Tag: scoliosis

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 common is Scoliosis?

Posted on December 2, 2023 by - Blog

Scoliosis is a condition that affects the curvature of the spine. The spine has a natural curve, backwards and forwards, but in Scoliosis the spine curves excessively from side to side.  The condition can affect people of all ages, but it is most commonly diagnosed in children and adolescents. In this blog post, we will explore how common scoliosis is and the different factors that can contribute to the development of the condition.

 

How Common is Scoliosis?

Scoliosis is a relatively common condition, with an estimated prevalence of 2-3% in the general population. This means that about 2-3 people out of 100 have some degree of scoliosis. The condition is more common in girls than boys, and it tends to run in families. According to the American Association of Neurological Surgeons (AANS), approximately 80% of scoliosis cases have no known cause, and the condition is often diagnosed during routine school screenings. This of course isn’t the case in the UK, since school screenings are not provided!

There are different types of scoliosis, and the prevalence of the condition varies depending on the type. Idiopathic scoliosis, which is the most common type, accounts for about 80% of all cases of scoliosis. This type of scoliosis occurs for no known reason (which means that we don’t yet know why, not that there is no reason at all!) and can develop at any age – it is most commonly diagnosed in adolescents between the ages of 10 and 18.

Another type of scoliosis is congenital scoliosis, which is present at birth and is caused by abnormal spinal development. Congenital scoliosis is less common than idiopathic scoliosis and accounts for about 10% of all cases of scoliosis in children. Neuromuscular scoliosis is another type, which is caused by underlying neuromuscular conditions such as cerebral palsy. Overall, congenital cases are a much smaller percentage of cases, but it’s still a condition which is seen fairly often.

Degenerative scoliosis is also known as adult scoliosis, and it typically develops in people over the age of 50. As people age, the discs in the spine start to wear down, and the vertebrae can begin to shift and rotate, leading to scoliosis. Other factors that can contribute to the development of degenerative scoliosis include osteoporosis, arthritis, and other spinal conditions. Degenerative scoliosis is actually the most common form of Scoliosis – as many as 1 in 3 people over the age of 60 suffer from the condition.

 

Does Age Contribute to the Development of Scoliosis?

The exact cause of scoliosis is unknown, but researchers have identified certain factors that may contribute to the development of the condition. While age is one of these, it’s just one of many factors. These include:

Genetics

Scoliosis tends to run in families, which suggests that there may be a genetic component to the condition. Researchers have identified several genes that may be associated with scoliosis, but more research is needed to understand the role of genetics in the development of the condition.

Gender

Scoliosis is more common in girls than boys, particularly in adolescent idiopathic scoliosis. This may be due to differences in hormonal levels or the fact that girls tend to go through growth spurts earlier than boys. This difference tends to even out in adult and degenerative Scoliosis cases.

Neuromuscular conditions

Neuromuscular conditions, such as cerebral palsy and muscular dystrophy, can also contribute to the development of scoliosis. These conditions affect the muscles and nerves that control the spine, leading to abnormal curvature.

Posture and body mechanics

Poor posture and body mechanics don’t cause Scoliosis, but they might contribute to worsening it. One group which has a particularly high incidence of Scoliosis is ballet dancers and gymnasts – one theory suggests that contorting the body as required in these activities might worsen scoliosis.

Spinal conditions

Certain spinal conditions, such as herniated discs and spinal stenosis, can also contribute to the development of scoliosis in older people. These conditions can cause the vertebrae to shift and rotate, leading to abnormal curvature.

 

 

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.

 

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.

The History Of Scoliosis Bracing

Posted on October 15, 2023 by - Blog

Today, bracing is rightly recognised as one of the most effective ways to treat Scoliosis without surgery. While bracing is not suitable in every case, research suggests that in the majority of patients bracing can at least halt the progression of a Scoliosis curve[1], and in many cases, a significant degree of correction to the curve is usually possible[2].

While bracing is only now starting to be viewed as a viable alternative to surgery (not least because the success rates for modern braces are not widely known) spinal bracing for Scoliosis is not a new idea – in fact, there have been Scoliosis braces for almost a long as there have been written records!

