PT Series: Navigating Scoliosis

Have you or a loved one recently been diagnosed or struggling with managing scoliosis? Carrie’s personal experience with scoliosis and knowledge as a Physical Therapist and Pilates Instructor has given her a unique perspective on managing a curvy spine. There is a LOT of information out there regarding the best ways to approach a diagnosis of scoliosis, so take the following as a consolidated version of what she has found to be the best methods based on research as well as her personal/professional experience. Here are some conservative treatment and pain management options for scoliosis.

Conservative Management

Bracing  is an effective conservative technique to prevent progression of scoliosis. It is especially effective when used during higher risk phases of development (13-15 yo). Night braces are typically worn 8-10 hours daily (success rate* of 78.7%)  and day braces are typically worn 16-20 hours daily (success rate 73.2%).1,2

The Schroth Method incorporates three-dimensional therapy with use of props to reshape the ribcage and reduce the deformity associated with Scoliosis. The aim of the Schroth Method is to reduce the incidence of scoliosis progression, reduce postural rotation, improve mobility and postural stability, reduce pain, and improve cardiopulmonary function.3,4

Pilates with emphasized techniques for scoliosis can help in similar ways to Schroth. Emphasized techniques include elongation, corrective breathing, and use of props to position the spine towards neutral.5  

Spinal Stabilization Exercise with PT instruction has been proven in research to be effective for improving pain and quality of life levels for people with scoliosis.6

Pain with Scoliosis Methods for pain relief related to scoliosis include therapeutic massage, spinal stabilization exercises/pilates, heat in the form of a hot pack or heat wrap and lastly, physical therapy.7

Carrie's Specialization in Scoliosis

Scoliosis, a complex condition characterized by an abnormal lateral curvature of the spine, requires specialized care and attention. Carrie brings to our team a deep understanding of the challenges faced by scoliosis patients and the most effective strategies for managing them. Her dedication to helping individuals navigate the intricacies of scoliosis is evident in her commitment to ongoing education and skill enhancement.

A Step Forward with Pilates

Carrie has also achieved her Mat level 1 Pilates certification through Power Pilates, taking additional continuing education on working with clients with scoliosis. This certification is a testament to her dedication to integrating diverse therapeutic modalities into her treatment plans, providing a holistic approach to physical well-being. Pilates, known for its emphasis on core strength, flexibility, and alignment, offers a unique set of benefits for individuals with scoliosis, and Carrie is expertly equipped to guide patients through tailored Pilates routines that address their specific needs.

Schedule Your Appointment with Carrie

To schedule an appointment with Carrie or to learn more about how she can assist you or your loved ones in managing scoliosis, please contact our office at info@inmotionintegrtrativept.com. We look forward to providing you with the exceptional care and support you deserve on your journey to better health.

If you’re interested in learning more about surgical management for scoliosis?:

ASC Surgery: https://janesicomfort.com/blogs/news/innovative-asc-scoliosis-surgery-and-recovery 

Fusion Surgery: https://www.childrenshospital.org/treatments/spinal-fusion-surgery 

VBT Surgery: https://www.childrenshospital.org/treatments/vertebral-body-tethering *success rate being less than or equal to a 5 degree curve progression.

References

  1. Vicente, L.G.; Barrios, M.J.; González-Santos, J.; Santamaría-Peláez, M.; Soto-Cámara, R.; Mielgo-Ayuso, J.; Fernández-Lázaro, D.; González-Bernal, J.J. The ISJ 3D Brace, a Providence Brace Evolution, as a Surgery Prevention Method in Idiopathic Scoliosis. J. Clin. Med. 2021, 10, 3915. https://doi.org/10.3390/ jcm10173915

  2.  Weiss, H.-R. Comment on Costa et al. The Effectiveness of Different Concepts of Bracing in Adolescent Idiopathic Scoliosis (AIS): A Systematic Review and Meta-Analysis. J. Clin. Med. 2021, 10, 2145. J. Clin. Med. 2022, 11, 752. https://doi.org/10.3390/ jcm11030752

  3. Schreiber S, Parent EC, Khodayari Moez E, et al. Schroth Physiotherapeutic Scoliosis-Specific Exercises Added to the Standard of Care Lead to Better Cobb Angle Outcomes in Adolescents with Idiopathic Scoliosis – an Assessor and Statistician Blinded Randomized Controlled Trial. PLoS ONE. 2016;11(12):1-17. doi:10.1371/journal.pone.0168746

  4. Bessette, A., & Rousseau, C. M. (2012). Scoliosis causes, symptoms and treatment. Nova Science Publishers, Inc.

  5. Zapata KA, Wang-Price SS, Sucato DJ. Six-Month Follow-up of Supervised Spinal Stabilization Exercises for Low Back Pain in Adolescent Idiopathic Scoliosis. Pediatr Phys Ther. 2017 Jan;29(1):62-66. doi: 10.1097/PEP.0000000000000325. PMID: 27984472.

  6. Scoliosis Back Pain: Symptoms and Relief. Published March 31, 2023. Accessed April 28, 2023. https://www.healthcentral.com/condition/scoliosis/scoliosis-back-pain

Sarah AveryScoliosis Management, Non-Surgical Scoliosis Treatment, Physical Therapy for Scoliosis, Bracing in Scoliosis, Scoliosis Exercises, Posture Correction, Spinal Health, Conservative Scoliosis Care, Scoliosis Observation, Pain Management in Scoliosis, Early Scoliosis Intervention, Scoliosis Support Groups, Alternative Treatments for Scoliosis, Scoliosis and Lifestyle Changes, Custom Orthotics for Scoliosis, Scoliosis Screening, Scoliosis and Physical Fitness, Spinal Mobility Exercises, Scoliosis Education and Awareness