Which doctor treats adult posture?

With a functional curve, there is no twisting or other changes in the spine. The spine is fully erect when bending the body and lying on your back. This condition is reversible and can be corrected with therapeutic exercises to strengthen the back muscles.

Treatment of postural disorders in adults

Postural disorders are the inability to keep the back in the correct position. According to the Ministry of Health of the Russian Federation, more than 80 % people suffer from permanent deviation of the trunk from the correct position, which not only causes systematic neck and back pain, but can also cause diseases of the spine and internal organs. The ON CLINIC orthopedic surgeons treat adult posture.

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Correct posture is formed from an early age during the growth process, and any anomalies are easier to correct at a young age, but with strict adherence to all medical advice, correction of postural defects is possible even in adults. However, this process requires attention and self-discipline. At the International Medical Center ON CLINIC, patients with diseases of the musculoskeletal system, including postural disorders, are treated by specialists in traumatology and orthopedics who are familiar with the specifics of effective treatment of postural disorders in people of different ages and physical capacities.

Causes of Postural Damage

Posture is the habitual posture of a person standing without active muscle tone; it is an indicator of health and fitness. Posture is determined by the position of the head, the position of the shoulders, the curvature of the spine, the shape of the chest and abdomen, the tilt of the pelvis, and the position of the legs. Posture is supported by the muscles of the neck, upper limbs, trunk and legs, as well as by the elastic properties of the cartilaginous structures of the spine, pelvis and joints. Any disorder of the muscles and joints leads to incorrect posture and, as a result, aggravation of the problems and progression of musculoskeletal disorders. The causes of poor posture are varied. The most common cause of poor posture is the simultaneous impact of several factors on the body. In childhood, sluggish posture is caused by uncomfortable furniture at home and school, such as B. from ill-fitting tables, poor lighting, reading and writing that cause discomfort and force the child to bend over unnecessarily. Carrying a heavy backpack in one hand can also cause stooping. Postural defects left uncorrected in childhood can worsen in adulthood due to lack of exercise, leaving weak abdominal and back muscles unable to hold the body in a normal position. Sometimes poor posture is also caused by an inappropriate exercise program. In old age, posture changes due to disc regression processes, an increase in thoracic kyphosis and a weakening of the abdominal wall muscles. The following pathological changes in the musculoskeletal system and trauma can also lead to postural defects:

• Abnormal development of the spine and shape of the vertebrae;
• Abnormal development of knee and ankle joints;
• hip dysplasia and congenital hip dislocation;
• flat feet;
• fractures of the hip, lower leg and foot;
• Joint contractures (permanent restriction of joint movement).

Myths and facts about postural defects

Myth: Bending over is only cosmetic and cannot have any long-term health consequences.

Facts: This is pure myth. The consequences of slouching can be numerous and quite serious. In a stooped posture, the human leans forward with the shoulders stretched forward, and this upper body posture can cause back, shoulder, and headaches. In addition, the biomechanics of a stooped posture can lead to poor chest expansion, respiratory problems, and heart problems.

Myth: Poor posture cannot be corrected.

Fact: This is completely wrong. Exercise can significantly improve posture.

Myth: Bad posture is innate and cannot be changed after a certain age.

Fact: Poor posture can be genetic, but that doesn't mean there's nothing you can do about it. Strengthening the back, abdominal muscles (including the deep abdominal muscles), and spinal muscles can help improve posture, allowing for normal sitting, standing, and walking.

Fact: That's not entirely true. In most cases, the scoliosis is idiopathic, ie the cause is unknown, and a clear connection between poor posture and scoliosis has not yet been established. Also, scoliosis is a deviation of the spine to one side and one bad posture is a misalignment of the spine in a different plane.

Myth: Working at a computer all day affects posture.

Fact: Yes, that's true. Sitting at a computer all day causes your neck to tilt forward and your shoulders to swell, which can lead to neck problems and neck, back, and shoulder pain. That is why special ergonomic chairs and breaks for releasing static muscle tension are recommended for people who work at the computer for a long time.

