Why Is Every Scoliosis Case Different?

Posted on August 1, 2023 by - Blog

Scoliosis is a condition that affects the spine, causing it to curve in an abnormal way. While scoliosis is not an especially uncommon condition –  affecting around 3% of the younger population – rising to 33% of the older age groups –  each case is unique, making it difficult to predict the course of treatment or the potential outcome. You’ll often hear Scoliosis professionals remark that “every Scoliosis is different” – and indeed, it’s why clinics like the UK Scoliosis Clinic stress the need for a totally individual treatment plan for each patient – but why is this?  Let’s take a look at some key factors.

 

Age

Age plays a significant role in determining the type of scoliosis an individual is likely to have. Children who are born with scoliosis often have what is known as congenital scoliosis. This type of scoliosis is caused by an abnormality in the development of the spine during fetal development. On the other hand, adolescent idiopathic scoliosis is the most common type of scoliosis that affects young people between the ages of 10 and 18. This type of scoliosis is more common in girls and can be caused by a variety of factors, including genetics and hormonal changes during puberty.

Adult scoliosis is also different from adolescent scoliosis. As individuals age, their spines naturally undergo changes that can lead to scoliosis. Degenerative scoliosis is a type of scoliosis that affects older adults, usually over the age of 50. This type of scoliosis is caused by the wear and tear of the spine, which can cause the vertebrae to shift and twist, leading to a curvature of the spine.

Does this mean that everyone over 18 has degenerative Scoliosis? Nope! Scoliosis can also be the result of an injury, or, more commonly than you may think – could be an undiagnosed case from childhood which did not progress very quickly.

 

Severity

Another major factor when it comes to treating scoliosis is the severity of the curvature. Mild cases of scoliosis may be barely noticeable without proper screening, while more severe cases can cause significant pain and discomfort. The severity of the curvature also determines the course of treatment. Mild cases of scoliosis may be treatable with exercise-based approaches, whereas more significant curves are better candidates for bracing.

 

Location

The location of the curvature is also important when it comes to scoliosis. The most common location for scoliosis to occur is in the thoracic spine (the upper back). However, scoliosis can also occur in the lumbar spine (the lower back) or in the cervical spine (the neck). The location of the curvature can affect the type of symptoms an individual experiences, as well as the potential complications that can arise. What’s more, it’s not uncommon for a Scoliotic curve to cause a secondary compensatory curve elsewhere in the spine.

 

Treatment Preference and Lifestyle

Treatment for scoliosis also varies from person to person. Generally, we can say that mild cases of scoliosis may benefit from an exercise-based approach while more severe cases may require surgery or bracing.  This being said, treatment preference also matters – for example, while bracing is often recommended for individuals with moderate to severe scoliosis, many parents of children with curves which could be treated with exercise-based approaches may prefer to opt for part-time bracing. The reason here is entirely clear to any parent – getting a child to perform exercises accurately, every day is a big ask. Getting them to simply put a brace on for a period of time might not be easy, but many parents feel it’s more realistic.

Some older adults also prefer the passive nature of bracing over exercise – while we’re quick to bring up children when we think about the discipline required for exercise-based approaches to pay dividends many adults with busy working schedules also find it hard to find time – so, throwing on a brace in the evening and allowing it to do its work can be a great alternative.

 

Complications and Impacts

Scoliosis is unusual in that the degree to which it impacts people’s lives tends to vary considerably – what’s more, the degree of impact does not always nearly correlate with the degree of curvature.  For some individuals, scoliosis may not cause any significant complications, while for others, it can lead to chronic pain, reduced mobility, and even respiratory problems. The severity and location of the curvature, as well as the age and overall health of the individual, will all play a role in determining the potential complications of scoliosis.

 

Spinal Rotation

 

While the main hallmark of scoliosis is the “S” shaped “side-to-side” curve apparent in the spine when viewed from behind, Scoliosis almost always comes with an additional degree of spinal rotation. The degree of spinal rotation is therefore yet another factor that makes each scoliosis case unique.

Spinal rotation can affect the way the body looks and functions, and can also contribute to pain and discomfort. The degree of spinal rotation can be measured through imaging tests such as X-rays or MRIs. Understanding the degree of spinal rotation is important in determining the best course of treatment, as this also needs to be addressed.

 

Flexibility

The flexibility of the spine is also important in determining the course of treatment for scoliosis. A flexible spine is more responsive to non-surgical treatments such as bracing, while a rigid spine may be a better candidate for surgical intervention. The flexibility of the spine can be assessed through physical examination and imaging tests and can help healthcare providers determine the best course of treatment for each individual. In some cases, exercises and physical therapy can be used to increase spinal flexibility and improve the effectiveness of non-surgical treatments.

