The Dynamic Remodeling method (DR method)

[flerc]

http://www.orthopectus.net/index.php?option=com_content&view=category&id=3&Itemid=4
01. How does this procedure work? We have always been told that the position of the ribcage can not be altered non surgically, because pectus is a combination of excess bone and cartilage infused in a solid state.

Nicolas Andry, the man considered the "Father of Orthopaedics," in his book L’orthopédie ou l’art de prev’enir et de corriger dans les enfants, les difformités du corps, published in Paris in 1741, observed that limb deformities could be corrected through conservative methods of treatment. Later, Julius Wolff described what is accepted as a law in Orthopaedics: "The bone tissue is a dynamic structure that can be remodeled according to external forces." What we have been doing is using these concepts to correct pectus deformities. Despite being solid, bone and cartilage are live substances that have the capacity of remodeling. The younger the patient the greater is his/her potential for osteocartilaginous remodeling, but such a remodeling occurs throughout life.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2532136/

If it works with pectus deformities.. why not with spine deformities too?..http://www.orthopectus.net/index.php?option=com_content&view=article&id=27:10-what-can-be-done-if-the-pectus-patient-also-presents-a-scoliosis-lateral-curvature-of-the-spine&catid=3:faq-&Itemid=4

[rohrer01]

Flerc, I looked at the site you posted. If you look at the symmetry of the body in the shoulders, scapulae, and arms, there doesn't seem to be much difference before and after. I don't know that I would trust the spine measurements either. If you look at the pictures of the "after" you can still see the marks in the skin where the brace had been. So these x-rays and photos were taken right out of brace. CLEAR people do the same thing with their x-rays (x-rays taken right after treatment). I would be more convinced if these were taken a year or more after of treatment.

[flerc]

Flerc, I looked at the site you posted. If you look at the symmetry of the body in the shoulders, scapulae, and arms, there doesn't seem to be much difference before and after. I don't know that I would trust the spine measurements either. If you look at the pictures of the "after" you can still see the marks in the skin where the brace had been. So these x-rays and photos were taken right out of brace. CLEAR people do the same thing with their x-rays (x-rays taken right after treatment). I would be more convinced if these were taken a year or more after of treatment.

Yes Roher, surely as occurs with other methods is not sufficiently, but anyway it seems interesting that professionals that seems to be able to do a pectum remodelation (supposedly impossible without surgery) are trying to remodeling the spine.

[flerc]

Yes Roher, surely as occurs with other methods is not sufficiently, but anyway it seems interesting that professionals that seems to be able to do a pectum remodelation (supposedly impossible without surgery) are trying to remodeling the spine.

Roher, what I means is that I believe that probably they are able to attack some of the current causes ignored (or only trying to correct it in an indirect way) by much others methods. Bone remodeling is assumed as something impossible, so if it would be the only current cause of the curve, it would not be possible to correct it, but it seems to be a multicausal problem, so probably correcting the (some or all) other causes, the problem may be solved anyway. This is what seems to assume many methods focused in some primary causes as muscles, ligaments, tendons, fascias, dics… and other focused in secondary causes as propioception, posture, habits, energy..
If DR really can remodel rib cages/vertebras and it would be combined with the best method to improve ligaments, the best to improve muscles, the best to improve tendons.. energy.. Who knows what may happen..

[rohrer01]

Roher, what I means is that I believe that probably they are able to attack some of the current causes ignored (or only trying to correct it in an indirect way) by much others methods. Bone remodeling is assumed as something impossible, so if it would be the only current cause of the curve, it would not be possible to correct it, but it seems to be a multicausal problem, so probably correcting the (some or all) other causes, the problem may be solved anyway. This is what seems to assume many methods focused in some primary causes as muscles, ligaments, tendons, fascias, dics… and other focused in secondary causes as propioception, posture, habits, energy..
If DR really can remodel rib cages/vertebras and it would be combined with the best method to improve ligaments, the best to improve muscles, the best to improve tendons.. energy.. Who knows what may happen..