Good posture

• Upright head posture.
• The angles of shoulder blades, shoulders and nipples are symmetrical.
• Even length of line from ear to shoulder
• Line of spinous processes straight
• The spine is straight when viewed from behind
• Normal physiological curvature of the spine
• The lumbar and cervical lordosis is no greater than the thickness of the hand
• The line between the seventh cervical vertebra and the intercostal fold is perpendicular and without deviation.

With correct posture, the body parts are symmetrical to the spine. wrong posture The muscles are weak and the child can only maintain the correct posture for a short time. There are some differences in the correct posture of preschoolers, schoolchildren, and puberty boys and girls.

Normal posture in preschool children: symmetrical chest, no prominence of the shoulders, shoulder blades slightly backwards, abdomen slightly forward, lordosis clearly pronounced, spinous processes in the midline.

Normal posture of school-age children: rib cage symmetrical, no shoulders salient, shoulders slightly back, abdomen slightly forward, lumbar lordosis palpable, spinous processes along midline.

Adolescent Posture: Spinous processes along midline, lower limbs straight, shoulder blades slightly drooping, waist triangles aligned, abdomen recessed in relation to thorax, with pronounced lumbar lordosis in girls and thoracic kyphosis in boys.

diagnosis

First of all, the doctor must examine the medical history of the patient:

• The presence of a family history of kyphosis, as some forms of kyphosis are genetic.
• The date of onset of kyphotic symptoms
• Measurement of the degree of curvature of the spine using X-rays and the presence of a progression of the deformity.
• Presence or absence of pain - not all types of kyphosis have a pain syndrome. If, on the other hand, a pain syndrome is present, the doctor must determine which factors lead to the severity of the pain and whether referred pain is present.
• The presence of dysfunction of the pelvic organs (bladder and intestines), which may indicate compression of the spinal cord.
• Motor dysfunction in the limbs can be a sign of nerve compression.
• Surgical procedures on the spine that can lead to weakening of the back muscles and thus the development of kyphosis.

During the physical examination, the doctor can determine whether there are any curvatures in the spine and how flexible the spine is during certain movements.

The examination of the neurological status makes it possible to establish the state of the tendon reflexes, muscular strength and sensitivity.

Instrumental methods of investigation

X-rays, both observational and lateral projection, are usually taken first in kyphosis to determine the degree of curvature and any changes in the bone tissue. An MRI scan may be ordered if necessary, particularly if there are signs of nerve compression or if soft tissue structures need to be visualized. A CT scan or other tests, such as the ENMG, may also be indicated to detect conduction abnormalities. Laboratory tests are required when inflammatory diseases such as Bechterew's disease need to be ruled out.

Treatment

postural kyphosis (crooked leg) can usually be treated well with physiotherapy. Individually adapted physical exercise can strengthen the back muscles and lead to a more correct posture. Medication and physical therapy can be used for pain. Massages can also achieve good results. Postural kyphosis does not usually lead to serious complications and does not require surgical treatment.

Sheyermann-Mau kyphosis is usually treated conservatively and includes a combination of exercise therapy, massage, physical therapy and, if pain is present, possibly NSAIDs. As kyphosis progresses, a corset can be used, particularly if the curvature is 45 degrees or more, and corset use in adolescence may somewhat delay the development of kyphosis. A brace is usually not recommended for Scheuermann-Mau disease when the patient is an adult and musculoskeletal growth has already stopped. In some cases of significant kyphosis in Scheuermann-Mau disease, surgical treatment may be indicated if the curvature is greater than 75 degrees, if there are persistent neurological symptoms, or if thoracic function is compromised. The goal of surgical treatment is to partially reduce kyphosis, relieve pain, and improve spinal biomechanics, as well as improve breathing and the cardiovascular system when the thoracic organs are not functioning properly.

There are different types of operations depending on the specifics of each case. Regardless of the technique, the operation achieves a certain partial straightening, which is carried out with various fixation devices.

Treatment of congenital kyphosis is often performed at an early age using surgical techniques, as this significantly reduces the risk of the deformity progressing as the child grows.

Kyphosis caused by conditions such as osteoporosis is also sometimes treated surgically (kyphoplasty), which involves injecting a cementing agent into the vertebral bodies. The most common complications after kyphosis surgery are infections that lead to bone inflammation. Other more serious complications are far less common, e.g. B. damage to nerves and blood vessels or complications related to anesthesia.

