Scoliosis

Bracing Support for scoliosis

Ongoing support from a physical therapist is highly beneficial when bracing is recommended. As our patients’ weekly point of contact, we collaborate with their orthopedists and orthotists.  We support our patients with their braces by:

  • Troubleshooting brace-related concerns

  • Optimizing brace fit and comfort

  • Guiding them in using the brace for curve management and pain relief

  • Teaching in brace exercises when appropriate.

We have established relationships with local orthotists and have helped numerous patients obtain braces tailored to their needs.

Scoliosis


Understanding Scoliosis

Scoliosis refers to an abnormal sideways and rotational curvature of the spine often appearing as an 'S' or 'C' shape. It can affect people of any age and may occur anywhere along the spine. Often the exact cause is unknown as in idiopathic adolescent scoliosis (AIS). In other forms of scoliosis, several factors can contribute to its development, such as genetics, neuromuscular conditions, birth defects, osteoporosis, and spinal injuries.

As scoliosis progresses, physical changes may become noticeable, such as unequal hips and shoulders, rib cage flaring, protruding shoulder blades, or favoring one leg while standing. The Adams test where a patient bends forward is an easy way to check for the presence of scoliosis. Diagnosis typically involves X-rays, with EOS imaging (low dose radiation imaging) recommended for long-term management. In some cases, an MRI may be necessary to assess any underlying conditions.

The Schroth Method of scoliosis specific physical therapy helps by:

  • Stabilizing the curve or curves

  • Improving mobility

  • Addressing muscle imbalances

  • Improving postural alignment

  • Teaching proper movement patterns for activities of daily living

  • Enhancing respiration

  • Increasing muscle strength and endurance

  • Improving function

  • Reducing pain