Tag: scoliosis treatment

What Is Scoliosis Specific exercise?

Posted on May 20, 2024 by - Blog

Every Scoliosis case is unique, and at the UK Scoliosis clinic, we believe this means each case needs a unique treatment program. Scoliosis-specific exercise is just one of the many tools which we can use to treat scoliosis cases.

Historically, general exercises like Pilates and yoga (sometimes performed in a specific way) were used as an attempted treatment, but modern research has shown that they lack a direct impact on its prevention or control. Fortunately, two specialised approaches, Schroth and SEAS, have emerged as effective tools for reducing scoliosis progression and promoting correction.

 

Understanding Scoliosis-Specific Exercise

Scoliosis-specific exercises are meticulously designed routines, customised for each patient, aiming to counteract the curvature of scoliosis. Unlike bracing, scoliosis-specific exercise does require consistent effort on the part of the patient since the focus is on self-correction and maintaining improved posture in daily life.

 

SEAS – Scientific Exercise Approach To Scoliosis

SEAS is an individualised exercise program tailored for scoliosis treatment. It can be used independently for small curves or as a complement to bracing for larger curves and those with high progression risks.

 

Schroth Method

The first scientific approach to treating Scoliosis with exercise, Schroth was developed in 1921 by Katharina Schroth. The Schroth method consists of over 100 individualised exercises chosen based on the patient’s specific curve. The program addresses functional issues associated with scoliosis, actively working to improve the condition during everyday life, not just during targeted exercise sessions.

 

Chiropractic Biophysics (CBP)

While not directly designed for Scoliosis treatment, Chiropractic Biophysics deserves an honourable mention. CBP involves a biomechanical analysis of the spine and posture, followed by a targeted program aimed at shifting them back to normal alignment. There’s currently no research which recommends CBP as a mainline Scoliosis treatment, however at the UK Scoliosis clinic we sometimes also use it as part of a comprehensive rehabilitation plan for individuals who are suffering back pain.

 

Effectiveness of Scoliosis-Specific Exercise

Research indicates that physiotherapy-based scoliosis-specific exercise programs are effective in managing small curves (10-20 degrees) in adolescence. For curves exceeding 20 degrees, exercise alone is not considered sufficient, but it enhances long-term results when combined with bracing. These programs improve muscular balance, strength, spinal flexibility, neuromuscular coordination, postural symmetry, and reduce pain in adults with scoliosis.

 

Scoliosis-Specific Exercise at the UK Scoliosis Clinic

The UK Scoliosis Clinic offers individually tailored programs as standalone treatments or as part of comprehensive plans involving bracing and complementary approaches. Recognising that one size does not fit all, our clinic emphasises regular review, updating, and modification of exercise programs to ensure continuous improvement tailored to each patient’s needs and abilities.

 

My Child Has Scoliosis – DON’T Do This!

Posted on May 1, 2024 by - Blog

When you find out your child has Scoliosis the desire to provide the best possible care can be both overwhelming and perplexing. Scoliosis – despite strides in awareness in recent years – is still the subject of widespread misunderstanding, often leaving parents uncertain about the next steps. While swift action is crucial, steering clear of certain pitfalls is equally important. Here are three key aspects parents should avoid when navigating the complexities of childhood scoliosis.

 

The Problem with Passivity

Given the lesser-known nature of scoliosis many (probably most) parents find themselves unaware of anyone who has experienced the condition. This lack of awareness may create a false sense of non-urgency, potentially delaying intervention. Years ago, the prevailing belief was that surgery was the sole effective treatment for scoliosis, fostering a “wait and see” attitude. However, this approach is problematic, as scoliosis rarely resolves on its own. Seeking prompt consultation with a scoliosis specialist is paramount, ensuring that the condition is actively monitored and addressed. Waiting, in any capacity, is not a viable option when it comes to scoliosis management.

 

The Price of Ignoring Costs

The financial aspect of non-surgical scoliosis treatment in the UK poses a significant challenge, with limited options available through the NHS. While consulting with a GP to explore local resources is advisable, parents must prepare for potential costs associated with private care. Ignoring or underestimating these costs can lead to irresponsible decision-making. It’s essential to consider two critical factors: the severity of the existing scoliotic curve and the extended duration of treatment. Treatment success diminishes with larger curves, making early intervention more cost-effective. Moreover, viewing costs as a monthly investment over the treatment period provides a more realistic perspective. In some cases, expenses might serve only to delay an inevitable surgery, emphasising the need for informed decision-making based on individual expectations and likely outcomes.

