February 28, 2014
SpineCor treatment for Juvenile Idiopathic Scoliosis
Juvenile idiopathic scoliosis usually presents itself between the ages of 4-11 years. When scoliosis presents itelf early in life the curvatures are often small when diagnosed and often are not referred for good non-surgical intervention. The tendency is for everyone including the Orthopedic or Pediatric doctor to recommend observation until the curvature worsens. In my opinion this is a collossal mistake and often results in untreated scoliosis curvature progression. Those that are diagnosed at five years or younger have a high chance of progression to a large curve, with additional pulmonary and cardiac complications possible. Evidence suggest early intervention can reduce the effects of scoliosis, and may be capable of silencing the gene expression responsible for progression.
Evaluating for all epigenetic envirnomental triggers can difficult, however we think evaluating for the top 4 makes good sense, 1, neurologic imbalance (vestibular, autonomic, cortical), 2, Metabolic/dietary 3. Hormonal, 4. Orthograde (movement and postural imbalances).
Treatment options should be discussed with the family and a long term plan should be crafted. This age group responds well and quickly to good non-surgical scoliosis management. Each catagory should be considered and weighted for importance by your clinician.
Bracing is also an important treatment in this patient population. The only problem is this group can need treatment for a decade. Rigid bracing is not practical and may be detrimental to the the health of the patient in other ways. In 2002 I discoved a Canadian doctor using a flexible dynamic brace which solved many of the problems we see with rigid braces. To learn more about flexible bracing click on the link below.
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