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The Align Clinic Blog
​ Your Home For Orthotic and Prosthetic Knowledge

Why You Need Early Diagnosis And Intervention For Scoliosis

3/23/2023

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Scoliosis is a condition that occurs when one or more of the spinal vertebrae curves are out of place. The term “scoliosis” derives from the ancient Greek word “skolios” meaning crooked or curved. It changes the spine’s shape and alignment, which may result in discomfort and pain.

Scoliosis is the most common spinal disorder in children and adolescents. According to the National Center for Biotechnology Information (NCBI), it affects about 5.2 percent of children and young adults. It’s more prevalent in girls than boys.

The disorder can be classified as idiopathic (meaning it has no known cause) or secondary to another condition, such as obesity or osteoporosis. With scoliosis, as with many other medical conditions, the earlier it is caught and treated, the better the chance for a successful outcome. 

This article will discuss the importance of an early diagnosis and treatment for scoliosis. Let’s start by looking at the different types of scoliosis:

Types of Scoliosis

There are four main types of scoliosis:

1. Idiopathic scoliosis

Idiopathic scoliosis is when there is no obvious reason for the condition. It can include cases of congenital or postural, or structural type.

2. Structural Scoliosis

Structural-type scoliosis involves a defect in the spine that causes it to bend, twist, and/or kink over time. It can be caused by trauma (such as an accident), genetics, or congenital disabilities such as spina bifida.

3. Postural Scoliosis

Postural types of scoliosis occur when the body's ability to correct itself slowly weakens over time due to injury or illness; this may cause one side of the spine to curve more than another side due to its position in relation to other joints throughout your body's structure (i..e., hips).

4. Kyphoscoliosis

Kyphoscoliosis refers specifically to those who suffer from curvature along their thoracic area. It may also refer specifically to those with curvature along their lower back area.

What Are The Symptoms of Scoliosis?

A scoliosis patient may have a visible spine curvature on chest height (anterior) X-rays. This kind of curve is called "lateral" or "dorsal" because it runs along the side where it curves rather than down towards the feet, as would happen if someone had flat feet (posterior). In some cases, there will also be pain and tightness in muscles around joints near these areas where they're most likely located. 

While scoliosis is often a silent disease, there are common early symptoms you can look out for and take steps. They include:

  • A noticeable curve in your child's back or spine
  • Uneven shoulders
  • Leaning to one side
  • One side of the rib cage jutting forward
  • A prominence on one side of the back when bending forward
  • One shoulder or hip sticking out
  • Clothes not fitting well

Some people with scoliosis may also have back pain. But this symptom is more common in adults with scoliosis.

How is Scoliosis Diagnosed?

A doctor can diagnose scoliosis by examining the patient’s spine, looking at X-rays, or performing a scan. If someone has a spinal deformity or has curves in the spine greater than 5 degrees, then it may be time to get a diagnosis.

Some people with scoliosis may not need any medical treatment at all and will just live with their condition for the rest of their lives. 

However, some people may need surgery to correct the curve or even a full spinal fusion (where bones are fused together). Surgery is usually recommended if scoliosis causes pain from excessive pressure on nerves in the lower back area or legs while walking or sitting down too long.

Complications of Untreated or Improperly Treated Scoliosis

If untreated, scoliosis can lead to:
​
  • Back pain: The most common symptom of scoliosis is back pain, especially in the lower back. This can happen because your spine curves to the side, which causes it to twist or bend at a certain point. If you have scoliosis, there's a chance that your spine will become more curved over time as well--meaning that even if you don't have any additional complications from it now, they could develop down the road.

  • Pain in the shoulders and neck area: In addition to causing shoulder pain itself, severe cases of scoliosis may also lead to inflammation around the joint between the shoulder blade and the collarbone. This condition often causes stabbing pains when someone moves their arms overhead or reaches overhead with their hand; it may also be accompanied by headaches or other symptoms like numbness along one side of the arm or hand.

Scoliosis can also impact a child’s self-confidence and affect their ability to engage in social activities with their peers.

How Can Early Scoliosis Diagnosis and Intervention Help?

Early diagnosis and intervention for Scoliosis can greatly improve a child’s health and confidence.

As a progressive condition, scoliosis is one of the most common childhood disorders. If left untreated, this condition may cause permanent damage to your child's spine, affecting their ability to walk or sit comfortably throughout life. 

