Why Treat Scoliosis Non-Surgically?
- Pain prevention
- Progression may lead to further related health problems
- To allow continued participation in physical activities and hobbies
- Improved cosmetic outcomes
- To avoid the risks of major surgery
Treatment recommendations depend on a number of indicators which influence the progressive factor for each specific case of scoliosis. These include age, cobb angle and Risser sign.
If the curvature is less than 25°, physiotherapy along with observation is typically recommended to monitor the curve progression. For curves greater than 25°, orthotic bracing in conjunction with physiotherapy can provide biomechanical correction and prevent worsening of the curve. Some literature suggests that once the curve is greater than 45°, surgery may be considered however there is little evidence of the benefit and long term efficacy of spinal surgery. There is increasing evidence to show the Gensingen Brace® can still be effective for these larger curves.