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    • Hello
    • Scoliosis
    • Head Shape
    • Gait
    • Before your visit
    • Location & Reviews

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  • Hello
  • Scoliosis
  • Head Shape
  • Gait
  • Before your visit
  • Location & Reviews

 

Why Starting Scoliosis Bracing Before Puberty is Crucial

Scoliosis, a condition characterized by an abnormal 3-dimentional curvature of the spine, affects millions of children worldwide. While the severity of scoliosis varies, early intervention significantly impacts the long-term outcomes for children with this condition. One of the most effective non-surgical treatments is bracing, particularly when initiated before puberty. It is important to begin scoliosis bracing early—prior to the adolescent growth spurt—is essential.

Understanding Scoliosis Progression

Scoliosis typically develops during childhood and adolescence, with the majority of cases being idiopathic (of unknown cause). A key factor in the progression of scoliosis is growth. The spine’s curvature often worsens during periods of rapid skeletal growth, such as puberty. By the time a child enters their adolescent growth spurt, untreated scoliosis can advance quickly, making correction or stabilization more challenging.

The Role of Bracing

Bracing aims to prevent the progression of spinal curvature in growing children. Modern scoliosis braces are custom-designed to fit each child’s unique anatomy and provide corrective pressure to the spine while allowing room for growth. Braces are most effective when used early in the condition’s progression, particularly when the curve is moderate (20-35 degrees) and the child is still skeletally immature.

Why Pre-Puberty Intervention Matters

  1. Maximizing Growth Potential: Beginning bracing before puberty takes advantage of the child’s remaining growth potential. This allows the brace to guide the spine as it grows, reducing the likelihood of significant curve progression.
  2. Preventing Severe Deformities: Severe scoliosis (curves greater than 50 degrees) often requires surgical correction, which carries inherent risks and a lengthy recovery period. Early bracing can prevent the condition from reaching this critical threshold.
  3. Improved Compliance: Younger children are often more adaptable to wearing a brace compared to teenagers. Starting treatment early establishes a routine, increasing the likelihood of consistent brace use and better outcomes.
  4. Reducing Long-Term Health Risks: Progressive scoliosis can lead to complications such as chronic back pain, reduced lung function, and impaired quality of life. Early intervention minimizes these risks, promoting better overall health into adulthood.

The Science Behind Early Bracing

Research consistently supports the efficacy of early bracing. Studies published in leading medical journals show that children who begin bracing before puberty have a significantly lower risk of curve progression compared to those who start treatment later. Moreover, advancements in brace technology—such as lightweight, low-profile designs—have improved both comfort and effectiveness, making early intervention more practical for children and their families.

Overcoming Barriers to Early Bracing

Despite its benefits, early bracing is sometimes delayed due to a lack of awareness or misconceptions about scoliosis treatment. Parents and healthcare providers must work together to:

  • Ensure Early Detection: Routine screening, especially during well-child visits, is crucial for identifying scoliosis in its early stages.
  • Educate Families: Providing clear information about the benefits of early bracing can help families make informed decisions.
  • Address Emotional Concerns: Wearing a brace can be daunting for children. Support groups and counseling can help them adjust to treatment and feel empowered.


Scoliosis bracing is a proven, non-invasive treatment that can dramatically improve outcomes when initiated early. Starting before puberty allows for optimal use of the child’s growth potential to correct and stabilize the spine. By prioritizing early detection and intervention, parents and healthcare providers can help children with scoliosis lead healthier, more active lives.

If you suspect your child may have scoliosis, don’t wait. Schedule a screening with your pediatrician or orthopedic specialist today. Early action can make all the difference.


PREDICT CURVE CHANGES IN YOUR CHILD'S SPINE BY VISITING:  

     https://is-growth.isico.it/    or  www.OPCalculator.com 


Successful Scoliosis bracing

Meet Ben. Ben's condition causes significant low muscle tone and laxity of his joints which resulted in a prominent chest wall deformity and severe kyphosis. His custom brace corrects both of the abnormalities and improves his posture remarkably.

Hello, Cate! Cate wears her custom GOSS scoliosis brace out in the open so she can educate her friends about scoliosis treatment. She reports she prefers sleeping with her TLSO to not sleeping with it. She has worn her TLSO with excellent compliance for over two years and her scoliosis curves have corrected!

Our goal is to improve your child's scoliosis curves

Out of brace vs in-brace x-ray

Out of brace vs in-brace x-ray

Out of brace vs in-brace x-ray

Our goal is to correct the spinal curves as much as possible while wearing the custom spinal brace.  This is an example of curve correction while wearing a custom scoliosis brace from Chicago Pediatric Orthotics.  The left x-ray is while wearing the TLSO and the right is without. Near 100% correction is noted. 

Successful treatment

Out of brace vs in-brace x-ray

Out of brace vs in-brace x-ray

Traditional practices define brace success as having the curves not get worse.  Our goal, and clinical  observation, is that significant improvements will be seen with brace compliance, younger age when starting brace treatment, scoliosis specific exercise program, and participation in regular physical activities, sports or dance.

Experts in scoliosis bracing.

 

We’re excited to share that we now offer custom bracing solutions for adults with scoliosis.
Recent research has shown that bracing can be highly effective for mature curves — helping to reduce pain, improve posture and alignment during daily activities, and even prevent further curve progression.

Each brace is tailored to the individual, and recommended wear time varies based on your unique needs. For some, nighttime-only wear is enough to make a significant difference.



Photo Gallery

Fabrication of a custom spinal brace most often utilizes computer aided design.  After we take measurements and a 3-D scan, the brace is custom made for your spine.  It is then carved using CAM.  

Photo Gallery

Spinal stress injuries

ETHAN  17 yo level 10 gymnast

High level athletes endure huge amounts of dynamic stress that is often absorbed in the spine.   After over 10 years of participating in high level men's gymnastics Ethan sustained a L5 Spondylolysis.  

Spondylolysis is a breaking down (dissolution) of a portion of a vertebra called the pars interarticularis, which can separate. Spondylolysis can be a cause of abnormal movement of the spine (spondylolisthesis) and lead to long term back pain.

Does scoliosis bracing work?   Read the Braist study to get the details.  

Braist Study (pdf)Download
2017 SPINE Conservative Treatment for Bony Healing in Pediatric Lumbar Spondylolysis (pdf)Download


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