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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed Having Scoliosis. Will Therapies Work? What Braces To Use?

I have a 15 years old girl who is diagnosed having scoliosis . A therapist said, she had to do some therapies for at least 2 months , and if there is no good improvement she has to uses brace. What I want to know is when and how I can see if those therapies work well to my daughter so she doesn t need wearing brace. And if she is compelled to use brace, what kind of brace whic is fit to her. Thanks for your help.
Wed, 16 Oct 2013
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Ayurveda Specialist 's  Response
**
1. Treatment of scoliosis is based on the severity of the curve? and of the type of scoliosis [functional, neuromuscular,idiopathic]??
2. There are three main categories of treatment:
i. observation [wait and see]
ii. the only thing that slows scoliosis down is a brace [If the curve is between 25-40 degrees and you are still growing [age is 15 i.e. growing age], a brace is/may be recommended. and
iii. surgery. [ If the curve is greater than 40 degrees, then surgery is/may be recommended].
Thus routine X ray and measurements to check for progression and any worsening of the curve is recommended. Regular check up and follow up with your orthopedic surgeon will help.

PS
i. braces are not designed to correct the curve, but are used to help slow or stop the curve from getting worse, some are worn all through the day, while other can be worn only at night, talk with your doctor who after examining the spine will advise the best option which fits your girl's curve.
ii. Occasionally scoliosis is associated with back pain [LBA], as such the symptoms can be minimized with physical therapy, massage and yoga, again they are not cure for scoliosis but strengthen the muscles of the back.
iii. surgery:The amount of risk depends on age, the degree of curve, the cause of the curve, and the amount of correction attempted.
iv. There are two reasons to treat scoliosis.
.Cosmetic purposes.
.Functional reasons since it can affect lung capacity and breathing, or increase risk for back pain.
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Diagnosed Having Scoliosis. Will Therapies Work? What Braces To Use?

** 1. Treatment of scoliosis is based on the severity of the curve? and of the type of scoliosis [functional, neuromuscular,idiopathic]?? 2. There are three main categories of treatment: i. observation [wait and see] ii. the only thing that slows scoliosis down is a brace [If the curve is between 25-40 degrees and you are still growing [age is 15 i.e. growing age], a brace is/may be recommended. and iii. surgery. [ If the curve is greater than 40 degrees, then surgery is/may be recommended]. Thus routine X ray and measurements to check for progression and any worsening of the curve is recommended. Regular check up and follow up with your orthopedic surgeon will help. PS i. braces are not designed to correct the curve, but are used to help slow or stop the curve from getting worse, some are worn all through the day, while other can be worn only at night, talk with your doctor who after examining the spine will advise the best option which fits your girl s curve. ii. Occasionally scoliosis is associated with back pain [LBA], as such the symptoms can be minimized with physical therapy, massage and yoga, again they are not cure for scoliosis but strengthen the muscles of the back. iii. surgery:The amount of risk depends on age, the degree of curve, the cause of the curve, and the amount of correction attempted. iv. There are two reasons to treat scoliosis. .Cosmetic purposes. .Functional reasons since it can affect lung capacity and breathing, or increase risk for back pain.