• About Scoliosis & Braces

  • What is Scoliosis?

    According to the National Institute of Health, Scoliosis is an abnormal curving of the spine. Your spine is your backbone. It runs straight down your back. Everyone’s spine naturally curves a tiny bit. But people with scoliosis have a spine that curves too much. The spine might look like the letter “C” or “S.”

    Most of the time, the cause of scoliosis is unknown. This is called idiopathic scoliosis. It is the most common type. It is grouped by age.
     
    • In children age 3 and younger, it is called infantile scoliosis.
    • In kids age 4 - 10, it is called juvenile scoliosis.
    • In older kids age 11 - 18, it is called adolescent scoliosis.
     
    Scoliosis most often affects girls. Some people are just more likely to have curving of the spine. Curving generally gets worse during a growth spurt.

  • Other types of scoliosis are:

    Congenital scoliosis: This type of scoliosis is present at birth. It occurs when the baby’s ribs or spine bones do not form properly.
    Neuromuscular scoliosis: This type is caused by a nervous system problem that affects your muscles, such as cerebral palsy, muscular dystrophy, spina bifida, and polio.

    Symptoms

    Usually there are no symptoms. But symptoms can include:
     
    • Backache or low-back pain
    • Tired feeling in the spine after sitting or standing for a long   time
    • Uneven hips or shoulders (one shoulder may be higher than the other)
    • Spine curves more to one side

    Signs and Tests

    Your chiropractor will perform a physical exam. You will be asked to bend forward. This makes your spine easier to see. It may be hard to see changes in the early stages of scoliosis.

    The exam may show:
    • One shoulder is higher than the other
    • The pelvis is tilted

    X-rays of the spine are done. It is important to have x-rays, because the actual curving of the spine may be worse than what your chiropractic doctor can see during an exam.

    Treatment

    Treatment depends on many things:
    • The cause of scoliosis
    • Where the curve is in your spine
    • How big the curve is
    • If your body is still growing
     
    Chiropractic Adjustments can greatly help with pain associated with Scoliosis.  If you are still growing, your chiropractor might recommend a back brace. A back brace prevents further curving and can correct curvature. There are many different types of braces, however we recommend one that is dynamic and adjustable.

    What is SPINECOR®?

    SpineCor® was developed in the early 1990s after rigorous research and clinical trials by a team of 65 researchers based at Ste Justine Hospital in Montreal, Canada.
    It was developed to correct or stop progressive scoliosis, principally in children with Adolescent Idiopathic Scoliosis (AIS).
     
    SpineCor® treatment is now used in 20 countries around the world and over 10,000 patients have been successfully treated.

    SpineCor® treatment is different to conventional non-surgical treatments which are all essentially rigid or semi-rigid braces.  SpineCor® recognizes and attempts to control not only the progression of the spinal deformity, but works to rebalance and strengthen the abnormal musculature, improve posture and to reinforce and integrate neurological feedback.
     
    SpineCor® treatment for adults was developed in 2004 as an evolution of the paediatric treatment.  Very quickly it became clear that SpineCor® treatment on adults could produce small but important changes in their spinal alignment, with the most significant effect of this being pain relief.
     
    Clinical experience during the two year development of the brace involving 200 patients demonstrated pain relief within a few hours of being fitted in some cases, with 90% of patients reporting pain relief within six weeks of use.

  • SPINECOR® TREATMENT FOR CHILDREN

  • The SpineCor® Dynamic Corrective Brace was developed in the early 1990s after rigorous research and clinical
    trials by a team of 65 researchers based at Ste Justine Hospital in Montreal, Canada.

    SpineCor® treatment is different to conventional non-surgical treatments, which are all essentially rigid or semi-rigid braces. SpineCor® recognizes and attempts to control not only the progression of the deformity, but works to rebalance and strengthen the abnormal musculature, improve posture and to reinforce and integrate positive neurological feedback.

