic operating rooms, etc.
  • High Dependency Unit (HDU)
  • Neonatal Intensive Care Unit (NICU)
  • 24/7 Accident & Emergency Department
  • Maternity ward
  • 1 major operating unit with 13 operating rooms inclusive of 1 hybrid theatre
  • In-house Pharmacy
  • Rooms are categorized as Single Signature Rooms, Junior Suite and Regal Suite
  • All patient rooms are equipped with electric safe, LCD, sofa cum bed, wardrobe, radio channels, and much more
Parkway East Hospital: Top Doctors, and Reviews
Parkway East Hospital

Singapore, Singapore

Parkway East Hospital located in Joo Chiat Pl, Singapore is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Total capacity for 143 beds
  • Hospital rooms are available- Single room, 2-bedded room (8), 4-bedded room (2), Deluxe room, and Orchid/Hibiscus Suite
  • All rooms are equipped with all ensuite facilities like Free wifi, mini fridge, sofa couch, telephone, in-room safe, TV, etc.
  • Maternity wards- Accredited as a baby-friendly hospital under the World Health Organisations Baby-Friendly Hospital Initiative (BFHI)
  • 1 Neonatal Intensive Care Unit (NICU) with 14 cots
  • Intensive Care Unit
  • 1 Operation Theatre with 5 Operating rooms
  • 1 Nursery with 30 cots
  • 1 Parentcraft room
  • 24-hour walk-in-clinic (for emergency)
  • 24-hour Pharmacy
Mount Elizabeth Hospital: Top Doctors, and Reviews
Mount Elizabeth Hospital

Singapore, Singapore

Mount Elizabeth Hospital located in Singapore, Singapore is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • 345 bedded Hospital
  • Maternity wards
  • The Mount Elizabeth Patient Assistance Centre (MPAC)
  • 1 major operating unit with 12 operating rooms and 1 operating theatre dedicated to in vitro fertilisation (IVF)
  • Intensive Care Unit
  • High Dependency Unit (HDU)
  • Neonatal Intensive Care Unit (NICU)
  • Accident & Emergency Department
  • Rooms are categorized as Single rooms, 2-bedded rooms, 4-bedded rooms, Executive deluxe suite, Daffodil/Magnolia suite, VIP Room, and Royal Suite
  • All patient rooms are equipped with electric safe, LCD, sofa cum bed, wardrobe, radio channels, and much more
  • Parking lot

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Why Choose Singapore for Scoliosis Treatment?

Singapore is a popular destination for scoliosis treatment due to its world-class medical facilities, highly qualified doctors, and state-of-the-art technology. The expense of therapy without compromising quality is very low compared with Western countries. Singapore 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, Singapore is providing scoliosis patients worldwide with an affordable, 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 impacting your day-to-day activities, it is crucial to address it. Early treatment is crucial for preventing problems from worsening in kids and teens, especially during growth spurts.

The degree of the curve and the child's age will determine the type of scoliosis treatment given to 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 over time as the child grows. Muscles around the spine may also need to be strengthened and improved through better posture, where physical therapy or specific exercises can be recommended.

Exercise alone does not cure scoliosis; however, it can help control the condition. Schroth Method-based exercises enhance flexibility, strengthen the muscles around the spine, and improve posture. These exercises also enhance the spine's overall function, reduce pain levels, and slow the progression 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 typically takes several 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 due to incorrect bending.

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 can lead to pain or numbness, breathing problems resulting from decreased lung capacity, digestive issues caused by organ compression, and poor posture that affects balance.

Yes, Singapore has scoliosis surgery. State-of-the-art spinal surgery, including spinal fusion surgery and minimally invasive procedures, is offered at many of the world's most renowned medical centres in Bangkok and other metropolitan areas. The country is renowned for providing high-quality, affordable care to orthopaedic patients.