Why Co-Manage Scoliosis Patients?

Doctor’s refer here because we don’t ‘steal’ your patients. Dr. Trosclair prescribes them scoliosis exercises and mild traction based on their exact curve types that they can then do at their home. He also fits them for a 3D CAM/CAD over-corrective brace to improve the curves while they grow. Then they go back to your clinic for adjustments, pain management (if any) and only follow-up with Scoliosis Center of LA periodically.

Unique Method for Scoliosis

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Skip to the Facts and Research of Scoliosis- Click Here

In-Brace Correction is normally 48% but we see 63%.
Out-of-Brace curves achieved 37.60% improvement if their curves are 20°-40°.
Results: curve correction: 76.9%, curve stabilization: 23.1%, curve progression 0%

References:

1. Optimising Full-time Brace Treatment of Idiopathic Scoliosis (IS) using In-Brace Correction (IBC) as a predictor of brace efficacy. A J Mills , S V Hewitt, A A Cole. British Scoliosis Society November 2022.

2. Can Modern Bracing Achieve True Cobb angle Correction in Idiopathic Scoliosis (IS)? A J Mills , S V Hewitt, A A Cole. British Scoliosis Society November 2022.

Options

Certifications that Make A Difference

Scoliosis and Kyphosis treatment take longer than usual and require extra training

Scoliosis is First found in children

Common Scoliosis Treatments for Children

Wait and See

The earlier you find scoliosis in a kid, the better chances of stopping the progression. Waiting and seeing if it gets worse is missing a great window of opportunity to start care while it is easier and less costly to manage. It's common for a curve to go from small to mandatory brace in 6 months if the child had a growth spurt.

Special Scoliosis Exercies

Most physical therapists and chiropractors learned the bare minimum in exercise and stretching for scoliosis. Stretch the tight side and strengthen the weak side is barely scratching the surface and while general strength and flexibility is important, this approach will not suffice. You need a certification like ScoliBalance that can create mirror image -over-correction exercises to see a real and lasting difference in curve degrees.

3D CAM/CAD OverCorrective Bracing

Scoliosis braces vary significantly in design and effectiveness. The 3-point Boston brace is a common type that primarily aims to maintain the current curve during growth, potentially preventing the need for surgery, though it does not guarantee improvement and the curve may still worsen. In contrast, a 3D CAM/CAD Over Corrective brace, such as ScoliBrace, is entirely customized to fit the individual's body and curve. This custom brace actively works to reduce the curve by applying pressure in the opposite direction, allowing the child's scoliosis to improve as they grow.

Surgery with Rods and Screws

This option should be the last resort or for those curves that are just progressing to fast especially at a young age or causing distress to organs. While the special exercises and braces are effective for most people, there are instances where we just can't help. I've had patients like this and the rods and screws do change a persons life. Not to say they can't have a near normal life, but fusing your spine will be a challenge in their adult life at some point.

Send a referral

It's never been so easy and convenient to pass a referral. Schedule online below

Step 1 - Dr to Dr Consultation

A quick call is pretty standard to discuss the case. A brief history of care given by you, a copy of x-rays if you have them and a review of Dr. Trosclair's services.

Step 2 - Schedule an Appointment

Click on the Box to schedule an appointment. Pick Your Favorite Day and Time. Also patients can go to www.drjustintrosclair.com/bookonline

Step 3 - Show Up To the Office

Initial Evaluation & Exam, ScoliBalance exercises are given, a ScoliBrace scanned and maybe the taping technique.

Adult Treatment for Painful Scoliosis and kyphosis

Adults & Elderly Can Need Braces Too

Preventing Progression

Scoliosis can worsen over time, leading to more severe spinal curvature and potentially causing other health problems. A brace can help to prevent further progression of the condition and maintain the current level of curvature. We see many adults get over 6 degrees correction which is all a life changing surgery considers a success. Wearing a brace can also help to improve their cosmetic appearance, which can be particularly important for individuals who are self-conscious about their scoliosis and how it affects their physical appearance.

Restore Balance - Prevent Falls

As people age, their balance and stability can naturally decline, making them more susceptible to falls and injuries. However, older adults with scoliosis may be at an even greater risk of falling due to the imbalance and uneven posture caused by the condition. If an older adult is hunched over or leaning to the side, this can also affect their center of gravity, making them more likely to lose their balance and fall. Falling can be especially dangerous for older adults, as they are more likely to experience fractures or other serious injuries, such as a hip fracture, which can lead to significant disability and a decrease in quality of life. Wearing a brace can provide support, stability, and restore balance to decrease their risk of falling and injuring themselves

Pain Relief

Scoliosis can cause chronic pain in the back, shoulders, and hips. A brace can help to relieve this pain by reducing the pressure on the spine and supporting the muscles and ligaments. Many adults did not know or did not receive proper treatment for scoliosis as a kid. The curve progresses about 1-2 degrees per year especially if the curve is over 30°. After 30 years the curves can get quite severe and painful if left untreated. Wearing a brace gives you immediate support and the exercises build your spinal strength. Adults only wear it for 6 hours so it's convenient too.

