Gensingen Brace

The Gensingen Brace by Dr Weiss® is the first orthotic treatment for scoliosis that is evidence-based. It is now prescribed by specialist clinics worldwide as a preferable alternative to surgery providing proven successful outcomes.

The Gensingen brace is the brainchild of Dr Hans-Rudolf Weiss, a third-generation Schroth family – a family with a lifetime’s dedication to the advance of conservative treatment for scoliosis. Dr Weiss has worked tirelessly on brace development since the 1990s.

The ultimate result – The Gensingen Brace by Dr Weiss® - is recognised to be the most effective and most comfortable brace to use in the treatment of scoliosis. In contrast to the so-called ‘hard’ braces which attempt to treat scoliosis by essentially immobilising the patient, the brace guides the body through a gentle corrective movement, realigning the spine and reducing distortions in posture. The design is based on the principle that scoliosis should be addressed in 3 dimensions for the most successful outcomes.

How does the Gensingen Brace work?

The protocol in the UK, if the Cobb angle is less than 20° then it is normally just monitored. If it’s between 20° and 40° then typically a patient will be referred to an orthotic service for a Boston or a TLSO brace to delay the progression of the curve. According to NHS guidelines, if it’s over 40° then they would be advised to have surgery. To slow the progression of the curve during growth spurts, the Boston and the TLSO brace are prescribed on the NHS. By contrast, the Gensingen Brace by Dr Weiss® actively reduces the curvature by loading the spinal bones 3 dimensionally to change their shape (and thereby reducing the Cobb angle) whilst growth completes. Bracing can also help with pain management, reduce the need for surgery later and improve cosmetic appearance.

The Augmented Lehnert-Schroth classification is used for the selection of the appropriate brace.

Following a patient’s assessment, a series of scans, photographs and measurements are taken by one of our scoliosis clinicians.

Dr Weiss personally designs each brace according to the information LOC provides using his unique evidence-based CAD modelling technique and curve classification approach. LOC also uses CAD/CAM technology to create the positive model and manufacture the scoliosis brace.

The brace is then fitted and fine-tuned by one of our clinicians. We monitor each patient's progress with regular review appointments, typically every 2-3 months. We also welcome communication with our clinical team, we are then able to quickly respond to make brace adjustments as a patient grows, for example.

6 weeks after the brace is fitted we analyse the function and fit of the brace using an in-brace X-ray which is sent to Dr Weiss for review and comment if necessary. Above is a photo sent in by the father of one of our adolescent scoliosis patients going through treatment, which details the improvements in the shape of her curve and rib hump after only six weeks.