 

Overlooking Mental Health

The emotional toll of scoliosis should not be underestimated, especially considering its prevalence among teens and young adults. Choosing the right treatment environment involves deciding between group-based and individualised settings. Group settings lack privacy but may offer some peer support, while one-on-one settings ensure privacy without immediate peer involvement. The decision should align with the child’s preferences, emphasising the importance of mental well-being during treatment. The UK Scoliosis Clinic, for instance, prioritises a private one-on-one environment, recognising the impact of a calm and private space on clinical outcomes.

 

Getting help

If you’re concerned about Scoliosis, please don’t hesitate to get in touch with us – we offer Scoliosis consultations online as well as at the clinic with no obligation to take up treatment, whatever you do – be active!

 

 

How Fast Does Scoliosis Get Worse?

Posted on February 22, 2024 by - Blog

Scoliosis is a progressive condition – this means it tends to worsen with age, but the speed at which it does this can vary. Scoliosis is known to accelerate during growth spurts, and worsens more quickly in young people than adults. Then again, a form of scoliosis, known as “de-novo scoliosis” is common in older adults, and can also progress quite rapidly.

Each Scoliosis case is unique, and predicting growth rates depends on factors like severity, rigidity, and family history. Broadly speaking, Juvenile scoliosis over 30 degrees can rapidly progress, usually necessitating surgery, while 21 to 30-degree curves may lead to surgery or disability if left untreated[1][2].

Acting quickly and proactively is crucial to halt scoliosis progression and correct curvature before surgery is required.

 

Don’t wait and see

Research by the British Scoliosis Society reveals that even during the consultation process, scoliosis curves can progress considerably. In a 2018 study, patients waiting for scoliosis surgery experienced rapid curve progression, with some requiring more extensive surgery than initially planned. The study included curves ranging from 17° to 90°, emphasising the need for timely intervention[3].

This shows why “wait and see” is such a bad approach to scoliosis treatment – this study alone highlighted the impact of delayed consultation, turning smaller curves into larger, more challenging cases. This is all the more important when you consider that today, with modern approach to treatment, something like a 30-degree curve has an excellent prognosis with conservative treatments like scolibrace,

 

Older Adults and Scoliosis

In general, Scoliosis in adults can be described as slightly more predictable. Adult scoliosis cases tend to progress at a steadier rate, but an additional risk arises with age – degenerative or de-novo scoliosis. Caused by wear and tear on spinal discs, this form is common among older adults, affecting about 30% of those over 60[4].

De-novo scoliosis progresses more slowly than childhood or adolescent scoliosis but faster than the very gradual development seen after reaching skeletal maturity and before age 60. De-novo Scoliosis can significantly impact quality of life. Patients often experience back and leg pain, making walking or standing difficult. Standard conservative treatments may not provide relief, and surgery may not be an option due to conditions like osteoporosis.

For these patients, a gentle supportive brace can offer relief, helping them stand more comfortably for longer periods. Early intervention and proper treatment can make a substantial difference in managing degenerative scoliosis in older adults.

 

Conclusion

Scoliosis progression is not a linear process, it’s unpredictable and that makes taking proactive action as soon as possible all the more important. Waiting for consultation or surgery can lead to rapid and undesirable changes, turning manageable cases into more severe ones. Both young patients with progressive scoliosis and older adults facing degenerative scoliosis require proactive approaches to halt progression, manage symptoms, and improve quality of life.

 

 

[1] Charles YP, Daures JP, de Rosa V, Diméglio A. “Progression risk of idiopathic juvenile scoliosis during pubertal growth.” Spine. 2006 Aug 1;31(17):1933-42.

[2] H V Dabke, A Jones, S Ahuja, J Howes, P R Davies. “SHOULD PATIENTS WAIT FOR SCOLIOSIS SURGERY?” Orthopaedic Proceedings. Vol. 88-B, No. SUPP_II.

[3] Angelo G Aulisa et al. “Brace treatment in juvenile idiopathic scoliosis: a prospective study in accordance with the SRS criteria for bracing studies.” Scoliosis. 2014; 9:3. DOI: 10.1186/1748-7161-9-3.

