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Treatments

 
PHYSIOTHERAPY 

Physical therapy treatment has been shown to assist in the management of scoliosis in published research. 

Our scoliosis physiotherapists utilise curve-specific exercise and hands-on treatment from proven rehabilitation schools in several European countries (namely the Schroth Method, Schroth-BSPTS and SEAS) to create a gold-standard treatment/management program. Physiotherapy treatment is individualised to you and the three-dimensional nature of your scoliosis. It is important to have a thorough physical examination before commencing any treatment. 

Treatment includes:

  • Treatment/ goal planning 

  • Education on your scoliosis diagnosis and symptoms associated with your scoliosis and prognosis

  • Hands-on treatment

  • Individually customised program of curve-specific exercises as per Schroth-BSPTS principles to promote correction of asymmetric posture, improve muscle symmetry and curve stability, and address any symptoms present 

  • Integration of your postural corrections into gym/pilates/yoga/sport specific orientated tasks and balance training 

  • Education on adaptations/ modification for exercise/ sport

  • Re-assessment of outcomes - aesthetic, alignment, function, gait, pain and quality of life questionnaires

  • App-based program with exercise instructions, videos and photos, tracking and pain scoring as well as communication with your therapist 

Goals/ benefits of curve-specific physiotherapy: 

  • Life-long management skills 

  • Elimination/ lessening of associated pain

  • Improved muscle endurance

  • Improved respiration

  • Improved function in activities of daily living/ sport/ exercise 

  • Improved quality of life

  • Improved psychological outlook

  • Improved posture, alignment and aesthetics

  • Lessen progression rate (mainly early puberty and late adulthood) 

  • Stabilise curves (around the end of growth and early-mid adulthood) 

 

One-on-One Treatment Options include

Intensives: 1- week course of treatment at our well-equipped gym and consultation rooms, usually 1-2 hours per day for 1 week (read more below)

Online sessions: ideal for those who live afar

In-clinic sessions: ideal for those who live in or near Brisbane

We recommend a more intensive pathway such as 1 week intensive course  or 6-8 week course (1 appointment a week for 6-8 weeks) if you are a new patient - this is how our patients achieve their excellent results, however we do adjust this to each individual.

 

Initial assessment: $199 for 50 minutes

Follow up appointments: $189 for 50 minutes, $149 for 45 minutes, $99 for 30

*Claimable with public health rebates (EPC plans), NDIS and private health insurance

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MASSAGE/MANUAL THERAPY

Scoliosis curve-specific hands-on treatments are based on the three-dimensional biomechanics of scoliosis and utilise multiple therapeutic modalities.

Treatment may include deep, soft tissue or relaxation massage, dry needling, gentle spine and ribcage mobilisation and traction.

 

Our massage and manual therapy is delivered by our specifically trained Remedial Massage Therapist (RMT) who has also completed Chiropractic training and is currently studying Physiotherapy. You must first have an initial assessment with a Physiotherapist who then collaborates with our massage therapists to provide curve-specific treatments.

Goals/ benefits of curve-specific massage/manual therapy: 

  • Lessen soft tissue restrictions and improve ribcage and spine mobility specific to your scoliosis and symptoms (if present).

  • Assist clients to achieve their postural corrections with less effort

  • Elimination/ lessening of associated pain

  • Life-long symptom management

Our RMT works on Saturdays - please contact us to book in an appointment.

Prices are time-based and claimable on PHI

30min $79

45min $109

60min $ 139

INTENSIVES

Schroth-based exercises that are individualised to you and your curve, are proven to assist in the management of scoliosis.

 

Our intensive programs are taught in our state of the art studio in Brisbane.

Our scoliosis physiotherapists utilise their Schroth-BSPSTS training to develop a treatment program that is individualised to you and your scoliosis. The exercises and principles used are from proven rehabilitation schools in several European countries (namely the Schroth Method, Rigo Concept and SEAS) to create a gold-standard treatment/management program.

Schroth based curve-specific exercises are very different to typically prescribed exercises, as they are specifically designed to address the three-dimensional nature of scoliosis and are adapted to you, and your curve type.

 

The exercises work explicitly on the spinal and ribcage muscles with the aim to retrain your neuromuscular system to adopt improved posture toward a more neutral alignment, and then strengthen the muscles of the trunk (spine and ribcage), pelvis, hip and shoulder in the improved posture. Exercises are often completed with the help of traction and trunk/spine positioning devices to create a more neutral alignment. The focus is on lengthening/ unravelling the spine actively, directional breathing/ ribcage expansion of the "insides of the curves" to draw them out, and muscle activation over the "outside of the curves". Postural correction exercises are then progressed into upright and eventually with movements so you can transfer your new improved posture into day to day actives, the gym, pilates, yoga and more!

Patients must have an initial assessment to ensure they are suitable. This can be done via Telehealth for those afar or in-clinic.

Treatment includes a 1- week course of treatment at our well-equipped gym and consultation rooms with the option of 2 hours per day over 4-5 days or 1 hour per day over 7-8 days.

Cost of the intensive program: $1400 

If you are interested in booking for an intensive with us, please call us at least 6 weeks in advance.