Who Treats Spinal Scoliosis in Adults?

If you have back pain, the first thing you should do is see your GP, who will determine the possible cause and refer you to a specialist.
Not everyone knows that the spine has its own doctor - a spine specialist. He is the one who deals with problems of the so-called 'vertebral structures' and the resulting dysfunctions of the thoracic, abdominal and pelvic organs.
If you've already been diagnosed with scoliosis, your orthopedist will examine you and recommend the best treatment, which can be conservative or surgical. Surgery is necessary only in severe cases, when the angle of curvature is more than 40-45˚.

Most often, people with spinal pain are treated by neurologists. Her area of expertise includes disorders of the central and peripheral nervous system, which are almost always associated with diseases of the spine.
Neurology is a science that is very close to spinal medicine. Misalignments of the spinal structures lead to compression of nerve roots and vessels, which manifests itself as follows

• headache and dizziness, up to syncope;
• Tinnitus, ringing in the ears, flickering flashes in front of the eyes
• incoordination and muscle weakness.

The chiropractor uses only his 'hands' to treat the back, without any medication. It can straighten dislocated vertebrae, relieve pain associated with herniated discs and radiculitis. The possibilities of chiropractic care in scoliosis are rather limited: it is effective only in the initial stages, when structural changes are not yet present.
A reflexologist can help reduce pain and discomfort by acting on biologically active points in the body. Their stimulation increases the synthesis of endorphin hormones, normalizes metabolism and the functioning of the nervous system, and strengthens the immune system.
The orthopedist prescribes a comprehensive treatment with medication, physiotherapy, massage and therapeutic exercises. If necessary, he can recommend the use of belts (especially for children and adolescents) and other orthopedic aids.

diagnosis

If scoliosis is suspected, examinations can be carried out:

With these examinations, the cause and the characteristics of the scoliotic curve can be determined. If a fracture or bulge is suspected, your doctor may refer you for an ultrasound scan.
So you can undergo a full examination that will lead to an effective treatment.
The examinations are carried out by highly qualified and experienced specialists and are as comfortable as possible for the patients.

You can make an appointment by calling +375 29 628 85 82 or leaving your contact details on the feedback form.

All attending physicians Stoop 424

Choose an appointment online from metro stations: Vernadskogo Southwest Prospect

Advice before visiting the orthopedist

An orthopedist diagnoses, prevents, and treats congenital and acquired musculoskeletal abnormalities, including those resulting from trauma. There are children's orthopedists and adult orthopedists. In children, preventive examinations by an orthopedist are recommended: at the age of 1, 3 and 9 months, and annually thereafter.

No special preparations are required for a visit to the orthopedist. You should shower hygienically and wear clothes that you can easily remove during the examination. It is very important that you bring any scans and CT scans you have previously taken with you.

diagnosis of the curvature

Your doctor will tell you what diagnosis you need to undergo. They can be prescribed to you:

• MRI (Magnetic Resonance Imaging)
• X-ray of the spine
• X-ray of the spine
• Functional diagnostics Electroencephalography (EEG)
• abdominal ultrasound
• densitometry
• ROENTGEN
• X-ray picture
• Functional diagnostics Reoencephalography (REG)
• X-ray of the spine
• X-ray of the spine
• X-ray spine
• Computed tomography of the brain
• Pelvic Ultrasound
• ultrasound examination
• MRI scan of the brain
• Echocardiography (ECHO)
• CT scan (computed tomography)
• Functional diagnostics Electroencephalography (EEG)
• X-ray examination of the joints
• MRI brain
• X-RAY
• X-ray of the spine
• X-ray spine
• MSCT (multi-slice computed tomography)
• Functional diagnostics Electroencephalography (EEG)
• MRI of the cerebral vessels
• ultrasound examinations
• Computed tomography of the chest
• PET CT
• Functional diagnostics Electroneuromyography (ENMG)
• Duplex examination of the brachial artery
• ROENTGEN
• MRI (Magnetic Resonance Imaging)
• bone scintigraphy
• MRI (Magnetic Resonance Imaging)
• Functional diagnostics Electrocardiography (ECG)
• Duplex scanning of the cerebral vessels
• Computed tomography of the brain
• Computed tomography of the brain
• CT (computed tomography)
• MRI of the cerebral vessels
• MSCT of the brain
• densitometry
• CT (computed tomography)
• X-ray of the spine
• MRI (Magnetic Resonance Imaging)
• Ultrasound of the blood vessels in the neck area
• MRI of the brain.

