1. Get Into a Back Brace
Wearing a back brace is the most commonly prescribed method of keeping scoliosis from getting worse. In most cases, the brace is prescribed in early adolescence, as soon as the spinal curvature is detected, then worn almost continuously until the child has finished growing. Three types of back braces are used for scoliosis. The Boston brace fits tightly around the body, almost like a girdle, utilizing a large amount of pressure to force the spine into alignment. This brace is used in cases of scoliosis where the curve is located primarily in the lower part of the back.
The Milwaukee brace is used when the main curvature problems are in the middle of the spine. This brace features two vertical metal bars attached to a soft girdle. At the top of the bars is either a neck ring or head rest that keeps the head in alignment with the spine. Some newer versions utilize underarm support, so they're less visible. Like the Boston brace, the Milwaukee brace must be used approximately 23 hours a day for a period of years. It won't completely correct the spinal curvature, but it will keep it from getting worse.
The Charleston bending brace is molded to each individual child, while the child is bent sideways. The child only wears the brace while she's sleeping, and the brace puts pressure on the spine against the length of the curve in the brace. This brace is only used in special cases, where the curvature of the spine is within a certain span of measurements.
2. Consider Surgery
If your child hasn't responded to braces, then surgery may be the only other option for relief. The most common procedure is spinal fusion. The surgeon puts bits of bone harvested from the child's hip into the spaces between the vertebrae in the curved area. Over the course of a year, these pieces grow into solid bone, fusing the spine and stopping the progression of the scoliosis. Lower back curvatures are most commonly treated with a posterior incision, through the back. Upper back curvatures may need to be fused through anterior incisions made through the chest.
3. Make Sure Your Child Gets Enough Exercise
Exercise that targets the muscles of the back can build enough strength to support your child's spine. As your child's back strengthens, her posture will improve, taking the stress off of her curved spine. Exercising will also keep her back flexible and reduce the risk of deformity. Your child's doctor will probably recommend a physical therapist to teach your child the exercises she needs.
