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Podcast Episode Scoliosis and Kyphosis Management

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Introduction

  • Dr. Justin Trosclair hosts a solo episode focused on scoliosis.
  • The discussion caters to both healthcare professionals and patients.
  • Topics covered include scoliosis basics, screening methods, and treatment options.

Understanding Scoliosis More About ScoliBrace & ScoliBalance Click the Link

  • Scoliosis involves abnormal spinal curvature, which can occur in different areas of the spine.
  • Children experience scoliosis as they grow, with the condition typically worsening during growth spurts.
  • In adults, scoliosis often results from spinal degeneration, causing a collapse in the spine.

Identifying Scoliosis

  • X-rays reveal scoliosis, particularly by detecting spinal rotation.
  • Non-rotated curves may be postural issues, treatable with massage and adjustments.
  • Pain is a common symptom in real scoliosis cases.

Scoliosis in Children

  • Scoliosis is most prevalent in girls aged 10-12 and boys aged 11-13.
  • Rare cases occur in younger children.
  • Left or right curves may warrant additional testing for underlying issues.
  • Idiopathic scoliosis is the most common form without a known cause.
  • Early intervention is encouraged to prevent curve progression.

Treatment Options More About ScoliBrace & ScoliBalance

  • For curves less than 10 degrees, manual therapy, exercise, and adjustments may suffice.
  • Curves between 10 and 25 degrees may require bracing.
  • Severe curves (over 25 degrees) in thoracic or 20 degrees in lumbar regions often necessitate bracing.
  • Extreme curves (over 60 or 50 degrees) may require surgical consultation.

Identifying Scoliosis Signs

  • Signs include uneven shoulders, hip elevation, and visible humps when bending forward.
  • Prevalence: 2-3% of children aged 10-15, increasing during rapid growth.
  • Family history increases risk.
  • Age-related scoliosis affects 30% of individuals over 60.

Benefits of ScoliBrace

  • Braces can improve posture, balance, and reduce the risk of falling, especially in older populations.
  • Altered spinal bone shapes contribute to scoliosis, but bracing can help correct it.
  • read more about scolibrace

Degenerative Scoliosis

  • De novo scoliosis is the term for age-related, degenerative-based scoliosis in older individuals.
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Importance of Early Detection

  • Early and accurate detection of scoliosis can significantly impact treatment outcomes.
  • Early detection can prevent the need for surgery and offer improvements in appearance, posture, pain, and balance.
  • The Scoliosis Research Society recommends early detection and nonsurgical management.

School Screening Programs More About ScoliBrace & ScoliBalance Click the Link

  • Many schools lack a consistent formal screening program for scoliosis.
  • Informal screenings may involve bending forward with clothes on, making it difficult to detect scoliosis.
  • Summertime, when people wear bathing suits, can be a better time to notice irregularities.

Assessing Scoliosis

  • A step-by-step assessment includes checking for uneven shoulders, protruding shoulder blades, spinal curves, hip differences, and creases in the lower back.
  • A detailed assessment is easier without a shirt.
  • An app called “app.scoliscreen.com” can aid in self-assessment and referral to healthcare professionals.

Call The Office to Talk With The Doctor

Dr. Trosclair knows you have questions related to your exact case. Click the button to call and let’s get those answered.

The Importance of Early Intervention

  • Detecting scoliosis early is crucial to prevent severe progression.
  • Strong family history may prompt intervention even for curves less than 10 degrees.
  • Massage, adjustments, and postural exercises are recommended for minor curves, while bracing becomes necessary for larger ones.

Bracing for Scoliosis More About ScoliBrace & ScoliBalance Click the Link

  • Bracing recommendations vary depending on the degree of the curve.
  • Children may need to wear braces for most of the day, while adults can wear them part-time.
  • Wearing a scolibrace for longer hours can yield better results.

Case Studies and Results

  • Case studies demonstrate the effectiveness of braces in reducing scoliosis curves.
  • The appropriate brace is essential for optimal results.

