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Ohio Attorney General Sues 5 Pharma Companies In Opioid Epidemic

Ohio Attorney General Sues 5 Pharma Companies In Opioid Epidemic

  • Ohio Attorney General Mike DeWine is suing five makers of opioid painkillers for their role in the state’s opioid epidemic.
  • The five companies named in the suit are Purdue Pharma, Johnson & Johnson, Teva Pharmaceuticals, Endo Health Solutions and Allergan.
  • This is the second suit of its kind brought by a state, after Mississippi.
Ohio attorney general sues 5 pharma companies over their role in the opioid epidemic��

Ohio Attorney General Mike DeWine is suing five makers of opioid painkillers for their role in the state’s opioid epidemic.

 

 

The suit, which DeWine said is the second by a U.S. state, after Mississippi, claims the drugmakers violated multiple state laws, including the Ohio Corrupt Practices Act, and committed Medicaid fraud.

Purdue Pharma, Johnson & Johnson and its Janssen Pharmaceuticals unit, Teva Pharmaceuticals and its Cephalon unit, Endo Health Solutions and Allergan are all named in the suit.

“In 2014 alone, pharmaceutical companies spent $168 million through sales reps peddling prescription opioids to win over doctors with smooth pitches and glossy brochures that downplayed the risks” of the medicines,” DeWine said at a press conference Wednesday. Last year, he said, 2.3 million people in Ohio, or about a fifth of the state’s population, were prescribed opioids.

In a statement, a spokesman for Purdue Pharma, which manufactures OxyContin, said the company shares the attorney general’s concerns about the opioid crisis and that it is “committed to working collaboratively to find solutions.”
“OxyContin accounts for less than 2% of the opioid analgesic prescription market nationally, but we are an industry leader in the development of abuse-deterrent technology, advocating for the use of prescription drug monitoring programs and supporting access to Naloxone � all important components for combating the opioid crisis,” he said.

Allergan declined to comment, as did a Teva spokeswoman, who said, “We have not completed review of the complaint.”

J&J’s Janssen unit said the company believed the allegations in the lawsuit were “both legally and factually unfounded.”

“Janssen has acted appropriately, responsibly and in the best interests of patients regarding our opioid pain medications, which are FDA-approved and carry FDA-mandated warnings about the known risks of the medications on every product label,” said Jessica Castles Smith, a Janssen spokeswoman.

Endo officials weren’t immediately available to comment.

The Ohio action follows suits from counties and cities seeking to hold accountable the industry that produces, markets and distributes opioid painkillers. DeWine said the Ohio suit, filed Wednesday morning in Ross County, “would compel these companies to clean up this mess through several remedies,” including an injunction to stop “continued deception and misrepresentation in marketing,” damages paid to the state for money spent on the crisis, and repayment to consumers.

Sales of prescribed opioids � including oxycodone, hydrocodone and methadone � almost quadrupled in the U.S. between 1999 and 2015, according to the Centers for Disease Control and Prevention, contributing to a more than quadrupling of deaths from prescription opioids in that same period. Almost 2 million Americans either abused or were dependent on prescription opioid painkillers in 2014, according to the CDC.

In March, attorneys representing two West Virginia counties filed federal lawsuits against drug distributors, including AmerisourceBergen, McKesson and Cardinal Health, accusing companies of violating West Virginia law and threatening public health for distributing huge amounts of opioids in the state.

The city of Everett, Washington, sued Purdue Pharma earlier this year, accusing the drugmaker of gross negligence and seeking payment for the costs of handling opioid addiction.

And three counties in New York sued pharmaceutical companies including Purdue, Johnson & Johnson, Teva and Endo in February, also seeking damages.

Ohio and West Virginia are among the states hardest hit by the opioid epidemic. The crisis has been named by new Food and Drug Administration Commissioner Dr. Scott Gottlieb as a top priority.

“We understand what we’re taking on: five huge drug companies,” DeWine told reporters Wednesday. “I don’t want to look back 10 years from now and say we should have had the guts to file. � It’s something we have to do.”

Source:

History of the Schroth Method for Scoliosis

History of the Schroth Method for Scoliosis

Scoliosis is a well-known spinal condition which results in an abnormal, often lateral, curvature of the spine. While most cases of the issue are reported among children and teens, adults can also experience scoliosis, later in their lives. Fortunately, non-surgical procedures, such as the Schroth method of exercises for scoliosis, were created to correct this spinal condition, improving the lives of many affected with scoliosis.

