Bracing is a widely accepted treatment for Scoliosis, especially in the case of children and adolescents. The Brace is customized to suit the different needs of patients, and primarily used to prevent the spinal curve from worsening during the growing age. It cannot rectify the existing spinal curve in Scoliosis patients.
Bracing is recommended for patients with curves measuring between 25 to 40 degrees and showing a progression of 5 degrees or more, every 4 to 6 months. Patients who have not attained complete skeletal growth tend to benefit most from bracing.
A Brace is made and fitted to suit each individual curve. This task is performed by an orthotist, after an orthopedic specialist recommends bracing. Just as each Brace is customized, each wearer gets specific instructions on its use. The effectiveness of bracing is evaluated through periodic check-ups and X-rays. Regular exercise is recommended along with bracing to keep the body flexible, and maintain spinal and muscle strength.
Skin problems or rashes that appear as a result of bracing should be mentioned to the orthotist. Creams and lotions should not be applied during bracing because these products soften the skin, leaving it more vulnerable to marks caused by bracing. The Brace should not be exposed to high temperatures and should be cleaned and dried periodically, before wearing.
The commonly used Braces include the Boston Brace, Milwaukee Brace, and Charleston Bending Brace. The Boston Brace is used for treating a curvature in the thoraco-lumbar region of the spine. It is usually worn 23 hours a day, but can be taken off while the patient engages in physical activities like swimming or sports. The function and pattern of use of the Milwaukee Brace is similar to the Boston Brace, except that it includes a neck ring. Unlike these two types of Braces, the Charleston Bending Brace is worn only while sleeping. However, it is effective only if the top of the curve is lower than the level of the shoulder blade.
To conclude, although Scoliosis patients may initially find the Brace uncomfortable, most of them adjust to it quite well in the long run. Bracing is a safe, painless method to prevent the progression of the spinal curve, and works best for children and adolescents.
