Scoliosis can sometimes get worse even after bracing, despite wearing the brace correctly. While bracing is a common treatment used to prevent the progression of scoliosis curves, it is not always effective for everyone. The success of bracing depends on various factors such as the severity and location of the curve, the age of the patient, and their skeletal maturity.
It is important to have regular follow-ups with an orthopaedic doctor who specializes in scoliosis treatment. During these appointments, the doctor will closely monitor the progression of the curve through X-rays. These X-rays provide a clear picture of how the spine is responding to the bracing and whether any changes have occurred.
In some cases, even with proper bracing, the curve may continue to progress. This can be disheartening for both the patient and their caregivers. However, it is crucial to remember that each individual’s scoliosis is unique and may respond differently to treatment.
There are several reasons why scoliosis curves may worsen despite bracing. One possible reason is that the curve is already severe or rigid, making it more resistant to conservative treatment methods. Additionally, some patients may not tolerate the brace well or may struggle with compliance, leading to less effective treatment outcomes.
Furthermore, scoliosis is a complex condition that can be influenced by various factors such as genetics, growth spurts, and hormonal changes. These factors can contribute to curve progression, even with the use of a brace.
In cases where the scoliosis curve continues to worsen despite bracing, surgery may be considered as an additional treatment option. Surgery is typically recommended for severe curves that pose a risk to the patient’s health, such as those that are rapidly progressing or causing significant pain or deformity. The decision to undergo surgery is a complex one and should be made in consultation with an orthopaedic surgeon who specializes in scoliosis.
It is important to note that while scoliosis can worsen in some cases, bracing remains an effective treatment option for many individuals. Bracing has been shown to slow down or halt the progression of scoliosis curves in a significant number of patients, especially when started early and worn consistently.
In addition to bracing, it is also important to incorporate scoliosis-specific exercises into the treatment plan. These exercises can help improve spinal stability, flexibility, and strength, which may further support the management of scoliosis.
Scoliosis treatment is a dynamic and individualized process. Regular follow-ups, X-rays, and close communication with medical professionals specializing in scoliosis are essential for monitoring the progression of the condition and determining the most suitable treatment options for each individual.