Katharina Schroth (1894-1985) developed the Schroth Method, based on her personal experience with spinal issues as a teenager. When Katharina was told she had scoliosis and would require surgery the system originated. Unwilling to possess surgery, she instantly began to formulate a way to place scoliosis in check plus it became her life�s work. She dedicated countless hours attempting different corrections of her curve and detected certain positions, movements and breathing techniques which made her own torso deformity clear.

Trained as a teacher, Ms. Schroth began sharing her techniques with patients in the 1920’s and finally created her own clinic in Germany. The Schroth Approach was established in Germany in 1921, by Katharina Schroth. This curve design particular scoliosis technique was refined through the years by the creator�s daughter, physical therapist Christa Lehnert-Schroth PT, and grandson and orthopedic doctor, Dr. Hans-Rudolf Weiss, at the inpatient practice bearing the name of Katharina Schroth set in Germany�s Rhineland. Her daughter, Christa Lehnert-Schroth P.T. immensely helped her further develop the theory underlying the Schroth Method. Katharina�s grandson, Dr. Hans-Rudolph Weiss, MD has continued the tradition by developing his own unique program called Scoliologic in Germany.

The Schroth Method Today

The Schroth Method continues to be practiced in Germany since then, and it is only in the last few years that the Schroth Method has spread all around the world as wait and scoliosis patients search for options to observe , bracing, and surgery for scoliosis treatment. The Schroth family has authored publications, created numerous posts, and taught others on these nonsurgical techniques. Although possessed by the Schroth family today, over one thousand patients are treated annually at Asklepios Katharina-Schroth Klinic in Germany and there’s frequently a several month long waiting list.

Clinical research shows that the approach can reduce spinal curvatures. Surely, the success also depends upon the commitment of the patients. Schroth exercises could be broadly divided into two types. They are the old in patient Schroth Intensive Rehabilitation along with the more recent outpatient Schroth Best Practice. The latter essentially consists of exercises to enhance corrective exercises the sagittal spinal curves and adoption of appropriate corrective bearings during daily actions.

The physiologic exercises aim at preserving the natural lumbar lordosis in sitting and standing positions.
Corrective exercises are scoliosis special exercises. They differ together with the curvature sorts. Rotational breathing is incorporated to the treatment, to improve the vertebral rotation.

Although there are many other popular forms of treatments available for scoliosis, including surgical interventions, the Schroth method has been recognized by many healthcare professionals and researchers due to their effectiveness in treating the spinal condition in children, teens and even adults. Be sure to consult a qualified and experienced healthcare specialist regarding the best treatment method for scoliosis and/or seek a doctor/physician who has knowledge on the specific exercises of the Schroth method for scoliosis treatment.

Schroth Method Exercises for Scoliosis

The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900blog picture of a green button with a phone receiver icon and 24h underneath

By Dr. Alex Jimenez

Additional Topics: Lower Back Pain After Auto Injury

After being involved in an automobile accident, neck injuries and aggravated conditions, such as whiplash, are some of the most commonly reported types of injuries, due to the force of the impact. A study discovered, however, that the seat of a vehicle can often lead to injuries as well, causing lower back pain and other symptoms. Lower back pain is also among one of the most common types of automobile accident injuries in the U.S. alone.

 

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Gabrielle Union’s Workout Will Give You Toned, Tight Arms

Gabrielle Union’s Workout Will Give You Toned, Tight Arms

Gabrielle Union has never been shy about sharing her secrets to a bangin� bod. The 44-year-old actress loves posting snippets of her grueling workouts to Instagram, and on Wednesday morning, she treated us to an Insta�story of her favorite�go-to exercise regimen.

This 7-move circuit routine�especially targets the star�s shoulders and back�so she�ll look extra fit for backless gowns on the red carpet this summer. Union has previously chronicled her quest to �build a booty,� as she put it, so her trainer threw in�a few glute-toning moves too.

RELATED: Steal Ashley Graham’s Killer Upper-Body Workout

Think you can handle Union�s workout? We say bring it on. But trust us,�you�ll definitely be feeling the burn once you finish.

Rope Shoulder Pulls

Union captioned this image �25 reps of rope shoulder pulls =�sexy shoulders,� and we can see why. It�ll seriously work your shoulders and upper back. Stand with your legs slightly bent and back straight. Hold a cable rope in both hands and pull toward your chest. Push the rope back in, then�repeat. (Union did 25 reps.)

