Thursday, July 21, 2011

The Schroth Method...Scoliosizing 101

If you have been following me and my current life adventure, I am on a journey to looking cute in a swimsuit again. No, I am not starving myself, I am aligning my spine because my current mis-alignment makes my boobs lop-sided, my left rib cage smash together, and my back aches often, not to mention, the spine is basically the powerhouse of our bodies, and I would prefer for my spine in particular, to get it's act together.

My problem is Scoliosis. Scoliosis is a curvature of the spine and no one really knows why it happens. Only the lucky one's get to have a crooked back, & I am totally lucky. My X-rays look like this, but add about 16 more degrees of curvature. Imagine a more compact S-shape...like something a guy with a cool Calligraphy pen would draw, instead of this stand-in google image.


  All scoliosis cases involve asymmetrical muscles. A scoliotic spine twists abnormally due to strength and bulk imbalances among muscle groups in the back and elsewhere that should otherwise be equal. For whatever reason, some muscles on one side of the back grow stronger than the opposing group on the other side and pull harder. The weaker ones cannot maintain a balance, so the scoliosis cycle begins and gradually worsens under the asymmetrical loads. So here is a thought...our lungs breath and expand our chest cavity, which is protected by our rib cage that is connected to our spine. Could our very breath control how a we manipulate our bodies back to health??? 

The therapy I started is called, The Schroth Method. The Schroth method is a system of exercises that was developed in the 1920s by Katharina Schroth (1894-1985), and further developed by her daughter. Basically, this girl Katharina did not like the way she looked, so she took control and decided to take matters into her own hands...or lungs I guess I should say. This young lady lived on a farm, without hospitals or medical facilities. She decided to take the reigns on her health & dominated her breathing patterns while putting her self in specific stretching positions. After she was done inventing this awesome alternative,  she hit the beach with symmetrical breasts and all!

By the 1960s, the Schroth Method had become the standard non-surgical treatment for scoliosis in Germany. The Schroth treatment is currently supported in Germany by the federal health insurance system, and German orthopedic surgeons routinely refer patients for Schroth scoliosis exercise therapy. These Schroth centers have 5-8 hour boot camps that teach individual exercises to people affected by Scoliosis and the government pays for it! Oops, did I mention politics? Let me stay on topic...

The Schroth method helps patients:
  • Halt curve progression
  • Reduce pain
  • Increase vital capacity (Oxygen capacity-Total Volume of O2 in & out of lungs)
  • At least partly reverse abnormal curvatures (My GOAL!!!)
  • Improve posture and appearance (O yea, bikini weather!)
  • Maintain improved posture lifelong (This is hard)
  • Avoid surgery (Refer to previous blog)
 The Schroth Method is a physiotherapeutic treatment system which uses
 isometric and other exercises to strengthen or lengthen asymmetrical
 muscles in a scoliotic body.  Its goals are to halt progression of
abnormal spinal curvature, and in the best case to reverse the curves.  Okay, just to keep myself honest, I did not write the 3 sentences above me; however, to put it in easiest terms, my exercises are a lot like yoga...just catered specifically to me for my unique curvature.
If you look at the photo below, you will see the upper right part of my back is where my spine twist, then the lower left back is where my spine twist a second time in order to compensate for the first. (for balance purposes) My lumbar curve (lower back) is around 30 degrees. 


Through the Schroth method, I must now be consciously aware of the "flat" zones in my back. These "flat" zones are created where muscles surrounding my spine have become weak; and this creates a concaved appearance. These zones are also called, concavities. My concavities include my left shoulder blade that is currently performing a disappearing act, and my lower right back that I like to call my "skinny" side, because everything is being pulled to the left side of my body, including my organs....so everything looks super flattened. Convexities are the opposing side of my spine; basically the Rambo of my back muscles, these are the ones causing all the drama. How the spine initially began to twist is less important than recognizing the imbalances.
What I am learning is how to identify the imbalances so I can treat the problem, without rods & screws.  

After understanding where my concavities and convexities are, I must learned to breathe into my "flat" zones while position my body in specific positions. By breathing into my "flat" zones, my (left) ribs open, (when they would otherwise twist together tightly) and the de-rotation process begins. With each breath I take my body slowly begins learning the new posture I create while breathing & positioning. It really is amazing.

Figure 5 - Starting position at the wall bars

The muscle-strengthening and stretching exercises aims to de-rotate and elongate my spine back into its normal position. My exercises take about an hour to complete each day. My commitment to these breathing & exercise sessions is extremely important and they must become apart of my lifestyle.

According to many clinical studies and published reports, only a small percentage of patients introduced to this method of treatment end with surgery. Clinical Studies of Scoliosis 

This first week has been different, my back aches in weird places, I have had to wear a brace 8 hours out of the day, and completely change the way I sleep., Oddly enough, I am okay with all the uncomfort of it all especially when I think about my bikini-ready back & rock hard muscles in my concavities! In the meantime, for your viewing pleasure, here is a picture of me, Scoliosizing....


