Definition

What is dextroscoliosis?

Dextroscoliosis refers to an abnormal, right-leaning curvature of the spine. It is a type of scoliosis.

The spinal column of people with dextroscoliosis may appear to be curved in an S or C shape.

Although abnormal curvatures can develop anywhere in a person’s spinal column, dextroscoliosis tends to occur in the middle and upper portions of the spine (thoracic spine).

How common is dextroscoliosis?

Dextroscoliosis in particular or scoliosis in general occurs in children aged 10 to 15 years, when they experience their growth spurt. However, it can occur at other ages if it’s caused by something else like a muscle disease. Please discuss with your doctor for further information.

Symptoms

What are the symptoms of dextroscoliosis?

The common symptoms of dextroscoliosis are:

  • Uneven shoulders, with a difference in shoulder height
  • Shoulder blade prominence, with one shoulder blade protruding out farther than the other
  • Rib prominence, with the ribs on one side of the body protruding out more than the other side
  • Uneven waistline, with a difference in height between the two sides
  • Uneven hips, with a difference in height between the two sides
  • A noticeable curve to the spine
  • Head tilt, with the head leaning more to one side
  • Body tilt, a leaning of the upper body to one side

For people with scoliosis who have severe curves, their curved spine may press on other organs and areas of their body.

This can cause severe symptoms such as:

There may be some symptoms not listed above. If you have any concerns about a symptom, please consult your doctor.

When should I see my doctor?

If you or your loved one has any signs or symptoms listed above or you have any questions, please consult with your doctor. Everyone’s body acts differently. It is always best to discuss with your doctor what is best for your situation.

Causes

What causes dextroscoliosis?

Some patients may have the condition because of some idiopathic scoliosis. Trauma to the spinal column may also cause dextroscoliosis. Degenerative spinal diseases also lead to the condition where the spine can have a curvature towards the right side of the body. Some neuromuscular diseases can also be a cause for dextroscoliosis.

Risk factors

What increases my risk for dextroscoliosis?

Preteen and teenage girls have a higher risk of developing idiopathic scoliosis than boys of the same age. Girls are also more likely to experience more progressive forms of scoliosis.

Please consult with your doctor for further information.

Diagnosis & treatment

The information provided is not a substitute for any medical advice. ALWAYS consult with your doctor for more information.

How is dextroscoliosis diagnosed?

Dextroscoliosis, as with all types of scoliosis, is diagnosed by a doctor during a physical examination.

The exam generally includes:

  • Looking at your spine from the back
  • Checking for shoulder, waist, and hip height to see if both sides are even or uneven
  • Examining both sides of your rib cage to see if one side sticks out more than the other
  • Having you perform the adam’s forward bending test, which involves bending forward with your feet together, knees straight, and arms dangling loose at the sides of your body
  • Taking x-rays of your spine so your doctor can see where the curve is located and determine how much of a curve exists

Your doctor may also recommend a CT scan or an MRI scan of your back.

How is dextroscoliosis treated?

Treatment options include nonsurgical and surgical approaches. Your specific treatment plan will depend on:

  • How severe your scoliosis is
  • The location of the curve
  • The risk of progression
  • Your age

Nonsurgical

If the curve is less than 25 degrees and not rapidly worsening, your doctor will take X-rays and possibly other imaging tests every 6 to 12 months to monitor your condition.

If your spinal curves are between 25 to 45 degrees, your doctor may recommend bracing or casting to help support your spine. This won’t correct a curve, but it can help to prevent curves from worsening.

Surgical

Your doctor may recommend surgery if your curves are:

  • Severe
  • Worsening over time
  • Causing severe and obvious deformities
  • Resulting in additional complications, such as neurological or breathing problems

There are different surgical approaches, including:

  • Spinal fusion: In this procedure, the surgeon repositions the spinal bones that form the curve and fuses them together into one bone using a bone graft. The bone graft is placed between the vertebrae that form the curve.
  • Metal rod(s) or growing rod: This involves anchoring one or two metal rods to the spine above and below the area with the curve with wires, hooks, or screws. With the growing rod approach, the surgeon can later extend the rod with a minor surgical procedure.
  • Hemivertebra removal: This involves removing one portion of one vertebra to help lessen the severity of the curve. A metal implant may then be added.

Lifestyle changes & home remedies

What are some lifestyle changes or home remedies that can help me manage dextroscoliosis?

The following exercises might help you cope with dextroscoliosis:

Gluteal stretch:

  1. Laying flat on the back, straighten both legs upward.
  2. Bend one leg at the knee and place the side of the shin of the bent leg on the knee of the straightened leg, allowing the bent leg to relax and stretch outward to the side.
  3. Clasping the hands around the straightened leg, pull both legs toward the chest as far as is comfortable.
  4. Hold for at least 20 seconds.
  5. Release both legs slowly and repeat the stretch with the other leg.

Knee to chest stretch:

  1. Laying flat on the back, bend both knees.
  2. Clasp the hands around one knee and lift it toward the chest while keeping the foot of the other leg flat on the ground.
  3. Slowly and steadily straighten the raised leg upward, clasping the back of the leg with both hands.
  4. Hold for at least 20 seconds.
  5. Slowly bring the leg back down and repeat with the other leg.

Thigh stretch:

  1. Lying on the side with both legs fully extended, bend the top leg at the knee.
  2. Clasping the foot or ankle of the bent leg, pull it back toward the middle to upper back, keeping the knees in line with each other.
  3. Hold for at least 20 seconds.
  4. Release the leg slowly and repeat with the other leg.

Lunge stretch:

  1. Get into a plank or push up position.
  2. Raise one leg and bring it forward, resting the foot next to the hands. The knee should sit directly above the ankle.
  3. Bend the knee of the straightened leg, and rest it on the floor.
  4. Bend forward at the hips as far as is comfortable.
  5. Hold for at least 20 seconds.
  6. Release the pose slowly and repeat with the other leg.

Shoulder stretch:

  1. Standing with the feet hip-width apart, raise one arm straight up as far as is comfortable.
  2. Keeping the upward-reaching arm extended, stretch the opposite arm down as far as is comfortable.
  3. Hold for at least 20 seconds.
  4. Release both arms and repeat on the opposite side.

Overhead stretch and reach:

  1. Standing with the feet hip-width apart, bend one arm and rest the hand on the hip.
  2. Raise the other arm up and over the head and lean in the direction of the bent arm as far as is comfortable.
  3. Hold for at least 20 seconds.
  4. Release both arms and repeat on the opposite side.

Lying butterfly stretch:

  1. Lying on the back, bend the knees and bring the ankles together.
  2. Putting one hand on each knee, let the knees fall away from each other as far as is comfortable.
  3. Hold for at least 20 seconds.

Yoga is suitable for people with scoliosis. Several core yoga poses, including the Cat, the Tree, and the Mountain, may be particularly beneficial.

Some people with scoliosis experience reduced lung capacity. Practicing breathing exercises may help improve lung capacity and reduce related symptoms, such as weakness and headache.

Learning auto-correction techniques, or tricks that help a person recognize and correct poor posture has also been shown to help reduce pain caused by scoliosis.

Although specific exercises have shown promise in reducing scoliosis symptoms, the best treatment plan for each case depends on the location and extent of the curvature.

If you have any questions, please consult with your doctor to better understand the best solution for you.

Hello Health Group does not provide medical advice, diagnosis or treatment.

Sources

Review Date: March 9, 2018 | Last Modified: March 9, 2018

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