Bracing is a common non-surgical treatment option for scoliosis, particularly in cases where the spinal curve is still progressing. By providing support and stability to the spine, bracing aims to prevent further curve progression. This article explains the types of braces used for scoliosis, how they work, and what to expect when wearing a brace.
Types of Braces:
There are several types of braces designed for scoliosis treatment. Some of the most common include:
ScoliBrace: This is a custom-designed brace that uses 3D body scans, x-rays, and posture photographs to create a personalized brace for each patient. The ScoliBrace offers more comprehensive support than most other braces and can help to improve posture as well as reduce spinal curvature.
Boston brace: A custom-fitted, rigid plastic brace that wraps around the torso and extends from the pelvis to just below the armpits. It's often used for treating curves in the lumbar and thoracolumbar regions.
Charleston bending brace: A nighttime brace designed to overcorrect the spinal curve while the patient is sleeping. It's typically used for treating single lumbar or thoracolumbar curves.
Milwaukee brace: A full-torso brace that extends from the pelvis to the neck, utilizing metal bars and a neck ring. It's used for treating high thoracic curves that cannot be effectively managed by the Boston brace.
How Braces Work:
Bracing for scoliosis works by applying corrective pressure to the spine, helping to stabilize and maintain the current curve. Braces don't typically correct the curve but aim to prevent it from worsening. The goals of bracing are:
Providing support: The brace supports the spine and distributes pressure evenly, reducing strain on the spinal joints and muscles.
Preventing curve progression: By applying corrective pressure, the brace can help prevent the spinal curve from getting worse, particularly during periods of rapid growth.
Encouraging better posture: A well-fitted brace can encourage improved posture and spinal alignment, reducing the risk of further complications.
Factors Influencing Brace Effectiveness:
Several factors can impact the effectiveness of bracing for scoliosis:
Compliance: Consistently wearing the brace for the prescribed number of hours each day is crucial for optimal results.
Curve severity: Bracing tends to be more effective for mild to moderate curves, while severe curves may require additional interventions.
Growth potential: Bracing is most effective in patients who still have significant growth remaining, as the risk of curve progression is higher during growth spurts.
What to Expect When Wearing a Brace:
When starting brace treatment, there are a few things to expect and prepare for:
Initial discomfort: It's normal to experience some discomfort or pressure when first wearing a brace. This usually subsides as the body adjusts to the brace.
Clothing considerations: Loose-fitting, layered clothing can help conceal the brace and provide added comfort.
Daily wear duration: The prescribed wear time varies based on the individual's needs, but it typically ranges from 16 to 23 hours per day.
Conclusion:
Bracing for scoliosis is a proven non-surgical treatment option that can help prevent curve progression and support the spine. By understanding the types of braces available, how they work, and what to expect, patients and caregivers can better navigate the bracing process. Remember, it's essential to consult with a healthcare professional for a tailored treatment plan and guidance on proper brace usage.