Moscow orthopedists – opinions

During the visit, he examined and questioned him and performed a fungus test. He also prescribed initial treatment. Based on the test results, he will conduct a follow-up examination. Jerzy Lewanowicz is a smiling and positive doctor. I think he was very attentive during the visit. I chose the doctor based on reviews. He took his time during the visit.

I needed urgent treatment from a trauma surgeon. I didn't care how much it costs to see such a doctor in different clinics, the most important thing for me was people's opinions. I read many reviews about different doctors and finally made an appointment with a trauma surgeon at this clinic. I think I made the right decision. He reassured me, recommended me a course of treatment, and thanks to him the patient quickly recovered.

I had a first appointment with Dr. Bogdanov, and it went well. The doctor recommended an MRI scan and a follow-up appointment, which I attended. At the follow-up appointment, he gave his opinion and prescribed treatments. I thank the doctor for his professional approach.

Everything went smoothly. The doctor is correct, attentive and made me an appointment with which I fully agree. Everything is fine, I am satisfied.

The visit went very well! Most importantly, the doctor gave me hope that it is not that bad and that it is possible to correct the treatment and live without surgery. Thank you very much.

A caring and compassionate doctor. She listened to my concerns and explained the treatment options to me in detail. The appointment was decent!

I was well received and satisfied. The doctor was very attentive and examined me and gave me good advice. I enjoyed everything.

The visit went well. The doctor thoroughly explained everything, gave recommendations and healed my sore thumb. We are happy with everything.

I was recently treated by Aleksey Valerievich. A specialist with an amazing practice. He didn't tell me the diagnosis right away but decided to run some tests. And rightly so. A diagnosis was made and treatment prescribed. In the whole time after the treatment there was not a single complaint. That's a good indicator! Thanks again!

Conclusion

Scoliosis is best treated at the first sign. Advanced disease is more difficult to treat. And a rapidly progressing disease can lead to serious problems in the functioning of other organs. If you suspect that you or your child has scoliosis, you should not hesitate to see a specialist. Visits may include: Orthopaedist, surgeon, traumatologist, neurologist and general practitioner. An early visit to the right specialist doctor can sometimes play a crucial role in the fight for health.

• Can I go to the gym with scoliosis?
• Read more about the different degrees of lumbosacral scoliosis here.
• For information about treatment and exercises for right-sided scoliosis, see https://spinatitana.com/pozvonochnik/grudnoj-otdel/skolioz/pravostoronnij-skolioz-prichiny-simptomy-lechenie.html.

Treats and diagnoses degenerative-dystrophic and infectious diseases of the spine, such as osteochondrosis, herniation, protrusion, osteoarthritis. other authors

How to choose a specialist

Sudden, acute pain

If your spine is 'locked' and you cannot straighten or rotate all day, you should see a chiropractor or osteopath. He will treat the pain and put the vertebrae back in the right position.

Prolonged pain in the spine

The symptoms worsen in the evening or even prevent you from sleeping soundly. First and foremost, see a neurologist and get a diagnosis. If necessary, they will issue you with a referral, most likely to a chiropractor.

Chronic pain

Severe pain that lasts longer than 3 weeks and does not go away even with painkillers. This is a sign that you should undergo a full spine diagnosis. A very serious pathology can hide behind such pain. After the diagnosis, it is important to find a suitable osteopath - with his sensitive hands, he will quickly find the cause of the pain and start treatment.

In most cases, you do not need to see an osteopath - most back pain is caused by muscle tension in the intervertebral vertebrae or inflammation in the joints of the spine.

What to look out for when you visit your doctor

Training

A chiropractor must have completed secondary or tertiary medical education followed by a year of chiropractic training. These specialists have relevant certificates and diplomas – be sure to ask them to show you.

