Dr. Elif Aksakallı

Low back pain is very common and most of it is not due to a serious disease. However, distinguishing the cause of the pain determines the direction of treatment: a muscle-related strain and a pain due to nerve root compression require different approaches.

History and examination are the priority in evaluation. If there are findings such as pain radiating to the leg, loss of strength or change in sensation, an imaging examination is planned. If these findings are not present, early imaging is often not required.

The aim of treatment is to preserve movement while reducing pain. Exercise program, physical therapy practices and drug therapy are used together when necessary. Prolonged bed rest is not recommended today. A gradual return to one's daily life is part of the process.

After a stroke, arm, leg and speech functions may be affected to different degrees. The goal of rehabilitation is to improve remaining function and increase the person's independence in daily living.

The program is prepared according to the individual: muscle strength, balance, walking, manual skills and daily living activities are evaluated separately. Maintaining joint mobility and positioning is important in the early period. In the following period, studies on movement learning come to the fore.

The process is teamwork. The physiotherapist, occupational therapist and speech therapist work together when necessary. The speed of recovery varies from person to person. Goals are re-evaluated at regular intervals.

Scoliosis is the curvature of the spine sideways when viewed from the side. It is especially noticeable during the growth period, and the degree of curvature and how long growth continues are the two main factors that determine the treatment decision.

In addition to examination, spine radiography is used in the evaluation. The angle of curvature is measured and the growth status is evaluated. Small-angle curvatures are often observed at regular intervals, during this period the exercise program helps support the muscles around the spine.

In cases where the angle progresses while growth continues, corset treatment may be considered. Surgical evaluation is required in cases of advanced angle curvatures. The decision is made by looking at change over time, not a single measurement.