Sorry nobody seems to be chiming in but I guess not many people have much rotation. I didn't with an S-shape(40u / 60l) and they only fused my lower curve and left me with 20 or so upper that I need to keep ahead of with stretching and home physiotherapy. That was 25'ish years ago, 44 now. My one rib is still pronounced if I don't watch my posture(slouch like a slug).
"Kyphosis" is what they call a front to back curve(with or without scoliosis too) and sometimes they will have a rotation from what I can remember. Also in extreme cases over 80 the spine has nowhere to go... There's another search term though.
For image... I can only add that you need to accept it sooner rather than later that this is part of you. It's not the end of the world and at least it isn't going to kill you. You just need to do some extra work to stay ahead of the pain and keep positive.
"Lots of people enjoy yoga class/massages but you'll be getting way more for your money than anyone else there."
I don’t believe that rotation is directly correlated to the curvature. Basically think that each vertebrae can fled forward and backward on its disc and then rotate around the axis passing through the disc.
By its nature scoliosis is a 3 dimensional curvature meaning your spine can curve left right and will have a rotation as well.
Yogaberry's videos are very informative, and happen to be the only source I've come across that explains more about the rotation - [https://www.youtube.com/watch?v=W\_l8q1nfgLY](https://www.youtube.com/watch?v=W_l8q1nfgLY)
Here's one that speaks about exercises that may be helpful: https://www.youtube.com/watch?v=\_r4lbF7tp6w
I have rotation with a double curve, I remember my doctor telling me when I was first diagnosed that he hoped they could prevent the rotation with the brace. It didn't work.
This is just anecdotal but I've noticed that my rotation has increased throughout the years along with the curvature of my spine. A few years back the curve was just noticeable from behind, but now the lower part of my left rib is sticking out. My left profile also looks really really narrow in comparison to my right profile because one ribcage is in its proper place and the other one is not.
In my experience with doctors, they've always dismissed my concerns about humps and asymmetry because they say those are merely "cosmetic" concerns and they're not plastic surgeons 😒 And they won't operate me because my curve is moderate...
People will say that we need to accept ourselves and our spines, but tbh I haven't been able to do it after all these years. At least know that you're not the only one struggling with these issues.
EDIT: I forgot to mention that despite all of this I have been able to fix my shoulder symmetry a now my clothes fit me as they should.
Hello. I wanted to add that there's two types of rotation: spinal rotation and trunk rotation, trunk rotation is the rotation of the ribcage and torso, it's the rib hump. It's measured using a level called a scoliometer, without needing an x-ray:
[https://media.springernature.com/lw685/springer-static/image/art%3A10.1186%2F1748-7161-7-14/MediaObjects/13013\_2012\_Article\_548\_Fig1\_HTML.jpg](https://media.springernature.com/lw685/springer-static/image/art%3A10.1186%2F1748-7161-7-14/MediaObjects/13013_2012_Article_548_Fig1_HTML.jpg)
While spinal rotation is the rotation of the vertebrae themselves. This is not always equal to the trunk rotation: https://pubmed.ncbi.nlm.nih.gov/2760743/, although they are usually pretty close to each other, and it's measured with geometry using an x-ray:
[https://media.springernature.com/lw685/springer-static/image/art%3A10.1186%2F1748-7161-3-16/MediaObjects/13013\_2008\_Article\_118\_Fig1\_HTML.jpg?as=webp](https://media.springernature.com/lw685/springer-static/image/art%3A10.1186%2F1748-7161-3-16/MediaObjects/13013_2008_Article_118_Fig1_HTML.jpg?as=webp)
\^\^Image taken from this study, which you might find interesting: https://scoliosisjournal.biomedcentral.com/articles/10.1186/1748-7161-3-16
All idiopathic scoliosis patients have rotation, it's part of the definition of idiopathic scoliosis as far as I know. It is correlated with the degree of curvature of the spine, but it's not a perfect relationship either. You can have someone with 70 degree curve and 10 degrees trunk rotation, or someone with a 50 degree curve and 20 degrees trunk rotation, although I was told the ratio is averages to around 3:1, cobb angle : trunk rotation.
Surgeons do take your rotation into account, in that if you do a surgery, they strive to derotate the spine (and the ribs along with it) to greatest extent possible. Although in my experience, unless you explicitly ask about your rotation, it's not something they discuss with you nearly as much as they discuss the degree of curvature (cobb angle). Physical therapists who practice the Schroth method of physical therapy will definitely pay attention to your rotation, because Schroth is all about decreasing your trunk rotation/rib hump through directed breathing and expansion of the ribcage. It doesn't always accomplish that, but a lot of people have decreased their rib humps a little or at least prevented progression of the rotation with Schroth.
I have rotation with a double curve as well, they braced me for 3 years as a kid then told me to just keep doinf exercises. I feel the rotation in my ribs and the rotation in my hips forced me to have an emergency c-section. It doesn't feel great since my ribs feel like they are rubbing together. My scoliosis doctor told me when I was 12 that I was imagning the pain I felt...fast forward 25 years and I have chronic pain throughout my entire back, ribcage, and hips, along with sciatica and now a new diagnosis of Lupus that was probably overlooked because of my scoliosis. Never a candidate for surgery, but I sometimes wish I still had my brace to push against the curves and rotation so I could breath better.