  • The SpineCor® Dynamic Corrective Brace  consists of two sections: The first section consists of the pelvic base
    (1), the crotch bands (2) and the thigh bands (3). Its role is to act as an anchoring point and support for actions applied to the patient's trunk by the corrective elastic bands.
     
    The second section consists of the bolero (4) and the corrective bands (5). This is the part designed to make the correction of the scoliosis curve. The fitting of the corrective bands is specific for each patient and depends on the type of curve.
     
    Benefits of the SPINECOR®  Corrective Brace:

    • It can provide stabilisation or correction of Idiopathic Scoliosis from a 15° Cobb angle and above.
    • It is fully flexible, allowing normal body movement and growth.
    • It allows children to lead a normal life.
    • It is worn easily and comfortably under clothing.
    • It increases children’s treatment acceptance, helping to achieve better results.
  • SPINECOR® TREATMENT FOR ADULTS

  • The SpineCor® Pain Relief Back Brace is an innovative approach to spinal treatment in adults, providing pain relief and postural rehabilitation.
     
    Clinical experience during the two year development of the brace involving 200 patients demonstrated pain relief within a few hours of being fitted in some cases, with 90% of patients reporting pain relief within six weeks of use.
     
    The brace is typically worn 8-16 hours per day in order to initiate changes in posture.  After several months of wear, it is often possible to reduce the wearing time and maintain the same level of pain relief.
     
    The SpineCor® Pain Relief Back Brace is primarily aimed at treating back pain caused by:

    • Adult De-novo Scoliosis
    • Degenerative Adolescent Idiopathic Scoliosis in Adults
    • Chronic Antalgic Scoliosis
    • Spinal Stenosis related to spinal misalignment
    • Hyperkyphosis
    • Postural Scoliosis
    • Post Traumatic Scoliosis

    Benefits of the SpineCor® Pain Relief Back Brace:

    Pain: The primary treatment of the SpineCor® Pain Relief Back Brace is pain relief, however postural improvement is directly related to pain relief and is therefore an added benefit.

    Posture: The postural changes achieved using this brace are patient specific and are defined by the clinical and radiological features of the patient’s condition. Often, changes in posture will result in a reduction in pain and help prevent a worsening of the scoliosis.

    Progression: Changes to the patient’s posture will help to prevent progression of the scoliosis curve and can sometimes even reduce the curve slightly.  In all cases, x-rays are advised to optimise treatment.  Please note, significant correction of Cobb angles in adults will rarely be possible and should not be a significant treatment objective.

  • The first section consists of the pelvic shorts (1). The shorts act as an anchoring point and support the actions applied to the patient’s trunk by the elastic corrective bands.

    The second section consists of the bolero (2) and the corrective bands (3).  This is designed to apply the corrective movement to the scoliosis.  The fitting of the corrective bands is specific for each patient and depends on the patient’s type of curve/spinal deformity.

  • THE SPINECOR® TREATMENT PROCESS

    A series of evaluations will be carried out during treatment:

    X-ray evaluation:  X-rays are required to evaluate the patient’s type of curve and its potential for progression. Additional pre-bracing x-rays may need to be taken, depending on the x-rays which may already be available.
     
    Postural Evaluation:  A visual evaluation of the spine and taking of simple measurements, using a laser plumbline, scoliometer, protractor and ruler.
     
    SpineCor® Assistant Software (SAS):  This will evaluate and calculate the patient’s specific curve classification.  The software will also specify the exact brace fitting details.
     
    When the SpineCor® brace has been fitted a clinical evaluation will be carried out to evaluate the changes to the patient’s spine and posture. Patients will be shown how to fit and take off the brace (don’t worry, it is very easy!).
     
    It is recommended that patients visit their clinician for regular readjustments to the brace for the duration of their treatment.
    If it is required, patients may also be prescribed a shoe lift at the time of the brace fitting.

    Dr. Kelly is a Spinecore provider.  Please click here for more information on scoliosis bracing that can be done at Houston Family Chiropractic Center.