Observation: keeping watch on curves

Idiopathic scoliosis, which accounts for 80-85% of scoliosis cases, doesn't happen all at once, it develops gradually over time, and may worsen rapidly during rapid growth in the pre-teen and teen years.

Early detection of abnormal spinal curves by school screening programs and pediatricians is intended to find scoliosis early enough to begin brace treatment and avoid surgery. Once an abnormal spine curve has been detected, it is important to monitor the curve during growth.

Your physician will decide on your treatment plan and follow-up based upon your x-rays and physical exam. Even though your curve may not bother you now, it should be watched throughout growth.

• Slight curves (curves measuring less than 20 degrees), usually requires no treatment, but must be watched carefully for worsening during growth.

• If your curve shows significant worsening or is already greater than 30 degrees, and you are still growing, your physician may recommend a bracing program.

A bracing program may help you avoid surgery. You will need to wear your brace almost all the time until the end of growth. Most braces can be hidden beneath normal clothing, and you can continue to do all athletic activities.

A bracing program can be difficult and you may need help in organizing your daily activities. Your physician works with a team of professionals who will help you adjust to this treatment.

This team includes a physical therapist to evaluate your posture, muscle strength and flexibility. Your therapist will provide you with a home exercise program designed specifically for you. This program helps to stretch and strengthen your muscles so that you are more comfortable in your brace.

A nurse will help you and your parents with all of your questions and your appointments. The nurse will also teach you how to care for yourself and your brace, give you a schedule to follow, and helps plan your day-to-day activities.