[4] Kebaish KM et al. “Scoliosis in adults aged forty years and older: prevalence and relationship to age, race, and gender.” Spine. 2011 Apr 20;36(9):731-6.

Is Scoliosis Classed As A Disability In The UK?

Posted on February 1, 2024 by - Blog

Scoliosis is an unusual condition since it can have a huge impact on someone’s life – or almost none at all. Many people with small Scoliosis cases never experience any significant disruption, whereas those with severe cures may even find they have trouble getting around. Scoliosis also sits in an unusual category, since it’s still viewed as a condition which is “permanent” even though today it’s often possible to correct it. With this in mind, does Scoliosis count as a disability?

 

Is Scoliosis a Disaiblity?

In the UK, disabilities tend to be defined not by the condition themselves, but more by the way they impact a person’s life – therefore, whether scoliosis is considered a disability in the UK depends on the severity of the condition and its impact on the person’s daily life.

Under the Equality Act 2010, scoliosis is considered a disability if it has a substantial, long-term adverse effect on a person’s ability to perform normal day-to-day activities. Long-term means that the condition has lasted, or is likely to last, for at least 12 months. This is already complex since people under treatment for Scoliosis will (hopefully) eventually overcome the condition, but how long this will take is very hard to say!

Because of the way that disabilities are assessed in the UK, it is therefore unlikely that Scoliosis will be counted as a disability on its own – you’ll need to prove that it makes living your life difficult.

 

Protection from discrimination

Slightly clearer is the position visa-vis The Equality Act 2010 – this act provides legal protection against discrimination in employment, education, housing, and other areas. In most cases, a scoliosis diagnosis would be an item which an employer, for example, would need to take into account as an aspect of ensuring equality. This means that employers, schools, and service providers are required to make reasonable adjustments to accommodate the needs of people with scoliosis.

Reasonable adjustments may include making physical adjustments to the workplace or school environment, such as providing ergonomic chairs or desks, allowing for breaks or adjustments to working hours, or providing assistive technology or devices.

 

Does Scoliosis qualify me for benefits?

People with scoliosis may be eligible for disability benefits in the UK, but only if the condition makes it difficult for them to live their lives normally. The Department for Work and Pensions (DWP) provides disability benefits to people who have a health condition or disability that affects their ability to work. The benefits include Personal Independence Payment (PIP), which helps with the extra costs of living with a long-term health condition or disability, and Employment and Support Allowance (ESA), which provides financial support for people who are unable to work due to their health condition or disability.

 

To be eligible for disability benefits, the person with scoliosis must show that their condition has a significant impact on their ability to work or perform day-to-day activities. The DWP uses a set of criteria to assess the severity of the condition and its impact on the person’s life. If the person meets the criteria, they may be eligible for disability benefits. As you may know, the bar for said benefits is often very high, so sadly it’s unlikely that you’ll be eligible unless your Scoliosis has caused significant mobility issues.

 

Is Scoliosis a disability?

Every scoliosis case is different, and the degree to which it impacts your life will be the biggest factor in deciding if it’s considered a disability and if you can receive benefits or support in the UK. In most cases, having Scoliosis alone won’t be enough to qualify you.

That being said, Under the Equality Act 2010, people with scoliosis are protected from discrimination, and employers, schools, and service providers are required to make reasonable adjustments to accommodate their needs.

 

How To Stay Comfortable While Wearing A Scoliosis Brace

Posted on January 27, 2024 by - Blog

Scoliosis is a medical condition in which the spine curves abnormally to one side. Scoliosis braces are designed to help correct this curvature by applying pressure to the spine. However, wearing a scoliosis brace can feel uncomfortable, especially during the initial adjustment period. Much like wearing braces on your teeth, it takes a bit of getting used to. Once you’re through this part, however, you can make choices which make wearing a brace easy – or hard. Make your life easy by planning ahead! Let’s look at some of the easiest ways to make wearing a brace work for you.

 

Find the right fit

The first and most important step to ensure comfort when wearing a scoliosis brace is to find the right fit for the brace itself. A properly fitted brace should be snug but not too tight. If the brace is too tight, it can cause discomfort and even lead to skin irritation or sores. On the other hand, if the brace is too loose, it will not provide the necessary support and correction.