Flexibility correlates closely with age, but it’s possible to find a young person with a very inflexible spine or an older teenager with a very flexible one. By the time a person has reached skeletal maturity, the spine is typically too inflexible for any significant improvement in the curvature (without surgery) but there’s still much that can be done to prevent a curve from worsening.

 

Scoliosis is Always Unique

 

As you can see, Scoliosis is never the same in two different patients. It therefore follows that when developing a plan to combat Scoliosis, each treatment approach should be closely related to the specific nature of each patient’s exact Scoliosis.

This means that in order to be effective, a patient’s treatment plan should be individualised down to the fine details, and must be flexible to adapt to changes. At the UK scoliosis clinic, our specialists have a wide variety of treatment methods from which to choose, these range from scoliosis-specific exercises to bracing with our scolibrace system or even simple preventative exercise regimes. When you join the UK scoliosis clinic as a client, we take a long-term view of your treatment – designing a totally customised treatment plan for now, and the future. What’s more, we constantly monitor your progress (at our clinic, or online!) so we can make any changes to your plan as required.

To learn more, why not book a consultation today!

 

Can Scoliosis Be Cured?

Posted on June 30, 2023 by - Blog

For those who are diagnosed with scoliosis, the first question is almost always “can scoliosis be cured?”.  Scoliosis is a complex condition – and so is the answer to this question.

 

What is Scoliosis anyway?

Before we can address the issue of a cure, we first need to properly understand the problem.

Scoliosis is a complex condition which consists of several issues occurring all at once. While a normal spine will appear straight when viewed from behind, in Scoliosis a 3-dimensional shift in the spine takes place, most notably causing a curvature to one side or the other, but it also tends to lead to rotation of the spine itself. Over time, scoliosis affects the balance of the body, leading to muscle imbalances, postural problems and issues with range of movement.

Scoliosis, especially in the early stages, can be hard to spot – scoliosis has typically progressed for some time before there are visual signs – however, once signs have appeared:

  • From the back, the spine may have a C or S shape curve rather than that of a straight line, this can make the waistlines uneven or one shoulder lower than the other.
  • From the side view, the normal spinal curves are often straightened, which makes the mid-back appear flat. Shoulder blades may be prominent.
  • While looking from the head down to the feet, there is a rotation or twist which can cause ribs or one side of the lower back to appear humped or more prominent.

Scoliosis is typically divided into two main categories – adult, and childhood scoliosis. Adult scoliosis is caused either by the degeneration of spinal discs with age or as a result of childhood scoliosis which was not treated. Childhood scoliosis (affecting infants through to young adults) has several known causes, but in 80% of cases, the exact cause is unknown. This is termed “Idiopathic” scoliosis. The remaining 20% of cases are typically caused by congenital or genetic conditions, spinal malformations, underlying neuromuscular conditions, metabolic conditions or trauma.

 

Can Scoliosis be cured?

It’s important to be clear about what we mean when we talk about a “cure”. Scoliosis, depending on the type is (probably, according the current research) either genetic (idiopathic), or the result of denegation in the spinal discs (de-novo). Neither of these underlying issues can be “cured” per se.

Therefore, while some symptoms can be alleviated, addressing the root cause, especially when unknown or age-related (as in de-novo scoliosis), looks more like management rather than a definitive cure.

In young people, Scoliosis which is spotted early may be possible to correct to an extent that the spine is considered “normal” – but the individual will still have the underlying genetic factors which predispose them to developing Scoliosis. Ongoing monitoring will be required to stop the curve from coming back, at least until adulthood is reached.

In order people, it’s not possible to reverse the ageing process or reduce the damage which may have already occurred to vertebra – however, it is possible to support the spine and prevent it from worsening quickly, and complementary treatments may well be able to reduce any associated pain and greatly improve mobility.

At the UK Scoliosis Clinic, our aim is to allow people to live a normal life with Scoliosis.

 

 

[1] ‘A population-based cohort study of 394,401 children followed for 10 years exhibits sustained effectiveness of scoliosis screening’
Fong DY, Cheung KM, Wong YW, Wan YY, Lee CF, Lam TP, Cheng JC, Ng BK, Luk KD, Spine J.  2015 May 1;15(5):825-33. doi: 10.1016/j.spinee.2015.01.019. Epub 2015 Jan 20.

[2] Scoliosis bracing and exercise for pain management in adults—a case report
Weiss et al, J Phys Ther Sci. 2016 Aug; 28(8): 2404–2407.

 

 

 

Can people live a normal life with Scoliosis?

Posted on June 17, 2023 by - Blog

Scoliosis is a condition that affects the spine’s shape, causing it to twist and bend sideways. It affects approximately 2-3% of the adolescent population, and as much as 30% by the time we reach 60. While scoliosis can be a debilitating condition that affects a patient’s quality of life, it is possible to live a normal lifestyle with scoliosis.

