Scoliosis Correction Protocols

1. Static and Stress xrays Assessment for amount of correction2. Neurologic component change afferentation by restoring the

lordotic curves C/S, L/S3. Cross Crawl Exercises4. Stabilize Pelvis5. Adjust using drop techniques6. Correct biomechanics of the calf7. Take post x-rays

My Hero’s CBP The Harrison’s

Donald D. Harrison, PhD, DC, MSE Deed E. Harrison, DC

Scoliosis Chair and Neurologic Exercises

Great for correction

MUST be coupled with restoration of the Lordotic Curves

Scoliosis Bracing1. Must be dynamic = allow for movement2. Must be designed for correction NOT Stabilization

Good

Bad

Ugly

Stress X-rays laterally flex 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

Neutral A-P Right Flexion

Stress X-raysThis is the minimum amount of

Correction

You and Patient see the Goal

Look at the osteophytes

Upright MRI was found 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 bearingDON’T TRUST DISC FINDINGS FROM MRI’s

Micro discectomy post surgical pain(They Operated in the Wrong Spot) Liquid Lock or Abnormal disc motion

You Can See Disc Function on a Stress X-RayNeutral Left BendingRight Bending

Disc Injuries Are NOT the Problem they are a clue to improper biomechanics :

Slipped Bulging

Herniated

Discs Get Nutrition

thru imbibition

or movement

Disc = 80 bands of Ligament

Another artificial disc … can you see the Real Problem

Front View Before Side View After

Before After7 Back Surgeries

Postural vs Phasic muscles

Postural no conscious control they increase in tone under proprioception

Never relax muscles under proprioceptive firings

Loss or reversal of curves

Convex vs Concave

Increased in tone on the convexity

Convex muscles increase in tone

10 cycles a sec relaxes ligaments only on the concave part

NEVER Relax the muscles on the convex area

1st Nasium View 1st Goal1st post at 9 monthsNew Goal

Lauren 25 yo Change Goals at Re-exam

Thoracic Adjusting for Scoliosis

1. Most Protected area of the body2. Low ROM

Left Thoracic rotation with a left convexity preload by turning the head to the spinous rotation

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

Start with the Head supportedNote: •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

Thoracic Scoliosis Exercises 1. Restore the Lordotic Curves2. Rolled up towel on convexity 20 min3. Arm on Door way

Left Upper ConvexityLower Right Convexity

T1 /T2 Left Curve Left leg forward

T3 /T6 Left CurveLeft leg forward

Use Scapula and the 18 Muscles to distort the Thoracic CageHold for 2 - 4 min. 3 to 4 times a day

Use Scapula and the 18 Muscles to distort the Thoracic CageHold for 2 - 4 min. 3 to 4 times a day

Left Upper ConvexityLower Right Convexity

T7/T10 Right CurveRight leg forward

Hold Elbow in tight to T-spine

Restore Lordotic Curves and Decrease Lateral Curves

Plastic / elastic deformation curve = 18 min.

Exercises:• rolled up towel on convexity•Neck extension •Deno roll

Turn Sitting into Therapy•Bottom of the elbow is the bottom of the towel•Base of the rib cage•20 min on •10 min off

Ball Chair stabilizes pelvisOnly time for No Towel

Rolled Towel Exercise1. Roll tight as Possible2. Diameter between 4” – 8”3. Support Head and Pillow Between Legs for the Pelvis Stability4. Place at the Apex of the Convexity5. For 18 Min.

Right leg drop for a left convex scoliosis

RL

Leg Drop Exercise for Lumbar Scoliosis

1. Stand Straight Concave (side) Leg out2. Drop Heal to floor by dropping pelvis3. Hold for 2 – 4 min 3 to 4 times a day

Bad Posture

Right leg drop perfect for this

Stabilizing the Pelvis a 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/cowboyStable sitting position

Or Ball Chair

Bad Stretch

Good Shoe

Bad Calf Notice only 90 degrees of dorsiflexion

Calf Stretch Vital for a Stable Pelvis

Good StretchBend 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”

Bend into convexity for goalInitial neutral A-P 18 Months Post Care

Challenging thoraco-lumbar correction

Don’t get fooled by loose pants and a hurt knee16 yo with back and knee painPediatrician wanted steel rods

Before After

Initial 8 Months Post Care

64 yo Nurse7 Back Surgeries / 4 Screws / 2 Artificial Discs

Linda 68 yoScoliosis / Unstable pelvis / Loss of foot dorsiflexion / Diffuse pain

9 months post

Scoliosis Patients Are Missing lateral Lordotic Curves…“Linda”

13 neck surgeries = is a C1 Technique important?

www.youtube.com Johnbchiro (subject here)Reverse ArthritisEliminate High Blood PressureDiabetesReverse CancerCorrect FibromyalgiaHeadaches solutionSciatica Low back painIrritable Bowel SyndromeInfertility and dysfunctionRLS Restless leg SyndromeNeuropathy

Be part of the Health Renaissance

Multiple Talks Available:Reverse ArthritisEliminate High Blood PressureDiabetesReverse CancerCorrect FibromyalgiaHeadaches solutionSciatica Low back painIrritable Bowel SyndromeInfertility and dysfunctionRLS Restless leg SyndromeNeuropathyMen’s HealthWomen’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.comWeb site:www.bergmanchiropractic.com

The The ChiropractChiropract

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