For the first point in bold: They do bone remodelling in orthodontia all of the time. They put an appliance in my daughter's mouth that actually changed the way her facial bones grew and made her upper and lower jaws larger. So that isn't something that would be so far fetched. This had to be done at a very young age to work. She was seven when she got her appliance and wore it for two years.

The second point in bold: If this is the case, I would only expect to see good results in JIS cases. Yes, adult bones do continue to grow as they are also broken down. But this happens at a MUCH slower rate. Eventually, the remodelling fails and we end up with degenerative diseases of the bones. So it might be a promising treatment for very young children and maybe "young" teenagers.

[flerc]

For the first point in bold: They do bone remodelling in orthodontia all of the time. They put an appliance in my daughter's mouth that actually changed the way her facial bones grew and made her upper and lower jaws larger. So that isn't something that would be so far fetched. This had to be done at a very young age to work. She was seven when she got her appliance and wore it for two years.

The second point in bold: If this is the case, I would only expect to see good results in JIS cases. Yes, adult bones do continue to grow as they are also broken down. But this happens at a MUCH slower rate. Eventually, the remodelling fails and we end up with degenerative diseases of the bones. So it might be a promising treatment for very young children and maybe "young" teenagers.

I'm not sure if I'm following you. I believe that when grow is finished, what not grow any more are bones. But it not imply that shape cannot change any more. I interpret that these professionals are talking about a change of shape (remodeling) even after growth. As they said, of course it must to be more easy to do during growth. The explanation I suppose should to be that during growth the bone is changing, probably tending to keep the same shape but changing anyway, but then, something must to ocurr to provoke a change, but of course, it could not be impossible to do.
It would be great that scientist find the way to reactivate the pituitary gland and growth begins again. Not only it could be redirected, remodeling bones would be more easy.

[rohrer01]

Scientists can reacitvate growth by giving growth hormones. That isn't a good thing in adults, usually. We don't want to get bigger. The thing about remodelling is that we are constantly growing. That is a necessary component of life. As our old cells die off, new ones grow to replace them, even in the bones. We actually live in a "new" body every so many years (don't remember the number). But in adults the process is much slower, so would likely not work as well. They would have to undergo treatment for life, and that is no quality of life. it was a good find and will be interesting to see long term outcomes. But right now it doesn't look like they have that, yet.

[flerc]

Now I understand you, what happened is that instead of saying that we are in a constant growing I would say that we are in a constant replacement. I have heard many years ago that after 7 years we have a new body. For me, growth means an increment of volume, but almost exclusively in the vertical direction. Just today I decide to stop my lateral growth and mass increment.. I’m ‘growing’ but not in a good way.


Scientists can reacitvate growth by giving growth hormones. That isn't a good thing in adults, usually. We don't want to get bigger.

It might be true but only for tall or very tall people. I was very worried until some years ago because I saw my sons were not enough tall as it was supposed that they should to be. Certainly I was worried for my son, because in a man is a bigger problem than in a women.. at least in my country.. a doctor some years ago said me that would have not sense hormonal treatments because his growth cartilages were closed, so he could not growth any more.. something that really bother me to much. Is supposed that sons are tallest than fathers, but in our case is significantly different. Are you sure that scientists can reacitvate growth by giving growth hormones? He is now close to 21, the ultimate age limit for men as doctors says.

If my daughter could growth in a significant way, then a brace could have much more chances to work. She never used one. The curve is only decreasing 3 centimeters her height and she might growth really many centimeters more and would not be looked as a very tall girl.
It would be a great alternative but I supposed that if would be possible to reacitvate growth, thousand of millions of people in all the world would trying it and I have never heard about just only one case. Any way I’m interesting in what you may say me about that.



But in adults the process is much slower, so would likely not work as well. They would have to undergo treatment for life, and that is no quality of life. it was a good find and will be interesting to see long term outcomes. But right now it doesn't look like they have that, yet.

Probably it depends on the kind of treatment. Something as Yoga not should to be necessarily tortuous for no one.
If they are having successes in remodeling pectums of boys of 20 years old, it seems to be really promising.. I believe that if they not find what is not allowing the spine to remains alligned, bone remodeling would be insufficient.

