Male Patient Aged 14 Years with a Right Thoracic Curve Measured at 49°
This patient was diagnosed with Scoliosis by his Physiotherapist at the age of 13 years old with a curve of 39 degrees. They first consulted a surgeon about the case who suggested surgery or bracing. A year later they presented to the Sydney Scoliosis Clinic for bracing and the curve had progressed a further 10 degrees.
The patient was not experiencing any pain from the scoliosis, but did notice the asymmetrical shape of his torso. This patient is a National medallist in Athletics and also previously played representative Australian Rules Football. Due to his regular training, this patient had a good general strength and flexibility which was favourable when commencing brace and exercise treatment for scoliosis.
This patient’s treatment involves wearing a ScoliBrace 23 hrs per day, ongoing SEAS rehab sessions and ScoliRoll tractioning. His brace wear started at 2 hrs per day, which was built up gradually over the following weeks to 23 hours each day. The patient does not compete in the brace but is very diligent in putting it back on straight after an event.
The SEAS exercises require him to position his body in an active self-correction, which is the mirror image of his scoliosis, and to also work on strengthening his core and lower back muscles with exercises specifically prescribed for his case. He regularly sees our scoliosis specialist exercise physiologist to assess his progress and increase the difficulty of the exercises to ensure he keeps improving.
The patient does quite advanced SEAS exercises and we have now started incorporating his active self-correction to warm-up movements he does at training to help keep his spine in good alignment when he is out of the brace. The home exercises and ScoliRoll are done every day and take approximately 40mins to complete.
We have seen a great improvement in this patient’s posture in the first 12 months of treatment and he still continues to improve. The intial curve of 49 degrees, has now decreased to 35 degrees, which is a considerable achievement for this type of curve.
Due to his age and currently being Risser 4, it is essential for the brace treatment to continue while he is still growing. If left untreated, the scoliosis can progress further with growth.
At the beginning of the treatment, the patient was not competing at his best, but after a period of adaptation and the inclusion of specific exercises, he is now excelling and is back to the optimal form he was in prior to starting his scoliosis treatment.
The patient and his family are very committed to his treatment and to helping him succeed. The patient is a very motivated young man and his hard work is definitely paying off with the results he has achieved so far.
In this case it was possible to reduce a large curve that was at a surgical level to a moderate curve no longer at risk of needing surgery. Choosing the right treatment to achieve the goals of cosmetic improvement, curve reduction, and pain relief was successful in this case.
The patient was also able to continue competing at an elite level without compromising his ability
NB: Results vary from case to case. Our commitment is to recommend the most appropriate treatment based on the patient’s type and severity of scoliosis.