For patients with scoliosis, it can be difficult to understand the different treatments on offer. The good news is that there are alternatives to invasive surgery. At the London Orthotic Consultancy, we have offered non-surgical bracing and physiotherapy treatment for some years now. As a result, we are building a growing body of evidence as to the effectiveness of Cheneau-Gensingen brace treatment versus other forms of scoliosis treatment.
Scoliosis is a condition where there is an abnormal curvature of the spine. It is a three-dimensional condition with deviation of the vertebrae in the sagittal, coronal and transverse planes.
Most of the patients LOC see have what is termed idiopathic scoliosis - that means that there is no known medical cause for the condition. What we do know is that scoliosis tends to occur during periods of rapid body growth and adolescents account for over 80% of all diagnosed cases in children.
There are visual clues that a parent should be aware of:
In terms of an official diagnosis, scoliosis is confirmed with an x-ray, which is typically followed up with an MRI scan. A key determining factor that is used when proposing a treatment pathway, is what is known as the Cobb angle. This was invented by Dr John Cobb in 1948. It is now the standard measurement to determine and track the progression of scoliosis. A Cobb angle describes the degrees of deviation from straight in the spine. This can be measured by our clinicians, so please feel free to send x-rays to us for assessment.
Essentially yes. A patient will be diagnosed as having scoliosis if the Cobb angle exceeds 100. For patients with Cobb angles between 10 and 200 degrees, LOC would typically recommend a programme of scoliosis specific physiotherapy exercise which will be delivered by our partner in providing scoliosis treatment – Scoliosis SOS. For angles above 25, particularly for adolescents, a combination of bracing and therapy will be recommended.
Yes, the joint approach means our patients are getting the best and most appropriate advice from two scoliosis specialists, one with an orthotic perspective and one with a physiotherapy perspective.
Scoliosis is a three-dimensional condition and the brace we recommend, manufacture and fit are based on the Cheneau brace which is named after its inventor – Jacques Cheneau, a French doctor. He realised that a scoliosis brace needed to be able to work in three dimensions and over the last five years we have witnessed first-hand how successful this bracing concept is.
Yes. LOC makes the vast majority of orthotics we fit and our scoliosis brace is no exception. It is difficult to over-emphasise how important it is to have our own manufacturing unit on site. Lead times are shorter because we are not reliant on outside suppliers and we can fine-tune our braces at the fitting stage to ensure optimum efficacy and comfort.
We are pleased to offer a free of charge, virtual assessment should you wish to be screened for scoliosis. If we feel a referral to an Orthopaedic Consultant is warranted, we recommend a consultation at The Wimbledon Clinic, Parkside with Mr Darren Lui, Mr Jason Bernard or Mr Tim Bishop. The consultant would arrange imaging as required. Obviously, you can also seek advice from your family GP.
We have the following facilities and amenities at our Kingston Upon Thames location:
We also have the Gait Laboratory for orthotics patients and Onsite Manufacturing for speedy turnarounds and adjustments whilst you wait.
Clothing worn is dependent on which clinic you are attending. You will be sent a letter detailing what clothing to wear along with all other details prior to any appointment at the clinic.