 

Causes of Scoliosis

Scoliosis can have different causes, including genetic factors, congenital disabilities, and neuromuscular conditions. In some cases, the cause of scoliosis is unknown, and it’s referred to as idiopathic scoliosis. Different forms of Scoliosis include:

  1. Congenital scoliosis: This type of scoliosis is caused by spinal abnormalities that occur during fetal development.
  2. Neuromuscular scoliosis: This type of scoliosis is caused by conditions that affect the muscles and nerves that control the spine, such as cerebral palsy, muscular dystrophy, or spinal muscular atrophy.
  3. Degenerative scoliosis: This type of scoliosis occurs in older adults due to wear and tear on the spinal discs, causing them to weaken and collapse.
  4. Idiopathic scoliosis: This is the most common type of scoliosis, and it occurs in adolescents aged 10-18 years old. The cause of idiopathic scoliosis is unknown, but it’s believed to be genetic.

 

Symptoms of Scoliosis

The symptoms of scoliosis vary depending on the severity of the curvature. The main symptom is of course the curvature of the spine – although this isn’t typically what most people think of as it relates to quality of life. In fact, mild scoliosis may not cause any noticeable symptoms, while severe scoliosis can cause pain, discomfort, and breathing difficulties. Symptoms, depending on curve severity, can include:

  1. Uneven shoulders or hips: A visible curve in the spine can cause one shoulder or hip to be higher than the other.
  2. Back pain: Scoliosis can cause back pain
  3. Difficulty breathing: Severe scoliosis can compress the lungs and reduce lung capacity, making it difficult to breathe.
  4. Fatigue: Scoliosis can cause fatigue due to the strain on the back muscles and lopsided posture requires more energy to keep upright.
  5. Reduced mobility: In severe cases, scoliosis can limit a patient’s mobility and ability to perform daily activities.

 

Can Patients Live a Normal Lifestyle with Scoliosis?

The good news is that patients with scoliosis can live a normal lifestyle with the right treatment and management. Ideally, Scoliosis will be detected early on – giving the best possible treatment chances at any age. For children diagnosed with Scoliosis, a proactive treatment program involving exercise-based therapy and bracing can often allow them to reach adulthood with no more issues from Scoliosis than the rest of the general population.  For those who develop Scoliosis in adulthood, or have a childhood case which is not detected, it’s not usually possible to reduce the curve – but improving torso appearance, stopping progression and managing any associated symptoms is certainly possible.

Those living with Scoliosis can also make lifestyle choices which help to make living with Scoliosis easier – actually, most of these points are good advice for anyone! You should:

  1. Exercise – Regular exercise can help strengthen the back muscles and improve mobility. Low-impact exercises such as swimming, yoga, pilates and walking can be beneficial for patients with scoliosis.
  2. Maintain a healthy weight – Having a low Body Mass Index (BMI) or being underweight is linked with a increased risk of scoliosis due to softening of bones and weakening of muscles and ligaments. While excess weight can put a strain on the back muscles, exacerbating scoliosis symptoms. Maintaining a healthy weight can help to strengthen the spine and alleviate the stress on the back muscles and improve overall health.
  3. Wear proper footwear – Wearing shoes with good support and cushioning can help reduce the strain on the back muscles and improve balance and stability.
  4. Seek out scoliosis specific physical therapy – scoliosis specific physiotherapy such as Schroth, SEAS & Side shift methods, can help patients with scoliosis learn exercises to strengthen the back muscles and improve posture.
  5. Find a chiropractor, osteopath or physiotherapist who can help the body to feel and move better.
  6. Practice good posture – Maintaing more upright posture can help reduce the constant strain on the back muscles and ligaments reducing the likelihood of the scoliosis worsening slowly over time.
  7. Manage pain – Patients with scoliosis may experience back pain, and it’s important to manage the pain to improve quality of life. While over-the-counter pain relievers may be required at times, it is better in the longer term to use hot or cold therapy, acupuncture or massage to manage symptoms.
  8. Periodic check-ups – Patients with scoliosis should attend check-ups over the years with their healthcare provider to monitor the condition for progression and adjust the treatment plan as necessary.

 

Need help with Scoliosis?

If you’re living with Scoliosis or have recently been diagnosed, don’t wait – get in touch with the UK Scoliosis Clinic today and let our expert staff guide help you live your best life with Scoliosis!

 

 

Scoliosis Awareness Month 2023

Posted on June 1, 2023 by - Blog

Scoliosis is a condition that affects the curvature of the spine. It is estimated that around 3% of the population has some form of scoliosis. While most cases of scoliosis are mild, some can be severe and cause serious health problems. June is recognised as Scoliosis Awareness Month, which provides an opportunity to raise awareness about this condition and educate people about the importance of early detection and treatment.