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GROUP PHYSIOTHERAPY

Group physiotherapy is taken in our well-equipped treatment rooms for current patients who want to check-in with their therapist on a weekly basis.

 

Group physiotherapy is individualised to each individual and curve, they are designed to build on what you have learnt with your physiotherapists in your one-on-one appointments and are a more cost effective option.

In-Clinic Group Physiotherapy

Cost $49 (claimable)

Wednesdays 5pm (kids)

Tuesdays 4:30pm (teens/ younger adults)

Tuesdays: 5:30pm (older adults)

Thursdays 4:30pm (post surgical)

 
ONLINE CLASSES

Physio-Led Online Exercise Classes suitable for Scoliosis and Kyphosis.

The exercises are available to those who have completed treatment at our clinic.

 

Group exercises classes are a great way to check on technique and to build and progress your exercises, to maintain motivation and consistency in training, and to meet others. Classes are run from the convenience of your home!

Cost $29 (not claimable)

Curve-specific exercise

Wednesdays 6:30pm (all ages)

Pilates for Scoliosis

Mondays 6:30pm (all ages)

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BRACING

Bracing is effective for preventing/ lessening curve progression of scoliosis in growing spines and for postural support and pain relief in adult scoliosis.

 

Our physiotherapist can discuss if bracing may be appropriate for you and can collaborate with an experienced orthotist who specialises in custom-made orthoses. 

BRISBANE SPINAL BRACING CLINIC (runs out of our Brisbane clinic)

Tuesdays 8am-2pm.

Bracing is available at our clinic for:

- Growing spines with scoliosis or hyper-kyphosis for preventing/lessening curve progression

- Pectus/ chest wall deformity to promote improvement of asymmetry

- Adult bracing also available for postural support and pain relief

 

The main goals of bracing are to prevent curve progression or to avoid or at least postpone surgery to a more adequate age.

Many different braces exist for scoliosis including traditional thoracolumbar orthosis (TLSO/LSO) and European 3D Braces - we can help you decide which may be right for you! 

TLSO/LSO Bracing - the most-commonly prescribed brace for scoliosis is the Boston brace. Many people know the Boston brace as a type of thoracic-lumbar-sacral orthosis (TLSO) and is a full contact TLSO (going from armpit to hips) or LSO (ribs to hips) sometimes with padding and cut outs for added correction. This brace does up at the back.

3D Scoliosis Bracing Method - the most commonly prescribed are the Gensingen and Rigo Cheneau Braces™  braces. These braces have a curve-pattern-specific design (3D correction effect) compatible with 3D curve-specific exercises, and strive for overcorrection/curve reduction using their asymmetric design. That is, considering the rotations and translations in relation to the regions of added pressure, the need for elongation, and open cuts so the spine can migrate in the correct direction.​ They can be made as a full-time or night-time brace. The braces are lightweight and front opening.

Contact us for more information about Gensingen  and Rigo Cheneau Braces™ on 0451 855 366.

For brace wearers:

Bracing is usually completed in conjunction with scoliosis-specific physiotherapy/ exercise to:

  • Increase mobility while awaiting a brace to help the bracing action

  • Improve results of bracing

  • Prevent/ reduce the loss of correction in the brace weaning phase

  • Improve post-operative outcomes 

 
SURGICAL REFERRAL

Surgical consultation and management may be sought for scoliosis.

Our physiotherapists work in collaboration with leading orthopaedic surgeons who specialise in adult and paediatric scoliosis and spinal surgery and we will recommend surgical referral where appropriate.

 

The spinal surgeon will discuss if you are a candidate for surgery and determine the best surgical procedure for you.

 

Physiotherapists are an important part of the rehabilitation process, both prior to and following surgery, and especially if surgery is not indicated.

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PRE/POST SURGICAL REHAB

Physiotherapists are an important part of the rehabilitation process following surgery.

 

Physiotherapists, specifically trained in post-operative scoliosis treatment, should be seen given their advanced training in this field.

 

Full recovery from scoliosis surgery can take up to twelve months, and there are many precautions or rules you will need to follow. Physiotherapy, post-operatively, requires close collaboration with the surgeon to ensure treatment is provided following their timeframes and guidelines.  You are encouraged to return to your physical therapies as only after you have had a follow-up appointment with your specialist.

 

Rehabilitation programs are carefully modified to the type of surgery, levels fused, presence of curvatures above/ below the fusion, remaining asymmetries of shoulders/ hips and ribcage and pain/ symptoms. We also offer group physiotherapy for post-surgical patients. 

Goals/ benefits of scoliosis-specific exercise pre-surgically:

  • Maintain/ increase flexibility of the ribcage and spine to increase potential of "best possible surgical correction" of the scoliosis

  • Condition muscles to speed up recovery following surgery

  • Manage pain/ symptoms if present

Goals/ benefits of post-operative physiotherapy:

  • Reduce pain

  • Improve respiration

  • Increase function and assist with graded return to physical activity

  • Improve postural symmetry in the ribcage, shoulders and hips and curvature above/below the fusion

  • Re-gain condition in muscles

  • Maintain integrity of the adjacent unfused spinal segments