CORRECTION OF FUNCTIONAL SCOLIOSIS IN CASES OF HYPERMOBILITY SYNDROME: Recently, I had a young woman with scoliosis and Gastroparesis ask me what to do about her scoliosis.
This followed upon her reading about my theory that functional scoliosis is etiologic for Gastroparesis. Functional scoliosis is my name for a mild scoliosis that seems to occur in young women with Hypermobility Syndrome.
My theory is that a curved spine affects the autonomic nerves that travel next to the spine. I believe
that Gastroparesis is a dysautonomia.
In those with functional scoliosis, the scoliosis curves seem to manifest when the body is upright & when gravity is operant, then scoliosis remits when prone & lying down. The scoliosis in hypermobile people is a function of gravity.
My theory of reason for functional scoliosis in hypermobiles is that their spines are hyper bendable due to ligament flexibility. Vertebral disks are, after all, specialized ligaments. When the young woman asked what to do I answered:
“You must understand, the idea that scoliosis causes Gastroparesis is my theory. No one has proven what causes Gastroparesis. I am not even sure if most doctors would consider it even a dysautonomia, which I do.
If my theory is correct, then the corrective measures I recommend might be therapeutic. Only time & clinical evidence will tell. My idea is that functional scoliosis in Hypermobility might be altered by stiffening the upright body tower, the spine.
My estimate is that almost all doctors will guess that my theory that Gastroparesis is related to functional scoliosis of the spine is not even possible. But they have no theories that are proven, so who can say?
If I had scoliosis, I would concentrate on building up strong back muscles using an elliptical exercise device & rucking, hiking with a knapsack (also called rucksack) which contains 10-15% of body weight to start.
To my mind, when joints are loose (including vertebral body joints) due to underlying Hypermobility Syndrome, the goal is to build up gorilla muscles around those joints. Loose ligaments are compensated for by developing strong stiffening (of spine) muscles.
Rucking uses gravity to build up all the back muscles, which thereby provide greater spine support. The US military has its soldiers do rucking hikes to develop strong backs.
If I were a woman with functional scoliosis due to Hypermobility Syndrome, I might locate a doctor willing to assist body building efforts with small doses of testosterone.
Certainly, the medical system has welcomed care of people who want to transition to an opposite gender. Many women want to become men. Testosterone in small amounts is used.
If I were a women wanting to build up stronger back muscles, I might consider taking testosterone, & in amounts less than what transgender people take; in order to assist with muscle development.
Weight lifting might also help build a stronger back. A good Physical Therapist can prescribe a set of exercises that might help to build up stronger back muscles.
The finishing edges of back building exercises might include an elliptical device/exercises. Yoga & Tai Chi round out active locomotion exercises. Certainly, autonomic neural proprioceptive systems need constant exercise, via an ongoing dance with gravity.

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28 Dec
The exercise program is only for persons with less severe forms of Hypermobility (those who are still physically active) & who have not advanced to Fibromyalgia/ wasting disorders (who should begin an exercise only in warm water & until they are ready for walking on land).
My theory how persons with Fibromyalgia, wasting diseases & severe fatigue should exercise is that they should start with very gentle activities whereat gravity is negated & then through gradations of activities whereby exposure to gravity is gradually increased.
The first phase of exercise for persons with Fibromyalgia & wasting diseases should be similar to what was done with polio in the 1900’s: Warm water relaxes spastic muscles & enables joint range of motion exercises with gravity relatively negated.
Read 17 tweets
19 Dec
SCOLIOSIS & DYSAUTONOMIAS
FUNCTIONAL SCOLIOSIS was a post of 12/5/20, & wherein I discussed etiology & exam for what I call “functional scoliosis”. I showed how this disorder, common in women with Hypermobility Syndrome, potentiates evolution of Costochondritis.
Functional scoliosis also underlies etiology of many dysautonomias, such as Migraine, Thoracic Outlet Syndrome (TOS), POTS, Panic Attacks, Hyperventilation, & Gastroparesis. In this essay, I will describe my views of the pathophysiology of these disorders.
In my opinion, dysautonomias of the lower body, such as Interstitial Cystitis (IC), Irritable Bowel Syndrome (IBS), & perhaps Endometriosis, arise from neural impingements affecting autonomic nervous system tracts that regulate the tissues of these organs.
Read 98 tweets
11 Dec
MICROBIOME AERODYNAMICS & SEDIMENTATION RATES are studied & known. Who would have guessed that studies would uncover cloud formation & precipitation phenomenon as function of bacteria ubiquity & size.
Korean scientists quantify lift off, descent, & propagation of various bacteria “species” in the atmosphere & as high as 1,000 meters. These micro-spaceships average about 8 micrometers (if I got that right).
Atmospheric density of bacteria particles relates, in part, to their ability to nucleate with other airborne particles. Scientists can even differentiate the aerodynamic properties of these bacteria from larger (factor of 10x) pollen spores & larger fungal spores (factor of 5x).
Read 26 tweets
8 Dec
SACROILIAC JOINT DISORDER causes people to sit like this. In a threadreader I published yesterday I discussed the reason people choose to sit like this.
These are exact postures chosen by hypermobile patients with unilateral sacroiliac joint disorder & low back pain on that side. One leg bolsters the other so as to hold up the hemi-pelvis on side the SIJ is subluxing; because it hurts to sit on that buttock.
Another posture that attends unilateral sacroiliac joint disorder in hypermobile people is the Trendelenberg posture. This is to sit flexed forward with elbows on both knees. When brought to their attention, many are apologetic, “I know I shouldn’t slouch”.
Read 14 tweets
8 Dec
HYPERMOBILE YES! These are exact postures chosen by hypermobile patients with unilateral sacroiliac joint disorder & low back pain on that side. One leg bolsters the other so as to hold up the hemi-pelvis on side the SIJ is subluxing; because it hurts to sit on that buttock.
Another posture that attends unilateral sacroiliac joint disorder in hypermobile people is the Trendelenberg posture. This is to sit flexed forward with elbows on both knees. When brought to their attention, many are apologetic, “I know I shouldn’t slouch”.
The Trendelenberg posture is in fact the wisdom of the body finding the most comfortable position; in this seated bent over position the femurs leverage each sacroiliac joint into an anatomical neutral station; so joint ligaments are not stretched.
Read 16 tweets
6 Dec
COSTOCHONDRITIS is common (mostly women) in Hypermobility syndrome. Costo- means rib (bone). Chondro- means cartilage (connective tissue). Each rib is joined to the sternum by cartilage, which is a place where biomechanical stress is focused. Set up for stress begins in the spine
The spine of most women with Hypermobility I have examined (thousands) has a functional scoliosis: curved when upright & straight when reclined & sitting. This is easily examined in the exam room, but of course better discerned when person is unclothed.
Reason for the functional scoliosis is that spine is, in great part, cartilage; each disk is a specialized ligament. In women with Hypermobility, the pelvic girdle, platform for the upright spine, is commonly unstable & tilted. Gravity evokes the functional scoliosis.
Read 17 tweets

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