 

What is Scoliosis?

Scoliosis is a condition that causes an abnormal curvature of the spine. In most cases, scoliosis develops in childhood or adolescence and can progress over time. It is often detected during routine physical exams, and early detection is important to prevent the condition from worsening.

There are different types of scoliosis, including:

  • Idiopathic scoliosis: This is the most common form of scoliosis and has no known cause.
  • Congenital scoliosis: This type of scoliosis is present at birth and is caused by abnormal spinal development.
  • Neuromuscular scoliosis: This type of scoliosis is caused by underlying conditions that affect the nervous system or muscles, such as cerebral palsy or muscular dystrophy.

 

Symptoms of Scoliosis

In many cases, scoliosis is not painful and may not cause any noticeable symptoms. However, as the curvature of the spine worsens, it can lead to a range of symptoms, including:

  • Uneven shoulders or hips
  • A visible curve in the spine
  • Back pain
  • Difficulty breathing
  • Fatigue

 

Diagnosis and Treatment of Scoliosis

If scoliosis is suspected, a doctor will perform a physical exam and may order diagnostic tests such as X-rays or an MRI. Treatment for scoliosis will depend on the severity of the condition and the age of the patient.

In mild cases, scoliosis may not require any treatment. However, in more severe cases, treatment may be necessary to prevent the condition from worsening and causing health problems.

Treatment options for scoliosis may include:

  • Observation: In some cases, the doctor may recommend regular checkups to monitor the progression of the condition. It’s important to note that observation is not a treatment, and is only appropriate for very small curves which may not progress.
  • Bracing: For moderate scoliosis, a brace may be worn to prevent the curvature from worsening.
  • Surgery: In severe cases, surgery may be necessary to straighten the spine and prevent further health problems.

 

Scoliosis Awareness Month

Scoliosis Awareness Month is observed annually in June to raise awareness about scoliosis and promote early detection and treatment. During this month, organizations and individuals around the world work to educate the public about the condition and the importance of early diagnosis and treatment.

One of the primary goals of Scoliosis Awareness Month is to educate parents and caregivers about the importance of screening for scoliosis in children. Early detection and treatment can prevent the condition from worsening and improve the long-term health outcomes for those affected. Since there is no national screening program in the UK, it’s down to the general population to screen for Scoliosis.

Scoliosis Awareness Month also provides an opportunity to support those living with scoliosis and raise funds for research into new treatments and a better understanding of the condition.

 

Scoliosis Awareness Month at the UK Scoliosis Clinic

Keep an eye on our website for information about our activities over the next few weeks!

 

 

Happy Coronation Day!

Posted on May 6, 2023 by - Blog

The Coronation of The King and The Queen Consort will take place today at Westminster Abbey.

The Service will be conducted by the Archbishop of Canterbury and will reflect the Monarch’s role today and look towards the future, and we’re sure many of you will be celebrating too.

From everyone at the UK Scoliosis Clinic, we’d like to wish the new King and Queen all the best for the future – and we’d like to wish you a lovely bank holiday!

How to care for your Scoliosis Brace

Posted on April 30, 2023 by - Blog

Modern Scoliosis braces are designed to be durable and to last for a long time – indeed, if you’re an adult being fitted for a brace, we’d like to think it should last you a lifetime. However, caring for your brace is important, and poor brace care is one of the reasons that they sometimes need to be replaced.

It goes without saying that braces made for children & adolescents do tend to take more wear and tear and often this is OK since most children will go through several braces during treatment – however, wherever possible it’s best to prolong the life of a brace as much as possible, not least to avoid the cost of replacing a brace which was otherwise effective! Here are some tips for good brace care.

 

Keep the Brace Clean

The first and most important step in caring for a scoliosis brace is to keep it clean. You should clean the brace at least once a week, but more often if it gets sweaty or dirty. Use a mild soap and warm water to clean the brace, making sure to rinse it thoroughly to remove any soap residue. Avoid using harsh chemicals or abrasive cleaners, as these can damage the brace. Once you’ve cleaned the brace, let it air dry completely before wearing it again.

 

Store the Brace Properly

When you’re not wearing your scoliosis brace, it’s important to store it properly to prevent damage. Keep the brace in a cool, dry place, away from direct sunlight and heat sources as much as possible. Avoid storing the brace in a damp or humid area, as this can cause it to mould or mildew. You may also want to consider using a brace hanger or stand to keep it upright and prevent it from becoming misshapen.

 

Avoid Extremes Of Temperature

Modern day plastic braces are designed to be light, stiff, not retain heat and be strong. This in turn imposes a challenge in plastic construction, in that the brace may not like being subjected to sudden changes in temperature in going from hot to cold, where the pastic may be weakened. So it would be wise to avoid sitting directly in front of a hot fire and then going out and rolling around in the snow.

