With curves which are 10 degrees or less, monitoring by your health professional with periodic physical examinations and X-rays will track the progress of the curvature over time to see if it worsens. If the curvature worsens, then you may be referred for one of the other treatment options below.
With curves less than 30 degrees, and for any patients where skeletal growth has stopped, chiropractic care may be used to address any bio-mechanical faults such as differences in leg length or pronation (where the leg rolls in or rolls out when you walk).
Chiropractic adjustment is designed to improve movement and posture which can help prevent further curvature progression. Regular chiropractic care can also reduce back pain that many adults with Scoliosis experience. When the curve is greater than 30 degrees and the young person is still growing, referral for back bracing or traction with our specialised CBP equipment (see below) is recommended.
With curves that are between 20 and 40 degrees and where the young person still has at least 18 months of growth, bracing may be used. A traditional brace is worn for between 16 and 20 hours per day until the young person has stopped growing.
At North Shore Family Chiropractors we offer an alternative to traditional bracing with our specialised CBP traction devices which apply a greater pressure for a short period of time to the spine to achieve the same result as bracing. This means that your young person can come in to the clinic for treatments on a regular basis and does need to experience the self-consciousness and embarrassment of wearing a brace. Many young people refuse to wear a brace for this reason, so our specialised traction treatment for Scoliosis offers an effective alternative.
With curves that are 40 degrees or greater and where the young person is still growing, referral to an orthopaedic surgeon is recommended. Surgery attempts to straighten the Scoliotic part of the spine and fuse it with using anchors connected to metal rods.
These anchors and rods act as an internal splint. Surgery is generally seen as an option only for those most severe cases as it is much more invasive and associated with greater risk of complications.