[rohrer01]

As for the growth hormones, I'm not quite sure what they can do. I know that giantism is caused sometimes by a tumor on the pituitary gland in the middle of the brain. So, I don't really know what growth hormones would do for someone who is "done" growing.

There are plenty of short men in the world. I understand culture. Here in the U.S. men are "usually" supposed to be taller than women. But I know plenty of couples where the woman is MUCH taller than her husband. It doesn't matter to me, as long as they love each other. My husband is much older than I am and is shrinking from arthritis. He is not nearly as much taller than me as he was when I married him. He's almost my height, and if I have surgery, I will for sure be taller than him. But I won't love him any less. It could be that your children just inherited a shorter stature. If it is that important to them, they can always date and marry even shorter women. ;-)

As for your daughter, isn't she getting older now? I would think the older she gets, the less options she may have that don't include surgery. It's too bad that they didn't have VBS when she was younger. I know that it is surgery, but SO much less invasive. I don't know about this technique that you are talking about, really. If you can afford it, and your daughter is willing to try it, why not, unless there are risks involved. You always have to weigh the risks with the benefits. What does SHE want to do?

[flerc]

Yes, certainly he is not worry about his height, he is thin and probably in the limit between a short and a tall men. In my country is difficult to see a couple with a woman taller than the man, but anyway there are many girls shorter than him. Anyway is frustrating for me, my father was significantly taller than me (is alive but now I'm taller) and I'm taller than my son.. my wife (as my daughter) is short (although her mother was very tall) but her sister is not significantly taller, married with someone something taller than me and her son is a gigant.

It would be great reactivate the growth.. not only my daughter but many adults might have a great chance to reduce the curve. When we were noticed about her scoliosis, it was to late acordingly the medical standard protocols for brace, VBS, Spinecor, Fed and EDF.

I don't know more about DR than what I read in the net, it not exists in my country and certainly is only one more of the many hundreds of methods I know, but I have not enough knowledge to know which combination would be the best for her and the alternatives seems to be be hundreds of thousands.. anyway if I might choose something existing in my country, I'll choose Qui Gong, but I can´t. I insisted her to assists to a class last year and then she don't want to hear me never more about scoliosis methods. She love to dance and Qui Gong seemed to her unbearably boring.
Ending teenager, not only growth is finished, also the chance to force them to do what they don't want.

[rohrer01]

I insisted her to assists to a class last year and then she don't want to hear me never more about scoliosis methods. She love to dance and Qui Gong seemed to her unbearably boring.
Ending teenager, not only growth is finished, also the chance to force them to do what they don't want.

Yes, I know the feeling. My daughter won't even go to a scoliosis doctor to find out how bad hers is. I know it is still mild because she doesn't have any noticeable rib hump. But I can still feel where her spine is crooked. I don't remember what her x-ray looked like, but when I look at her it looks like her worst curve is a right thoracic with an upper left thoracic compensatory. Mine is the upper left curve with a lower right thoracic compensatory. So similar patterns, except hers would probably be classified as the standard "right thoracic" curve rather than a left curve.

[flerc]

Sometimes to 'ignore' a problem may be the best, who knows? Science seems to begin to understand the damage that a concious of a disease may provoke. My father said me yesterday that he was diagnosed with cancer 7 years ago and he decided to ignore the issue. He is fine and seems to be 25 years younger than others of his same age.
Surely if we might see the medicine of the future we would realize that much of what we believe to be the best that we can now do is only a belief.. anyway as parents we want to force them to do what we think is the more reasonable but I believe that we must to trust in their good judgment. We only should to insists, if the insistence not provoke a damage and we are absolutely sure about what is the best.. something really difficult and not only in something so complex as scoliosis is.

[flerc]

Anyway I would try to measure the x-ray and if there are not few degrees and she is still growing, I'll try to convince her in a soft and subtle way to do something.. nothing simple to do but I would try.