 

Wear the brace correctly

When putting your brace on, make sure you adjust any straps or fittings as directed by your specialist – braces are designed to work properly when set up correctly and are strongest when worn properly. Improperly wearing a brace especially when it is too loose, can reduce its effectiveness and possibly lead to additional wear and tear over time.

 

Avoid Overexertion

While a scoliosis brace can help support your spine and patients are encouraged to do as many activities as they can whilst wearing it, it’s important to avoid overexertion when wearing it. Activities that involve bending, twisting, or lifting heavy objects can put extra strain on the brace and cause it to wear out faster. If you’re unsure about whether a certain activity is safe to do while wearing your brace, ask your specialist.

 

Check for Wear and Tear

Regularly inspect your scoliosis brace for signs of wear and tear, such as cracks, tears, or fraying. If you notice any damage, stop wearing the brace immediately and consult your specialist. Wearing a damaged brace can be dangerous and may not provide the support your spine needs. Most damage to braces is easy enough to repair – but if left unattended the brace may need to be replaced.

 

Wear a Bodysock Or Vest Underneath the Brace

Wearing a bodysock, seamless vest or shirt under your brace can help prevent skin irritation, but it also helps to stop your brace from getting sweaty. The garment should be seamless, made from a soft, breathable material, such as cotton or bamboo, and should fit snugly but not be too tight. Avoid wearing synthetic fabrics or clothing with rough seams, as these can rub against the skin and cause irritation.

 

Have any problems fixed

If any part of your brace is uncomfortable or doesn’t seem to be sitting quite right, get in touch and have it checked out right away. This is especially true if your brace has just been adjusted – even a small nagging issue will make you hesitant to wear the brace and might end up reducing your wear time and treatment effectiveness.

 

The advantages of Scoliosis Bracing

Posted on April 27, 2023 by - Blog

Scoliosis is a condition characterised by an abnormal curvature of the spine, which can cause pain, discomfort, and even breathing difficulties. Scoliosis bracing is a non-surgical treatment option that involves wearing a brace to stabilise and/or correct the curvature of the spine. While bracing may not be a cure for scoliosis, it has many advantages that make it an effective treatment option. Research shows that the use of modern, custom designed Scoliosis braces can prevent the need for surgery in most cases[1].

While Scoliosis bracing is a fantastic approach to treatment, it does come with some downsides – bracing takes time and commitment, and can be an adjustment especially for a young person. Similarly, while bracing is a cost-effective treatment over a period of time, Scoliosis braces can be expensive and represent a significant up-front cost for some families. The disadvantages however usually outweighed by the benefits!

 

Bracing Slows the Progression of Scoliosis

The primary advantage of scoliosis bracing is that it can slow down the progression of scoliosis in most instances.[2] When used correctly (and when a modern brace is used) it’s often possible to not only stop the progress of Scoliosis but also to reverse the condition – often by a considerable amount.[3]

Bracing is also more effective than alternative non-surgical approaches, such as exercise based therapy.[4] In children and adolescents with moderate to severe curves, bracing can reduce the likelihood of the curve getting worse and the need for surgery. The brace helps to apply pressure on the spine, which helps to straighten the curvature and prevent it from progressing further.

 

Bracing is a Non-Invasive Treatment

Another advantage of scoliosis bracing is that it is a non-invasive treatment option. Unlike surgery, which involves cutting into the body and a long recovery time, bracing involves wearing a brace for a set period. The brace is designed to be worn under clothing and is not visible, so it does not need to impact daily life to a considerable extent. This makes bracing an excellent option for those who want to avoid surgery or cannot undergo surgery due to medical reasons.

 

Bracing Helps Improve Body Image

Scoliosis can cause a visible deformity in the spine, which can impact self-esteem and body image. Bracing can help improve body image by correcting the curvature of the spine, which can make the deformity less noticeable. For children and adolescents who may be self-conscious about their appearance, bracing can help boost confidence and self-esteem in the long term. Similarly, bracing in Adults who suffer pain or postural issues due to Scoliosis can improve movement and therefore independence and confidence.

 

It Provides Pain Relief

Scoliosis can cause back pain and discomfort, which can impact daily activities. Bracing can help to relieve pain and discomfort by applying pressure on the spine, which can reduce the strain on the back muscles. Bracing is often best combined with a Scoliosis specific exercise plan for this purpose – in combination, the two can lead to improved mobility and a better quality of life.

 

It’s a Customisable Treatment

Each scoliosis case is unique, and as such, each brace must be tailored to the individual. Early braces lacked the ability to be highly customised, but thanks to modern CAD/CAM techniques, current braces like Scolibrace can be fully customised to fit the unique curvature of the spine, ensuring that the brace is effective in treating scoliosis. This customisable treatment approach means that bracing can be an effective treatment option for a wide range of scoliosis cases.