Osteopaths also require a medical degree, but their specialist training takes 2 to 4 years. Once you have found a specialist with a medical degree, find out if they have a university degree. Many osteopaths also have a parallel college degree that is similar to a medical degree, e.g. B. in the field of sports. This is an indicator of professionalism.

training

All osteopaths regularly take part in special advanced training courses in order to improve their qualifications. Such courses allow professionals not to become rigid, to evolve and to take a holistic approach in therapy. Ask your chiropractor or osteopath where you can get their continuing education certificates.

Tight deadlines

An appointment with a good specialist is packed into the next three weeks. On the one hand, this is a disadvantage – when you have back pain, you want to get rid of it as quickly as possible. On the other hand, it is a sign that you need a specialist and have a 'filled' hand.

Postural defects: types

When doctors began to pay more attention to the pathology of the spine, they came to the conclusion that altered posture is a symptom that accompanies other diseases. Each type of spinal curvature is characterized by a specific position of the shoulder blades, pelvic bones and lower limbs.

Postural abnormalities occur in the sagittal (anterior-posterior) and frontal (lateral) planes. An anterior-posterior curvature of the spine occurs when the anatomical curvature of the spine decreases or increases. Lateral bow is the result of uneven tension on one side.

Pathologies include:

• Spinal curvatures in the anteroposterior plane: slouching, round, round-convex, flat back, flat back.
• Slouching is increased thoracic kyphosis and flattened lumbar lordosis. The shoulders are pulled up and the shoulder joints are close together. Protruding (winged) shoulder blades over the thorax are not uncommon.
• A rounded back is caused by increased thoracic kyphosis and absent lumbar lordosis. The shoulder blades are raised and brought in, the head is tilted forward and the shoulders are not longitudinal but slightly forward of the torso. The winged shoulder blades are also visible.
• The rounded back is an accentuation of all the physiological curvatures of the spine. The head is forward, the shoulders are hunched and inward, the stomach is bulging, the legs are excessively stretched.
• Flat Back – Reduction of all physiological curvatures of the spine, especially lumbar lordosis. The sternum is shifted forward. The angle of the pelvis is reduced.
• Flat back - smoothing of thoracic kyphosis with strengthening of lumbar lordosis. A smoothing of the cervical lordosis is possible. The legs are excessively straight and the pelvis is shifted backwards.
• Asymmetrical (scoliotic) posture is caused by a lateral curvature of the spine. The shoulder and arm are higher on one side than the other. The lumbar triangles are asymmetrical.

causes

Postural defects can be caused by both congenital and acquired disorders.

1. abnormalities in the intrauterine development of the spine;
2. Fetal infections (tuberculosis, toxoplasmosis);
3. neonatal sepsis;
4. hip dysplasia;
5. congenital dislocation of the hip joint;
6. congenital foot deformity
7. fetal ischemia;
8. birth injuries.

Acquired lesions are associated with sedentary work, sedentary lifestyle, bone infections, osteoporosis, trauma and fractures of the spine, rickets, oncological processes or metastases in the ligaments and soft tissues of the spine.

diagnosis

Scoliosis is most commonly diagnosed during routine exams in schools and colleges. To clarify the diagnosis, the specialist doctor takes the medical history, performs a diagnostic examination, notes symptoms and may order X-rays, MRIs and other tests. This may be necessary to make an accurate diagnosis and determine the degree and type of curvature. If the spine is to be monitored frequently to monitor the progression of the curvature, it is best to opt for the least harmful techniques (non-x-rays).

The doctor may also measure height while sitting and standing and ask the patient to bend forward with their arms down.

Treatment

Children with a curvature of up to 15 degrees do not need a splint or surgery. A follow-up examination every six months and the use of exercises from a remedial gymnastics course are required. Massage can be used in combination with physical therapy to relax or stimulate muscles and enhance the effects of exercise.

An orthosis is required for severe curvatures of the thoracic spine or other areas of the back. If the curvature goes beyond 40-45 degrees, it's time for surgery as the condition progresses.

To prevent scoliosis, it is important to take care of your posture, avoid sitting for long periods of time and follow simple exercises and morning routines. You can also do exercises with the LFC to strengthen your muscles and improve your posture.

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