Chiswick, London W4 2EU
Croydon, Surrey CR0 6RD
Blackfriars, London SE1 8ER
Chiswick, Croydon, Blackfriars
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
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.
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.
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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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.
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Specialised Expertise: Our clinic offers specialised care from highly-trained chiropractors in various fields like sports rehab and chronic pain management.
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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.
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.
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.
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.
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.
There is evidence to suggest that scoliosis can run in families, indicating a genetic component. However, the exact inheritance pattern is not fully understood.
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.
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.
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.
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.
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.
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.
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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