Detecting scoliosis can be tricky.

Symptoms are often subtle during the early stages, which can make them easy to dismiss.

In children, developing scoliosis often goes unnoticed until they reach adolescence and enter a rapid growth phase. In adults, it can be even harder to spot. One study found that the condition remained undetected in 67% of adult back-pain patients with scoliosis — particularly when the spinal curvature was mild. Even patients with moderate to severe curvature went undiagnosed more than 10% of the time.

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According to the American Association of Neurological Surgeons (AANS), scoliosis affects between 2% and 3% of the American population, or about six to nine million people. It is characterized by an abnormal lateral curvature of the spine and there are many different forms. The various types of scoliosis are classified by cause and age of onset; the speed and mechanism of progression also plays a role in determining the specific type of scoliosis.

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Understanding scoliosis begins with identifying its location and the type of spinal curvature.

Knowing this information can help predict what types of scoliosis symptoms may be experienced and how the condition can best be treated.

There are several detailed systems for classifying specific types of scoliosis curves, but some of the most common terms identify curves based on their location within the spine and the direction they bend.

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Doctors prescribe scoliosis braces for one in five adolescents who have the condition. As a result, an estimated 30,000 children are wedged into braces each year. But to what end?

Despite the fact that scoliosis bracing has existed for centuries and has been considered the standard surgery prevention tactic since the modern brace was invented in the 1940s, there is little evidence to support its effectiveness.

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One of the most common questions I get from parents and patients is how does the ScoliSMART Activity Suit compare to the Spine Corporation (SpineCor) Brace?

We shouldn’t simply compare, but rather contrast the differences!

The ScoliSMART Activity Suit is to the SpineCor Brace as apples are to oranges — they are different products, designed to do different things and yield different results. Perhaps the only thing they have in common is that both are used to treat patients with scoliosis — kids and adults.

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When you or your child has been diagnosed with scoliosis, the options can seem painfully limited. Patients who are unwilling to accept the typical solutions—bracing, surgery or “wait and see”—often struggle to find an alternative treatment that stops scoliosis progression without permanently damaging the spine.

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Being diagnosed – or having a child who is diagnosed – with idiopathic scoliosis can be a disconcerting, even scary, experience. After the diagnosis, you’ll be faced with lots of questions, and you’ll be uncertain about the future. What steps should you take? What steps should you avoid?

1) Find a Team You Can Trust

Though a GP or family doctor is important, for a specific medical condition like scoliosis, you’re going to want to see a specialist. To ensure that you can properly manage your or your child’s scoliosis, you want doctors who have spent their careers devoted to spinal health, who are up on the most recent research, and who are committed to helping you develop a plan that is specific to you and your condition. No two curves are alike, and your treatment plan should attest to that. The right doctor will help you realize that plan – so take your time to make sure you find the right doctor.

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Finding the right scoliosis treatment can be a long and frustrating journey. First you get the diagnosis and all the overwhelming emotions that come with it. Then you’re presented with the potential treatment options—usually bracing, surgery or “wait and see.” Finally there’s the endless digging, online or at the library, to find a better alternative.

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Treating scoliosis often feels like a race against an opponent with a head start. Once curves start progressing, parents and doctors can easily get caught up in reacting to the spine’s changes without ever managing to get ahead of the curve.

Unfortunately, scoliosis treatment for kids tends revolves around a single-minded focus—preventing curve progression—without full consideration for the child’s long-term quality of life. While traditional treatments can achieve some initial curve reduction, over the course of a lifetime they can also cause significant harm. Bracing, for example, might seem like the best course of action now, when your most pressing concern is to avoid reaching the surgical threshold, but what about 25 years from now? Or 50 years?

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If your child has just been diagnosed with idiopathic scoliosis, you’re probably trying to figure out what to do next. This decision is probably made more difficult by the fact that you’re probably still trying to separate scoliosis fact from fiction – and unfortunately, your doctor might not be up to date on all the current realities about scoliosis. There are a series of myths about scoliosis, and they’re often used by doctors to justify expensive, invasive spinal fusion surgery, even though it might not be the best option for your child.

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