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What Is It
At Total DC Chiropractic, our scoliosis program is a non‑surgical, evidence‑informed approach designed to help stabilize curves, improve posture and breathing mechanics, and reduce pain or activity limitations. Care plans are individualized and may include physiotherapy scoliosis‑specific exercise training (PSSE), postural rehabilitation and traction methods, neuromuscular re‑education and balance work, gentle manual therapy, and home exercises. When indicated, we co‑manage bracing with an orthotist and coordinate imaging and referrals.
Our focus is three‑dimensional correction: de‑rotation, elongation, and stabilization of the spine and rib cage while teaching patients how to hold their best alignment during daily activities. We also emphasize progressive, habit‑based home work so changes can be practiced outside the clinic.
Types of Scoliosis
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Adolescent Idiopathic Scoliosis (AIS): The most common form; our priority is to reduce risk of progression through growth and support healthy function and self‑management.
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Adult (degenerative) scoliosis: Focused on pain reduction, mobility, balance, and function; aims to slow progression and improve quality of life.
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Juvenile idiopathic scoliosis: Co‑managed closely with pediatric orthopedics for monitoring and bracing when appropriate.
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Postural or “pseudo‑scoliosis”: Lateral translations or muscular/leg‑length asymmetries that mimic scoliosis; often responsive to postural correction strategies.
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Hyperkyphosis / kypho‑scoliosis: Select cases benefit from extension‑biased exercises, breathing work, and posture training; co‑managed as needed.
How It Works
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Scoliosis-specific Exercises
Patients learn individualized 3D corrections—de‑rotation, axial elongation, and stabilization—paired with specific breathing into the concavity and postural “autocorrections.” This aims to retrain motor control, rib‑cage mechanics, and balance so better alignment becomes a practiced habit.
Postural Traction
“Mirror‑image” positioning and traction are used to counter habitual translations or imbalances. The goal is to influence soft‑tissue remodeling over time while strengthening the corrected posture.
Why Earlier is Better
During growth spurts, curves have a higher chance of progressing. Treating earlier—especially before peak growth—improves the odds that exercises and bracing can stabilize the spine. Clinicians gauge growth using skeletal maturity markers (e.g., Risser and Sanders staging) alongside curve size and pattern. In adults, growth is no longer a factor, but targeted exercise and posture training can still improve pain, endurance, and daily function.
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