ScoliBrace, the system used at the UK Scoliosis Clinic is designed to fit the wearer like a glove – we measure and custom produce your brace to millimetre tolerances to ensure that it’s just right. Braces like the ScoliBrace also allow some degree of adjustment, so that we can get more life from the brace – it’s important to ensure that whenever your brace is adjusted you test it out for comfort and have it modified if anything is uncomfortable.

 

Wear a moisture-wicking undershirt

Scoliosis braces, like anything worn on the body, tend to retain heat – in the winter this can be helpful, but in summer it can cause sweating and discomfort, especially during very hot weather. Wearing a moisture-wicking undershirt can help keep the skin dry and prevent chafing or irritation. These undershirts are made of breathable fabric that wicks sweat away from the skin and keeps the body cool.

 

Use skin protectants

Wearing a scoliosis brace can cause friction and pressure on the skin, leading to skin irritation or sores. This isn’t usually an issue with a properly fitted brace during everyday wear, but if you’re using a lightweight brace like ScoliBrace and leave it on during exercise you might experience some discomfort. Using skin protectants, such as creams or ointments, can help prevent these problems. The protectant forms a barrier between the skin and the brace, reducing friction and pressure.

 

Practice good hygiene

Practising good hygiene can help prevent skin irritation and infection. It is essential to clean the skin under the brace daily using mild soap and water. Dry the skin thoroughly before putting on the brace since if you do sweat throughout the day the skin can become more prone to soreness.

 

Wear comfortable clothing

Wearing comfortable clothing can help reduce discomfort when wearing a scoliosis brace. Choose loose-fitting clothes that do not rub against the brace especially when relaxing at home. Avoid wearing tight clothing or clothing with thick seams, as they can cause pressure points and discomfort – this isn’t really to do with the brace – tight-fitting clothes can cause irritation for anyone – but when wearing a brace the effect is often more noticeable.

 

Stay active

Staying active can help improve comfort when wearing a scoliosis brace. Exercise helps improve muscle strength and flexibility, which can reduce discomfort and improve posture. Consult a healthcare provider before starting any exercise program, as some activities may be restricted when wearing a scoliosis brace.

 

Stay hydrated

Drinking plenty of water can help prevent dehydration and reduce discomfort when wearing a scoliosis brace. Dehydration can cause fatigue, headaches, and muscle cramps, making wearing the brace more uncomfortable. Aim to drink at least eight glasses of water per day.

 

 

Does poor posture cause Scoliosis?

Posted on January 17, 2024 by - Blog

Scoliosis is a medical condition that affects millions of people worldwide. It is characterised by an abnormal curvature and twist of the spine, which can result in physical limitations and discomfort. While the exact cause of scoliosis is not fully understood, it is believed to be the result of a combination of genetic and environmental factors.

 

Can poor posture cause Scoliosis?

One of the environmental factors that is often associated with scoliosis is poor posture – people with scoliosis are often perceived as having poor posture, and many parents worry that poor posture can cause Scoliosis – but can it? The bottom line is no – poor posture does not cause Scoliosis. Poor posture is a common problem that affects many people worldwide – and it can be a painful issue though. Poor posture can be caused by a variety of factors, including muscle weakness, joint stiffness, and poor ergonomics – but while Scoliosis might cause someone to appear to have poor posture, there’s no evidence to show that poor posture will lead to Scoliosis.

When we have poor posture, our bodies are not in alignment, which can lead to a variety of health problems, including back pain, neck pain, and headaches. Poor posture can also cause our muscles and joints to work harder than they should, leading to fatigue and discomfort. That “hunched” appearance which used to be associated with teens but seems to apply to almost everyone these days is more characteristic of Kyphosis, rather than Scoliosis – and in extreme cases, poor posture might be caused by Kyphosis, but not Scoliosis.

 

Is there any relationship between Scoliosis and Poor posture?

Most Scoliosis research focuses on establishing the true cause of Scoliosis, and the best ways to treat it, so there hasn’t been much research into whether poor posture might contribute once the condition already exists. Therefore, while poor posture is not a direct cause of scoliosis, it might be a factor which could contribute to the progression of the condition. When we have poor posture, our spines are not in the proper alignment, which can cause our muscles and ligaments to become strained and weakened, it’s feasible that this might make it more possible for scoliosis to progress.