 

Early Bracing Techniques

Throughout history there is evidence of attempts to correct spinal conditions using bracing – for much of history, however, bracing techniques were crude and often uncomfortable. Hippocrates is thought to have been the first physician to describe the use of a wooden board to straighten a curved spine. However, this technique was not widely used until the 16th century, when Ambroise Paré, a French surgeon, developed a similar device. His device consisted of a wooden board that was wrapped around the patient’s torso and secured with leather straps. Paré believed that the device could straighten the spine by applying pressure to the curved area. Paré was clearly an intelligent man – not only was he the first to formally document the preponderance of Scoliosis in Females, his basic theory for the non-surgical treatment of the condition was essentially correct.

In the 17th century, a German physician named Lorenz Heister developed a metal brace that was designed to be worn around the torso. Heister also believed that the brace could help straighten the spine by applying constant pressure to the curved area. However, the brace was heavy, uncomfortable, and not very effective.

 

18th and 19th Century Bracing Techniques

In the 18th century, a French physician named Jean Baptiste Bouvier developed a new type of brace called the spinal brace. The spinal brace was made of metal and leather and was designed to fit snugly around the torso, providing support for the spine. Bouvier believed that scoliosis was caused by weak muscles and that the spinal brace could help strengthen these muscles and correct the curvature of the spine. However, the spinal brace was again, uncomfortable and not very effective.

In the 19th century, several other types of braces were developed to treat scoliosis. One of the most popular was the Taylor brace, which was developed by Dr Robert Taylor in 1864. The Taylor brace was made of metal and leather and was designed to fit snugly around the torso. Critically, the brace was adjustable, allowing the physician to apply pressure to specific areas of the spine. The Taylor brace was the first brace to be widely used in the United States and, in its adjustable nature was a key step towards the technology we have today.

Another brace that was developed in the 19th century was the Risser cast. The Risser cast was made of plaster and was designed to be worn around the torso. The cast was used to immobilize the spine and prevent further curvature. While the Risser cast was effective in preventing further curvature, it was uncomfortable and limited the patient’s mobility.

 

20th-Century Bracing Techniques

By the 20th century, various types of braces had already been developed – they all focused on the key goal we still have today – gently guiding the spine back into the correct alignment. What early braces lacked, however, was a material which provided enough flexibility in design to be truly effective.

One of the most significant developments of the 20th century was therefore the use of plastics in brace construction. Plastics allowed for the creation of lightweight and more comfortable braces which could be much better formed to the torso of the patient. One of the most popular of these new braces was the Boston brace, which was developed by Dr John Hall in 1972. The Boston brace was made of plastic and was designed to fit snugly around the torso, with a series of pads and straps that could be adjusted to apply pressure to specific areas of the spine. The Boston brace was more comfortable than previous braces and was effective in treating scoliosis in many patients – while the Boston brace was not often effective in reducing Scoliosis, it was the first to have a high success rate in preventing the worsening of the condition.

 

Bracing post-2000

Another significant development in scoliosis bracing – and one which brings us up to date – is the use of computer-aided design (CAD) and computer-aided manufacturing (CAM) technologies. These technologies allowed for the creation of custom-made braces that are specifically designed for each individual patient. This allowed for a more precise fit and better results. Modern plastics also allow braces to be more flexible and easy to wear than ever before.

Perhaps the most important development facilitated by CAD, however, was the introduction of “active” or “over corrective” braces – such as the ScoliBrace that we offer here at the clinic. The precision offered by computer-aided design and manufacture makes it possible to produce a brace which actually opposes scoliosis – therefore actually correcting the curve over time rather than just trying to stop its progression.

 

Learn more about Bracing

As you can see, modern braces such as the ScoliBrace are a refinement of literally hundreds of years of thought on Scoliosis – inventors and doctors have been aware of the way to treat Scoliosis without surgery for hundreds of years, but it’s only now that we finally have the technology to make this a reality. If you’d 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

‘Idiopathic scoliosis patients with curves more than 45 Cobb degrees refusing surgery can be effectively treated through bracing with curve improvements’
Negrini S, Negrini F, and Zaina F, 2011, Spine J. 2011 May;11(5):369-80. doi: 10.1016/j.spinee.2010.12.001. Epub 2011 Feb 2.

 

[2] ‘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

 

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.

 

 

 

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!