[rohrer01]

Sometimes to 'ignore' a problem may be the best, who knows? Science seems to begin to understand the damage that a concious of a disease may provoke. My father said me yesterday that he was diagnosed with cancer 7 years ago and he decided to ignore the issue. He is fine and seems to be 25 years younger than others of his same age.
Surely if we might see the medicine of the future we would realize that much of what we believe to be the best that we can now do is only a belief.. anyway as parents we want to force them to do what we think is the more reasonable but I believe that we must to trust in their good judgment. We only should to insists, if the insistence not provoke a damage and we are absolutely sure about what is the best.. something really difficult and not only in something so complex as scoliosis is.

First of all, I don't want anyone to take me wrong here. I'm not advocating that people with cancer or any other serious disease "do nothing". But, since you bring it up, Flerc, I feel impelled to say that my grandmother did the same thing. She was already in her 70's and was diagnosed with breast cancer. Her friends that had it at the same age fought it with all of the treatments. My grandmother did nothing. She outlived them all by several years. Yes, the cancer did eventually take her. But I see your point about overreacting to everything and trying to "do something", when maybe the best thing to do in some cases is nothing.

[flerc]

Yes Roher, of course nobody is recomending to do nothing. I believe that the decision is the consecuence of the belief that is not necessary to do anything because the feeling that all is right. To not do nothing, but believing strongly in the disease surely would not be something good. I’m sure that the mind power is immeasurable and may be used in the right or in the wrong way. I have heard that animals at least in natural enviroment have not concious of the age so they never feel old. I saw a documental of a very old elephant who was the leader of the herd and a young elephant challenged him. He might have refused to fight taking into account how old he was and how young was the challenger but he didn’t and he won the battle. After a cellebration with all the herd (except the humiliated challenger) he choosed the nicest of the young elephants and impregnated her. Then he was to the elphant cementery and died.
Why seems to be something imposible for humans? I’m sure that the concious of the age have much to do. Certainly it would not surprise me that my father would does something similar. He allways says that he not believe in his age. We believed that he could not survive after the death of my mother, as ocurrs with all marriages over 60 years together. He is close to his 90th birthday and he behave now as an adolescent. Is incredible but he is an atractive man and sexualy active.. I’m worry about his behaviour, he might finish in a complicate situation, but is what he feel to be right and he is fine.. so it’s okay for me.

[flerc]

Just only to give a more scientist justification of the mind power.. my niece is studying Psychology and said me she read about an experiment did with a sentenced to death
They said him that he might bleed to death if he want. He accepted and he saw how a cut was done in his wrist. After some minutes, he died.. he didn’t know that the cut was insignificant and he loose so few blood.

If it’s so extreme used in a negative way, which might be the limit used in a positive way?
I have heard about treatments to vanish the conscious of disease from mind.

[rohrer01]

The Placebo effect is very real. They have done studies to prove it. It doesn't mean that the people taking sugar pills are hypochondriacs, it means that they are so convinced in their mind that the "medicine" will help or hurt that they react to it in either a positive or a negative way. That's why drug companies always have to have a placebo group to see what the side effects are in this group as compared to the "real" side effects of the drugs. The mind is more powerful than we can imagine. But that is why some of these "alternative" methods may work for some people. They are not crazy, they may just have very strong mind over matter abilities. On the other hand, these same "alternative" methods are usually not proven to work scientifically because of the placebo effect that some may have and relate success, when in fact it comes from within themselves.

I think that people here are looking for hard, cold, facts of well documented, scientifically accurate procedures that work with whomever it is performed on. Unfortunately, that is very hard to do. I think that the DR method sounds a little better than bracing alone. It addresses specific chest deformity along with curve deformity and the use of a dynamic brace that seems more rigid than a SpineCor, and implements it all with exercise. It will just take time to see how successful this method is.

[flerc]

Yes, placebo effect is a proof of a positive effect. In some multicausal problems, improving sufficiently the factor corresponding to one cause, may solve the problem even if all the other causes remains in the same state. Certainly this is what fusion does. An extreme rigidity of the vertebral bodies is enough to maintain the spine straight (regardless the negative effect).

If we could maximize in the same way some issue of the ligaments or the muscles fascias.. surely at least in many cases that seems to not have solution, the curve could also be reduced in a permanent way. And probably the same might occur if we might does an extreme good use of our mind power.. who knows.