 

Is Scoliosis bracing right for me?

Scoliosis bracing is a flexible and dynamic approach to treating scoliosis which is appropriate in many cases – both older and younger people can and do utilise Scoliosis braces to treat Scoliosis and its effects. Similarly, a range of Scoliosis types can be supported with modern braces making it an excellent option for a huge variety of people.

If you would like to learn more about Scoliosis and Scoliosis bracing, why not sign up for our free information series here.

 

 

 

[1] ‘Effects of Bracing in Adolescents with Idiopathic Scoliosis’   [Results of the BrAIST Clinical Trial]
Stuart L. Weinstein, Lori A. Dolan, James G. Wright, and Matthew B. Dobbs, N Engl J Med 2013; 369:1512-1521 October 17, 2013DOI: 10.1056/NEJMoa1307337

 

[2] ‘Effects of Bracing in Adolescents with Idiopathic Scoliosis’   [Results of the BrAIST Clinical Trial]
Stuart L. Weinstein, Lori A. Dolan, James G. Wright, and Matthew B. Dobbs, N Engl J Med 2013; 369:1512-1521 October 17, 2013DOI: 10.1056/NEJMoa1307337

 

[3] Brace treatment in juvenile idiopathic scoliosis: a prospective study in accordance with the SRS criteria for bracing studies – SOSORT award 2013 winner‘
Angelo G Aulisa, Vincenzo Guzzanti, Emanuele Marzetti,Marco Giordano, Francesco Falciglia and Lorenzo Aulisa, Scoliosis 2014 9:3 DOI: 10.1186/1748-7161-9-3

[4] Yu Zheng, MD PhD et al. Whether orthotic management and exercise are equally effective to the patients with adolescent idiopathic scoliosis in Mainland China? – A randomized controlled trial study SPINE: An International Journal for the study of the spine [Publish Ahead of Print]

 

How to choose clothes with your Scoliosis Brace

Posted on April 20, 2023 by - Blog

Scoliosis is a condition that affects the spine, causing it to twist and curve sideways. It is often treated with a brace, which is worn around the torso to support the spine and prevent the curvature from worsening.

 

Scoliosis Braces

Modern Scoliosis Braces, such as the ScoliBrace which we offer at the UK Scoliosis Clinic are nothing like braces from the past – they are lightweight, low profile and even come in a wide variety of colours. Many people actually choose to wear their scoliosis brace as a sort of accessory – and with so many design patterns available, why not! Many people, however do prefer to keep their brace covered for all sorts of reasons. Moving about in a Scoliosis brace isn’t a huge issue, but choosing the right clothes can help with making the process as comfortable as possible – with a few tips and tricks, it is possible to find clothes that are both stylish and practical for all sorts of situations.

 

Tips and tricks!

Without further ado, here are the tips and tricks you need!

Look for clothes with stretchy or adjustable waistbands.

One of the most important things to consider when choosing clothes with a scoliosis brace is the waistband. The brace will add bulk to your midsection – and although it’s a small amount if you want to be able to wear clothes both with the brace on and off it is essential to choose clothes with waistbands that are stretchy or adjustable. Trousers with elastic waistbands or drawstring waists are obviously comfortable, but slightly stretchy options, like leggings, also work fine.

 

Avoid clothes with tight-fitting or restrictive waistbands.

On the flip side, it is best to avoid clothes with tight-fitting or restrictive waistbands, as they can be uncomfortable and even painful when worn with a scoliosis brace. This includes high-waisted pants, tight skirts, and tight-fitting shorts. Instead, opt for looser-fitting clothes that will allow for some movement and flexibility.

 

Choose clothes that are easy to put on and take off.

Putting on and taking off clothes can be a challenge when you are wearing a scoliosis brace – putting the brace on is easy (if you’re using a ScoliBrace!) but once you have the brace on it’s not possible to move the spine a great deal. Therefore, it’s best to choose clothes that are easy to put on and take off. This includes clothes with wide necklines, open fronts, and loose-fitting sleeves. Avoid clothes with tight or restrictive necklines, as these can be difficult to get over your head.

 

Look for clothes with extra room in the back.

Since the scoliosis brace will add bulk to your back, it is essential to look for clothes with extra room in the back. This includes jackets, blouses, and dresses with a loose or flowing back. Avoid clothes with tight or fitted backs, as they can be uncomfortable and restrict movement. With oversized clothing being in fashion, oversized fleeces, sweatshirts or hoodies worn with baggy joggers or leggings will keep adolescent girls feeling comfortable and looking on trend.

 

Choose clothes made from soft and breathable fabrics.

When choosing clothes to wear with a scoliosis brace, it is important to choose clothes made from soft and breathable fabrics. This includes cotton, linen, and bamboo fabrics, which are gentle on the skin and allow for air circulation. Avoid clothes made from synthetic fabrics, as they can be uncomfortable and trap sweat.

