Are you doing the right thing with conservative treatment of adolescent scoliosis?

      Recently, there are often bent friends or parents of scoliosis children consulting conservative treatment, some very anxious to try all the methods available online; some very serious scoliosis, more than 100 degrees, still struggling to find a good conservative treatment; some will ask a lot of strange and bizarre conservative treatment methods that have not even heard of …… In fact, conservative treatment is an important part of scoliosis treatment, most patients can control and delay the progress of scoliosis through regular conservative treatment to obtain satisfactory results, but if you blindly adhere to conservative treatment or the use of unscientific conservative treatment methods, sometimes often delay the disease, let people sigh.  1, what kind of scoliosis is suitable for conservative treatment?  In general, conservative treatment is preferred for mild scoliosis. What is mild is generally 40° or less (some people use 45° as the limit), but if, after evaluation, the patient has a significant razorback, trunk imbalance, shoulder and pelvic tilt, then it should be treated differently.  2.Is brace therapy effective?  Bracing is the only recognized effective treatment, but it needs to be applied under the precise measurement and guidance of a physician and therapist.  3.What kind of adolescent scoliosis is suitable for brace therapy Adolescent patients with immature skeletal development and mild scoliosis between 20° and 40° are suitable for brace therapy 4.What kind of adolescent scoliosis is not suitable for brace therapy?  (1) If the skeleton is mature, it is no longer suitable for brace treatment.  (2) Scoliosis below 20° only needs to be observed because overly aggressive use of braces can also limit adolescent thoracic development.  (3) Scoliosis above 40° is no longer suitable for brace treatment and surgery is recommended.  (4) Scoliosis combined with thoracic anterior convexity is suitable for brace treatment because it can aggravate the anterior convexity deformity.  5.Does massage and orthopedic treatment work?  Although some people may refute this with photos of the appearance before and after the orthopedic treatment, I believe this method does not address the root of the problem.  6.Does Chinese medicine treatment work?  Chinese medicine is certainly not effective, scoliosis involves many mechanical imbalances, internal medication certainly can not solve these problems.  7. Is exercise therapy effective? How to exercise?  Exercise therapy is effective and needs to be carried out throughout the treatment of scoliosis.  Reasonable exercise includes corrective gymnastics, swimming, swallow flying and hanging bar, etc. You need to choose the appropriate exercise method and intensity and adhere to it according to your own situation.  However, it should be noted that inappropriate exercise will aggravate the progress of scoliosis, so exercise therapy also requires professional guidance.     8.When can conservative treatment end?      Generally, brace treatment is required until the adolescent’s skeleton is fully developed, and for girls it is usually 2 years after the onset of menstruation. However, even after the skeleton has matured, scoliosis may still progress, so it is still important to adhere to exercise therapy and regular review.     9.Do I still need to come to the hospital for conservative treatment?     Conservative treatment needs to be carried out under the guidance of a doctor. Before treatment, spinal x-rays need to be taken to assess the degree of scoliosis and bone development; during treatment, spinal x-rays need to be taken to assess the effectiveness of treatment and the progression of scoliosis, and if it is still progressing rapidly, the need for surgery needs to be identified and evaluated in a timely manner; after treatment, regular follow-up visits to the hospital are required to assess the progression of scoliosis.     10. My doctor recommended surgery, but I still want to look at conservative treatment again, is there any harm?     If the doctor recommends surgery, it is evidence that the scoliosis has reached a more severe level or is progressing faster and conservative treatment is no longer appropriate. If you still treat conservatively, there will be further aggravation of scoliosis, less and less flexibility of the spine, less and less muscle balance of the spine, and changes in the clavicle, ribs, scapula, and pelvis, which are all affecting the final outcome of the surgery.