First, precision x-rays provide a 3-dimensional picture of the structure of the entire spine – not just the Big Curve.  These x-rays are analyzed using scientific, reproducible methods that do not solely measure lateral deviation – as is the case with Cobb’s angle – but the entire spine in 3-dimensions, including rotation, which, as we will demonstrate later, is an integral factor in why a scoliosis develops.  The lateral deviation component cannot be addressed until the abnormal rotation is corrected.

Structure is correlated with function through the use of computerized dual inclinometry (range of motion) & algometry (muscle testing).  According to the AMA Guides to the Evaluation of Permanent Impairment, 5th edition, this system is considered to be the “Gold Standard” for measuring function.

Finally, a full range of orthopedic & neurological exams, health questionnaires, posture grid pictures, and spirometry (lung capacity) testing provide a baseline of the patient’s status.

Once all of this information, including a complete medical history, is obtained, we will have an idea if the patient is a good candidate for non-surgical scoliosis correction.

An MRI may be necessary in cases of atypical scoliosis to rule out pathology (such as a conjoined nerve root).  If underlying complications are revealed, surgical intervention may be required.  Chiropractic intervention is contraindicated in some instances.

Posted in Scoliosis Research, Awareness & News

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