Tag: scoliosis

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 fast does Scoliosis get worse?

Posted on November 9, 2023 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 [6].

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.

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.

 

Does Scoliosis Make You Tired?

Posted on September 17, 2023 by - Blog

Scoliosis is a condition characterised by an abnormal curvature, affects millions of people worldwide. While the physical symptoms of scoliosis are well-known, such as spinal deformity and back pain (and even this has only recently been acknowledged!), there is a lesser-known concern associated with this condition: fatigue. In this blog post, we will explore the connection between scoliosis and tiredness, examining the factors that may contribute to fatigue in individuals living with scoliosis.

 

What is Scoliosis?

Scoliosis can occur at any age, although it is commonly diagnosed during adolescence. The exact cause of scoliosis remains unknown in most cases, with factors like genetics, muscle imbalances, and growth abnormalities playing a role. The curvature of the spine can vary in severity and individuals may experience different symptoms depending on the degree of their condition. While back pain is a prevalent complaint, some individuals with scoliosis also report feeling tired or fatigued more frequently.

 

The Impact of Posture and Muscular Imbalances

One of the primary reasons scoliosis may lead to fatigue is the impact it has on posture and the creation of muscular imbalances. The curvature of the spine can cause an imbalance in the muscles surrounding the spine, leading to strained muscles and increased effort required to maintain proper posture. The body’s attempt to compensate for the spinal curvature can put additional stress on muscles, resulting in fatigue. The misalignment of the spine can also affect the position of the ribs and restrict the expansion of the chest, potentially affecting lung capacity and oxygen intake, further contributing to tiredness. With larger curves, it’s not usual for a person’s functional capacity (that is to say their ability to move about freely) to be reduced.

 

Pain and Discomfort

It has only recently been realised that pain is a common complaint among individuals with scoliosis. The constant strain on the back muscles and the pressure exerted on the nerves can result in discomfort that hinders daily activities and disrupts sleep. Persistent pain can lead to disturbed sleep patterns, reduced quality of rest, and subsequent daytime tiredness. Additionally, the emotional toll of living with chronic pain can also contribute to fatigue, as individuals with scoliosis may experience increased stress and anxiety, which further impact their energy levels and overall well-being. Of course, these issues are not unique to individuals with Scoliosis – back pain is one of the major causes of stress and discomfort worldwide!

 

Limited Physical Activity and Endurance

Scoliosis can restrict movement and physical activity, particularly in cases of severe curvature. The limitations imposed by the condition may prevent individuals from engaging in regular exercise or participating in activities that require prolonged physical effort. Lack of physical activity can result in reduced muscle strength, decreased cardiovascular fitness, and diminished endurance, leading to increased fatigue during everyday tasks. Regular exercise and physical therapy tailored to address the specific needs of individuals with scoliosis can help improve stamina and energy levels.

 

Psychological Impact

The psychological impact of scoliosis should not be overlooked when considering its potential to cause fatigue. Dealing with a visible deformity and the social and emotional challenges it may bring can be exhausting. Body image concerns, self-consciousness, and the stress associated with managing the condition can all contribute to a sense of tiredness. Coping with scoliosis often requires emotional resilience, and seeking support from friends, family, or mental health professionals can be beneficial in managing the psychological impact and reducing fatigue.

 

Scoliosis and fatigue

While scoliosis primarily affects the physical structure of the spine, its impact on an individual’s energy levels and overall well-being should not be disregarded. It would not be accurate to say that the condition itself causes tiredness, however living with the condition may well have this impact. Factors such as posture and muscular imbalances, pain and discomfort, limited physical activity, and the psychological toll can all contribute to fatigue in individuals with scoliosis. Recognising and addressing these factors through appropriate treatments, including physical therapy, pain management strategies, and emotional support, can make a huge difference to the quality of life, and energy level of an individual with Scoliosis.

 

 

 

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!

 

 

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]

 

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!