Scoliosis Treatment with Dr. Tony Nalda show

Scoliosis Treatment with Dr. Tony Nalda

Summary: As a scoliosis chiropractor known worldwide for his expertise, Dr. Tony Nalda shares insights and hope for patients and parents who have received a scoliosis diagnosis. Traditional scoliosis treatments prescribe years of "watching and waiting" instead of decisive action. Patients can be told to wear cumbersome, embarrassing braces for 20 or more hours a day. Eventually, expensive, invasive surgery often becomes the only option for treatment. It doesn’t have to be this way! The chiropractic-centered approach to treating scoliosis is proactive, effective and hopeful. In this podcast, Dr. Tony Nalda describes the realities of scoliosis and busts some of the more prevalent myths about treating the condition. But my primary goal is to give patients and parents hope. Surgery can often times be avoided. Treatment can be proactive and effective. Spinal curvatures can be reduced. Patients can live rich, full, and active lives.

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  • Artist: Dr. Tony Nalda
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Podcasts:

 Episode 63: Can Scoliosis Happen Suddenly? | File Type: audio/mpeg | Duration: 12:10

Understanding Scoliosis Scoliosis is a progressive condition of the spine characterized by a sideways curvature of 10 degrees or greater, including rotation. Progression of scoliosis is almost always guaranteed, but the rate of progression varies significantly. Factors Associated with Scoliosis Progression: Growth – happens at the onset of puberty. It's rapid, unpredictable, not linear but cyclic growth. During this stage, curves can progress very fast. Spinal Degeneration - can lead to the progression of scoliosis, but it tends to be slow initially. Something could happen to cause the spine to start to deteriorate or degenerate. It starts as a small curve but if not corrected will cause further degeneration. Phases of Progression: Puberty: Scoliosis curves tend to progress rapidly during puberty, with some cases even doubling in size in less than six months. Middle Years: The progression rate during this phase is relatively slow and linear, typically around half a degree to one degree per year. Late Stage Life: Scoliosis progression tends to increase as patients age, with curves potentially progressing 7-10 degrees per year. Treatment Options: Traditional Treatment: Limited options exist, especially for adult cases, with a focus on observation or waiting for curves to worsen before considering intervention. The most common recommendation would be to use the Boston Brace, a squeezing style brace to try to stop the spine from worsening in this stage. Conservative Methods: These alternative approaches offer more options for managing scoliosis and aim to reduce the curvature and slow down or reverse progression. Scoliosis-Specific Chiropractic Care: Specialized chiropractic techniques focus on reducing the curve to lessen the likelihood of progression. Scoliosis-Specific Exercises (SSEs): Customized exercises designed for each patient's curve type, age, and abilities to manage and reduce scoliosis progression. Scoliosis-Specific Therapy (SST): Corrective therapy aimed at reducing the curve and improving flexibility. Corrective Bracing: Different from traditional bracing, corrective bracing aims to reduce the curve in combination with the other three approaches mentioned above. Predicting Progression Riser Sign: In children, the growth plate on the hips, known as the Riser Sign, indicates the potential for growth and progression. Size of Curve: Larger curves have a higher likelihood of progression compared to smaller curves. Having known all these, Scoliosis is a progressive condition of the spine that requires proactive management. Watching and waiting do not benefit scoliosis patients, as curves tend to worsen over time. Regular evaluation, proactive treatment, and reducing the curve size quickly are recommended to prevent further progression. For more information on how you can treat scoliosis, check out Dr. Tony Nalda’s podcast. Musicbed SyncID: MB016DGYMKU9EIF

 Episode 62: Famous People With Scoliosis | File Type: audio/mpeg | Duration: 5:13

