3 Non-Surgical Treatment Options for Scoliosis and Postural Dysfunction

October 3, 2024

Have you been experiencing chronic back pain or neck pain and learned that it may be due to scoliosis or postural dysfunction? Would you like to be able to perform your daily activities, recreation and exercise to improve your health but they often result in increased pain?

Scoliosis of the spine is an abnormal curvature that typically develops during adolescence. Left untreated, it can significantly impact your quality of life. It may often result from degenerative changes, previous spinal conditions, or other factors that can lead to abnormal curvature and alignment of the spine into adulthood.

While surgical interventions are sometimes necessary, conservative treatment options such as Structural Integration (SI), Orthopedic Manual Physical Therapy (OMPT), and Neuromuscular Activation (NEURAC) offer help to many people.

Structural Integration (SI)

SI focuses on the body’s connective tissues, particularly the fascia, which surrounds our muscles, bones and organs. Developed by Dr. Ida Rolf, Structural Integration aims to align and balance the body by manipulating the fascia to release tension and improve posture. SI can be particularly beneficial to address the compensatory soft tissue strain patterns that develop due to spinal deformity. While OMPT addresses the mechanical aspects of the spine and surrounding tissues, SI focuses on the overall structural balance of the body.

Orthopedic Manual Physical Therapy (OMPT)

OMPT is an orthopedic diagnostic and treatment methodology. It involves hands-on techniques to mobilize joints, soft tissues and nerves. It aims to reduce pain and restore functional movement. For people with abnormal spinal curvature, OMPT addresses the mechanical dysfunctions contributing to their symptoms. Techniques such as spinal manipulation, mobilization, and myofascial release can help correct misalignments, reduce muscle tension and improve spinal mobility. By targeting the specific areas of dysfunction, OMPT provides a personalized approach to alleviating pain and tightness.

Neuromuscular Activation (NEURAC)

For more long-lasting improvements in mobility and alignment, it is important to strengthen and progressively stabilize the pelvis, spine and body to sustain the changes that are gained. While there are many "corrective" exercises that can do this, one technique stands out as the gold standard: Neuromuscular Activation. NEURAC utilizes the Redcord suspension system to create a "zero-gravity" environment that helps you safely regain underlying muscle control from head to toe. It's sort of like how a mechanic lifts your car to balance the tires and alignment.

In conclusion, the synergy between these 3 types of therapy offers a powerful approach to managing scoliosis and adult spinal deformity. By addressing soft tissue strain, joint restriction and muscle imbalances, they can provide significant relief and improved overall function. People may benefit from this nonoperative treatment strategy, potentially avoiding the need for surgical intervention.

If this sounds like something that can help you, contact me at Activcore Denver to schedule a consultation.

REFERENCES:

Goals of Physical Therapy for Scoliosis by Jason Lowenstein, MD

Orthopaedic Manual Physical Therapy: A Modern Definition and Description

Disclaimer:  The views expressed in this post are based on the opinion of the author, unless otherwise noted, and should not be taken as personal medical advice. The information provided is intended to help readers make their own informed health and wellness decisions.

Dr. Ari Globerman

Physical Therapist
Ari Globerman is a Doctor of Physical Therapy (DPT) who specializes in helping people with scoliosis and other orthopedic conditions through the skilled practice of manual therapy and corrective exercises. He works at Activcore in Denver, Colorado, located just one mile from the popular Cherry Creek Shopping District.
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