Bracing and exercise are sometimes presented as competing options for scoliosis. At Dorsi Spinal Institute, they are partners. Used together, they provide the most powerful non-surgical approach to curve control and correction.

Why Bracing Alone Isn’t Enough

Braces like ScoliBrace can apply three-dimensional corrective forces to the spine, guiding it toward better alignment. However, they do not actively retrain muscles or movement patterns on their own. Without muscle engagement, gains made in a brace may be harder to maintain after weaning.

Why Exercise Alone Isn’t Enough

Exercises, especially scoliosis-specific methods such as Schroth and SEAS, target strength, flexibility, and postural control. They are excellent for supporting the spine but may not be sufficient to control progression of moderate curves in children who are still growing.

The Power of Integration

Combining bracing and exercise allows:

Evidence shows that this integrated approach produces better outcomes than either method alone.

Combine this with specialised treatment programmes and we have the Dorsi Method: the only clinic in the UK offering a full spectrum non-surgical programme.

Dorsi’s Integrated Programmes

At Dorsi Spinal Institute, brace wear is coordinated with:

This ensures that every hour in or out of the brace contributes to long-term success.

Patient Engagement and Motivation

Exercises also give patients a sense of control and agency, turning them from passive recipients of care into active participants. This psychological shift supports adherence and resilience.

Next Steps

If you’ve heard mixed messages about bracing versus exercise, Dorsi Spinal Institute can clarify your options and design a combined programme that plays to the strengths of both.

Related reading: see our blogs on scoliosis-specific exercises, ScoliBrace technology, and curve correction outcomes.

 

Written by

Dr Matthew ABJ Potts BSc MSc DC ISPRM
Clinical Director 
Doctor of Chiropractic 
Specialist Scoliosis Consultant 
Fellow of the British Scoliosis Society 
Member of the Scoliosis Association (UK)
Chair of the Clinical Advisory Board at Meloq AB
Member of the International Society of Physical and Rehabilitation Medicine
Editorial board member of international journals CICRJ & Rehabilitation Science

Understanding Mild and Severe Scoliosis: Symptoms, Treatment, and Prognosis

Keywords: Curvature of the spine, scoliosis, severe scoliosis, mild scoliosis, scoliosis symptoms, scoliosis prognosis

Introduction: Scoliosis, a condition characterised by an abnormal curvature of the spine, can range from mild to severe. The severity of scoliosis is typically determined by the degree of the spinal curve, and this classification can play a significant role in determining the most appropriate treatment options. In this article, we will discuss the symptoms, treatment options, and prognosis for mild and severe scoliosis cases.

Mild Scoliosis: Mild scoliosis is defined as a spinal curve measuring between 10 and 25 degrees. Symptoms of mild scoliosis may include:

  1. Uneven shoulders or hips.
  2. A visible curve in the spine.
  3. Back pain or muscle tension.

Treatment options for mild scoliosis often involve non-surgical methods, such as:

  1. Observation and monitoring: Regular check-ups with a scoliosis specialist to track the progression of the curve.
  2. Bracing: Wearing a scoliosis brace, like the ScoliBrace, to help slow the progression of the curve and provide support to the spine.
  3. Scoliosis-specific exercises: Programs like the Schroth method, SEAS, or ScoliBalance can help strengthen and stretch the muscles surrounding the spine, promoting better posture and reducing the progression of the spinal curve.

Severe Scoliosis: Severe scoliosis is characterised by a spinal curve measuring greater than 45 degrees. Symptoms of severe scoliosis may include:

  1. Significant spinal deformity.
  2. Breathing difficulties due to reduced lung capacity.
  3. Chronic pain and reduced mobility.

Treatment options for severe scoliosis may involve a combination of non-surgical and surgical methods, such as:

  1. Bracing: In some cases, a scoliosis brace may be recommended to provide support and slow the progression of the curve.
  2. Scoliosis-specific exercises: Targeted exercises can help improve posture, muscle strength, and flexibility, even in severe cases.
  3. Surgery: In some cases, surgical intervention may be recommended to correct the spinal deformity and alleviate symptoms.

Prognosis: The prognosis for individuals with scoliosis depends on several factors, including the severity of the curve, the age of onset, and the success of treatment interventions. In general, mild scoliosis cases have a better prognosis and respond well to non-surgical treatments, such as bracing and targeted exercises. Severe scoliosis cases may require more intensive interventions, and the prognosis can vary depending on the individual's unique circumstances.

Conclusion: Understanding the difference between mild and severe scoliosis is crucial for determining the most appropriate treatment options and managing the condition effectively. By working with a non-surgical scoliosis expert, such as Dr. Matthew Potts at Dorsi.uk or Spinex Disc Clinic, patients can receive personalised care and develop a treatment plan tailored to their specific needs and goals.

Keywords: Curvature of the spine, scoliosis, severe scoliosis, mild scoliosis, scoliosis symptoms, scoliosis prognosis

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