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Posted By on 11 Oct 2009 10:25 PM
Hi Hope, I will do my best to answer your questions. When trying to corrected scoliosis, especially in young, flexible spines, it is crucial to keep up the recommended treatment. It is not uncommon to get dramatic changes in the spine due to the flexibilty. Therefore, the majority of "failed treatment" is due to the inability to stabilize the spine after correction. This may be due to many factors including, lack of correct exercises, lack of dedication to those exercises, confusion in follow up instruction, trauma, ect. It is our job to determine what the best course of treatment and follow up would be. Most patients that are looking to correct the curves benefit from additional intensive treatment follow-ups. This process is based not only on the patient's spine, but the patient's needs and expectations. Is there ever a time when a spine will curve no more? That is, in fact, the million dollar question. A few years ago the answer would be, of course, at spinal maturity (age 18 or so) the skeleton has stopped growing and nothing will change. Obviously, you and I both know that is no longer an accurate statement. There are now studies showing that the spine can continue to curve 1-2 inches a year (or more) over a lifetime. Just like the need to exercise, eat right, and get plenty of rest...the CLEAR protocol and home exercises can help you maintain your spine as long as it is a part of you =)

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Topic Review

Dr. Bosler

Basic Member

12 Oct 2009 04:25 AM
Hi Hope, I will do my best to answer your questions. When trying to corrected scoliosis, especially in young, flexible spines, it is crucial to keep up the recommended treatment. It is not uncommon to get dramatic changes in the spine due to the flexibilty. Therefore, the majority of "failed treatment" is due to the inability to stabilize the spine after correction. This may be due to many factors including, lack of correct exercises, lack of dedication to those exercises, confusion in follow up instruction, trauma, ect. It is our job to determine what the best course of treatment and follow up would be. Most patients that are looking to correct the curves benefit from additional intensive treatment follow-ups. This process is based not only on the patient's spine, but the patient's needs and expectations. Is there ever a time when a spine will curve no more? That is, in fact, the million dollar question. A few years ago the answer would be, of course, at spinal maturity (age 18 or so) the skeleton has stopped growing and nothing will change. Obviously, you and I both know that is no longer an accurate statement. There are now studies showing that the spine can continue to curve 1-2 inches a year (or more) over a lifetime. Just like the need to exercise, eat right, and get plenty of rest...the CLEAR protocol and home exercises can help you maintain your spine as long as it is a part of you =)

kbhopie

Basic Member

11 Oct 2009 02:58 AM
Dr Bosler, It sounds from all the blogs that I've read that there is no permanent repair for scoliosis. It sounds as if the only way to maintain the correction is the intensive exercise program in the office and also at home. It also sounds as if the patients are going through the intensive program in the office 2 or more times. Is this all true? Is there ever a maintenance phase when your spine does not curve anymore? Would appreciate some answers if you have them.

Dr. Bosler (guest)

Basic Member

07 Apr 2008 01:25 PM
Hi Ann, Yes, the body can be "re-set". When the patients follow the corrective protocol, the cervical curve is restored which allows the scoliosis to reduce. When you remove the "cause" of the scoliosis and restore natural function to the spine if should remain corrected, unless another "driving" force (ie. accident or injury) is introduced to the body.

ann gibson (guest)

Basic Member

05 Apr 2008 03:19 AM
I am curious to know how patients who have gone through this program are doing several years later. Can the body truly be re-'set' in terms of proprioception and habit for the long term?

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