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Scoliosis correction
1. Scoliosis correction protocols involve static and stress x-rays to assess correction, restoring the lordotic curves, cross crawl exercises, stabilizing the pelvis, adjusting using drop techniques, and correcting calf biomechanics. 2. Key elements for scoliosis correction include restoring the lordotic curves, using a rolled towel or other exercises on the convexity for 18 minutes, and performing leg drop or other exercises to stabilize the pelvis. 3. Stress x-rays laterally flexed into the convexity can show the minimal amount of correction that is possible, helping to set correction goals.
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Scoliosis correction
- 1. Scoliosis Correction Protocols 1.Static and Stress xrays Assessment for amount of correction 2. Neurologic component change afferentation by restoring the lordotic curves C/S, L/S 3. Cross Crawl Exercises 4. Stabilize Pelvis 5. Adjust using drop techniques 6. Correct biomechanics of the calf 7. Take post x-rays
- 2. My Hero’s CBP TheHarrison’s Donald D. Harrison, PhD, DC, MSE Deed E. Harrison, DC
- 3. Scoliosis Chair andNeurologic Exercises Great for correction MUST be coupled with restoration of the Lordotic Curves
- 4. Scoliosis Bracing 1. Mustbe dynamic = allow for movement 2. Must be designed for correction NOT Stabilization Good Bad Ugly
- 5. Stress X-rays laterallyflex into the convexity 1. Stress X-rays give minimal amount of Correction (Goal) 2. If no Change on Flexing then Change will be hard to predict 3. Change in 90 days full correction can take between 3 – 8 years
- 6. Neutral A-P RightFlexion Stress X-rays This is the minimum amount of Correction You and Patient see the Goal Look at the osteophytes
- 7. Upright MRI wasfound to be superior to recumbent MRI (did not miss or underestimate condition) Eur J Radiol 2007; The AMA Guides notes that no pain-producing trauma can be found for 85% of patients who complain of back pain. …the failure of medical and surgical investigations may result from looking at the wrong place and at the wrong time… MRI’s Recumbent vs Weight bearing DON’T TRUST DISC FINDINGS FROM MRI’s
- 8. Micro discectomy postsurgical pain (They Operated in the Wrong Spot) Liquid Lock or Abnormal disc motion You Can See Disc Function on a Stress X-Ray Neutral Left BendingRight Bending
- 9. Disc Injuries AreNOT the Problem they are a clue to improper biomechanics : Slipped Bulging Herniated Discs Get Nutrition thru imbibition or movement Disc = 80 bands of Ligament
- 10. Another artificial disc… can you see the Real Problem Front View Before Side View After
- 11. Before After 7 BackSurgeries
- 12. Postural vs Phasicmuscles Postural no conscious control they increase in tone under proprioception Never relax muscles under proprioceptive firings Loss or reversal of curves
- 13. Convex vs Concave Increasedin tone on the convexity
- 14. Convex muscles increasein tone 10 cycles a sec relaxes ligaments only on the concave part NEVER Relax the muscles on the convex area
- 15. 1st Nasium View 1st Goal1st postat 9 monthsNew Goal Lauren 25 yo Change Goals at Re-exam
- 16. Thoracic Adjusting forScoliosis 1. Most Protected area of the body 2. Low ROM
- 17. Left Thoracic rotationwith a left convexity preload by turning the head to the spinous rotation
- 18. Right Upper Thoracic Convex Adjusting Keys: •Line-o-drive= elbows thru palm •Grab the Table and Gentle Thrust •Use rib cage •Rotate at the Last Part of the Thrust
- 19. Start with theHead supported Note: •Palm on left rib cage •Doc uses Back Leg for Leverage L.O.D elbows Thru Palm • Grab the table gentle thrust Left Convex Scoliosis upper T/S
- 20. Thoracic Scoliosis Exercises 1.Restore the Lordotic Curves 2. Rolled up towel on convexity 20 min 3. Arm on Door way
- 21. Left Upper Convexity LowerRight Convexity T1 /T2 Left Curve Left leg forward T3 /T6 Left Curve Left leg forward Use Scapula and the 18 Muscles to distort the Thoracic Cage Hold for 2 - 4 min. 3 to 4 times a day
- 22. Use Scapula andthe 18 Muscles to distort the Thoracic Cage Hold for 2 - 4 min. 3 to 4 times a day Left Upper Convexity Lower Right Convexity T7/T10 Right Curve Right leg forward Hold Elbow in tight to T-spine
- 23. Restore Lordotic Curvesand Decrease Lateral Curves Plastic / elastic deformation curve = 18 min. Exercises: • rolled up towel on convexity •Neck extension •Deno roll
- 24. Turn Sitting intoTherapy •Bottom of the elbow is the bottom of the towel •Base of the rib cage •20 min on •10 min off Ball Chair stabilizes pelvis Only time for No Towel
- 25. Rolled Towel Exercise 1.Roll tight as Possible 2. Diameter between 4” – 8” 3. Support Head and Pillow Between Legs for the Pelvis Stability 4. Place at the Apex of the Convexity 5. For 18 Min.
