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Visual Signs of Scoliosis

There are a number of typical visual signs that indicate a person has Scoliosis. Scoliosis can develop very quickly during adolescent growth spurts. If you are concerned by any of the visual changes (illustrated below) in your child’s posture, please contact us.


At the moment you may find it difficult to get a referral to your local hospital, we can provide clinical assessments and refer your child for any necessary back x-rays or scans required. These scans will help us determine the progression factor. This is the incidence of progression according to the formula by Lonstein and Carlson (see graph below); this considers the severity of the curve and the skeletal maturity of the patient.


According to Dr Weiss monitoring and observation is indicated when the risk of progression is less than 40%. Specialist Schroth physiotherapy is indicated when the risk of progression is 40-60% and bracing is indicated when the risk is over 60%.

A patient’s treatment can involve one or all of these elements: observation, physiotherapy and bracing. The correct prescription and combination of these elements will be determined by one of our team of specialist Scoliosis clinicians. At the patient’s initial consultation, the clinician will look at posture, the exact nature of the curve and its flexibility and also assess the pain associated with the condition. The skeletal maturity and age of the individual will also affect the recommended treatment plan, as described above.

Scoliosis can progress quickly when the skeleton is still growing or during hormonal changes so if you are concerned about your child contact us.


References

Longstein JE,Carlson JM.The prediction of curve progression in untreated idiopathic scoliosis during growth.J Bone Joint Surg Am.1984;66(7):1061-1071
Weiss HR.Physical therapy intervention studies on idiopathic scoliosis – review with the focus on inclusion.criteria1.Scoliosis.2012;7(1):4.
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