 

Consider layering your clothes.

Layering your clothes can be a great way to add warmth and style while wearing a scoliosis brace. Start with a soft, breathable base layer, such as a cotton tank top or t-shirt. Then, add a loose-fitting blouse or sweater on top. This will allow you to adjust your layers depending on the temperature and will provide some coverage for your brace.

 

Try on clothes with your brace.

Before buying any clothes, it is essential to try them on with your scoliosis brace. This will allow you to see how the clothes fit and feel with the brace, and you can make any necessary adjustments. If possible, try on clothes in a dressing room that has a full-length mirror, so you can see how the clothes look from all angles.

 

 

Disadvantages of Scoliosis-Specific Exercise

Posted on March 19, 2023 by - Blog

While there are several non-surgical treatment options available for scoliosis, scoliosis-specific exercise is a popular method that, like bracing, is gaining popularity. However, like any treatment approach scoliosis specific exercise also has its disadvantages that need to be considered.

 

Scoliosis Specific Exercise

Scoliosis-specific exercise is a highly specialised area of physiotherapy-based approaches to treating musculoskeletal conditions – unlike normal forms of physiotherapy, it does not focus on symmetrical, therapeutic movements, but rather attempts to use a person’s own body and strength to oppose a Scoliotic curve. Scoliosis-specific exercise – specifically the Schroth method, is the oldest approach to scoliosis treatment and has now been practised for over a hundred years. There’s no question that exercise-based approaches can indeed stop the development of Scoliosis and reduce it in some cases[1] – so it’s well worth considering. However, there are some disadvantages:

 

Limited impact on larger curves

One of the biggest disadvantages of scoliosis-specific exercise is the lack of scientific evidence supporting its effectiveness in larger curves. Most studies conclude that bracing is a better approach for larger curves and is a faster way to correct scoliosis overall. Some studies do show that exercise approaches may be effective in slowing the growth of a curve[2], but what’s needed (especially in a more significant case) is correction – not just slowing.  That being said, it does seem that combining an exercise-based approach with bracing is more effective than bracing alone.[3]

 

Requires commitment and consistency

Like any exercise program, Scoliosis specific exercise requires commitment and consistency. The exercises must be performed regularly to see any benefits, and this can be challenging for some patients – especially young children. Some patients may find it difficult to maintain the same level of motivation over a prolonged period. This can be especially challenging for people who are already struggling with chronic pain, making it harder for them to keep up with the exercises. Sadly without consistency, exercise-based approaches will not work.

 

Requires supervision

Scoliosis-specific exercise programs require supervision to be truly effective – like bracing, a treatment plan needs constant monitoring and adjustment to have the best possible impact. This can be a disadvantage for people who live in remote areas or do not have easy access to a scoliosis specialist. Patients who attempt to perform exercises without proper guidance may inadvertently worsen their condition. This is why it is crucial to seek professional advice and maintain it while using exercise-based approaches to treatment.

 

Can lead to muscle imbalances

Scoliosis-specific exercise focuses on strengthening specific muscles to correct the curvature of the spine. However, this can lead to muscle imbalances, where some muscles become overdeveloped while others remain underdeveloped. Muscle imbalances can cause pain and discomfort, and in severe cases, can lead to other medical conditions such as joint problems. When a program is properly monitored by a professional this shouldn’t be a problem – but it’s a risk for anyone who does not have the proper guidance.

 

Does not address underlying issues

While exercise-based approaches may be effective in reducing the curvature of the spine and alleviating pain in some cases, it does not address the underlying issues that led to scoliosis. In some cases, scoliosis may be caused by underlying medical conditions such as neuromuscular disorders or genetic factors, but the typical idiopathic scoliosis seen in teenagers and young people cannot be “cured” with exercise. To be fair, it cannot be “cured” with bracing either – the only way to truly manage the condition is to maintain the spine in as straight an alignment as possible until skeletal maturity is reached. Many professionals view that this is easier to do with bracing than exercise, because of the cost and effort involved in 10-15 years of exercise monitoring.

 

Is Scoliosis specific exercise right for me?

Scoliosis-specific exercise can be a valuable part of an overall treatment plan and may be the right option for some smaller curves, or stable curves in adults. This being said, it has its disadvantages, and patients should carefully consider these before deciding on this treatment option alone.

