Scoliosis Treatment and Management Methods

Lisabeth Lee

(Management Consultant )

I’ve had Scoliosis since childhood, and have spent thousands of dollars in my adulthood trying to get treated although doctors always told me to just “keep an eye on it”. It wasn’t until I saw Li Feng that I got some truly transformative knowledge about my condition and felt the positive change. I finally feel in control of my posture and daily movement now, living pain-free!

Scoliosis Treatment & Management

The human spine has a gentle curvature that grants a cushioning effect on the daily impact of walking and other activities. In people with scoliosis, this curvature of the spine is abnormal. This can result in pain, not only in the back but also in the hips, shoulders, and legs.

Besides pain, scoliosis may also cause your hips and/or shoulders to be uneven, leading to a disrupted gait. When your gait is improper, you put more wear and tear on your body with every step, which can result in further problems.

The PhysioActive Solution

Whatever the cause or type of your scoliosis, careful and skilled physiotherapy from the experts at PhysioActive can help to correct your spine. We strengthen both the muscles around your spine and your core muscles in your abdomen and hips. This allows you to stand straighter and better support your spine. Scoliosis exercises are also seen to be effective as a non-surgical preliminary countermeasure to prevent scoliosis from getting worse.

Frequently Asked Questions

What are some signs of scoliosis?

The first hint that scoliosis may be developing is the appearance of abnormal posture. Here are some common signs of scoliosis:

-Head not centered to the body
-Uneven shoulders (either one is in front of the other or one’s higher than the other)
-Uneven shoulder blades: one is more prominent or higher
-Uneven waist angle: the gap between arm to trunk is wider on one side
-One hip is more prominent than the other or the hips are not leveled
-The spine line is not straight. Scoliosis itself does not cause pain, but it may contribute to the development of pain in the back, neck, shoulder or lower limbs due to muscle imbalance and movement changes. People with scoliosis can generally participate in any exercises.

Are all forms of scoliosis the same?

No. There are different categories of scoliosis.

Congenital Scoliosis: spinal curvature that occurs since birth

Neuromuscular Scoliosis: spinal curvature that develops because of neuromuscular conditions such as spinal bifida, cerebral palsy, muscular dystrophy or spinal cord injuries

Adolescent Idiopathic Scoliosis: Spinal curvature that occurs for unknown reasons. When this happens during or before a child’s puberty, it is called Adolescent Idiopathic Scoliosis. Idiopathic scoliosis accounts for about 80% of all scoliosis cases. Scoliosis can affect children and adults. In children, as children are still growing, it can be a more serious condition because it can rapidly progress during a child’s natural growth. If you notice the scoliosis of your child getting worse, you may need to bring your child suffering from adolescent idiopathic scoliosis for spine curvature correction surgery.

Do you provide Schroth Therapy?

Yes. In fact, we have physiotherapists who are certified to treat scoliosis using the Schroth method from Germany in conjunction with 3D brace if applicable through an external company.

The Schroth therapy is known to be the gold standard for the conservative management for scoliosis and is recommended by SOSORT(Society on Scoliosis Orthopedic and Rehabilitation Treatment) medical guidelines for scoliosis treatment(2011).

What is Schroth Therapy?

Schroth therapy is developed originally by Katharina Schroth designed for curves exceeding 70° Cobb (3-curve program) and has been subsequently modified by few other clinicians with the principles being the same to correct the spine using a 3 dimensional approach with exercises.

As scoliosis involves rotation of the spine in a spiral fashion, only 3D correction to the spine would optimise straightening of the spine and also promote more balanced muscle activation. Schroth therapy is a type of Physiotherapy Scoliosis Specific Exercises(PSSE) and there are other types of PSSE too with Schroth being the most commonly known through 3 generations of developments from Kathrina Schroth to his grandson. Dr, Hans Rudolf-Weiss who is an orthopaedic specialist.

How does bracing works for scoliosis?

Children with a cobb angle of 25-45 with risser grade 0-3 is recommended to have bracing as per SOSORT guidelines as the brace helps to hold the spine in corrected position when the bones growth is not fully matured. Therefore it is important that the brace should be worn for 23 hours per day and only removed for shower and cleaning.

What happens if scoliosis is left untreated?

The earlier scoliosis is diagnosed and corrected, the better the treatment outcome. If you suffer from scoliosis but do not seek scoliosis treatments, severe cases of scoliosis can worsen over time, leading to back pain and impairing heart and lung function.

For those patients with severe scoliosis (a spinal curve of 40-50 degrees), spinal fusion surgery may be needed. Spinal fusion surgery as a scoliosis treatment is highly effective in straightening the spine. If you or your child has severe scoliosis, speak to a doctor to see whether or not you are suitable for spinal fusion surgery.

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