Treatment APPROACH

As opposed to just trying to hold the spine with a brace or rod, we utilize a more natural, functional approach that strengthens the spine so it can begin to support itself. By strengthening the spine in a corrective position, it becomes more resistance to scoliosis progression.  This approach can normally involve multiple types of treatment such as chiropractic, exercise therapy, active rehabilitation, passive rehabilitation, and corrective bracing. 

The problem lies is that patients must go to multiple clinics, offices, doctors and therapist to receive all these types of treatment.  This is where our training comes in. We have received multiple treatment certifications that encompass all of these approaches in one setting so everything works in unison.

Rehabilitation using these types of treatments involve patients to be seen 3 times a week for 12 to 16 weeks.  At that point post evaluations are done to determine if any results were achieved.  This approach works great for most conditions like injuries, pain, disc problems, etc…  However, for scoliosis, this slow, gradual recommendation normally doesn’t have the ability to overcome the complexity, rigidity, and progressive nature of scoliosis. 

We have designed programs understanding that scoliosis rehabilitation cannot be like traditional rehabilitation for it to be effective.  Our treatment options condenses the duration and increases the intensity of the treatment.  This intensive formula is what provides the ability to overcome the progressive nature of scoliosis.  Intensive does not mean painful;  it simply means lots of treatment in a short period of time.  After the office treatment is received, patient’s will receive an individualized home program to sustain the results achieved.   This approach is what allows patients of all ages, and from all over the world to achieve results they thought were not possible with traditional treatment options.  

SCOLIOSIS-SPECIFIC CHIROPRACTIC

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Traditional chiropractic has had mixed results in scoliosis, with little benefit found to the practices employed by most chiropractors, even in mild cases.  However, more advanced and scoliosis-specific techniques can be more effective in treating scoliosis, just like scoliosis-specific exercises are more effective than general physical therapy.  Scoliosis specific chiropractic differs not only in the frequency of treatment, duration of treatment, but in the actual chiropractic treatment delivered to the patient.

CLEAR™ scoliosis treatment is different from traditional chiropractic care for scoliosis.  Our approach was designed specifically to help people with scoliosis.  Our methods have been in clinical use since 2000 in chiropractic offices around the world, and our treatment protocols are taught in the postgraduate curriculum of accredited chiropractic universities.  To ensure patient safety and optimal outcomes from care, CLEAR™ scoliosis treatment can only be provided by CLEAR™ certified chiropractors.

SCOLIOSIS-SPECIFIC EXERCISES

Scoliosis-specific exercises, sometimes called SSE’s, have been gathering increasing evidence.  Most of these SSE techniques arose in Europe, and are now beginning to find their way over to the US, Asia, Australia, and elsewhere.  Scoliosis-specific exercises are self-correction exercises that are customized for every patient based upon ability and curve type.  These exercises consist of a combination of active movement based exercise, isometric exercises, and reflexive exercises.

One exercise approach we are certified in is SEAS.  SEAS is the acronym for “Scientific Exercise Approach to Scoliosis.”  SEAS is based on a specific active self-correction technique performed without external aid, and incorporated in functional exercises. Improvement of the stability of the spine in active self-correction is the primary objective of SEAS. SEAS exercises train neuromotor function so to stimulate by reflex a self-corrected posture during the activities of daily life.

In addition, CLEAR™ utilizes its own unique scoliosis specific exercise program. These involved customized exercises influence posture, balance, and coordination.  A CLEAR™ doctor will prescribe customized equipment that will be used to achieve a reflexive response with a scoliosis patient.  The most neurological type of exercise is one that incorporates the use of a person’s reflexes and requires no conscious contraction.  We have designed a customized exercise program and the equipment needed to achieve this type of exercise; where other approaches mostly focus on conscious exercise only.

 

SCOLIOSIS-SPECIFIC THERAPY

Scoliosis-specific therapy has one goal in mind, to passively mobilize the spine into a corrected position.  This type of treatment includes multiple types of treatment such as vibration, traction and de-rotation.  Normally this is achieved using multiple types of equipment specially designed to reduce a scoliosis.

One such device is a Scoliosis Traction Chair.  The idea behind the scoliosis traction chair is simple, to reverse a case of scoliosis into a mirror-image of itself.  The Scoliosis Traction Chair is only one part of the CLEAR™ Scoliosis Treatment Protocols.  Each part of the treatment is intended to complement the others. 