 

 

[1] ‘SEAS (Scientific Exercises Approach to Scoliosis): a modern and effective evidence based approach to physiotherapic specific scoliosis exercises‘
Romano M, Negrini Am Parzini S, Tavernaro M, Zaina F, Donzelli S and Negrini S 2015, Scoliosis 2015 10:3, DOI: 10.1186/s13013-014-0027-2

 

[2] ‘Scoliosis-Specific exercises can reduce the progression of severe curves in adult idiopathic scoliosis: a long-term cohort study’
Negrini A, Donzelli S, Negrini M, Negrini S, Romano M, and Zaina F 2015,, Scoliosis Jul 11 10:20

 

[3] ‘The effectiveness of combined bracing and exercise in adolescent idiopathic scoliosis based on SRS and SOSORT criteira: a prospective study‘
Negrini S, Donzelli S, Lusini M, Minnella S and Zaina F 2014, BMC Musculoskelet Disord. 2014; 15: 263, Published online 2014 Aug 6. doi:  10.1186/1471-2474-15-263

 

Scoliosis: Should I seek treatment abroad in the UK?

Posted on March 4, 2023 by - Blog

When it comes to Scoliosis treatment, the simple fact is where you live has a big impact on the kind of treatment available to you and how you can best access it. The best place to seek treatment also depends on the kind of treatment you’re looking for, of course. Sometimes this might mean travelling abroad to a clinic is the best option for you. The option to see a specialist who has experience working with a specific co-existing condition might also be a factor to consider, even where others are available closer to home.

At the UK Scoliosis Clinic were thrilled to welcome patients from all around the world who are seeking non-surgical treatment approaches based around bracing. While many of our Clients are UK based, we can and do see many people from all around the world each year – of course, since the COVID 19 pandemic many people have been asking whether it’s a good idea to seek treatment with us in the UK, so this week we look at the pros and cons of travelling to the UK Scoliosis Clinic.

 

COVID

Firstly, let’s address the elephant in the room – COVID-19 – while largely under control in the UK, the disease is still prevalent – does this mean you shouldn’t travel? Of course, this is a decision for each of us to make individually, however, at this point in time, the vast majority of covid restrictions in the UK have been rescinded with items such as mask-wearing now optional based on your personal preferences. Covid levels in the UK remain broadly similar to most developed countries. At the UK Scoliosis Clinic, we’ve kept up with common sense measures such as enhanced cleaning and improved ventilation to help keep the spread of covid to a minimum.

 

The Economy and Pricing

In case you’re not a follower of global finance (we can forgive you for that) we’ll let you know that the UK Economy isn’t exactly doing fantastically at the moment… while this isn’t great for those of us living here it can be a significant advantage for those looking to travel for treatment. The weakness of the UK Pound means that our services, including consultations and braces, are now more affordable than ever before once you take the exchange rate into account.

We’re easy to get to

While travelling internationally often seems like a daunting prospect, the UK Scoliosis Clinic is very easy to get to – and much less complicated than many clinics based in London. Our Chelmsford Clinic is positioned close to both London Stansted (STN) and London Southend (SND) airports the trip from the airport is an easy one. Getting from the airport to the clinic is straightforward, and we have Bus, Cab or Train stops literally within 10 minutes’ walk of our door.

If you’re coming to the UK on a long-haul flight, you may want to stay in Chelmsford overnight, but many of our European-based patients can and do fly in, attend the clinic and return home at the end of the day. Direct flights to both airports are available from most major European destinations, from a wide variety of budget and national carriers – Flights at less busy times can be very inexpensive indeed.

If you’re travelling from Europe It’s also easy to reach our clinic via the Eurostar train service. The Eurostar will set you down at Kings Cross St. Pancras international station in London, from where you can easily connect to Chelmsford station, which is just a few minute’s walk from the clinic

We understand that international patients can often be subject to delays in arriving at the clinic due to situations beyond their control, thus we make all possible efforts to accommodate this – however if you are intending to conduct part of your journey by public transport, please leave at least an extra hour in your planning in case of delays – UK Public transport rarely runs on time!

 

It’s easy to enter the UK

Although it’s true that European citizens do now face slightly more paperwork when travelling to the UK than before Brexit, the process of acquiring the relevant visa for travel (a tourist visa is perfectly acceptable for visiting the UK Scoliosis Clinic) is straightforward for citizens of the vast majority of countries.

 

We’re Flexible!

As a Clinic, we want to provide fantastic treatment options to everyone, regardless of where they happen to live. We take a flexible approach to provide options for those who need to travel further to the clinic and we’ll go out of our way to make arrangements that work for you whenever possible. This starts right from the consultation stage with our new web-based consultation option – which is ideal for those living abroad.

 

Scoliosis Treatment in the UK

If you’re thinking about Scoliosis treatment in the UK, a web-based consultation is an excellent way to start – this will give us an opportunity to speak to you about what we might be able to offer in your specific case, as well as what the cost of treatment would be, before you leave your own home. Follow up and review appointments may also be able to be conducted online when required and we can work with your local x-ray imaging facility if necessary. In fact, if you have been thinking about treatment in the UK, there may never have been a better time!