- 26. Right leg dropfor a left convex scoliosis RL Leg Drop Exercise for Lumbar Scoliosis 1. Stand Straight Concave (side) Leg out 2. Drop Heal to floor by dropping pelvis 3. Hold for 2 – 4 min 3 to 4 times a day Bad Posture Right leg drop perfect for this
- 27. Stabilizing the Pelvisa Must to Correct Scoliosis • Approximate hips 1st visit if symptoms change try a trochanter support •Unstable pelvis from long term LBP, scoliosis, sedentary lifestyle •“the adjustment feels good but the pain comes back in a hour” •Takes about 3 weeks to stabilize •Trochanter support $ maker Approximate hips 1st visit Sit Like a cowgirl/cowboy Stable sitting position Or Ball Chair
- 28. Bad Stretch Good Shoe BadCalf Notice only 90 degrees of dorsiflexion Calf Stretch Vital for a Stable Pelvis Good Stretch Bend the Knee over the toe Must Check Calf to Correct: •Scoliosis •Long term LBP •Unstable pelvis •Past pregnancy •High Heels •Tennis, B-Ball, jumping •Runners Foot on block Stretch: “Hold for 1 min 2 times a day”
- 29. Bend into convexityfor goalInitial neutral A-P 18 Months Post Care Challenging thoraco-lumbar correction
- 30. Don’t get fooledby loose pants and a hurt knee 16 yo with back and knee pain Pediatrician wanted steel rods Before After
- 31. Initial 8 MonthsPost Care 64 yo Nurse 7 Back Surgeries / 4 Screws / 2 Artificial Discs
- 33. Linda 68 yo Scoliosis/ Unstable pelvis / Loss of foot dorsiflexion / Diffuse pain 9 months post
- 34. Scoliosis Patients Are Missinglateral Lordotic Curves…“Linda”
- 37. 13 neck surgeries= is a C1 Technique important?
- 39. www.youtube.com Johnbchiro (subject here) ReverseArthritis Eliminate High Blood Pressure Diabetes Reverse Cancer Correct Fibromyalgia Headaches solution Sciatica Low back pain Irritable Bowel Syndrome Infertility and dysfunction RLS Restless leg Syndrome Neuropathy Be part of the Health Renaissance
- 40. Multiple Talks Available: ReverseArthritis Eliminate High Blood Pressure Diabetes Reverse Cancer Correct Fibromyalgia Headaches solution Sciatica Low back pain Irritable Bowel Syndrome Infertility and dysfunction RLS Restless leg Syndrome Neuropathy Men’s Health Women’s Health Patient Education Saves Lives!!! Health Talks Available $150 each •DVD of the talk •Power point •Handouts 3 Health Talks $400 Email: johnbchiro@hotmail.com Web site: www.bergmanchiropractic.co m
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