Many aspects of a Scoliosis treatment plan are aimed at creating balance and strength in the core muscles which support the spine, so while maintaining good posture is important for everyone, it’s fair to say that focusing on good posture is especially important for those with scoliosis. Good posture can help to alleviate some of the painful symptoms which some people experience with scoliosis at the very least.

 

Maintaining good posture

Scoliosis or not, you can only do yourself a favour by maintaining good posture – Here are some tips:

  1. Stand up straight: When standing, make sure your weight is evenly distributed on both feet, and your shoulders are relaxed.
  2. Sit up straight: When sitting, make sure your back is straight, and your feet are flat on the ground.
  3. Use proper ergonomics: Make sure your desk and chair are at the proper height and distance to promote good posture.
  4. Exercise regularly: Regular exercise can help to strengthen the muscles and ligaments that support the spine, helping to prevent the progression of scoliosis.
  5. Stretch regularly: Regular stretching can help to alleviate the symptoms of scoliosis and improve flexibility.

 

Treating Scoliosis

Treating Scoliosis is about much more than altering postural imbalances – Scoliosis treatment requires a focus on good nutrition, exercise, and healthy lifestyle habits as well as a proactive approach such as Bracing. In this regard, there’s a lot we can do to help patients support treatment plans – and much of the advice would be beneficial to almost anyone!

For example, regular exercise can help to strengthen the muscles and ligaments that support the spine, and eating a balanced diet that is rich in calcium and vitamin D can also help to promote strong bones and a healthy spine.

So, while poor posture is not a direct cause of scoliosis, it’s not impossible that it might contribute to the progression of the condition. This being said, maintaining good posture is important for everyone, and might even help with pain relief in those with Scoliosis. By focusing on good nutrition, exercise, and healthy lifestyle habits, we can care for our spines, with, or without Scoliosis!

 

 

 

How Long Does Scoliosis Bracing Take?

Posted on December 12, 2023 by - Blog

Scoliosis bracing is a highly effective, non-surgical treatment option for children and adolescents with moderate to severe scoliosis. Braces are custom-made to fit the patient’s body and apply pressure to the spine to encourage it to grow in a more normal alignment. The goal of scoliosis bracing is primarily to stop the progression of the curvature until the child’s spine has stopped growing, and, ideally to correct the existing curve to leave the patient with as straight a spine as possible.

 

Factors which impact bracing time

Scoliosis bracing works over time – the fundamental aspect of the treatment is the gradual application of corrective force over a period of months, and probably years. The exact length of time a person needs to wear a brace depends on several factors, including the severity of the curvature, the age of the child, and the rate of spinal growth. Children who are diagnosed with scoliosis at a younger age are more likely to need longer treatment times because their spines are still growing, and the curvature may progress more quickly. The severity of the curvature is also an important factor, as more severe curvature may require a more rigid brace or a combination of bracing and other treatments, such as surgery. At the same time, cases which are caught early in young children have some of the best chances of a complete correction – although these patients will generally need to continue with some form of Scoliosis prevention until they reach adulthood.  Cases which are treated for the first time in Adults (often a form of Scoliosis known as degenerative or “de-novo” Scoliosis) often improve with only part-time bracing[1].

The compliance of a patient with wearing the brace is also an essential factor. If a patient wears the brace as directed, they are more likely to see positive results and need to wear the brace intensively for a shorter period of time. Again once a curve has been corrected, some maintenance is required, but this can usually be part-time brace-wearing, often at night or in the evening.

The length of time a patient needs to wear a brace can therefore vary widely, but on average, children wear a brace for a considerable amount of time (often 20+ hours a day) for two to three years. After this part-time wear or a program of Scoliosis specific exercise is usually sufficient to prevent a reoccurrence.

 

Is wearing a Scoliosis brace hard?

The duration of scoliosis bracing is an important consideration for parents and children. It can be challenging for children to adjust to wearing a brace consistently for an extended period, but it is crucial for the success of the treatment. Parents can help their children by providing emotional support and encouragement and ensuring that the child wears the brace as directed – as a clinic, we do everything we can to make brace wearing as comfortable and manageable as possible!

It’s also important to monitor a patient’s progress regularly as part of treatment to ensure that the brace is working as intended. Based on this progress, wear time can be adjusted up or down based on goals as well as how well the brace is being tolerated. We usually recommend regular X-rays to check the progression of the curvature and adjust the treatment plan as necessary – this approach allows maximum flexibility in the trade-off between in-brace time and speed of treatment.

