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Re: Scoliosis Protocol

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ph,

I would recomend an Egoscue therapist. I do the work in my clinic, and

there is a great Egoscue Clinic in Beaverton. Never seen anything like it

for prolonged postural change. They are doing a study of this technique on

scoliosis patients currently at UC . The name of the game at this

stage of this girl's life is to stop progression. If she had a brace, then

she is likely in the category of folks who's curve progresses, though slowly

over time. Works great with chiropractic. There number is 503-350-0888.

Lindekugel, DC

Concordia Chiropractic Center

5425 NE 33rd Ave.

Portland, OR 97211

503-287-2273

>From: " Dr. ph Medlin D.C. " <deadmed@...>

>< >

>Subject: Scoliosis Protocol

>Date: Wed, 1 Nov 2006 08:54:51 -0800

>

>Good morning,

>

>Have a 34y/o female patient with prominant right scoliotic curvature from

>T1-T10. Convexity crowds Rhomboids etc. on the right and is approx. 1/2inch

>from scapular edge. Paraspinals/Rhomboids along thoracic vertebrae on Rt.

>are hypertonic. To my amazement she denies pain in that specific area. I

>haven't taken films of the scoliosis as of yet because her complaint was in

>a different area of the spine. She has had this since childhood. She was

>given a brace at one time, but has since discontinued use.

>

>Is anyone aware of some effective exercise protocol to assist with spinal

>adjustments in a case like this? For eg: to ease the tension of the right

>musculature and increase the strength of left thereby balancing things a

>bit? Just wanted to fish for some ideas from those with more experience

>with these cases than myself.

>Many thanks,

>

>

>Dr. ph Medlin D.C.

>Spine Tree Chiropractic

>1627 NE Alberta St. #6

>Portland, OR 97211

>Ph: 503-788-6800

>c: 503-889-6204

_________________________________________________________________

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Thanks ,

I use a lot of yoga/therapeutic/rehabilitative exercise techniques in my

practice, is this different somehow??

Dr. ph Medlin D.C.

Spine Tree Chiropractic

1627 NE Alberta St. #6

Portland, OR 97211

Ph: 503-788-6800

c: 503-889-6204

Scoliosis Protocol

>>Date: Wed, 1 Nov 2006 08:54:51 -0800

>>

>>Good morning,

>>

>>Have a 34y/o female patient with prominant right scoliotic curvature from

>>T1-T10. Convexity crowds Rhomboids etc. on the right and is approx.

>>1/2inch from scapular edge. Paraspinals/Rhomboids along thoracic vertebrae

>>on Rt. are hypertonic. To my amazement she denies pain in that specific

>>area. I haven't taken films of the scoliosis as of yet because her

>>complaint was in a different area of the spine. She has had this since

>>childhood. She was given a brace at one time, but has since discontinued

>>use.

>>

>>Is anyone aware of some effective exercise protocol to assist with spinal

>>adjustments in a case like this? For eg: to ease the tension of the right

>>musculature and increase the strength of left thereby balancing things a

>>bit? Just wanted to fish for some ideas from those with more experience

>>with these cases than myself.

>>Many thanks,

>>

>>

>>Dr. ph Medlin D.C.

>>Spine Tree Chiropractic

>>1627 NE Alberta St. #6

>>Portland, OR 97211

>>Ph: 503-788-6800

>>c: 503-889-6204

>

> _________________________________________________________________

> Find a local pizza place, music store, museum and more.then map the best

> route! http://local.live.com?FORM=MGA001

>

>

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Here is a good resource for one doc Dennis Waggon who promotes and

aggressive in-office approach. Perhaps not appropriate in this case.

http://clear-institute.com/clearinstitute.html

One thing to keep in mind is that alot of docs and chiros included are

obsessed by the A-P curve measurements. Don't forget that you can

address a scoliosis by addressing the lateral curves as well (nearly

always flattened where there is a scoliosis)...when and if you promote

more bimechanically-sound lateral curves you are correcting the A-P

curves as well. So keep in mind concepts promoted by CBP et al. I

mention this because laying on a posture pump (the full-length one

with with lumbar addition) or " soothecizer-type " pillow or any of the

various lateral-curve-correctign-tools (maitland wedge etc) and/or

foam rolls in the supine position is a heck of alot easier than

sitting in an office in a lateral-curve-correction-contraption. I have

found patients find these devices soothing and relaxing....and what we

really want is for them to perform bio-mechanically-optimizing home

stretches for the rest of their lives, not just for the next few months.

http://clear-institute.com/clearinstitute.html

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Good morning,

Have a 34y/o female patient with prominant right scoliotic curvature from T1-T10. Convexity crowds Rhomboids etc. on the right and is approx. 1/2inch from scapular edge. Paraspinals/Rhomboids along thoracic vertebrae on Rt. are hypertonic. To my amazement she denies pain in that specific area. I haven't taken films of the scoliosis as of yet because her complaint was in a different area of the spine. She has had this since childhood. She was given a brace at one time, but has since discontinued use.

Is anyone aware of some effective exercise protocol to assist with spinal adjustments in a case like this? For eg: to ease the tension of the right musculature and increase the strength of left thereby balancing things a bit? Just wanted to fish for some ideas from those with more experience with these cases than myself.

Many thanks,

Dr. ph Medlin D.C.

Spine Tree Chiropractic

1627 NE Alberta St. #6

Portland, OR 97211

Ph: 503-788-6800

c: 503-889-6204

SOT has an excellent orthopedic blocking for scoliosis, which could be done daily at home as well. For a patient with a right thoracic convexity (which I happen to have), have them lie prone. Palpate the hypertonic rhomboids; there is usually hypertonic left QL as well. Put an SOT block under their right shoulder and another, horizontally under their left iliac crest. Then repalpate those hypertonic muscles. They will be immediately less tonic and less painful to pressure, if done correctly. They can lie on the blocks for 5 to 20 minutes, to unwind and take tension off the scoliosis, temporarily.

A much more detailed explanation, with pics, is available in the SOT literature. I will try to find the source, if you are interested.

Lying supine on a theraball daily will also traction out the compression and feel great.

Jocelyn Kirnak, D.C.

ActiveLife Chiropractic

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