Scoliosis Treatment Options

BOULDER SCOLIOSIS offers a variety of treatment options based on individual circumstances and diagnosis. We may use any combination of the following treatments to help cure patients:

Osteopathic Manual Therapy (OMT)—This very gentle, low-velocity technique will permanently resolve the causative Sacroiliac Joint dysfunction about 3% of the time. Thus, OMT can be used to reduce and potentially ensure maintenance of the sprained sacroiliac joint. (Click to visit our site about OMT.)

OMT can also be used to reduce and retain lumbar vertebral, thoracic vertebral, and thoracic rib (costovertebral) misalignments when used in conjunction with the other rehabilitative methods mentioned below.

Sacroiliac Belt—This relatively simple device can be used to stabilize the sacroiliac joints and temporarily reduce whatever pain and discomfort may occur during the course of OMT or Prolotherapy treatment. Ordinarily, this is the only Brace we require in the treating o Scoliosis—and we use it infrequently.

Prolotherapy—This therapy is the only known, repeatedly successful medical approach to stabilizing an unstable sacroiliac joint. It involves a relatively mild injection technique that causes a mild inflammatory reaction precisely at the site of the iliolumbar/sacroiliac ligament sprain. 

This inflammation—the body’s natural reaction for beginning the healing process—results in regeneration of the ligament at its site of attachment to the bone, thereby resolving the sacroiliac joint dysfunction. On average, 3 to 4 Prolotherapy treatment sessions can ultimately achieve lasting joint stability.

Healing of the sacroiliac ligament sprain injury by Prolotherapy realigns the sacrum into its proper, symmetrical, anatomic orientation, which levels the sacral base. It is the sacral base that supports the vertebral column—it is the levelness of the sacral base that determines whether the vertebral column is normally straight and plumb or curved and scoliotic). (Click to visit our site about Prolotherapy.)

Orthotic Therapy is often appropriate in the case of general ligament laxity, where the sacroiliac joint dysfunction is associated with and aggravated by significant flattening of the foot arches (Pes planus).

This arch flattening can be so severe as to cause permanent degenerative changes in both first toes, with bunion formation. More importantly, flattened arches can cause abnormal biodynamics of the lower extremity that can aggravate and worsen SI Joint dysfunction and, subsequently, related Scoliosis. Well-designed, custom-fitted Orthotics are necessary to prevent any further foot deterioration, and to restore the normal biodynamics of the feet, ankles, knees, hips, and sacroiliac joints. (Click to visit our site about Orthotic Therapy.)

Rehabilitation—Once the base of the sacrum is leveled, the vertebral column is able to regain its normal, vertically straightened alignment. This latter recovery is often aided by Rolfing Therapy, Pilates Instruction, or Physical Therapy. BOULDER SCOLIOSIS can recommend professional therapists to provide such therapies.

Referral—We will refer our patients for surgical consultation whenever appropriate. It is seldom necessary.

 

Boulder Scoliosis | Gary B. Clark, MD, MPA | 1790 30th Street, Suite 230, Boulder, CO | (303) 444-5131