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  1. #1
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    Adult bracing?

    I was wondering if there are any adults here using a brace to stop curve progression and for pain relief. I just started schroth and the therapist recommended this brace https://www.align-clinic.com/adult-s...s-bracing.html
    As much as I would like wearing a brace (not joking, I miss my teenage brace which I wore for 2 years) I worry that a. It will be an expensive experiment that wonít work or worse b. It will debilitate my muscles and make things worse. This is what my surgeon told me.
    Anyone has had any experience with this brace as an adult? I am trying to explore all options before undergoing spinal fusion.

  2. #2
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    Quote Originally Posted by Mamichi View Post
    I was wondering if there are any adults here using a brace to stop curve progression and for pain relief. I just started schroth and the therapist recommended this brace https://www.align-clinic.com/adult-s...s-bracing.html
    As much as I would like wearing a brace (not joking, I miss my teenage brace which I wore for 2 years) I worry that a. It will be an expensive experiment that wonít work or worse b. It will debilitate my muscles and make things worse. This is what my surgeon told me.
    Anyone has had any experience with this brace as an adult? I am trying to explore all options before undergoing spinal fusion.
    In my opinion, I'd trust your surgeon, who doesn't have any financial interest in selling you a brace. If you look at the photos of the before and during brace treatment at the bottom of the link you posted, note that the patient has considerably more head tilt with the brace on. I'd be concerned about causing new cervical issues.
    Never argue with an idiot. They always drag you down to their level, and then they beat you with experience. --Twain
    ---------------------------------------------------------------------------------------------------------------------------------------------------
    Surgery 2/10/93 A/P fusion T4-L3
    Surgery 1/20/11 A/P fusion L2-sacrum w/pelvic fixation

  3. #3
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    Quote Originally Posted by LindaRacine View Post
    If you look at the photos of the before and during brace treatment at the bottom of the link you posted, note that the patient has considerably more head tilt with the brace on. I'd be concerned about causing new cervical issues.
    Good point. Thanks.

    I trust my surgeon but there is a part of me who also thinks that his professional interest is in surgery not bracing. He said that the problem with bracing adults is that they get addicted to the brace because it relieves their pain and then they stop working their muscles. I can see that happening. But if it is so effective in relieving pain, wouldn’t this be a possible form of treatment if used in moderation?
    Last edited by Mamichi; 12-17-2020 at 08:40 PM.

  4. #4
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    Quote Originally Posted by Mamichi View Post
    Good point. Thanks.

    I trust my surgeon but there is a part of me who also thinks that his professional interest is in surgery not bracing. He said that the problem with bracing adults is that they get addicted to the brace because it relieves their pain and then they stop working their muscles. I can see that happening. But if it is so effective in relieving pain, wouldnít this be a possible form of treatment if used in moderation?
    The developers of the SpineCor brace eventually realized that they should be recommending exercise out of brace to avoid muscle atrophy. Maybe if you had a PT program that you did along with wearing the brace you could reduce your pain and avoid muscle atrophy.

    Do you intend to wear a brace the rest of your life? SpineCor tried to expand to the adult market and only recommended 2 years of wear for some random reason. There is actually no research behind that suggestion.

    By the way, PT alone is used for pain. If you have to do PT anyway with the brace, why not try just PT? It will probably be cheaper.

    May I ask what you have been told braces cost?

    In re surgeons and surgery, yes that is what they do but with adults, it is my understanding they exhaust all other modalities to address pain before agreeing to try surgery. One reason is surgery for pain is often not successful as far as I know. PT might have a better track record for pain in adults.

    In re scoliosis, as far as I know there is one consensus opinion... fuse (or staple or tether) T curves that are progressing past a certain point with growth remaining in kids. ALL other situations (with the possible exception of EOS)... kids with L curves, adults with any curves, there is no consensus on fusing because the evidence case is not there, especially in the case of fusing adults for pain. That is my understanding.

    Linda can correct me if I am wrong.
    Sharon, mother of identical twin girls with scoliosis

    No island of sanity.

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    Answer: Medicine


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  5. #5
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    I personally would not choose to have surgery unless I felt very strongly that my pain was truly intolerable, or if my thoracic curve was so large that it was going to impinge on my heart and lungs. (That rarely happens in curves under 70 degrees.)

    As Pooka suggests, I would give PT an honest try before giving in to surgery. An honest try should almost certainly include 10-15 minutes of core strengthening exercises every day.

    --Linda
    Never argue with an idiot. They always drag you down to their level, and then they beat you with experience. --Twain
    ---------------------------------------------------------------------------------------------------------------------------------------------------
    Surgery 2/10/93 A/P fusion T4-L3
    Surgery 1/20/11 A/P fusion L2-sacrum w/pelvic fixation

  6. #6
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    Quote Originally Posted by LindaRacine View Post
    I personally would not choose to have surgery unless I felt very strongly that my pain was truly intolerable, or if my thoracic curve was so large that it was going to impinge on my heart and lungs. (That rarely happens in curves under 70 degrees.)

    As Pooka suggests, I would give PT an honest try before giving in to surgery. An honest try should almost certainly include 10-15 minutes of core strengthening exercises every day.

    --Linda
    I would not say that my pain is intolerable but it is exhausting and it is getting worse. I worry about the future. My surgeon says that waiting too long will make the recovery from surgery harder or even, if Iím too old, I might not be a good candidate for surgery. Iím 51. Ideally, he says, I should have surgery before I turn 60.

    Iíve been doing PT, it has not helped much. The chiropractor helped for a while. Iím trying Schroth now.

  7. #7
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    Quote Originally Posted by Pooka1 View Post
    The developers of the SpineCor brace eventually realized that they should be recommending exercise out of brace to avoid muscle atrophy. Maybe if you had a PT program that you did along with wearing the brace you could reduce your pain and avoid muscle atrophy.

    Do you intend to wear a brace the rest of your life? SpineCor tried to expand to the adult market and only recommended 2 years of wear for some random reason. There is actually no research behind that suggestion.

    By the way, PT alone is used for pain. If you have to do PT anyway with the brace, why not try just PT? It will probably be cheaper.

    May I ask what you have been told braces cost?

    In re surgeons and surgery, yes that is what they do but with adults, it is my understanding they exhaust all other modalities to address pain before agreeing to try surgery. One reason is surgery for pain is often not successful as far as I know. PT might have a better track record for pain in adults.

    In re scoliosis, as far as I know there is one consensus opinion... fuse (or staple or tether) T curves that are progressing past a certain point with growth remaining in kids. ALL other situations (with the possible exception of EOS)... kids with L curves, adults with any curves, there is no consensus on fusing because the evidence case is not there, especially in the case of fusing adults for pain. That is my understanding.
    .
    I would use this brace along with P/T. Schroth to be more specific. The schroth therapist recommends it to help with pain and posture to supplement the p/t. She says it is optional but some of her patients find it helpful. Why not just p/t? It is my understanding that the brace is an additional tool that brings fast pain relief. Iíve been going to a chiropractor for 2 years, regular p/t for 6 months and I started Schroth this week. So far nothing has helped much so Iím looking for options.

    Do I intend to wear it for the rest of my life? Not necessarily. I think Iíll end up having surgery so right now Iím hoping this buys me time and gives me a better quality of life until I have to get surgery.

    The brace costs 5k. Thatís why Iím trying to get as much information as I can before investing my money in something that is not beneficial.

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