Scoliosis affects a diverse range of people, including both common individuals and famous personalities. Approximately 7 to 9 million people in the US are impacted by scoliosis. While scoliosis is commonly associated with adolescents, the highest percentage of scoliosis patients are aged 90 and above. Don’t let scoliosis define who you are. Having a scoliosis diagnosis is not a death sentence. There are a lot of famous people like Usain Bolt, Lamar Grant, Elizabeth Taylor, and Rene Russo who have accomplished remarkable feats while living with scoliosis. They are living proof that you just don't have to survive with scoliosis, you can actually thrive. Scoliosis doesn't have to limit your life – it can be an opportunity for personal growth and empowerment. The traditional approach of waiting for scoliosis to worsen is outdated, and seeking proactive treatment options is crucial. But unfortunately, you have to seek them out. They're not available from your traditional orthopedic surgeon or traditional treatment options. This is the exact reason why Dr. Tony Nalda wrote the book entitled, "Scoliosis Hope". It aims to spread awareness, and hope, and provide guidance on overcoming scoliosis. Here you can read about his patient’s stories and experiences that can play a vital role in fostering understanding, offering hope, and empowering others with scoliosis. With the right mindset, support, and specialized care, you too can live a fulfilling life, transcending the boundaries of scoliosis. If you are interested to learn more, check out Dr. Tony Nalda’s podcast. Artlist.io 847544

 Episode 61: Adult Scoliosis Treatment Without Surgery: Eli's Story | File Type: audio/mpeg | Duration: 7:02

Meet Eli, a dynamic speaker and mindset coach. Unlike most patients with scoliosis, who has had the condition at a very young age, his is quite unique because it started out of an arm-wrestling injury when he was around 20 years old and through the years just developed and forced a unique curve. Traumatic Scoliosis and Its Distinctive Nature Idiopathic scoliosis’s cause is usually unknown. There could be multiple factors that could contribute such as hormonal growth development, asymmetrical growth patterns, nutrition, or even genetics. Traumatic scoliosis on the other hand arises from known causes such as injuries and in Eli’s case, physical trauma to his upper body caused the curve to either shift and develop in that area which caused something that we call an atypical curvature. This curve doesn’t follow the normal pattern of scoliosis. A lumbar curve, curves to the left while thoracic is to the right. They move away from the heart. But, with Eli, the apex of the curve is right towards the heart, presenting specific concerns and challenges. Eli's scoliosis developed rapidly after the initial trauma and continued to progress at a relatively faster rate. Over time, his scoliosis transitioned from trauma-induced curvature to a more typical scoliotic condition, requiring a tailored treatment approach. But with the help of Dr. Tony Nalda, Eli's scoliosis curve was significantly reduced by an impressive 50%. Eli's inspiring journey of overcoming traumatic scoliosis with Dr. Tony Nalda's guidance demonstrates the transformative power of expert care. Through accurate diagnosis, personalized treatment, and ongoing support, Eli has regained control of his life, embracing pain-free movement allowing him to pursue his passions. For more inspiring stories with remarkable outcomes check out Dr. Tony Nalda’s podcast. Musicbed SyncID: MB01UZCR5WRE2TD

 Episode 60: Cervical Kyphosis Treatment Success: Alexandra's Story | File Type: audio/mpeg | Duration: 3:57

In this episode, Allie shares her personal journey of dealing with scoliosis and how a proper diagnosis and finding the right doctor and the right treatment can result in a successful outcome. A roller coaster-induced sickness prompts Allie’s friend to suggest she take an X-Ray as she noticed something is wrong with her neck. While under normal conditions, our neck has a natural curve, Allie’s as it turns out is in the opposite direction. Cervical spine misalignment on the nerve pathways can cause pain in various parts of your body such as the hands, arms, neck, and skull base. Common symptoms include neck pain, vertigo, dizziness, numbness, and tingling. Lordosis vs. Kyphosis The cervical spine has a normal alignment and that normal alignment is called the Lordosis, where the spine bends like a backward C facing forward. What Allie has is called cervical Kyphosis where the spine bends backward. So, she had a 100% loss of this normal curve. When you lose this normal curve, it can start affecting the neurology that goes through the spine thus, creating all kinds of widespread problems like Allie is dealing with. With proper treatment and with the help of Dr. Tony Nalda, Allie went from a cervical Kyphosis, a backward bend curvature to a forward bending curve, from a negative curve to a positive curve. Allie's journey highlights the significance of addressing spinal health and how Dr. Tony Nalda’s approach has brought positive changes to Allie’s well-being. To find out more, check out Dr. Tony Nalda’s podcast. Musicbed SyncID: MB01540UVKNINAN