Unfortunately in hard and complex multicausal problems, is difficult to completely maximize all or even some of the factors corresponding to the causes of the problem, so the only that can be done is improving in the way that we can, all of those factors.. and mind power is one of them.

The negative of part of the placebo effect is that when because ignorance the effect of a method that works can not be understood, is catalogued as placebo and the real reason is never known.

Certainly DR is one of the few methods I know trying to remodeling the rib cage.. I'm not sure at all if ABR does it.. but if it can, it does it in a very different way, as is expanding his content..
Unfortunately many people has not time to wait until evidence with a particular non surgical method is formally demonstrated.. nobody else in the world are giving them any hope.

[rohrer01]

I don't think that the DR method incorporates the placebo effect. I think that the placebo effect is pretty well understood. It can have positive or negative consequences. If one BELIEVES something will happen as a result of a "medication" or a "procedure", then often it does, whether good or bad. It is the power of the mind, which we already know. What we don't know is how to tap into that power all of the time for good consequences. Some people promote forms of meditation and hypnosis for this, but these aren't proven to help straighten spines. At the very best, these might help pain in certain vulnerable individuals. However, these forms of "therapy" involve emptying the mind, something that I'm just not going to do personally. I'm one that likes to stick to proven things. I will admit, that I very skeptically tried accupuncture. I gave it two treatments for a particular problematic muscle spasm that I was having and it worked! I must say, in all defense of that particular treatment, that they used the needles with electrical stimulation, like a TENS unit, only directly into the muscle tissue itself. I credit that with the muscle resease. The whole meridian theory, I believe, is a bunch of hockey since there are no structures or nerve pathways that can actually PROVE the meridian diagram, as far as I have seen. But because of the way that electrical stimulation was used in particular places, the procedure worked.

[flerc]

Yes, sure DR has nothing to do with power mind, much treatments that works as homeophaty are considered a placebo by some people because they cannot understand how works, but it could not be the case of DR or other methods that works in some scoliosis cases.. spontaneous improvements is the name given in such cases.

Some people have a natural control of their mind power. My father have smoked for more than 40 years close to 50 cigarretes per day and some day (around 30 years ago) he began to say to everyone that in 3 months he would not smoke any more and so he did. He was not decreasing the quantity of cigarretes.. until the last day he smoked close to 50 cigarretes and 0 since the next. He said me that in this lapse he made an auto 'psicology programing'. He never read any book about control mind or self-help books..actualy he detests all having to do with psicology, new age or religions. It seems he borned with some concepts incorporated.

Optimistic people, happy without a clear reason for that.. having faith that all will be fine and not necessary because beliving in some religion, seems to have an unconcious control mind. Sure that practicing some techniques as the belonging to Raja Yoga works and not have a negative side as I believe hypnosis have.
I don't know if accupuncture may have a western explanation but I know by own experiences that others eastern methods not. The Chi is a not understandable concept for a western mind http://www.scoliosis.org/forum/showthread.php?13086-Tao-Yoga-(Tao-Yin) .. I'm not sure if it is not what is activated by power mind..

[Pooka1]

Yes, sure DR has nothing to do with power mind, much treatments that works as homeophaty are considered a placebo by some people because they cannot understand how works,

Homeopathy is known to work as a placebo. How it works is NOT unknown. It has been tested for non-placebo effects and nobody has been able to claim the $1 million paranormal challenge prize.

How it is claimed to work (water molecules retaining memory only of a certain substance and not all other substances it has contacted) is ruled out scientifically. It's not just that scientists don't know. The serial dilutions remove the substance that was added and the homeopathy types admit this. They just go on to claim (on no evidence whatsoever) that the water molecules retain the memory of the substance. These people do not sit at the big science table but at the kiddie table of irrational nonsense.