Dumbbell Front Raise

Stand with your legs shoulder-width apart and knees slightly bent. Hold a dumbbell in each hand, palms facing in. Raise your arms straight in front of you and lower once they�re at shoulder level. Make sure your arms don�t go above 90 degrees. Repeat.

TRX Squats with Thigh Band

The caption says this is Union�s warm up,�but to us it looks like the main event. Stand with your feet shoulder-width apart. Holding�a TRX suspension rope, do a low squat, making sure your knees don�t sneak past your toes. To add a little extra fire, slip a resistance band around your thighs, just above your knees.

Suspended Thigh Pulses

Stay in a squat�position holding a TRX rope. With a resistance band around your thighs, pulse your legs in and out, keeping feet still. Judging by Union�s expression here, this will really pack a punch, but it�ll do wonders for your posterior.

RELATED: The Better Butt Workout

Kettlebell Squats

Stand with your feet hip-width apart. Hold a kettlebell with both hands between your legs. Squat with your back straight, making�sure your knees don�t go past your toes. Repeat.

Medicine Ball Throw

Standing with one foot in front of the other, back straight and knees slightly bent, hold a medicine ball in both hands. Making sure you pull it across your whole body, throw the ball against�a nearby wall and catch it. Repeat.

To get our best wellness advice delivered to you inbox, sign up for the�Healthy Living newsletter

Full�Body Dumbbell Snatch

Standing with your legs more than shoulder-width apart, hold a dumbbell with that arm�above your head, other arm extended out and parallel with the ground. Bring the dumbbell down to the ground in one move, squatting as you go. Bring the dumbbell back above your head and straighten out your legs. Repeat.

Lumbar Radiculopathy Associated with Sciatica & Low Back Pain

Lumbar Radiculopathy Associated with Sciatica & Low Back Pain

Around 80% of the population is plagued at one time or another by back pain, especially lower back pain. Associated leg pain (called lumbar radiculopathy or sciatica) happens less frequently. Pain could be debilitating and bothersome, restricting daily activities. Leg and back pain can result from a number of reasons, not all of which originate in your spinal column.

With the aim of this particular article, we’ll concentrate on lumbar radiculopathy, which refers to pain in the low extremities in a dermatomal pattern (see picture below). A dermatome is a special place in the lower extremity that’s nerves going from a particular lumbar nerve to it. Compaction of the origins of the spinal nerves in the lumbar region of the back causes this pain. Diagnosing leg and lower back pain begins with assessment and a detailed patient history.

Diagnosing Lower Back Pain and Sciatica

Your medical history helps the issue is understood by the physician. It is essential to be specific when answering medical questions linked to pain beginning but recalling every detail is often not critical. Keeping records of your medical history, including medical issues, medicines you’re taking and surgeries you have had in the past is helpful.

Journal Symptoms

Seeing your leg and back pain, it may be helpful to keep the activities that aggravate your pain, a journal of your actions, when the pain began documenting and those who alleviate your symptoms. It’s also important to ascertain whether your back pain is than visa versa or your leg pain. If you are experiencing any numbness or weakness in your legs or any difficulty walking, maybe you are asked. Remember, understanding the reason for your issue is founded on the advice you supply.

Most of the individuals describe radicular pain as a burning or sharp pain that shoots down the leg. This is what many people call sciatica. This pain may or may not begin in the low back. Leg pain caused by nerve roots that are compressed normally has routines that are particular. These routines of pain is determined by the degree of the nerve being compressed. After reviewing your history, your physician will perform a physical examination. This will assist the doctor determine in case your symptoms are due to an issue that’s caused by spinal nerve root compression. To assist you understand the exam performed by your doctor lets pause to get an instant anatomy lesson.

Understanding the Anatomy of the Spine

The spine is comprised of 33 vertebrae (bones piled on top of each other in a “building-block” fashion) that have 4 distinct areas: cervical (neck), thoracic (upper/mid back), lumbar (low back), and sacrum (pelvis).

Discs are cushion-like tissues that separate most vertebrae and act as the back’s shock absorbing system. Eaach disk is comprised of a tough outer ring of fibers known as the annulus fibrosus, plus a soft gel-like center known as the nucleus pulposus.

There are 7 flexible cervical (neck) vertebrae that help to support the head. Twelve thoracic vertebrae attach to ribs. Next, are 5 lumbar vertebrae; they are large and carry nearly all the body weight. The sacral region helps disperse the body weight to the pelvis and hips.