 Episode 59: Adult Scoliosis Treatment Without Surgery: Denise's Story | File Type: audio/mpeg | Duration: 6:39

Today, we delve into the inspiring story of Denise, who battled chronic back pain for 20 years, and how an Internet search lead her to finally find the treatment she’s been looking for. Denise shares her frustration with doctors who dismissed her pain as a consequence of aging, despite her active lifestyle and love for water skiing. She sought alternative therapies like acupuncture and chiropractic care, but it wasn't until her previous chiropractor diagnosed her with scoliosis that she began to understand the root cause of her pain. Surgery is not an option for Denise. Why do something so drastic to your body when it's not going to fix it? Adult scoliosis differs from adolescent scoliosis in terms of progression factors. While adolescent scoliosis is typically driven by growth factors and often lacks pain and dysfunction, adult scoliosis progresses due to the effects of gravity, leading to compression of the spine, nerves, and surrounding tissues. This gradual progression often results in pain over time. The conventional approach to adult scoliosis often involves waiting until the condition worsens to the point where surgery, such as fusion with rods and screws, is deemed necessary. This approach leaves patients feeling deflated and without hope. Scoliosis is a challenging spinal condition, and unfortunately, many doctors avoid discussing it with their patients until surgery becomes the only option. However, there are alternatives, and Denise's journey serves as a reminder that surgery can be prevented and is not only the solution. If you or someone you know is struggling with adult scoliosis, check out Dr. Tony Nalda’s podcast to explore different non-surgical scoliosis treatment options. Musicbed SyncID: MB01LDGD7ZUXUZ3

 Episode 58: Can You Prevent Scoliosis From Getting Worse? | File Type: audio/mpeg | Duration: 7:54

One of the biggest concerns among scoliosis patients is, whether you can prevent scoliosis from getting worse. In this episode, we explore the proactive measures that can be taken to slow down or even halt the progression of scoliosis. Understanding Scoliosis Progression Scoliosis progresses in two stages: Adolescent stage – this is mainly due to growth. Progression can be rapid. Adult stage – this is mainly due to gravity. Progression can be slower but consistent. The number one risk factor involved in the progression is always related to the size of your curve. So, when we look at mild, moderate, and severe scoliosis, it's really telling you the mild or severity of progression and we know that the bigger the curve, the more it's going to progress either in the adolescent or adult stage. If we know that to be true, it makes more sense to keep the curve small. By keeping the curve size small we can actually lower down and reduce the risk of how much your curve will progress. Curve reduction is the most proactive approach that you can take in preventing progression and stopping the curve. Limitations of Traditional Approaches Traditional approaches often have a reactive approach, especially for smaller curves. They just watch it and see what happens. And while you’re watching, you’re losing very valuable time that you can be actually reducing the curve and preventing the progression from occurring. Treatment options may be limited to observation or invasive surgical procedures. Surgery should be the last resort, not the initial solution. Scoliosis can be effectively managed and its progression slowed down through proactive and conservative treatment approaches. By focusing on curve reduction, spinal alignment, and early intervention, patients can minimize the risk of severe progression and avoid invasive surgical procedures. Take control of your scoliosis journey by seeking evaluation and adopting a proactive approach to manage your condition. Check out Dr. Tony Nalda’s podcast to know more. Artlist.io 847544

 Episode 57: How Long Do Scoliosis Braces Have To Be Worn? | File Type: audio/mpeg | Duration: 11:10