[flerc]

I’m only just one case among surely thousands or millions in all the world knowing about evidence that homeopathy works. My son was always sick, when laryngitis ended, otitis, pharyngitis.. began again. Always cold, always with flu, always close to sinusitis.. I believe he didn’t grow as it was expected because the amount of meds he consumed in those years. An allergist doctor recommended a traumatic treatment of injections during years, that fortunately we refused.
An homeopath Dr. said us that allergies are solved in an almost magic way with homeopathy and she was right. After a week of treatment he was so normal in that sense as every other kid of his age. And he was a to little kid to believe in placebo effect.
Probably homeopaths may not explain why it works, I don’t know but it works anyway. Germany is not a stupid folk.
People trying to adapt the reality to their own paradigms are extremely myopic and irrational.

[Kevin_Mc]

A comment about growth hormone. It can help with bone density and potentially muscle mass (although this is sort of debatable) for people who have low levels of GH. It has not been proven to be a safe and effective treatment to be given to people with normal levels.

As far as 'growth' of bone is concerned. If GH did stimulate bone growth in adults it would be only for increasing density and not height. Once the growth plates are closed, that type of 'growth' machinery is gone. Bones, in theory and somewhat in practice, can be remodeled. But the key is steady and constant pressure. This is why orthodontic braces (and other related products) are so effective. They provide the appropriate load for an extended period of time. I would imagine if the spine were as easy to get to as our teeth, scoliosis wouldn't be as much of a problem as it is.

[rohrer01]

A comment about growth hormone. It can help with bone density and potentially muscle mass (although this is sort of debatable) for people who have low levels of GH. It has not been proven to be a safe and effective treatment to be given to people with normal levels.

As far as 'growth' of bone is concerned. If GH did stimulate bone growth in adults it would be only for increasing density and not height. Once the growth plates are closed, that type of 'growth' machinery is gone. Bones, in theory and somewhat in practice, can be remodeled. But the key is steady and constant pressure. This is why orthodontic braces (and other related products) are so effective. They provide the appropriate load for an extended period of time. I would imagine if the spine were as easy to get to as our teeth, scoliosis wouldn't be as much of a problem as it is.

Kevin,
As you can tell, I wasn't quite sure how GH would work on an adult. Thank you for the clarification. As far as orthodontia goes, I was told that the appliance could only be used when my daughter was still small and growing. As I mentioned, she was seven when she got the appliance and wore it for two years. It was successful. But had we waited until she was like 12, she would have had to have teeth pulled.

Yes, the problem with the spine is that there is no really "good" way to reshape it during growth. It is deep in the body and the structure of each vertebrae would have to be taken into consideration. That is definitely much more complicated. Another HUGE problem, in my opinion at least, is determining actual age of onset. That is a near impossibility. Like I have mentioned on other threads, how many AIS kids are really undiagnosed JIS kids? And for some purposes, it doesn't really matter because once a child reaches adolescence, it seems that brace efficacy goes down. It's catching these kids when it starts. If there were better ways to do that, then maybe a lot of these treatments would be more effective against progression in many children (not all, of course).

[Kevin_Mc]

Kevin,
As far as orthodontia goes, I was told that the appliance could only be used when my daughter was still small and growing. As I mentioned, she was seven when she got the appliance and wore it for two years. It was successful. But had we waited until she was like 12, she would have had to have teeth pulled.


There are similar products that would obviously use the same principle. Invisalign is one of them. Essentially these are removable braces but are meant to be worn full time except for eating (I'd imagine). And perhaps a product like this would have limitations of which I am unaware.

[flerc]

Bones, in theory and somewhat in practice, can be remodeled. But the key is steady and constant pressure.
Kevin, would be possible to estimate how much time of steady and constant pressure is needed in an adult?

[rohrer01]

Flerc,
I know you addressed Kevin, but it takes years in adult orthodontic cases. And where are you going to put the pressure? Braces put pressure on the structures around the spine, so how are you going to get around this without hurting a person? There is another thread where the mom has her child in a brace and the child is developing a nodule on the rib as a result of the brace. I just don't know how you can get to the spine itself to exert any pressure on it in a positive way.

[flerc]

It seems reasonable to believe that would takes years.. but how many with the spine?
Braces does that kind of pressure because are holding the spine and all that is being holding for it, but I believe it should not to be the only way to hold a spine straight. Anyway if the spine is straight while is stand up, the vertical and horizontal forces would have a different distribution, direction and magnitude... even if someone with a flexible spine, while lying down on the floor (and then with the spine straight) and the feet over the wall receives a high force over the shoulders the effect should to be the same. I believe that other way should be using the inclined plane. http://www.scoliosis.org/forum/showthread.php?11423-Martha-Hawes-improves-her-scoliosis-w-exercise/page7 post #99.

