How is scoliosis treated with bracing?

  Orthopedic brace treatment is mainly aimed at children and adolescents with scoliosis between 20° and 40° and with continuing trends.  The consultation process: ① physical examination and follow-up radiographs: a standing full frontal and lateral X-ray of the spine to confirm the diagnosis of scoliosis, and the angle of 20 ° ~ 40 °.  ②Moulding and making of brace: according to the type and location of scoliosis, the patient will be given a tailor-made mould.  (③Appointment and trial brace: get the brace according to the appointment time, and try on the spot in various positions such as lying, reclining, sitting, walking, etc. If there is any discomfort, please communicate with the technician immediately and make adjustments.  ④Appointment and review of the full spine X-ray: After the brace is ready, make an appointment for a review, and then you will need to take a front and side X-ray of the full spine in the standing position while wearing the brace.  ⑤Visit: Patients must wear the brace more than half an hour before taking the film to visit the clinic, so that the visiting specialist can judge the brace wearing effect; during the follow-up consultation, the specialist will judge the brace wearing effect according to the physical examination and X-ray film, and if the brace is not suitable, it should be returned to the provincial prosthesis center for adjustment.  (6) Review: For patients who are satisfied with the brace and wear it correctly, generally need to return every 3 months to take a standing full spine ortholateral X-ray with the brace for review, observe the scoliosis control and progress, if necessary, need to adjust or replace the brace.  Warm tips: 1. When you first start wearing the brace, you should start from loose to tight, and use 1~2 weeks to let the child adapt.  2. The brace should be worn for 18~22 hours per day, and at least 1-2 hours of sports (such as swimming, jogging, backward walking, bar pulling, swallow back flying, etc.) or physical training is recommended. You can take off the brace to participate in physical education classes during school, and you need to wear it again after the break.  3.During the treatment period, the whole spine X-ray under the brace should be reviewed every 3 months according to the situation, and the brace should be adjusted or replaced according to the degree of tightness and growth.  4.Every time after you get the brace, you must take the film and visit the clinic with the brace on.  5.If there is any pressure damage to the skin during the wearing process, please contact us or go to the hospital for consultation in time.  6.The brace should be worn until the bone is mature.