What’s a scoliosis brace? Scoliosis bracing has a rich history, being one of the oldest treatment options available. There are many types of braces and they're typically worn around the body. Traditional Brace - aims to slow down the progression of scoliosis. It is commonly used for adolescents with progressive idiopathic scoliosis. The two most common types of traditional braces are Boston Brace and Providence Brace. Corrective Brace - designed in such a way as to try to produce forces into the body to actually try to reduce spinal curvature. One such brace is called the ScoliBrace. Unlike the traditional brace, this type of brace can be used for patients of all ages, including adults, infants, and juveniles. How long do braces have to be worn? How long braces should be worn is highly individualized, taking into account factors such as curve size, location, age, and treatment objectives. Depending on these factors, the recommended duration can range from full-time (18 to 23 hours a day) for curve reduction to part-time options for pain control and postural improvements. For adolescents in the progressive stage of scoliosis, brace duration is primarily determined by their growth period. Wearing a brace until the growth stage is complete is crucial to prevent curve progression caused by sudden growth spurts. In contrast, adults wearing braces focus on pain relief and curve reduction. Typically, they wear braces at a higher dose for around 6 to 12 months, gradually transitioning to a maintenance dose or discontinuation based on their individual progress. To maximize the benefits of braces, they should be complemented with appropriate rehabilitation exercises and therapy. Rehabilitation helps optimize the performance of even the best-designed braces by enhancing their effects on scoliosis reduction. Also, effective brace management is crucial for long-term success. Similar to braces on teeth, scoliosis braces require regular adjustments, such as tightening, wire changes, and repositioning, to align with the changing nature of the condition. These adjustments, typically performed every 90 days, aim to manage the curve actively and achieve the best possible reduction. Check out Dr. Tony Nalda’s podcast to understand how brace selection, proper management, and integrated rehabilitation can be crucial in scoliosis treatment. Artlist.io 847544

 Episode 56: Scoliosis Surgery vs Scoliosis Treatment Without Surgery: Victoria's Story | File Type: audio/mpeg | Duration: 5:57

We do believe there's a genetic link or a genetic predisposition to develop scoliosis. So, if there’s somebody in the family that does have scoliosis, you want to be extra careful. But we also see families that have no other person with scoliosis. Only one person gets it, so there is not a genetic cause, but there is a genetic link to it. In this episode, we learn that Victoria’s mom was diagnosed with scoliosis at an early age. Her grandfather also has scoliosis. Thus, her family was concerned about her developing scoliosis too. So, when Victoria indeed developed the signs of scoliosis she was immediately brought to the doctor and got an X-ray. The option back then was to put her in a brace and watch her. Victoria’s mom got a Boston Brace but still, the curve progressed. She had a fusion in her spine, and even after the fusion, the curve is still progressing. Having to go through that and finding out that your curve only worsened, and now, 20 years later, doctors are recommending the exact same treatment for Victoria. She wouldn’t want to put her daughter through all the pain that she experienced. So, her parents searched the Internet and researched for some form of alternate treatment. Having been diagnosed at a very young age, Victoria has got so much potential. To find out more about Victoria and her journey, check out Dr. Tony Nalda’s podcast. Musicbed SyncID: MB01V7XJZTBYGE9

 Episode 55: What is Thoracolumbar Scoliosis? | File Type: audio/mpeg | Duration: 8:11

The diagnosis of scoliosis is typically associated with the area of a spine meaning, thoracic, thoracolumbar, and lumbar.  We know from previous episodes that scoliosis is a sideway curvature and it needs to be greater than 10 degrees when measured using the Cobb angle analysis. When we look at what area of the spine it is, there are three main areas namely: cervical, thoracic, and lumbar (neck, mid back, low back). These areas help classify the type of scoliosis. Thoracic scoliosis is the most common. But the truth is, scoliosis can develop in any area of the spine, and patients can have multiple curvatures. You can have a combination of thoracic and lumbar, typically, they’re going to tell you where the biggest curve is. The different types of scoliosis can be classified based on the following: Age group (infantile, adolescent, juvenile, adult) Underlying conditions ((idiopathic, congenital, neuromuscular) Severity (mild, moderate, severe) Location – where the curve is actually located The reason why these classifications exist is it helps us find out which treatment option works best for which type of condition. It helps us design treatment guidelines and treatment plans to give the very best option. What is Thoracolumbar Scoliosis? Thoracolumbar scoliosis refers to a sideways curvature occurring in the transition area between the thoracic and lumbar spine. These curves are often visually noticeable, causing asymmetry and movement between the waist and ribs. Diagnosis of thoracolumbar scoliosis is typically done through X-rays, which reveal the severity, age of the patient, curve type, and location. While X-rays provide valuable information, additional tests may be necessary to rule out underlying neuromuscular conditions that could contribute to scoliosis development. If you have been diagnosed with thoracolumbar scoliosis, understanding the specifics of your condition is crucial. With its characteristic asymmetry and potential for a positive response to conservative treatment, seeking proactive care is highly recommended. Check out Dr. Tony Nalda’s podcast to gain a deeper understanding of scoliosis and explore potential avenues for treatment and care. Artlist.io 847544