[Kevin_Mc]

Kevin, would be possible to estimate how much time of steady and constant pressure is needed in an adult?

I'm pretty sure it would be possible to calculate that. The trick would be knowing the rate of bone turnover. This can be extremely variable. As well, the pressure has to be applied to the bone. If you try to apply pressure to the bone VIA soft tissue, I'm not sure how successful it would be. The spine is curved but you'd need to put pressure on individual vertebrae. And the pressure would most likely need to be distraction in order to correct the wedging on the concave side.

[rohrer01]

But that would put a stretch and release force on the spine, not put pressure on it. To put pressure, one would have to carry around weights, which wouldn't be good for the curve. The braces put forces on the ribs, muscles and pelvis but not on the spine itself, as far as I know.

[Kevin_Mc]

But that would put a stretch and release force on the spine, not put pressure on it. To put pressure, one would have to carry around weights, which wouldn't be good for the curve. The braces put forces on the ribs, muscles and pelvis but not on the spine itself, as far as I know.

Stretch/distraction is pressure/force as well.

[Pooka1]

Why don't they staple adults?

I mean if you can correct adult spines with fusion then why not with staples? In both approaches, the mechanism is not growth modulation but spinal alignment.

[flerc]

Why don't they staple adults?

I mean if you can correct adult spines with fusion then why not with staples? In both approaches, the mechanism is not growth modulation but spinal alignment.

Good question, I believe that the inventor said that it could not be possible but I don’t know why.

[flerc]

To put pressure, one would have to carry around weights, which wouldn't be good for the curve.

I’m not so sure.. between a range of weight, should to be something good, because muscles would fights to not allow an increasing of the curve. Of course if the spine begin to bend more because the weight it would not be good. But if the spine remains enough straight, it should not to be any problem.

[rohrer01]

If you look up twistedlifter, he has pictures posted. I don't think I've ever seen a more muscular scoliotic body, yet his muscles don't make his spine straight. If I remember, I think he has at least one curve in the 70's. I could be wrong, since he hasn't posted for a long time.

[flerc]

So much interesting issue Roher, I thought exactly like you before I talked with Kevin about that http://www.scoliosis.org/forum/showthread.php?11214-Muscular-question-to-Dr-McIntire&highlight=muscular+flerc
An extremely elemental reasoning have lead me to believe that, but we might only say it’s true if we are focused only in an static position, not dynamic.
I also don’t know which kind of exercise she does. Exercises seems to only provide force to do that specific exercise. If you swim all the day, you'll have a great force for swimming, not necessarily for fight against gravity force.

[flerc]

Stretch/distraction is pressure/force as well.

Sorry Kevin, I don't understand.. what kind of pressure would be applied to vertebras to allow a remodeling in that way??

[flerc]

So much interesting issue Roher, I thought exactly like you before I talked with Kevin about that http://www.scoliosis.org/forum/showthread.php?11214-Muscular-question-to-Dr-McIntire&highlight=muscular+flerc
An extremely elemental reasoning have lead me to believe that, but we might only say it’s true if we are focused only in an static position, not dynamic.
I also don’t know which kind of exercise she does. Exercises seems to only provide force to do that specific exercise. If you swim all the day, you'll have a great force for swimming, not necessarily for fight against gravity force.

Certainly, I'm thinking now that probably they are really important to hold the spine in the frontal. Some surgeons in some cases not fix all the curve vertebras. I believe they only does it in S curves. The daughter of a friend after surgery when she tried to walk, her trunk, include her head bend to a side. He thought that was a big mistake, but after a while (I don't remeber if it were some days) she began to walk in a normal way.
I believe that muscles were the responsables of that straightening.. and not as I believed because their lenght (as ligaments) but because their activation in the right way.. I supposed then that at least some improvement should to do in a spine without surgery.