While scoliosis bracing can be challenging for children and adolescents, it can also be an opportunity for personal growth and resilience. Children who successfully complete scoliosis bracing often develop increased self-confidence and a sense of accomplishment.

[1] ‘Effects of Bracing in Adult With Scoliosis: A Retrospective Study‘
Palazzo C, Montigny JP, Barbot F, Bussel B, Vaugier I, Fort D, Courtois I, Marty-Poumarat C, Arch Phys Med Rehabil. 2016 Jun 22. pii: S0003-9993(16)30256-8. doi: 10.1016/j.apmr.2016.05.019

 

Do Animals Get Scoliosis?

Posted on November 30, 2023 by - Blog

At the UK Scoliosis Clinic we focus on the non-surgical treatment of Scoliosis … in humans! But one of the most common questions we hear (especially from some of our younger patients!) is “Do animals get scoliosis too?” The short answer is yes, they do – and while we’re not Veterinarians here, it is both useful and interesting to take a look at Scoliosis in animals and why it matters.

 

What is Scoliosis?

Scoliosis, in case you’re not aware, is, a medical condition characterised by an abnormal curvature of the spine, everyone’s spine has a normal “backwards and forwards” curve which is important for absorbing shocks and carrying the weight of the body, however in Scoliosis the spine also curves “from side to side” which can lead to problems. Scoliosis is observed in and associated with humans – however, while our understanding of this condition in animals may not be as extensive as it is in humans, there is evidence to suggest that various species can indeed experience spinal conditions including Scoliosis.

 

Scoliosis in Humans vs. Animals

Human scoliosis is well-documented and (thanks to more prevalent screening) can now often be diagnosed early during adolescence. It can result from a variety of factors, including genetics, neuromuscular conditions, or congenital abnormalities. In animals, the situation is more complex due to the diversity of species and the limited research available. However, cases of scoliosis have been reported in both domestic and wild animals, suggesting that this condition is not exclusive to humans.

 

Evidence of Scoliosis in Animals

Veterinarians and researchers have observed instances of scoliosis in various animals, including dogs, cats, horses, and even fish. In fact, one species of fish, the Zebrafish, is one of the leading research species as we attempt to understand the genetic factors which lead to Scoliosis in the first place! In domestic pets, such as dogs and cats, scoliosis may be congenital or develop later in life due to factors like muscle imbalances or injuries.

 

Causes of Scoliosis in Animals

Understanding the causes of scoliosis in animals is challenging, as it can be influenced by a combination of genetic and environmental factors. Congenital scoliosis, present at birth, may result from genetic mutations or developmental issues during gestation. Acquired scoliosis, on the other hand, can develop later in an animal’s life due to injuries, muscle imbalances, or underlying health conditions.

Genetic factors play a crucial role in the development of scoliosis in some animal species. While it has not yet been fully proven, most Scoliosis specialists and researchers agree that Genetic factors are probably the main cause of Scoliosis in humans – at least in adolescents. In animals, the cause might be similar, but the underlying circumstances may be different – selective breeding in domesticated animals, particularly dogs and cats, may inadvertently contribute to a higher incidence of congenital spinal deformities. In wild animals, genetic predispositions to scoliosis are less understood, but researchers believe that natural selection may influence the prevalence of such conditions in certain populations.

Unfortunately, environmental factors, such as inadequate living conditions, can also contribute to the development of scoliosis in animals. For example, animals kept in cramped or restrictive environments may experience muscle imbalances or abnormal growth patterns, leading to spinal deformities. Injuries, whether from accidents or repetitive activities, can also play a role in the onset of scoliosis.

Of course, animals also age just like we do and it’s reasonable to speculate that with greater age may come a higher incidence of some kinds of Scoliosis in animals. We know that this is the case in Humans, where as many as one in three people over the age of 65 suffer from a condition known as “de-novo Scoliosis” – which is simply the result of ageing.

 

Implications for Animal Well-being

Scoliosis in animals can have significant implications for their overall health and well-being, just as it can for humans. There’s a significant lack of research here, although we can say that in domestic pets, the condition may cause discomfort, affect mobility, and impact their quality of life – of course, for many of our pets, there are services like massage and therapy which can help manage this just like in Humans!