Alternative Treatments

  • Besides bracing, treatments include scoli balance exercises tailored to the type of curve.
  • The scoli roll is a device that helps stretch ligaments and tendons.
  • Specific muscle work, chiropractic adjustments, and kinesiology taping can also aid in scoliosis management.

Sports and Scoliosis

  • Sports are encouraged for scoliosis patients except for competitive ballet and swimming training.
  • Extensive swimming and dance training may not be suitable for scoliosis.
  • The prevalence of scoliosis varies with age, with a higher incidence among older populations.
  • Low back pain is a common reason for adults to seek treatment.
  • Pain, cosmetic concerns, balance issues, and the desire to avoid surgery are reasons for seeking scoliosis treatment as an adult.

Adult Bracing with Scolibrace More About ScoliBrace & ScoliBalance Click the Link

  • Bracing is considered an alternative to surgery for adults with scoliosis and severe pain.
  • The focus is on pain relief and supporting the body differently rather than extreme curve reduction.
  • Bracing for adults typically involves fewer hours per day than for children.

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Scoliosis Prevalence

Bracing and Muscle Strength

  • Braces provide some flexibility, allowing for movement and exercises without causing a loss of muscle strength.
  • Endurance tests improve as you wear the brace longer, ensuring muscle strength is maintained.
  • learn more about scolibalance

Scoli Meter and Screening

  • The Scoli Meter app can be used to measure spinal deformity.
  • Screening for scoliosis is important, especially for children and adolescents.
  • Specific screening recommendations include females at ages 10 and 12 and males at ages 13 and 14.

Adults Seeking Treatment

  • Adults may seek treatment for scoliosis due to cosmetic concerns, pain, or previous unsuccessful treatment.
  • Treating scoliosis at a younger age can yield better results as curves tend to progress over time.
  • Gravity and aging can cause scoliosis curves to worsen at an average rate of one and a half degrees per year.

Types of Curves More About ScoliBrace & ScoliBalance Click the Link

  • Thoracic curves are typically right-sided.
  • Pain is less common in teenagers, so it should be investigated if present.
  • MRI may be necessary to understand the cause of night pain.

Scoliosis in Young Children

  • Scoliosis in children younger than seven should be addressed early to prevent complications.
  • Mortality rates increase for young children with scoliosis.

Effectiveness of Spinal Manipulation

  • Spinal manipulation (chiropractic adjustments) is not effective for stabilizing or correcting scoliosis.
  • It may provide pain relief but doesn’t significantly impact the curve itself.

Bracing Effectiveness

  • A study showed that wearing a brace for at least 13 hours a day had a 90 percent success rate in avoiding surgery.
  • Bracing is more effective than observation without treatment.
  • If no improvement is seen after a month of brace wear, reassessment is necessary.

Different Brace Types More About ScoliBrace & ScoliBalance Click the Link

  • Traditional Boston braces may not be as effective, especially for large and stiff curves.
  • The TLSO Boston brace can be challenging to put on, and it changes the biomechanics of the spine.

Custom 3D Braces

  • Custom 3D braces, like the Scully brace, are designed to reverse the curve and offer better results.
  • Wearing these braces during growth spurts helps improve the curve over time.

Before and After Assessments

  • Before-and-after photos and posture assessments are used to track progress.
  • Many individuals seek treatment for cosmetic reasons and want to look better in swimsuits.

Reasons to Seek Treatment

  • There is no wrong reason to seek scoliosis treatment, whether for pain relief, cosmetic concerns, or prevention of curve progression.
  • Conservative treatments can be effective in avoiding surgery.

Hope and Empowerment More About ScoliBrace & ScoliBalance Click the Link

  • The podcast encourages reaching out for questions and concerns about scoliosis.
  • Empowering patients with hope and information to make informed decisions is a primary goal.
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TRANSCRIPT

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