The spinal cord is placed within the protective components of spinal canal. Spinal nerves exit the spinal canal through passageways between the vertebral bodies and branch from the spinal cord. The passageways are called neuroforamen. Nerves supply sensory (permitting you to touch and feel) and motor information (allowing the muscles to function) to the complete body.

In another article (click the Continue Reading link below), we discuss how your doctor determines what’s causing your lower back pain and sciatica, which is critical to the appropriate treatment strategy and symptom relief.

Comments by way of a Spine Specialist

Lumbar is a familiar problem that results when nerve roots are compressed or irritated. This excellent article discusses the basic anatomy and clinical manifestations of lumbar radiculopathy, which will be regularly referred to generically as sciatica. These symptoms can be due to a selection of causes such as disc bulges, degenerative narrowing of the space for the nerves (spinal stenosis or foraminal stenosis), spinal instability, deformity of the vertebrae, or herniated disc fragments outside the disc space.

In 70-80% of patients, sciatica is ephemeral, and works out with nonsurgical treatments for example anti-inflammatory drugs, physical therapy, exercise, spinal manipulation, or alternative nonsurgical modalities. Surgical intervention is required by a proportion of patients with sciatica in cases where nonsurgical treatments have failed to supply sufficient pain relief, and there is pathology [cause] that is present compressing the nerves. A tiny proportion of patients need urgent surgery. If an extremely large lumbar disk herniation causes serious nerve damage, with paralysis or acute bowel or bladder incontinence, then emergency surgery might be needed.�Curtis A. Dickman, MD

The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900blog picture of a green button with a phone receiver icon and 24h underneath

By Dr. Alex Jimenez

Additional Topics: Lower Back Pain After Auto Injury

After being involved in an automobile accident, neck injuries and aggravated conditions, such as whiplash, are some of the most commonly reported types of injuries, due to the force of the impact. A study discovered, however, that the seat of a vehicle can often lead to injuries as well, causing lower back pain and other symptoms. Lower back pain is also among one of the most common types of automobile accident injuries in the U.S. alone.

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TRENDING TOPIC: EXTRA EXTRA: New PUSH 24/7�? Fitness Center

 

Dead Butt Syndrome Is One More Reason You Shouldn’t Sit All Day

Dead Butt Syndrome Is One More Reason You Shouldn’t Sit All Day

It’s no secret that sitting for long stretches�isn’t great for your body. Research has linked it to heart disease, obesity, diabetes, even�cancer. But there’s another health risk from sitting all day that most people don’t know about: gluteal amnesia, or�dead butt syndrome.

It almost sounds like a joke, but it’s not uncommon, says Andrew Bang, a chiropractor at the Cleveland Clinic�s Wellness Institute: �I see the injury all the time in varying degrees.”

Dead butt syndrome develops when the gluteus medius�one of the three main muscles in the booty�stops firing correctly.�That can happen if you spend too much time parked in a chair, explains Kristen Schuyten, a physical therapist at Michigan Medicine. “But it can�also occur in very active individuals who just don�t engage the glute muscles enough,� she adds.

Since the gluteus medius�normally helps stabilize the pelvis, gluteal amnesia can lead to�lower back�pain and hip pain, as well as knee and ankle issues, as the body tries to compensate for the imbalance.

RELATED: 18 Moves to Tone Your Butt, Legs, and Thighs

Dead butt syndrome has to do with reciprocal inhibition�the process that describes the give-and-take relationship between muscles on either side of a joint. “In general, when one muscle contracts, a nerve signal is sent to its opposing muscle to relax,� says Bang.

When you spend hours on end in a seated position, your hip flexors are contracting while your glutes�rest.��Over time, we�re basically training our glutes to be weak,� Bang says.

The same type of muscle imbalance�can happen in highly active people who have very strong�quads or hamstrings. Bang has�even seen marathon runners develop dead butt syndrome

RELATED: 13 Everyday Habits That Are Aging You

How do you know if you have gluteal amnesia?

One�way practitioners�diagnose the condition is with�the Trendelenburg test, a physical exam in which a person lifts�one leg in front of them while standing. �If the pelvis dips down on the side of the body where the leg is lifted, that indicates weakness in the gluteus medius on the opposite side,� says Bang.