See ya next time!




Resources


 

Tuesday, July 19, 2011

Scoliosis, My Journey...

If anyone reading this blog knows me well enough to have gone to the beach with me, seen me in underwear, or had the opportunity to speak with me on more than 3 occasions,  they may remember I am the young woman with the "S" shaped spine. Yes, I am that 1 kid in gym class that didn't make the cut during scoliosis check-offs. Yep, that's me, 1 in 1,000 is what I have heard. Wouldn't you know, the uptight, anxious individual, constantly concerned with worry gets the SCOLIOSIS diagnosis...this is what is so interesting about life.

I received my severe diagnosis at the age of 15, measuring at 50 degrees. I never had pain, just a sports bra that wouldn't fit right. After adjusting it over and over I finally realized it was "me" that did not fit the bra...and I am not talking about my boobs; although, this unfortunate truth still stands current.

After my diagnosis, I finally understood why I felt the need to tighten just one backpack strap a little more, why I NEVER could stick a back walkover on the balance beam...



 and lastly, why my body felt like it was 85 years old at the age of 15-20 when I tumbled in gymnastics & cheer leading. So yea...maybe I had pain, but I just felt it came with the territory, commitment is commitment. Poop or get off the pot, I figured pooping was way more fun!

After my diagnosis, I proceeded to do what anyone would have done, visit various doctors with my parents. The doctor's advice was to "watch" the curve. If progression of my curvature continued (progressions are predicted with severe cases), fusion of my vertebrae was the only option. The doctor also proceeded to tell me he had no idea how I was blessed with this lovely S-shaped curve & nicely sent my family and I on our way to make a decision.

Ewww...doesn't this decision making process sound lovely? Vertebrae fusion or pulmonary dysfunction? To make things even more exciting, the surgery entailed a recovery period, minimum of 1 year. The doctor informed me, I could start swimming at the 3-month recovery mark...or wake up paralyzed after surgery, and possibly have to under go other surgeries down the road to adjust my ever-so changing curvature. Are you kidding me?!

If I chose surgery I would have to deny a nearby college that invited me to cheer on their Nationally Ranked team...not to mention lose my source of income that included flipping children, some equivalent to the size of myself. Totally changing my life-plan to get a metal rod placed on either side of my spine sounded like great idea but I would rather NOT have screws drilled into my vertebrae, thank you very much.

So as you may guess, I denied the surgery. Hello, my name is Ali. I am stubborn, I have a hard time listening and I like things done my way, my parents would agree. I also wanted to seek a method of treatment that did not include re-arranging my entrails in less than 12 hours. I was determined there was a different plan for me, my spine, and the rest of my organs. I decided to step outside of my rule-following, structured thinking, organizational-planning self, & take the risk. I opted out of a free surgery at the age of 18. At the time I was on Peachcare, a government health care program that would have paid for my surgery in full, no co-pay, no nothing... 100% free.
Four years later, I started my research, I don't know why I waited this long, I guess I was in denial. I actually went back and edited this blog after rehearsing this experience through my head and realizing how long I really waited.

One day, in 2005 while searching the Internet, I found a therapy called The Schroth Method. At the time, this therapy was not offered in the states and I was a nursing student without health insurance. I continued my research, hoping for the right timing. 6 years later with health insurance & an adult-job I finally stumbled upon a location in Georgia where they offered the Schroth Method.

I decided to start this blog to educate and share my experience with others as I embark on this journey. I also wanted to bring awareness of this non-surgical method for parents & individuals who may be going through Scoliosis.

I started my sessions on July 18th 2011. I plan to blog as often as possible to update everyone on my curvature, the unique breathing exercises and life changes that will soon take place from my new commitment. I also plan on including a blog that goes into to further detail about this therapy and what it entails; however, until then, I included this video: The man's voice you hear is my doctor, Dr. Deutchman. The exercises he explains is what I will be doing in my living room, it's hot. Especially when I make the hissing breathing noises.
So, here I am today with a 70 degree curve in my spine at 28 years old, wondering what the heck I am going to do when Peter and I decide to have children and I have carry a child around in my uterus for 9 months; however, I am still denying surgery. If you care to join me on my trip to recovery, read on! If you or someone you know has scoliosis, maybe you will learn something new!

Until then, enjoy the gross pictures, because hopefully, one day these photos will not look like the backside of Gumby.

Day 1: My Back

 Day 1: My Brace. Yea, go ahead & laugh, dumbest face ever, I know...& I totally walked around this guy's office for 6 hours like this, classy...I know. This lovely attire, corrects me 5 degrees & is meant to reinforce my new & improved posture, that I will learn & must apply to the rest of my life on earth, literally.
Here goes nothing.