 Episode 54: Can Scoliosis be Corrected with Exercise? | File Type: audio/mpeg | Duration: 8:40

I often get asked if Scoliosis can be corrected with exercise or if progression be stopped with exercise. To be able to answer this properly, we need to understand what Scoliosis is. Scoliosis is NOT a curable condition. You can't ever correct it or cure it completely. You're always just managing Scoliosis. Because when Scoliosis occurs, it affects the physical structure of the spine. It's a structural spinal condition that occurs during growth. And since it progresses during growth, patients grow with this curve. And the fact that they have grown with this curve, their whole body has grown and developed with a curvature in it. So, we're always just working at controlling and reducing Scoliosis. One of the big things that scoliosis affects especially as it progresses is something that we call spinal flexibility. Spinal flexibility is what the spine should have. Normally, when the spine moves and the patient moves, the spine will bend and flex as they move, and it does it relatively symmetrically on both sides. However, when scoliosis occurs, it affects the structure of the spine in such a way that it creates this asymmetrical curvature. This asymmetrical curvature creates something that we call spinal rigidity. Spinal rigidity is something that the spine becomes stiff or stiffer. So, when patients actually bend the curve remains. Proactive treatments are really trying to manage this spinal rigidity and progression. Does a good Scoliosis treatment include exercise? Of course, it does and there are two very specific types of exercises. General Exercise Scoliosis-Specific Exercise General exercises will have NO impact on your curve. Your progression isn’t in any way connected to how strong or how weak you are. General exercises like cardiovascular, Yoga, Pilates are aimed at main just improving your general health. Scoliosis Specific Exercises or SSE on the other hand are exercises that are prescribed to a patient that is designed for their curve type and are designed to help reduce their curve and nothing else. However, SSE is limited in how much they can do based on how flexible or how rigid the spine is. Although Scoliosis-Specific Exercise can help reduce your curve, one big factor in order for this type of exercise to work is to improve the flexibility of the motion of your joints in order for your body to respond to the exercises that you perform. If you are looking for an exercise approach to help with your Scoliosis and to know more about this Intensive type of treatment, check out Dr. Tony Nalda’s podcast. Artlist.io 847544  

 Episode 53: What Are The 4 Main Types of Scoliosis? | File Type: audio/mpeg | Duration: 15:23

When a patient is diagnosed with Scoliosis, usually they are not told what type of Scoliosis they can have and Scoliosis has many different types of variations. Because scoliosis has high variables ranging from mild and moderate to severe to even very severe and Scoliosis can develop in many different areas of the spine, this includes the neck, which is the cervical spine, the thoracic spine, which is the mid-upper back, and of course, the lumbar spine, which is the lower back. There are different types of curve types and patterns that can occur with scoliosis, and all these have different nuances to the treatment process in terms of what type of treatment you should receive. 4 main types or categories of Scoliosis: Idiopathic Scoliosis - there is not one clearly associated known cause with the condition. It is thought to be a multi-factorial problem and there are many different things that can contribute to the cause of Scoliosis. And since there are multiple variables, patients can have two or three different factors that can be contributing to Scoliosis. One thing we can definitely talk about is genetics. We know that Idiopathic Scoliosis is NOT 100% caused by genetics because studies have been done on identical twins and they have only found about 50% to 60% of identical twins both have Scoliosis, and these are patients that have the exact same DNA. Degenerative Scoliosis - this is the second most prevalent type in the adult patient. Adult Scoliosis, Degenerative Scoliosis or Denovo Scoliosis is caused because the spine goes through a degenerative phase. Doctors would often say that this is just age-related degeneration. I don’t believe that to be true at all because if that is the case, that means every single adult patient would have Degenerative Scoliosis because everybody's aging. What I believe happens is there's a small injury or a small misalignment that tends to occur to the spine, which causes the spine to shift out of alignment. It remains uncorrected for years and this causes abnormal or accelerated aging in that area. Unlike Idiopathic Scoliosis, with Degenerative Scoliosis, we know the cause but by the time we actually find it, the curve has become significant enough that the curve itself becomes its own problem. Neuromuscular Scoliosis - is a very complex problem, and the reason why is because there's normally a neuromuscular condition.2 Components of Neuromuscular Scoliosis Muscular Component – affects the connective tissue of the body Neurological Component – something at affects the nerve system. It can also be a brain condition. Interestingly enough, Neuromuscular Scoliosis is almost treated like Idiopathic Scoliosis because most of these neuromuscular conditions are also Idiopathic. Congenital Scoliosis – a type of Scoliosis you’re born with. This actually develops in the utero and it's basically one of the bones of the spine. Instead of being equal, rectangles stacked upon each other, we have something like a triangle or a hemivertebrae in between some vertebras and you can have multiple hemivertebrae in a row, or you can have some bones that don't fully separate or become distinct, and they actually stay partially fused. Congenital Scoliosis can become the most difficult to treat because it’s a bone deformity. To get to know more about the 4 different types of Scoliosis and the different types of treatments associated with each type, check out Dr. Tony Nalda’s podcast. Musicbed SyncID: MB01JNEWL1J7IBV