The curve in a person’s�back can also suggest�gluteal amnesia. While the lumbar spine�(or lower back) should naturally form an S shape, more extreme curvature�may signal that the hip flexors are so tight they�re pulling the spine forward,�says Bang.

To get our best fitness tips�delivered to your inbox, sign up for the Healthy Living newsletter

What can you do to avoid dead butt syndrome?

Try to take frequent breaks from your chair throughout the day. Get up and walk around, or do some stretches at your desk.�Schuyten recommends setting hourly reminders on your phone,�to prompt you to squeeze your butt muscles at regular intervals.

And when you work out, don’t forget to target that booty. Along with squats and�bridges,�lying-down leg lifts are a good move to add to your routine, says Bang.��Start on your left side with your right leg lifted and the big toe pointing toward the floor as you lift,� he�says. �This angle isolates the gluteus medius and minimus�muscles the most, so you�ll feel it within 10 to 15 lifts of the leg.� Add a band or ankle weight for extra resistance.

Above all, the best way to avoid gluteal amnesia is to mix up your daily routine, says Bang. Sit on an exercise ball for part of the day. Spend some time standing up, working at a high countertop. �Whatever you do, just don�t allow your body to get into a repetitive cycle,� he says.

UTEP�s Dreier Earns Regional Golf Accolade

UTEP�s Dreier Earns Regional Golf Accolade

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SUGAR GROVE, Il.- UTEP men�s golfer Frederik Dreier earned PING All-Region Division I honors, the Golf Coaches Association of America (GCAA) announced on Saturday. Dreier, who wrapped up his collegiate career at the NCAA Washington Regional on May 17, earned a spot on the Central Regional list. He was the only UTEP honoree and one of the two Conference USA golfers to be recognized this year, with Middle Tennessee�s Joey Savoie making the Southeast Regional list.

Dreier helped lead the Miners to the Conference USA championship with his seventh place finish, the first conference title since 1985 and only the second championship in program history. The victory ticketed the team to the NCAA Regionals for the first time since 2004, where they finished in ninth place. Dreier shot 7-over 220 (76-68-76) to end his second appearance at the NCAA Regional with a share of 27th place.

A staple in the Miner�s lineup for four years, Dreier played in 46 tournaments while tallying 72.8 collegiate career stroke average. He was named the C-USA Golfer of the Year for the second consecutive year, the first Miner to accomplish the feat and only the third golfer in C-USA to repeat the honor. He also gained C-USA First Team recognition. Dreier has been ranked as high as no. 4 on the Arnold Palmer Cup European rankings and has been on the Danish national team since 2011.

A complete list of the all-region teams are below.

Division I PING All-Region Teams

Northeast
Cole Berman, Georgetown
Bennett Buch, Maryland
Tim Colanta, Maryland
Michael Davis, Princeton
Ryan Davis, Penn State
Robert Deng, Harvard
Eric Dietrich, Connecticut
Anton Frondelius, Wagner
Lloyd Jefferson Go, Seton Hall
Jimmy Hervol, Connecticut
Chris Houston, Rhode Island
JD Hughes, Penn State
Charles Huntzinger, Penn State
Dawson Jones, Rhode Island
Peter Kim, Army
David Kocher, Maryland
Jonathan Lai, Yale
Logan Lowe, George Washington
Sam Madsen, Georgetown
Cole Miller, Penn State
Gen Nagai, Seton Hall
Matthew Naumec, Boston College
Gregory Royston, Harvard
Kendrick Vinar, Harvard
Billy Walthouse, Rhode Island

East
Eric Bae, Wake Forest
Derek Bard, Virginia
James Clark, Georgia Tech
Ryan Cole, James Madison
Patrick Cover, UNCW
Chandler Eaton, Duke
Stephen Franken, NC State
Ben Grif n, North Carolina
Mark Lawrence Jr., Virginia Tech
Isaiah Logue, Liberty
Alexander Matlari, Duke
Jacob McBride, NC State
Paul McBride, Wake Forest
Bryson Nimmer, Clemson
Andrew Novak, Wofford
Matt Oshrine, Duke
William Rainey, College of Charleston
Doc Redman, Clemson
Luke Schniederjans, Georgia Tech
Benjamin Shipp, NC State
Alex Smalley, Duke
Jimmy Stanger, Virginia
Cameron Young, Wake Forest
Carson Young, Clemson
Will Zalatoris, Wake Forest

