Part 3: Patient Presentation and Examination for Scoliosis
I.Presentation
A common candidate for a Scoliosis examination is in elementary through high school years of age. This person may or may not have pain, depending on the severity of the Scoliosis. Some patients may also complain of hip, knee, ankle or foot pain. If there is presence of pain, it is usually associated with exercise and long periods of sitting. Other common symptoms are headaches, chest tightness with taking a deep breath, and shoulder pain.
During a posture examination for Scoliosis, the patient is viewed from the front, back and sides looking for deviations versus normal. From the front, shoulders may be unlevel, head may be tilted or turned more to one side, and one foot may be turned out to the side.
From the back, the shoulder blades may not look symmetrical: one may be higher or protruding out from the body. This may also cause the ribs to protrude out. From the sides, the patient may have a forward protruding neck and a back that is compensating for the presentations from the front and back views.
I. Examination
The Adam’s test uses a Scoliometer to measure shoulder heights and rib protrusion in the standing and bending forward positions. The picture on the right shows a positive scoliosis with the ribs protruding upward from this view.
In the second test, the patient bends forward and is viewed from the side. A positive scoliosis presents exaggerated rounding of the back compared to smooth rounding. In the third test, the patient bends to the same side to where the scoliosis curves outward. This test is positive if the bend in the back does not correct itself.
With enough evidence of scoliosis through the presentation and examination, the doctor is warranted to perform x-ray imaging to solidify a true scoliosis patient.
Each person/child is unique and should be examined as such. The exam and consultation are free. Make an appointment today to get checked.
Euclid Chiropractic Clinic
60 E. Foothill Blvd
Upland, CA 91784
909-981-5666
www.euclidchiropracticinc.com
A common candidate for a Scoliosis examination is in elementary through high school years of age. This person may or may not have pain, depending on the severity of the Scoliosis. Some patients may also complain of hip, knee, ankle or foot pain. If there is presence of pain, it is usually associated with exercise and long periods of sitting. Other common symptoms are headaches, chest tightness with taking a deep breath, and shoulder pain.
During a posture examination for Scoliosis, the patient is viewed from the front, back and sides looking for deviations versus normal. From the front, shoulders may be unlevel, head may be tilted or turned more to one side, and one foot may be turned out to the side.
From the back, the shoulder blades may not look symmetrical: one may be higher or protruding out from the body. This may also cause the ribs to protrude out. From the sides, the patient may have a forward protruding neck and a back that is compensating for the presentations from the front and back views.
I. Examination
The Adam’s test uses a Scoliometer to measure shoulder heights and rib protrusion in the standing and bending forward positions. The picture on the right shows a positive scoliosis with the ribs protruding upward from this view.
In the second test, the patient bends forward and is viewed from the side. A positive scoliosis presents exaggerated rounding of the back compared to smooth rounding. In the third test, the patient bends to the same side to where the scoliosis curves outward. This test is positive if the bend in the back does not correct itself.
With enough evidence of scoliosis through the presentation and examination, the doctor is warranted to perform x-ray imaging to solidify a true scoliosis patient.
Each person/child is unique and should be examined as such. The exam and consultation are free. Make an appointment today to get checked.
Euclid Chiropractic Clinic
60 E. Foothill Blvd
Upland, CA 91784
909-981-5666
www.euclidchiropracticinc.com
My son was told to see a surgeon for his scoliosis from his pediatrician. After seeing the doctors at Euclid Chiropractic, they were able to use x-rays to show only a slight scoliosis and was able to treat it without surgery. THANK YOU!
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