 Episode 52: Being Pregnant With Scoliosis | File Type: audio/mpeg | Duration: 6:47

In the previous podcast, it has been mentioned that Scoliosis affects girls more often than boys, the question now is, Can Scoliosis affect my ability to become pregnant? Yes, women diagnosed with Scoliosis can become pregnant but in some cases, there may be some additional back pain or some pain associated depending on the type of Scoliosis. In extreme cases, there may be more difficult challenges, especially for those with severe Scoliosis. But in most cases, having Scoliosis does not affect the ability of a patient to become pregnant when they compare it to their non-Scoliosis counterparts. Can Scoliosis affect fertility? There is no evidence that Scoliosis can affect fertility. It also really doesn’t affect any reproductive organs because Scoliosis tends to affect the thoracic or lumbar spine, not necessarily the pelvis. Can Scoliosis cause back pain during pregnancy? Yes, there is evidence that shows that it can because where the scoliosis is, it tends to be more often with a lumbar or a thoracolumbar curve than a thoracic curve, meaning the lower the curve is, the lower the scoliosis is, the more likely it is to cause some type of pain or back pain. However, there are also some that say that they don’t experience any additional pain and that they are no different from any other pregnant patient. Can Scoliosis affect labor? That is one misconception from a long time ago. Doctors would tell patients with Scoliosis that there is no way they can bear a child naturally and that they must undergo C-Section. That is not completely true because, scoliosis affects the spine, not the pelvis as much. Even though some scoliosis patients could have a torque or rotation in the pelvis and a lot of times, they can bear children normally and naturally. Sometimes if you have severe scoliosis, it could affect respiration, which could affect your ability to breathe well during labor. But in the majority of cases, patients can have a child naturally and not be affected by their condition. One big complication though is if you happen to become pregnant and you go into a hospital and you're planning to have an epidural, that can be a complication because the epidural and the needles are actually injected into the lumbar spine and trying to hit certain nerves. And if your spine isn’t in the middle because of Scoliosis, the anesthesiologist has to know exactly where your spine is and a lot of times, they can miss it. And if they miss, you’re not going to get the epidural effect that you want. An X-ray could certainly help in trying to avoid complications while giving birth. Got any more questions about how having Scoliosis might affect your pregnancy? Please check out Dr. Tony Nalda’s podcast to know more. Musicbed SyncID: MB01K6MA39ZRPUA

 Episode 51: Scoliosis in Children and Treatment Options | File Type: audio/mpeg | Duration: 10:38