Improving quality of life:

Scoliosis can have a significant impact on an individual's quality of life, affecting their physical abilities, self-esteem, and emotional well-being. Treatment and a brace can help to improve overall quality of life by reducing pain, improving posture, and preventing further complications. Adults and elderly see a boost in self-esteem and confidence when they are upright and not leaned over.

ScoliBrace - Specialized Over-Corrective Bracing Using 3d CAM/CAD Technology

Why ScoliBrace Is the Best Choice for Your Patients

ScoliBrace is a 3D custom-designed and made brace that utilizes spinal coupling and an over-corrective approach to achieve superior results in the non-surgical treatment of scoliosis. It is manufactured with cutting-edge CAM technology, ensuring accuracy and consistency of quality throughout the manufacturing process. Patient-friendly in design and available in unique colors and patterns, ScoliBrace has shown superior clinical results in reducing curves, improving posture and body symmetry, reducing pain, and enhancing appearance. Its approach combines the best technology, evidence-based techniques, and experienced clinicians to achieve the best possible outcomes for scoliosis patients.

ScoliBalance: Combing the 5 Best Scoliosis Therapies using SOSORT guidelines

Every Curve & Patient is Unique

ScoliBalance is a physiotherapeutic scoliosis specific exercise (PSSE) program that combines the most effective practices in physical therapy, chiropractic, and exercise rehabilitation to provide an individualized 3D approach to managing scoliosis. The program provides patients with a scoliosis-specific exercise program based on their curve type and postural characteristics, which also addresses any relevant functional weaknesses (Level 2 combines some Schroth inspired positions as well). ScoliBalance can be used as part of a complete approach to care for patients with scoliosis or kyphosis, and may assist in slowing down/stop curve progression, improving muscular balance, reducing pain, improving posture and body appearance, and improving standing balance and reducing fall risk in older adults.

Physiotherapeutic Scoliosis Specific Exercise (PSSE) Program
3D Exercise Approach Customized to each persons curve types
Follows SOSORT Guidelines
Improves Posture and Balance
Enhacnces Bracing Results
Specialized Light Traction for Flexibility

ScoliRoll: A Reliable Aid for Increasing Spinal Flexibility

What is ScoliRoll?

ScoliRoll is a specialized scoliosis treatment device created by Denneroll Industries in partnership with ScoliCare. This innovative aid is designed to complement other scoliosis therapies, such as the physiotherapeutic scoliosis specific exercsises and fully customized to you ScoliBraces. Its patented Denneroll peak generates a precise bending force that helps de-rotate and straighten the spine, facilitating muscle and ligament stretching and enabling spinal stabilization exercises while maintaining a corrected position.

Additionally, ScoliRoll® serves as a diagnostic tool to evaluate the flexibility of scoliosis curves, providing clinicians with insights into the potential extent of curve correction achievable through rehabilitation or bracing.

How does it work?

The ScoliRoll utilizes its patented Denneroll peak to assist in:

Straightening scoliosis curves
De-rotating the spine
Stretching ligaments, which is particularly beneficial for patients with stiff scoliosis curves to enhance spinal flexibility

You Retain The Patient - Dr. Justin Does The Specific Scoliosis Treatment - Call Today

Testimonials

What Our Patients Say

At 48 years old with a challenging 54-degree thoracolumbar curve, I was at a crossroads. I had tried nerve ablation, numerous ESI's, and faced the grim choice of surgery with uncertain outcomes or relying on medication to manage my pain. But I refused to settle for that. Despite driving an hour to see Dr. Trosclair, my pain is now under control, and I can work at full speed again. It's been a life-changing transformation!

Juliane D

Designer

I'm a 14-year-old boy who has been using the ScoliBrace for just a month, (along with daily exercises) and the results have been amazing! My thoracic curve reduced from 33 degrees to 22 degrees, and my lumbar curve went from 16 degrees to a remarkable 0. Plus, I'm pain-free now. ScoliBrace has made a real difference in my life!

J.H.

Teenager

At 74 years old with a 65-degree curve, I was in a tough spot. But thanks to the scolibalance exercises and the German Kinesiology Tape Method, my back pain improved by an amazing 70% in just 3 weeks! I'm beyond grateful for not having to consider surgery and spending 6 months in bed. Dr. Justin has been a lifesaver, and I can't stop raving about this incredible progress to all my friends!

