Fix Scoliosis – Scoliosis Exercise Treatments Forum

[Dr Kalla]

Fix scoliosis is sharpening its focus to scoliosis treatment exercises and rehabilitation believing that the solution and potential future cure for adolescent idiopathic scoliosis would lie within this arena.

The current medical model for idiopathic scoliosis is faulty and we need to find a better way.

The practice of “wait and see” for mild scoliosis cases needs to be replaced with active care and treatment methods that are effective in preventing these mild scoliosis curves to progress any further. I believe an exercise based treatment is the solution.

For moderate scoliosis, the current treatment with bracing seems to produce dismal results in preventing further progression. Although a few scoliosis brace models exist that can produce corrective changes at times and some doctors are exploring combing exercise treatment with night time bracing to improve the outcomes. Other scoliosis doctors are reporting cases that have responded very well to exercise based treatments alone and we hope to see more of them.

Severe scoliosis treatment is traditionally limited to scoliosis fusion surgery. Unfortunately there exist no long-term studies providing evidence that the hypothesis that scoliosis fusion surgery is better than natural history. Although scoliosis surgery can improve cosmetic appearance there is currently no literature available stating medical necessity for surgery in adolescent idiopathic scoliosis.

With severe scoliosis, treatment with exercises and rehabilitation protocols has shown corrective improvements too. But with curves reaching 70 to 100 degrees Cobb angle and at times even above, patients may choose to go with surgery due to the improved cosmetic outcome, but they should first carefully consider the risk.

Considering that latest research seems to be pointing that Adolescent Idiopathic Scoliosis having a neurological cause / etiology, an exercise based treatment approach appears to be the candidate for being the best scoliosis treatment for all idiopathic scoliosis patients.

Please enjoy the scoliosis forum.

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[DrStitzel]

Well said, Dr. Kalla.

The current treatment model of scoliosis treatment is more than broken; it is completely obselete and must be completely re-thought, re-invented, and re-implemented from the ground up.

I believe the first step is gaining broad based understanding that idiopathic scoliosis is primarily a neuro/hormonal condition that creates a spinal curvature as a primary symptom of the disease.

Once that level of understanding is achieved it becomes self-evident that scoliosis braces and spinal fusion surgery are merely treating the primary symptom of scoliosis and not the underlying cause.

[doc.sid]

Well said, Dr. Kalla.

The current treatment model of scoliosis treatment is more than broken; it is completely obselete and must be completely re-thought, re-invented, and re-implemented from the ground up.

I agree it is so more then broken it is completely outdated. The issue is that a lot of doctors are so closed to the fact that there may be a better way, something new.

Hard bracing and surgery has been around for years. The watch wait approach is not the answer. These large curves 70 to 100 degrees should have never gotten to that point. They should have started an early stage intervention program, this is what history has taught us. Start working on it when the curve is small so it never become a large curve.