Southeast
Dawson Armstrong, Lipscomb
John Augenstein, Vanderbilt
Sam Burns, LSU
Trace Crowe, Auburn
Cristobal Del Solar, Florida State
Luis Gagne, LSU
Harry Ellis, Florida State
Broc Everett, Augusta
Lee Hodges, Alabama
Sam Hors eld, Florida
Theo Humphrey, Vanderbilt
Keenan Huskey, South Carolina
Phillip Knowles, North Florida
Patrick Martin, Vanderbilt
Cooper Musselman, Kentucky
Gordon Neale, Florida
Peng Pichaikool, Mississippi State
Brandon Pierce, LSU
Davis Riley, Alabama
Joey Savoie, Middle Tennessee
Matthias Schwab, Vanderbilt
Greyson Sigg, Georgia
Scott Stevens, South Carolina
Braden Thornberry, Ole Miss
Alejandro Tosti, Florida
David Wicks, Jacksonville
Ben Wolcott, Ole Miss

Central
Braden Bailey, Baylor
Zach Bauchou, Oklahoma State
Cameron Champ, Texas A&M
Brad Dalke, Oklahoma
Cooper Dossey, Baylor
Frederik Dreier, UTEP
Doug Ghim, Texas
Gavin Hall, Texas
Chase Hanna, Kansas
Grant Hirschman, Oklahoma
Viktor Hovland, Oklahoma State
Garrett May, Baylor
Max McGreevy, Oklahoma
Fredrik Nilehn, Texas Tech
Zachary Olsen, Oklahoma State
Alvaro Ortiz, Arkansas
Matthew Perrine, Baylor
Chandler Phillips, Texas A&M
Ivan Ramirez, Texas Tech
Hannes Ronneblad, Texas Tech
Scottie Schefer, Texas
Hunter Shattuck Baylor
Sam Stevens, Oklahoma State
Kristoffer Ventura, Oklahoma State
Nick Voke, Iowa State
Hayden Wood, Oklahoma State

Midwest
Fernando Barco, Purdue
Nick Carlson, Michigan
Justin Doeden, Minnesota
Austin Eoff, Purdue
Michael Feagles, Illinois
Will Grimmer, Ohio State
Nick Hardy, Illinois
Timmy Hildebrand, Purdue
Ian Holt, Kent State
Chase Johnson, Kent State
Raymond Knoll, Iowa
Edoardo Lipparelli, Illinois
Ryan Lumsden, Northwestern
Dylan Meyer, Illinois
Kyle Mueller, Michigan
Charlie Netzel, Michigan State
Bjarki Petursson, Kent State
Austin Squires, Cincinnati
Gisli Sveinbergsson, Kent State
Matthew Walker, Iowa
Sam Weatherhead, Michigan State
Daniel Wetterich, Ohio State
Josh Whalen, Kent State
Peyton White, Ohio
Dylan Wu, Northwestern

West
Viraat Badhwar, Stanford
Shintaro Ban, UNLV
Aaron Beverly, Sacramento State
Andrej Bevins, New Mexico
Chun An Yu, Arizona State
Wyndham Clark, Oregon
Roy Cootes, Pepperdine
Sean Crocker, Southern California
Jared du Toit, Arizona State
Patrick Fishburn, BYU
Harry Hall, UNLV
Rico Hoey, Southern California
Franklin Huang, Stanford
Maverick McNealy, Stanford
Collin Morikawa, California
John Oda, UNLV
Corey Pereira, Washington
Rhett Rasmussen, BYU
PJ Samiere, San Diego State
Hayden Shieh, Santa Clara
Justin Suh, Southern California
Sahith Theegala, Pepperdine
Tim Widing, San Franciscio
Brandon Wu, Stanford
Norman Xiong, Oregon
Carl Yuan, Washington

The Purpose of the Schroth Method for Scoliosis

The Purpose of the Schroth Method for Scoliosis

Scoliosis is defined as the abnormal, lateral deviation of the spine with a minimal Cobb angle of 10� in the coronal plane. It may be characterized as either non structural or structural scoliosis.

Non-structural scoliosis is identified as a non-progressive curve resulting from a leg length discrepancy, herniated disc or improper bearing which can be corrected by removing the causing factor. Structural scoliosis is identified by not only its vertebral distorted shape, but by a vertebral rotation towards the convex side, where the spinal processes also rotate toward the concave side, additionally, including rib deformity along with the convex sided ribs shifting posterior and superior while the concave sided ribs changing anterior and inferior.