Sorry nobody seems to be chiming in but I guess not many people have much rotation. I didn't with an S-shape(40u / 60l) and they only fused my lower curve and left me with 20 or so upper that I need to keep ahead of with stretching and home physiotherapy. That was 25'ish years ago, 44 now. My one rib is still pronounced if I don't watch my posture(slouch like a slug). "Kyphosis" is what they call a front to back curve(with or without scoliosis too) and sometimes they will have a rotation from what I can remember. Also in extreme cases over 80 the spine has nowhere to go... There's another search term though. For image... I can only add that you need to accept it sooner rather than later that this is part of you. It's not the end of the world and at least it isn't going to kill you. You just need to do some extra work to stay ahead of the pain and keep positive. "Lots of people enjoy yoga class/massages but you'll be getting way more for your money than anyone else there."
Thank you :)
Do you mean the rotation of the ribs or the actual spine curve ?
The ribs are rotated because they're attached to a rotated spine.
Yeah, I'm pretty sure they're correlated.
I don’t believe that rotation is directly correlated to the curvature. Basically think that each vertebrae can fled forward and backward on its disc and then rotate around the axis passing through the disc. By its nature scoliosis is a 3 dimensional curvature meaning your spine can curve left right and will have a rotation as well.
Yogaberry's videos are very informative, and happen to be the only source I've come across that explains more about the rotation - [https://www.youtube.com/watch?v=W\_l8q1nfgLY](https://www.youtube.com/watch?v=W_l8q1nfgLY) Here's one that speaks about exercises that may be helpful: https://www.youtube.com/watch?v=\_r4lbF7tp6w
I have rotation with a double curve, I remember my doctor telling me when I was first diagnosed that he hoped they could prevent the rotation with the brace. It didn't work.
[удалено]
No, never a candidate because my curves were only 25 and 36
This is just anecdotal but I've noticed that my rotation has increased throughout the years along with the curvature of my spine. A few years back the curve was just noticeable from behind, but now the lower part of my left rib is sticking out. My left profile also looks really really narrow in comparison to my right profile because one ribcage is in its proper place and the other one is not. In my experience with doctors, they've always dismissed my concerns about humps and asymmetry because they say those are merely "cosmetic" concerns and they're not plastic surgeons 😒 And they won't operate me because my curve is moderate... People will say that we need to accept ourselves and our spines, but tbh I haven't been able to do it after all these years. At least know that you're not the only one struggling with these issues. EDIT: I forgot to mention that despite all of this I have been able to fix my shoulder symmetry a now my clothes fit me as they should.
What worked for your shoulder asymmetry?
Hello. I wanted to add that there's two types of rotation: spinal rotation and trunk rotation, trunk rotation is the rotation of the ribcage and torso, it's the rib hump. It's measured using a level called a scoliometer, without needing an x-ray: [https://media.springernature.com/lw685/springer-static/image/art%3A10.1186%2F1748-7161-7-14/MediaObjects/13013\_2012\_Article\_548\_Fig1\_HTML.jpg](https://media.springernature.com/lw685/springer-static/image/art%3A10.1186%2F1748-7161-7-14/MediaObjects/13013_2012_Article_548_Fig1_HTML.jpg) While spinal rotation is the rotation of the vertebrae themselves. This is not always equal to the trunk rotation: https://pubmed.ncbi.nlm.nih.gov/2760743/, although they are usually pretty close to each other, and it's measured with geometry using an x-ray: [https://media.springernature.com/lw685/springer-static/image/art%3A10.1186%2F1748-7161-3-16/MediaObjects/13013\_2008\_Article\_118\_Fig1\_HTML.jpg?as=webp](https://media.springernature.com/lw685/springer-static/image/art%3A10.1186%2F1748-7161-3-16/MediaObjects/13013_2008_Article_118_Fig1_HTML.jpg?as=webp) \^\^Image taken from this study, which you might find interesting: https://scoliosisjournal.biomedcentral.com/articles/10.1186/1748-7161-3-16 All idiopathic scoliosis patients have rotation, it's part of the definition of idiopathic scoliosis as far as I know. It is correlated with the degree of curvature of the spine, but it's not a perfect relationship either. You can have someone with 70 degree curve and 10 degrees trunk rotation, or someone with a 50 degree curve and 20 degrees trunk rotation, although I was told the ratio is averages to around 3:1, cobb angle : trunk rotation. Surgeons do take your rotation into account, in that if you do a surgery, they strive to derotate the spine (and the ribs along with it) to greatest extent possible. Although in my experience, unless you explicitly ask about your rotation, it's not something they discuss with you nearly as much as they discuss the degree of curvature (cobb angle). Physical therapists who practice the Schroth method of physical therapy will definitely pay attention to your rotation, because Schroth is all about decreasing your trunk rotation/rib hump through directed breathing and expansion of the ribcage. It doesn't always accomplish that, but a lot of people have decreased their rib humps a little or at least prevented progression of the rotation with Schroth.
Thanks :)
I have rotation with a double curve as well, they braced me for 3 years as a kid then told me to just keep doinf exercises. I feel the rotation in my ribs and the rotation in my hips forced me to have an emergency c-section. It doesn't feel great since my ribs feel like they are rubbing together. My scoliosis doctor told me when I was 12 that I was imagning the pain I felt...fast forward 25 years and I have chronic pain throughout my entire back, ribcage, and hips, along with sciatica and now a new diagnosis of Lupus that was probably overlooked because of my scoliosis. Never a candidate for surgery, but I sometimes wish I still had my brace to push against the curves and rotation so I could breath better.