Scoliosis Treatment at Optimal Spine

Chiswick, London W4 2EU

Croydon, Surrey CR0 6RD

Blackfriars, London SE1 8ER

Comprehensive Chiropractic Care at Optimal Spine

Chiswick, Croydon, Blackfriars

The Optimal Spine Scoliosis Treatment Programme

Scoliosis Assessment

Choosing the right treatment for scoliosis relies on first being able to accurately assess and measure it.


Accurate assessment of a scoliosis or hyperkyphosis case
is one of the most important steps in achieving the best outcome

Assess Posture, Measure X-rays

Scoliosis can be detected through postural assessment, but can only be accurately diagnosed and measured on an X-ray of the spine. Standing X-rays should only be used, as they show the true degree and alignment of the curve or curves while the patient is upright. Lying down X-rays are not as useful, as the spine can be mispositioned and the true extent of the scoliosis minimised.

Once X-ray images have been taken, a type of measurement called the“Cobb angle” is used to assess the degree of the scoliosis. It is criticial that any health professional assessing scoliosis be familiar and accurate with this measurement, as it is then used to form recommendations for treatment options based on the degree of curve.

What Scoliosis Measurements Mean?

A scoliosis is a curve with over 10 degrees Cobb angle, with visible rotation of the vertebrae. If no rotation is seen on an X-ray, the curve is not a true scoliosis and may be postural or positional.

Many scoliosis surgeons recommend surgery when the curve is over 40 or 45 degrees and there is a high probability of worsening over time.

Our Expert Care

Optimal Spine and Mikael Porath Petersens approach to scoliosis treatment is to ensure each curve is accurately assessed from the outset and to recommend appropriate treatment options, tailored to each patient.

At Optimal Spine, we take a very active approach to scoliosis care based on the latest evidence. We combine Chiropractic care , bracing and We use list of exercises including Active Daily Living,The Schroth method and SEAS exercises.

At Optimal Spine, we use list of exercises including Active Daily Living, The Schroth method and SEAS in order to;

  • Slow down/stop curve progression.

  • Aid in the reduction of flexible scoliosis curves.

  • Improve coronal and sagittal balance.

  • Complement brace wear to help maintain the correction achieved with bracing.

  • Improve muscular balance.

  • Improve spinal flexibility.

  • Improve posture and body appearance.

  • Reduce pain.

  • Improve standing balance and reduce fall risk in older adults.

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Treatment Guide for Adolescent Idiopathic Scoliosis

Adolescents with idiopathic scoliosis (AIS) are often at risk of progression of their curve to the point of surgical recommendation. Surgery is typically recommended for AIS when the curves reach about 45 degrees.

However surgery for these teens is not a medical emergency and there is sometimes the option to conduct pre-surgical rehabilitation to prepare the teen mentally and physically for the surgery.

From Consultation to Treatment

What to Expect at Your First Chiropractic Visit

We're excited to see you at your appointment! We want to make sure you feel comfortable and well-informed, so don't hesitate to ask us any questions about our treatments, our clinic, or even our payment options. Our goal is to help you get back to living your life free of pain, so let's work together to make that happen!

  • Discuss your foot health goals

  • Provide x-rays if required

  • Complete foot examination

  • Discover your options

  • Start a custom treatment plan

4 Reasons To Choose Optimal Spine

  • Specialised Expertise: Our clinic offers specialised care from highly-trained chiropractors in various fields like sports rehab and chronic pain management.

  • Comprehensive Approach: We provide holistic treatment plans combining manual therapy, exercises, and cutting-edge technology for a well-rounded approach.

  • Cutting-Edge Facilities: Equipped with state-of-the-art facilities and advanced equipment to support patients' recovery.

  • Proven Track Record: Our clinic's reputation is built on successful patient outcomes and positive feedback, fostering a supportive environment for rehabilitation.

Frequently Asked Questions About Scoliosis

What is scoliosis?

Scoliosis is a medical condition where the spine curves sideways in an "S" or "C" shape. It can occur at any age but is most commonly diagnosed in children and adolescents during their growth spurts.

What causes scoliosis?

The exact cause of scoliosis is often unknown (idiopathic). However, it can also be caused by neuromuscular conditions (such as cerebral palsy or muscular dystrophy), congenital spine deformities, or spinal injuries.

How is scoliosis diagnosed?

Scoliosis is typically diagnosed through a physical examination and confirmed with imaging tests such as X-rays, MRI, or CT scans to assess the degree of spinal curvature.

What are the symptoms of scoliosis?

Common symptoms include uneven shoulders, one shoulder blade appearing more prominent than the other, uneven waist, one hip higher than the other, and back pain. In severe cases, scoliosis can cause breathing difficulties due to reduced space in the chest for the lungs.

Can scoliosis be treated?

Yes, scoliosis can be treated. Treatment options depend on the severity of the curve and may include observation, bracing, physical therapy, or surgery. Early detection and treatment are crucial to prevent the progression of the curvature.

Is scoliosis hereditary?

There is evidence to suggest that scoliosis can run in families, indicating a genetic component. However, the exact inheritance pattern is not fully understood.

Can adults develop scoliosis?

Yes, adults can develop scoliosis. This is often due to degenerative changes in the spine related to aging, known as degenerative scoliosis, or it can be a progression of a curve that was present but unnoticed during childhood.

How does scoliosis affect daily life?

The impact of scoliosis on daily life varies depending on the severity of the curve. Mild cases may have little to no effect, while severe cases can cause significant pain, discomfort, and limitations in physical activity. It can also impact self-esteem due to visible changes in posture.

Can scoliosis be prevented?

There is no known way to prevent idiopathic scoliosis. However, maintaining good posture, regular exercise, and avoiding heavy lifting can help manage symptoms and prevent worsening in some cases.

What should I do if I suspect my child has scoliosis?

If you suspect your child has scoliosis, schedule an appointment with a healthcare professional for an evaluation. Early detection is key to managing and treating scoliosis effectively.

Can scoliosis cause complications if left untreated?

Yes, if left untreated, scoliosis can lead to serious complications, including chronic pain, respiratory issues, and cardiovascular problems due to severe spinal curvature affecting the chest cavity.

Is scoliosis surgery safe?

Scoliosis surgery, such as spinal fusion, is generally safe and can be very effective in severe cases. However, like any surgery, it carries risks, including infection, blood loss, and nerve damage. Discussing these risks with your surgeon is important.

What is the prognosis for someone with scoliosis?

The prognosis for someone with scoliosis depends on the severity of the condition and the effectiveness of the treatment. Many people with scoliosis lead normal, active lives, especially with early and appropriate intervention.

Please note that these FAQs provide general information and should not replace personalised advice from a qualified healthcare professional. If you have more questions or need personalised advice about ScoliBrace, please contact our specialists at Optimal Spine. We're here to help you find the best solution for managing and treating scoliosis.

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