When we talk of scoliosis, we often associate it with kids because scoliosis is mostly diagnosed or thought to be among children and adolescents. Unfortunately, scoliosis diagnosis happens more in adults as it is related to age. So as patients increase with age, the more likely that patients in the same age group will have more incidence of scoliosis. So basically, every decade of life, the instance of scoliosis increase by percentage in that patient population So, older patients ages 70, 80, and 90 are most common to have scoliosis than children. But when we think of scoliosis, we think of it affecting children and adolescents because that’s when scoliosis is the most progressive. The most common type of scoliosis found among children is called Adolescent Idiopathic Scoliosis of AIS. This is typically diagnosed between 10 and 18 years of age. Idiopathic is just a fancy term being used, meaning the cause is unknown. But we believe that AIS can be multifactorial, meaning there could be many factors that a patient is developing that are causing scoliosis to develop. Even though scoliosis is diagnosed in the adolescent stage, we believe it occurs younger in life, sometime in the juvenile years that causes the small curve to develop but it starts progressing during growth, and in this stage, it's when it's diagnosed. There are three different categories of scoliosis namely: Idiopathic - the cause is unknown Congenital - patient is born with scoliosis Neuromuscular - generally develops when a patient has a neuromuscular condition like Cerebral Palsy, Marfan Syndrome, or Down Syndrome We know scoliosis is progressive, whether be it any of these 3 categories, its very nature is to worsen over time particularly if left untreated. The biggest trigger for progression is growth. The amount of progression is directly related to growth. Adolescence is by far the riskiest phase because this is where the most growth occurs. Now, how fast can a curve progress during this rapid phase of progression during adolescence and what are the treatment options? Please check out Dr. Tony Nalda’s podcast to know more. Musicbed SyncID: MB01V4H9SYICZX1

 Episode 50: Adolescent Scoliosis Treatment Without Surgery: Isaac's Story | File Type: audio/mpeg | Duration: 4:17

When Isaac was an infant, his parents noticed something was off. His shoulders were crooked. His mom brought him to a chiropractor. Isaac was diagnosed with scoliosis but his doctor didn’t really take it too seriously. It was only when she insisted he has an x-ray that she learned of the devastating news. Isaac was a Risser 0. A Risser sign determines growth potential. Risser 0 means that Isaac hasn’t even started developing his growth plates yet. Risser 5 means it’s fully grown. It is known that Risser 0 to 5 is when most of the progression occurs and the most rapid progression is between 0 to 3. Simply put, Isaac was just a ticking timebomb, ready to explode. With the help of Dr. Tony Nalda, Isaac underwent intensive care, doing home therapy and using a well-designed brace. Isaac’s case was extremely challenging as there are times when he wasn’t super compliant with his initial home care recommendations. But with proper support from the Scoliosis Reduction Center and Dr. Tony Nalda, they got Isaac back on track and has been progressing since. Isaac’s story is proof that when diagnosed properly and with the proper care, steps can be done to give the patient a greater chance to improve his quality of life. To get to know more about Isaac and his journey, please check Dr. Tony Nalda's podcast.

 Episode 49: What is Dextroscoliosis? | File Type: audio/mpeg | Duration: 5:56

When it comes to the description of scoliosis, one of the common descriptive factors is whether scoliosis goes to the left or to the right. When we look at scoliosis in terms of its most basic definition, scoliosis is diagnosed or described as a curvature greater than 10 degrees and then must have rotation associated with scoliosis. Dextroscoliosis describes a curve that bends to the right side, whether it is in the lumbar or in the thoracic spine, or bends away from the heart. Level scoliosis is a left-side curvature, meaning it is bending to the left. What are the different scoliosis classifications? Size side - which way the scoliosis is bending, whether to the left or to the right Age of the patient Infantile scoliosis – the patient is less than 2 years old Juvenile scoliosis – the patient is between the ages of 3 to 10 years old Adolescent scoliosis – the patient is between 10 to 16 years old Adult scoliosis – the patient is 17 years old and older Type of scoliosis Congenital Idiopathic Neuromuscular Scoliosis severity Mild Moderate Severe When we talk about Dextroscoliosis, we're saying that the apex of the curvature is going to the right. The most common place you see Dextroscoliosis will be in the thoracic spine because it will bend away from the heart. Diagnosed with Dextroscoliosis? At the Scoliosis Reduction Center, a conservative approach that has multiple modalities is being done to reduce the curve, taking into consideration the patient’s scoliosis classification as mentioned above. Check out Dr. Tony Nalda’s podcast to know more about the best treatment plan to reduce and stabilize your scoliosis without having to go through surgery. Artlist.io 847544

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