After diagnosis, a person with scoliosis may present a pelvis that is not leveled in the transverse plane with unequal shoulder height, a thoracic or lumbar hump, and an asymmetrical lumbar triangle, loss of lumbar lordosis or loss of balance in the sagittal and coronal planes.

Scoliosis in the Modern World

Scoliosis approximately affects up to 2 to 3 percent of the population and it may be classified as congenital, neuromuscular, degenerative or idiopathic. Furthermore, scoliosis diagnosed after skeletal maturity, between the ages of 20 to 50, known as adult scoliosis, amounts up to 6 to 10 percent of the population. Adult scoliosis is divided into four types: Primary degenerative scoliosis resulting from the asymmetrical erosion of the disc, endplates and/or facet joints; progressive idiopathic scoliosis not previously treated or post-surgical; secondary adult curvature due to a pelvic obliquity; and secondary adult curvature due to metabolic bone disease.

According to research studies, the clinical presentation associated with adult scoliosis requiring immediate medical attention from a healthcare professional includes: back pain which manifests as muscle soreness, muscular exhaustion or mechanical instability; symptoms of radicular pain present during standing or walking; neurological deficits; and curve progression resulting in from axial overload or vertebral bodies with osteoporosis.

Literature has described a  variety of treatments for scoliosis predicated on surgical and non-surgical classification, dependent on the severity and the character of the curvature as well as the danger of progression. Surgical intervention is an alternative treatment option for individuals that have completed the growth cycle and whose curve is greater than 50� and or whose curve is above 45� and are still in the growth cycle. Bracing and projecting is utilized for people in the growth interval and whose curve is between 20� and 40�. An individual with a curve of less than 25� and has completed growing might be observed throughout their life for curvature progression of 5� in one year, which can be determined to need surgical intervention.

Many healthcare professionals recommend surgery for scoliosis rather than an alternative, non-surgical treatment for scoliosis. In a study by Brigham and Mooney, a progressive exercise plan focusing on exercises combined with torso turning exercises were utilized to raise the strength in patients with scoliosis measuring 15�to 41�. The results showed a 20% � 23% improvement in the curvature without any type of bracing or casting.

Prevalence of the Schroth Method for Scoliosis

In comparison to America, conservative measures are more vigorously executed worldwide. Along with plans, such as for example SEAS (Scientific Exercise Method Of Scoliosis), FITS (Functional Individual Therapy of Scoliosis), Dobosiewicz method, ASCO (Anti-Scoliosis Shaking-Decompression) procedure, Lyonaise method, and physiologic�, the Schroth method is a scoliosis treatment approach which attempts to conservatively treat the spinal condition by emphasizing patient specific postural analysis and corrections in a multidimensional plane. In line with the method first created by Katharina Schroth, the torso is divided into three and sometimes four vertically stacked anatomical blocks. As an outcome of scoliosis, these blocks deviate in the vertical line and laterally shift and rotate against each other creating areas of convexities and concavities.

Depending on sensorimotor and kinesthetic principles, patients utilize proprioceptive and exteroceptive stimulus (visual, tactile, verbal) to achieve the proper spinal alignment through corrective breathing patterns and postures. This is a big element of the Schroth method for scoliosis. Three dimensional postural corrections and remedial exercises are used to achieve spinal de-rotation, de-flexion and elongation in order to re-gain postural symmetry and muscular equilibrium as well as for the stabilization of the corrected bearing through isotonic and isometric tension and reflex holding of muscles. Simultaneous performance of rotational angular respiration (RAB) helps correct the placement of the ribs by directing air into the thoracic concavities. Through the specific exercises of the Schroth method for scoliosis, patients learn to lift themselves out of passive alignments and endure a position that is corrected throughout their day-to-day activities.

The Schroth Method for Scoliosis

The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900blog picture of a green button with a phone receiver icon and 24h underneath

By Dr. Alex Jimenez

Additional Topics: Lower Back Pain After Auto Injury

After being involved in an automobile accident, neck injuries and aggravated conditions, such as whiplash, are some of the most commonly reported types of injuries, due to the force of the impact. A study discovered, however, that the seat of a vehicle can often lead to injuries as well, causing lower back pain and other symptoms. Lower back pain is also among one of the most common types of automobile accident injuries in the U.S. alone.

 

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TRENDING TOPIC: EXTRA EXTRA: New PUSH 24/7�? Fitness Center

 

 

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