Scoliosis is a mechanical adjustment of the spine that is expressed in three dimensions with the appearance of curvatures different from the physiological ones or with the deflection of the same physiological curvatures.
The more macroscopic adaptations from a clinical and radiological point of view occur in the frontal plane: for this reason the scoliosis is defined on the basis of the concavity and convexity found on the anteroposterior projection.
However, the scoliosis involves the individual vertebrae, and the whole column on all axes and planes constituting a very complex phenomenon.
The origin of scoliosis is almost always "idiopathic" that is unknown.
It is usually treated when the patient presents associated symptoms or in pediatric age in case of severe deformity. In fact many people have scoliosis without knowing it because they have never had back pain, have never been subjected to clinical investigations.
From an osteopathic point of view scoliosis is studied and treated as part of a whole, like any other symptom or phenomenon.
In fact, the spinal column, beyond its specific importance as the seat that covers the spinal cord and as the backbone of the entire body, adapts to failures and is subject to dynamic changes like any other organ.
Therefore Osteopathy in the work focuses not so much on scoliosis as a phenomenon in itself but rather on finding the primary dysfunctions that can form its cause.
Each patient must be examined specifically because there are no standard patterns in nature, from a statistical point of view one can only say that the primary lesion outbreaks are almost never located in the spine.
The most important aspect to focus, however, is that from an osteopathic point of view scoliosis is not considered a disease to be cured or a deformity that has to be straightened, let alone the primary cause of back pain.
The presence of scoliosis in fact appears to be unrelated to the presence of symptoms of pain in the back. There are patients who have back pain and scoliosis, but there are also people who have pain and do not have scoliosis and people who have scoliosis and have no pain.
The scoliosis therefore is not only often a false target, but the problems that cause it are not even in the spine.
Osteopathy therefore does not "cure" the scoliosis but more broadly seeks to rebalance a patient who is ill in order to bring relief.
In doing so it can sometimes happen that scoliosis outside the physiology after being corrected tends to regress but it can also happen that it continues to persist or it simply changes form. Some are in fact functional scoliosis, that is they are in harmony with the structure of the Patient: one must not intervene in these cases!
Here is the case of a patient who complained of back pain and had scoliosis for several months.
Osteopathic examination showed the right maxillary bone in external rotation and the right psoas muscle ileum strongly strained.
As you can see none of the primary lesions were located at the spinal level.
Once disruption has been reduced, the picture is completely changed, in a short time the pain disappeared and scoliosis greatly reduced.
It is necessary to clarify that the severe deformation of the column as the cuneizzazioni of the vertebrae or lesional frameworks that have been present for several years and that are therefore consolidated can not be changed thanks to osteopathy.
They however are the result of a functional adaptation that can always be corrected and bring relief to the patient.