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The Care Pathway

INITIAL CONSULTATION 

Seeing a certified scoliosis health professional is key to receiving the right treatment at the right time.

 

Our initial consultation does not require a referral. It includes a thorough discussion of your history and symptoms, examination including observing the curvature of the spine, and asymmetries of the trunk, shoulders and pelvis. We also measure trunk inclination using a device called a Scoliometer which is placed on the spine in forward bending.  

 

Examination of imaging, specifically a low-radiation EOS radiograph is required to measure the angle of the scoliosis known as Cobb Angle, which forms an important part of the decision - making process.

 

The management of scoliosis should involve collaboration of a care team to ensure appropriate care is received and any further investigations made. We may refer you to our network of scoliosis specialists.

 

TREATMENT PLANNING 

There are many factors to consider when deciding the best treatment/s regarding your care.

 

Our experienced physiotherapist has the skills to provide you with a comprehensive understanding of your scoliosis and associated symptoms if present, and the prognosis relating to your scoliosis.

 

A treatment plan will be developed utilising evidence-based medicine, our clinical expertise and patients’ preferences. Our physiotherapist follows the International Guidelines on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) applying the Practical Approach Scheme (PAS).

Our physiotherapist will collaborate and communicate with your specialist, doctor, and any other treating practitioners with your consent.
 

 

TREATMENTS

The right exercises can help with your scoliosis. Physiotherapy and Scoliosis Specific Exercise (PSSE) can be used for all spinal curvatures for ​all ages and at any stage of your journey.

Every scoliosis is different, and there is no recipe. It is important that your treatment is individualised to you and your scoliosis.

Our clinic offers specialist exercise-based physiotherapy that is complimented with other services.

 

The treatment addresses symptoms, improves muscle symmetry, builds strength and improves postural habits and aesthetics.

 

In order to achieve the best possible outcome, conservative treatment is delivered by our experienced physiotherapist as part of a care team approach alongside your specialist, doctor, and where applicable, orthotist or surgeon.

 

OUTCOMES

Our clinic regularly reviews your outcomes utilising reliable and valid outcome measures and chooses them based on your goals.

 

Our treatment programs comprise re-assessment of the following: Scoliometer/Inclinometer (spinal rotation or forward flexion), Photographs and TRACE Tool (trunk aesthetic clinical evaluation), Visual Analog Scale (pain levels) and Scoliosis Research Society Questionnaire (quality of life).

 

Repeat EOS imaging is often requested by us or your specialist at particular intervals to assess curve stability (Cobb able and rotation) and spinal alignment.

 
Every scoliosis is different, and there is no recipe.

It is important that your treatment is individualised to you and your scoliosis.
Ashleigh

LIFELONG CARE

Ongoing care is important when managing scoliosis as most curvatures will need management throughout life/ at different stages of your life.

 

Our treatment programs are designed with the ability to move into group Schroth-classes and scoliosis-friendly exercise classes delivered in-clinic and virtually.

 

It is important your program is continued to achieve the desired long-term effect and to maintain technique and motivation and compliance. Complimentary treatments such as hands-on treatment of pain/ tightness/stiffness are available.