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RE: Minimum Treatment Period |
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| Topic Review |  | |
nesa
Basic Member
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| 07 Jan 2011 03:10 AM |
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thank you for your information that you give my.Iam 24 years old I have no pain However I fear the future as will become worse here in Kosovo have said only operation. I have accepted fear and belief that only the exercises can I see the improvements that improved when i sit straight.
Ido notWhere to turn to believe and I saw this site and thought that with the least what i can get here are not information from you by the opportunity to be there to improve this situation.
I am not pregnant but the near future desire to become a mother I fear I will remain pregnant a child will inherit this will be a problem for baby hope you understand me.
Do you think that this might be even after this age legacy whether the chances are great to worsen the situation even more because only fear and not reaching the rig close to the upper makes me feel terribly bad and why not in the street and no one this summer or bugs defect.
Thank many Mr Dr. Bosler for your time. |
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JWoggon
Moderator
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| 05 Jan 2011 04:10 PM |
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Hello, nesa;
Thank you for taking the time to post on the CLEAR Forum! I hope I can be of assistance.
Most studies on scoliosis & pregnancy focus on how bracing or surgery impact the delivery & the health status of the mother. Daniellson & Nachemson in 2001 found that women treated with bracing or surgery showed increased rates of pain (although it was not considered to be significant), and that scoliosis had a negative effect upon sexual function. Orvomaa et al found an increased rate of Caeserean sections among women who had undergone spinal surgery, and back pain was reported by 40% of the women, although the rate of complications was not significantly different from the general population.
I remember reading a study that found a slight increase in progression during pregnancy, although I cannot find the reference at the moment; this study showed that women who had more pregnancies demonstrated more progression of their scoliosis. Most likely, this is due to the role of elastin and other pregnancy hormones in relaxing the soft tissues.
More recent research suggests that, in cases of severe scoliosis when a C-section is necessary, special precautions should be taken by the doctor & anesthesiologist (Wang et al 2010, Smith et al 2008).
Most women with mild to moderate scoliosis can expect a healthy, safe delivery without any increased risk of complications. Women with scoliosis who are thinking about getting pregnant, in my opinion, should first seek care from a CLEAR-certified doctor. By identifying & correcting the specific biomechanical forces that are driving progression, I believe that the risk of the scoliosis progressing & getting worse during pregnancy can be reduced.
If you already are pregnant, structural corrective chiropractic care can still be helpful, although obviously no x-rays will be taken. Research supports the use of spinal adjusting therapy in treating musculoskeletal complaints in pregnant patients (Khorsan et al 2009), and a review of the literature found improved outcomes in low back pain in patients under chiropractic care (Stuber 2008).
On a final note, while no definitive genetic link has yet been discovered, it is widely accepted that scoliosis shows familial tendencies - that is to say, if a relative has scoliosis, the chances that you will have it as well are increased. After your baby is born, be alert for signs of plagiocephaly (when the bones of the head become misshaped), as this has been implicated as a risk factor in the development of infantile scoliosis (McMaster 1985, Persing et al 2003). When properly identified, 77% of cases of plagiocephaly can successfully be treated with gentle manipulation and postural changes (Rubio 2009). I would also recommend that careful screening should be done when your son or daughter reaches 10 or 11 years of age, and again two years later - if there is any indication that scoliosis may be present, an x-ray should be taken to know for sure.
If there is any additional information or assistance I may provide, please do not hesitate to contact me via this forum or directly!
Warmest Regards,
Dr. Josh Woggon
jwoggon@clear-institute.org
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nesa
Basic Member
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| 05 Jan 2011 03:43 AM |
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| hay i am from albania and i wold like to now a pregnancy affects with scoliosis because here nobady now nothing please respond to me |
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JWoggon
Moderator
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| 29 Jun 2010 10:08 PM |
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Hello, Mary;
The answer to your question would depend upon your specific case, and is best answered by your treating chiropractor.
Typically, the treatment plan is failry intensive in the beginning, and the number of visits are "stair-stepped" down as the patient continues to show improvement.
Sorry I can't be more helpful!
Warmly,
Dr. Josh Woggon |
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JWoggon
Moderator
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| 29 Jun 2010 10:06 PM |
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Hola,
Es difícil dar un consejo específico sin un examen físico. Le sugiero que en contacto con el quiropráctico de CLEAR más cercano para programar una consulta.
Espero que esto sea útil!
Atentamente,
Dr. Josh Woggon |
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maria0399@yahoo.com
Basic Member
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| 24 Jun 2010 03:46 AM |
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| hola fui dianosticada con scoliosis in the lower lumbar spine. esto se puede curar y cual es el tratamiento fui a ver a un quiropractico y que tan grave es? |
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Mary
Basic Member
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| 15 Oct 2009 02:49 PM |
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Dear Dr Bosler,
Thank you again for your kind advice.
For "supportive care" treatment, what kind of frequency and duration do you reckon would be appropriate? Thanks.
Mary |
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Dr. Bosler
Basic Member
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| 12 Oct 2009 03:55 AM |
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Hi Mary,
I may be just a little biased but, I absolutely believe that this is the best treatment out there. I am currently treating several patients for "supportive care". Their main goal is to be out of pain and maintain their curve. For the most part, in adults, this is not too difficult. As long as the doctor can determine the driving force of the curve and recommend the appropriate protocol, it has been very successful.
I would definitely recommend it! |
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Mary
Basic Member
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| 11 Oct 2009 05:31 AM |
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Dear Dr Bosler,
Thank you for your prompt response.
If I am not looking at correction of my curvature given that I have been living with it for 30 years or so, and my objective is more to arrest further progression and back pain management and muscle strengthening, do you think CLEAR treatment is appropriate for me, or would you recommend that I seek physiotherapy help instead?
Thank you for your advice.
Mary |
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Dr. Bosler
Basic Member
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| 06 Oct 2009 04:46 AM |
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Hi Mary,
As you know, every scoliosis case is unique. General treatment recommendations are posted on the web site. Typical treatment protocol is 3 times a week for 6 weeks then 2 times a week for 12 weeks. The other option is Intensive Treatment. As I am sure you understand, when the treatment frequency is decreased, it is more difficult to make quick gains. With regard to treatment time and relief many patients start noticing benefits very early in treatment.
As far as realistic expectations, it depends on the condition of your spine ie arthritic change, ligament damage, forward head posture ect.
Minimum for treatment again, it depends on your spine, sorry. Intensive treament follow up is usually about 4 months. Having the scoliosis traction chair is critical as far as maintaining your progress as well as performing the recommended exercises.
Hope this helps,
Dr. Bosler |
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Mary
Basic Member
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| 04 Oct 2009 02:00 PM |
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Hi,
I am a 46 year old female, and have been reading about CLEAR approach, and am considering starting ClEAR treatment. I have double curvature of above 40 degrees each. If I do decide to do it under CLEAR, I can at most attend twice a week of treatment, as I have a full-time professional job.
I am wondering how long a minimum period do I have to go for the treatment before I can see some results.
What would be a realistic expectation in terms of correction, and pain management?
After the minimum period of treatment, what do I have to do to maintain?
Will all my efforts be wasted and curvature relapse if I fail to attend regular treatment after that?
I would appreciate some replies to the above. Thank you.
Mary |
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