Vicki

Office Worker

You do the adjusting and I do the brace and special exercises

Refer With Confidence - Expert Care and the Patient Returns to You

I don’t want to keep your patient coming to me forever. With our comprehensive approach, most patients can be examined and scanned for a brace on the first visit along with being taught curve specific postural exercises. Video consults allow for remote follow-up to teach exercise progressions as weeks go by. Patients only need to return for the fitting and quarterly check-ins. Trust Dr. Justin, the only ScoliCare certified practitioner in a 3 state radius.

Timing is Crucial: Early Intervention Before Rapid Growth Can Be The Difference of Surgery or Not

Understanding the Basics of Scoliosis

Scoliosis is a condition in which an individual’s spine has lateral curvature and rotation, and can occur at many levels of the spine.

80-85% of scoliosis cases are idiopathic, and scoliosis can also be classified as congenital or neuromuscular.

Scoliosis can be mild 10° to 25°, moderate 26° to 40° or severe above 40°, depending on the degree of the spinal curvature.

Mild scoliosis has a risk of progression 22% after curve reaches 20°, and symptoms include tilted head, uneven shoulders or hips, forward head posture, uneven leg lengths, and cosmetic deformity

Moderate scoliosis has a higher risk of progression (68%) than mild scoliosis, and symptoms include more uneven shoulders or hips, bigger rib hump, fatigue after physical activity, pain in the spine and headaches. Bracing is the most common treatment, over corrective braces like ScoliBrace work best.

Severe scoliosis has a 90% risk of progression, and symptoms include a visibly curved spine, torso rotation, rib hump, fatigue, clumsiness, pain, and headaches. Surgery is often recommended for severe scoliosis.

Growth and Interventions To Prevent Surgery

Non-surgical scoliosis treatment in children and adolescents

Scoliosis treatment in children and adolescents can be done effectively without surgery, and no curve should be ignored.
Comprehensive scoliosis treatment allows the child to stay in control of the scoliosis by addressing the root cause, using a brace and scoliosis exercises.
Scientific research contradicts “watch and wait” as a safe treatment, and instead recommends early intervention comprising of physiotherapy and bracing to avoid surgery in most cases.
The best treatment is prevention by treating scoliosis the moment it is discovered.

Utilizing growth spurt to straighten the spine

Adolescent idiopathic scoliosis worsens rapidly with growth, but the pubertal growth spurt can be utilized to straighten the spine instead of allowing it to worsen.
The faster a child grows, the faster scoliosis worsens/ progresses.
The peak rates of growth occur within a very small time frame of 1.5 – 2.5 years, which is the window of opportunity. This is where most scoliosis cases are either won or lost.
The success rate of scoliosis treatment is directly related to how early treatment begins.

Early detection and intervention

The success rate of scoliosis treatment is directly related to how early treatment begins.
The longer scoliosis is present, the more “stuck” it becomes due to ligaments and muscles becoming short and stiff, and bones becoming asymmetric.
The younger the child and the larger the scoliosis, the greater the risk of progression.
Determining a child’s Risser helps determine where they are in their growth, as well as their risk of progression.
It is important to take into consideration multiple factors when assessing the risk of scoliosis progression and potential need for treatment, including the magnitude and pattern of the curve, age, gender, and skeletal maturity.

Bracing as an effective treatment option

A brace is the only tool proven to work for curves over 25 degrees.
Successful brace treatment depends on how straight the brace makes the spine.
Multiple recent scientific studies have confirmed that bracing has been shown to be effective when worn 23/7.
The smaller the curve can become before adulthood, the less it will potentially progress in adulthood.
Non-surgical treatment options such as ScoliBrace OverCorrective bracing, ScoliRoll traction device and specialized exercises, ScoliBalance, have been shown to be effective in preventing scoliosis progression and improving spinal alignment.

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chiropractor with hospital experience

Meet Dr. Justin Trosclair

A native of Breaux Bridge, he pursued his undergraduate studies at LSU and obtained his Doctor of Chiropractic degree from Texas Chiropractic College (TCC) in 2007. Following this, he successfully managed a private practice in Denver, CO for six years. Subsequently, he joined a hospital in Yunnan, China, where he contributed to the Traditional Chinese Medicine Department for five years. His professional journey then led him to a private clinic in Germany, where he dedicated two years to advancing his skills in a focused scoliosis chiropractic technique. He has since acquired advanced training in 3D overcorrection exercises and braces through the ScoliCare methodology.

Dr. Trosclair possesses extensive expertise, having evaluated and treated over 9,500 patients for various neck and back pain conditions using chiropractic adjustments, muscle therapy, and targeted exercise regimens.

With his comprehensive experience and training, he is committed to providing the highest standard of chiropractic care in Acadiana.