|
The vast majority of people with this condition are not expected
to require
treatment. The problem is we do not know who will get it, why
they get it,
which will progress, or how far they will progress. Each year
scoliosis
patients make more than 600,000 visits to private physician
offices, and an
estimated 30,000 children are put into a brace for scoliosis,
while 38,000
patients undergo spinal fusion surgery.
Despite physicians trying to treat this spinal deformity for
centuries, 85% of
the cases are classified as idiopathic. Consequently, a
scoliosis patient's
life is exacerbated by many unknowns, and treatments therefore
that are often
ineffective, invasive, and/or costly. Scoliosis patients also
have increased
health risks due to frequent x-ray exposure.
Scoliosis is a multifactorial disorder, which requires
multidisciplinary
research and treatment.
You are not alone in your journey of living with scoliosis.
There are many
common issues facing every scoliosis patient, yet your personal
story and
experience with this spinal deformity is unique. Consequently,
we believe that
Information and Support is essential to make the informed
healthcare decisions that must be made along the way, but we
also recognize and respect each person's individual needs.
Can you tell me what is the best
treatment for Scoliosis?
The treatment prescribed for scoliosis,
kyphosis or lordosis varies with the individual patient.
Severity and location of the curve, age, potential for further
growth and general health of the patient all must be taken into
account. A mild curvature (up to 20 degrees) generally needs
only periodic observation to watch for signs of further
progression. Bracing is the usual treatment for children and
adolescent with curves of 25-40 degrees, and in other special
circumstances.
Will you please send me
exercises to help my scoliosis?
Orthopedists tell us that
exercise alone will not prevent a curvature from progressing.
Exercises are prescribed in conjunction with brace treatment to
maintain muscle tone while the torso is immobilized by the
brace. These exercises are prescribed individually according to
the age of the patient and the location and degree of the
curvature.
Do you think a chiropractor could
help my scoliosis?
For moderate to major
curvatures:
We do not know of any long-term study which shows that
chiropractic treatment can stop a moderate (over 25 degrees) or
major curve (over 40 degrees) from progressing in the bone
growing years. It has been our experience that chiropractors who
are knowledgeable about the development of idiopathic scoliosis
in children will refer young patients with such curvatures to an
orthopedist for a second opinion.
For minor curvatures:
It is still not clear whether spinal manipulation is effective
in controling minor curves (under 20 degrees). Chiropractors do
tell us that they have had success but they have not sent us
controlled research data to support these claims. On the other
hand, the data collected by orthopedists shows that without any
form of treatment, 4 out of 5 minor curvatures will not progress
beyond 20 degrees. For this reason, orthopedists no longer treat
such minor curvatures but they do recommend periodic
observation, especially in growing children. |