 

Diagnosis and Treatment

Diagnosing scoliosis in animals can be challenging, as they may not exhibit obvious symptoms until the condition is advanced. In fact, the same issue applies in humans – with Scoliosis being notoriously difficult to spot without specialised screening. Screening in Humans is easy since we have developed simple screening exercises which take less than 5 minutes to impairment – unfortunately, we don’t have the same options for animals at present, so veterinarians often rely on a combination of physical examinations, imaging studies such as X-rays, and, in some cases, genetic testing to determine the presence and severity of scoliosis.

Treatment options for scoliosis in animals vary depending on the underlying cause and the severity of the condition. In some cases, conservative management, including physical therapy and lifestyle modifications, may be sufficient to improve an animal’s comfort and mobility. For more severe cases or those with a congenital origin, surgical intervention could be considered to correct the spinal deformity.

 

So do animals get Scoliosis?

While the prevalence of scoliosis in animals may not be as well-documented as it is in humans, there is growing evidence to suggest that various species can experience spinal deformities such as Scoliosis. Genetic and environmental factors can play a role in the development of scoliosis in animals, and its implications for their well-being are significant, but like in humans, with research, we’re confident it can be managed.

As our understanding of scoliosis in animals continues to evolve, it becomes increasingly important for veterinarians, researchers, and pet owners alike to be aware of the condition and its potential impact on animal health. By recognising and addressing scoliosis in animals – just like in humans – we can work towards enhancing their quality of life and ensuring that they receive the care and attention they deserve.

 

When Is It Too Late To Correct Scoliosis?

Posted on October 3, 2023 by - Blog

Scoliosis is a 3-Dimensional alteration to the structure of the spine, involving a sideways bend and twist it affects millions of people worldwide. While it is commonly associated with adolescence, scoliosis can develop at any age. Early detection and treatment are crucial for managing the condition effectively. However, many people wonder, “When is it too late to correct scoliosis?” In this blog, we will explore the possibilities of treating scoliosis at different stages of life and shed light on the importance of timely intervention.

 

Childhood and Adolescent

Scoliosis often manifests during childhood and adolescence, as the rapid growth spurts during these stages exacerbates spinal deformities. Detecting scoliosis early, allows for conservative treatment options such as observation, bracing, or specialised exercise systems. In most cases, correcting scoliosis is easier during this period, as the skeletal system is still growing and flexible and it is easier to control the growth of the spine. Non-surgical interventions can help prevent the progression of the curvature and minimize its impact on the individual’s quality of life. Therefore, it is vital for parents, educators, and healthcare professionals to be vigilant and screen children for scoliosis regularly.

 

Adulthood

But what happens if scoliosis goes undetected or untreated during childhood? Is it ever too late to correct the condition? While it is true that the optimal time for intervention is during childhood, scoliosis treatment can still be beneficial in adulthood. The goals of treatment shift slightly, focusing more on pain management, improving function, and preventing further curvature progression. Conservative approaches such as physical therapy, chiropractic care, and exercise can help alleviate discomfort and strengthen the surrounding muscles. In some cases, orthotic devices or spinal braces may also provide support and stability. By the time a person has reached adulthood, their spine is probably too rigid to actually correct the Scoliotic curve – however, it’s usually possible to stop the curve from progressing and getting any worse.

 

Later Life

Scoliosis – Specifically a form known as “de-novo” or “degenerative” scoliosis occurs frequently in the over 65’s. This is different from adult cases of Scoliosis since here the scoliosis starts to develop where it did not previously exist. The chances for correcting De-novo Scoliosis are low since the degeneration of the spine which causes the condition is due to ageing and sadly that cannot be prevented!

Intervention with bracing or exercised-based therapy can slow progression considerably, and in many cases will give people the ability to remain upright, independent and active, whereas they may otherwise struggle.

 

Conclusion

In summary, it is never too late to address scoliosis, although early detection and intervention are ideal.

Timely treatment during childhood and adolescence can prevent progression and reduce the need for more invasive measures later in life. However, even in adulthood, conservative treatments and, if necessary, surgical interventions can provide relief, improve function, and enhance the quality of life. The key lies in seeking professional help, staying informed, and embracing the support available to manage the physical, emotional, and psychological aspects of scoliosis. Remember, it’s never too late to take control and seek the best possible outcomes for a life with scoliosis.

 

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!