Since the Scoliosis Traction Chair has been shown to be effective in mirroring imaging the scoliosis this has led to other device to be created. Devices like a scoliosis flexion distraction table, a thoracic mechanical drop piece, vibrating cervical traction, and others, have been designed to be used in combination to achieve the most desirable results with our scoliosis-specific therapy.

CORRECTIVE BRACING

Unlike traditional bracing, corrective bracing is designed to reduce the scoliosis while wearing the brace.  Our corrective bracing is custom manufactured for every patient based upon their curve type, body type, and flexibility of their spine. 

ScoliBrace® is a unique scoliosis bracing method using the best corrective principles from other current bracing methods. Used in conjunction with 3D imaging software, BraceScan, scans of the patient are taken and the brace is customized to fit the patients unique measurements and needs.

SCOLIOSIS IS NOT 2D, BUT 3D

As you can see below, scoliosis is not a 2-dimensional problem that only consist of lateral bending of the spine, but it is actually a 3-dimensional problem.  This top view of a scoliosis patient shows how the torso/ribs and spine rotate as well as bend.

Typical brace designs like Boston braces do not address this rotational component of scoliosis because they are designed to only squeeze the body from the sides.  In fact, squeezing from the sides can increase the rotation in the attempt to control the lateral bending of the spine.

Below is an example of a patient that wore a typical squeezing style Boston brace. Here you can see how the rib deformity has become more pronounced and pointier in nature. Unfortunately, this is a common consequence of a brace that squeezes.

NOT ALL BRACES ARE THE SAME

What makes a brace effective in the reduction of scoliosis is the design.  The design of the brace will determine how the brace functions. A poorly designed brace will never produce a good result and can hinder the effectiveness of other treatments like exercise, therapy, chiropractic and rehabilitation.  However, a properly designed brace can do the opposite.  One key measurement is in brace correction on x-ray.  The better in brace correction, typically, the better results.

Below, the picture on the left, you can see an example of a patient that prescribed a Boston brace. The Boston brace was built to squeeze the spine with attempt to just try to hold the spine from getting worse. The photo on the right shows the same patient in a corrective brace that pushes and doesn’t squeeze.  The in-brace correction comparison is obvious in which brace is going to be more effective in the reduction of the scoliosis.

Here is another example of the limitation of squeezing.  Even large curves can respond to a properly designed brace.  The in-brace correction is 40 degrees better in the corrective brace versus the Boston brace.

A Providence brace is another type of a common brace used.  Providence braces are also referred to as “nighttime bending braces.” Due to design, the brace can only be worn during sleeping hours.  Even though these tend show a better in brace correction, they are limited on the reduction they can achieve because they only laterally bend the spine, and they can only be used for a limited time.   

Below is an example of a patient that was initially prescribed a Providence brace and progressed to 43 degrees while under brace treatment.  At that time was recommended surgery.  You can see the second photo shows the Providence brace and how it achieves a decent in-brace correction.  However, since the brace can only be worn for 8 to 10 hours it has failed in stopping progression of this case.  The photo on the right shows how a properly designed corrective brace can produce better in brace correction, while the patient is able to maintain longer in brace time and will ultimately produce better results.

SUPER CORRECTIVE

By positioning the body and spine in their over-corrected or mirror image position, the ScoliBrace® can have a super-corrective effect. Curve reductions are achieved in the majority of cases, as well as improvements to rib humping, shoulder level and the overall appearance of the body.

Below is example of patient that wore a Boston brace for years.  The 1st photo shows her brace fit, notice how the brace just squeezes her.  The second photo shows the results after her wearing the Boston brace; at this point she was scheduled for surgery.  The third photo shows how a properly designed corrective brace pushes instead of squeezes.  The last photo shows the results of a complete corrective program, which includes a combined treatment of corrective bracing, exercise, therapy and chiropractic. The results are dramatically different.

3D DESIGNED FOR A 3D CONDITION

Scoliosis is a 3 dimensional condition. Effective treatments need to be 3 dimensional too. ScoliBrace® is created from 3D bodyscans in conjunction with x-rays and posture photos. Each brace is then designed using Computer Aided Design (CAD) software and custom made. We believe our brace design, manufacturing and correction is superior to any standard brace available today.