Unfortunately, many parents are unaware of this fact until it's too late: by then, it's already too late for treatment options such as surgery or physical therapy. And even then, there may be complications such as pain or breathing difficulty after surgery.

Early diagnosis and intervention for scoliosis can improve your child's quality of life today and make sure it doesn't get worse.

If your child has back pain and abdominal cramping, it's important to get them evaluated by a doctor. There are many types of scoliosis, so it's best if you see an expert who can determine if this is the type of scoliosis your child has or not. The sooner you start treatment for scoliosis, the better!

Treatments for Scoliosis

Treatment for scoliosis depends on your age, how severe the curve is, and whether it's likely to get worse with time. Most patients don’t need any treatment; only a tiny number ever need spinal surgery.

For babies and toddlers, the condition may improve over time. At best, they may need a scoliosis brace fitted to their back to prevent the curve from worsening as they grow. Older children may also need to wear a brace until they stop growing, but sometimes need surgery to control the growth of the spine until an operation to straighten it can be done.

Adult scoliosis patients occasionally need surgery to correct the curve, and a doctor may prescribe painkillers and spinal injections to relieve the pain. 

Physical exercise can also help improve scoliosis, but it’s advisable to consult a doctor on the correct type of exercise.

Need more information on how to deal with scoliosis? Reach out to our scoliosis experts today.
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The Basics of Prosthetics and How They Work

3/23/2023

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What would life be like without an arm or a leg? It would make most of your daily routines difficult or impossible. That’s the reality for approximately 1.7 million Americans. They can use artificial body parts to regain the functions of the missing limb.

Prosthetics, commonly called artificial limbs, allow amputees to regain the normal functions of lost limbs. If you’ve watched someone with a prosthetic limb engage in day-to-day activities or participate in sports, you might have marveled at how prosthetics work. In this article, we’ll look at the basics of prosthetics, the different types of prosthetics, and how they work.

First, let’s look at the various orthopedic and congenital conditions that may lead to a need for prosthetics, especially in children. 

Pediatric Orthotics and Prosthetic Services

Various conditions can lead to your child needing prosthetics. Some of the most common conditions are:

  • Cerebral palsy
  • Scoliosis
  • Foot drop
  • Spina bifida
  • Flat feet
  • Muscular dystrophy
  • Toe walking
  • Upper/lower limb deficiencies

Regardless of the cause, Align Clinic always puts your child first and provides them with prosthetics that best support them and enable them to live their daily lives to achieve independence and participate in school and other desired activities, such as sports.

Types of Prosthetics

Prosthetics are usually classified according to the level of amputation: above the knee, below the knee, above the elbow, and below the elbow. There are four main types of prosthetic limbs. They include:

  • Transradial Prosthetics: Transradial prosthetics are installed below the elbow. A trans-radial prosthetic may be body powered (your body controls the prosthetic arm through a cable) or myoelectric-powered (electrodes are placed on your skin to read muscle contractions and control the prosthetic limb through the existing limb).

  • Transhumeral Prosthetics: These are installed above the elbow. Transhumeral prosthetics are mostly motor powered (controlled through buttons and switches on the wrist) because it can be difficult to mimic the arm's movements.

  • Transtibial Prosthetics: Transtibial prosthetics replace the missing part of the leg below the knee. Patients with transtibial prosthetics can regain normal movements easily, mainly due to retaining the knee.

  • Transfemoral Prosthetics: They are installed above the knee, but amputees may still have difficulties regaining normal movement. However, new and innovative transfemoral prosthetic designs give users more control.

The type of prosthetic to use is often based on considerations such as functionality, aesthetics, and/or health concerns.

What are Prosthetic Limbs Made of?

A wide variety of prosthetics are designed to suit patients' varying needs. But they should be lightweight, durable, and easily attachable to the body.

Several plastics, such as polyethylene, polypropylene, acrylics, and polyurethane are usually used in making prosthetics. Other lightweight materials used are carbon fiber, aluminum, and titanium. 

There are electronic prosthetics that also have rechargeable batteries. 

Additionally, many leg amputees wear silicone liners between their residual limb and sockets. The sockets are usually made from thermoplastics and are tested periodically for comfort and fit.  

Prosthetic limbs are usually suspended using suction systems or by a harness, depending on the level of amputation and type of prosthetic. Many prosthetic limbs rely on a sock (for legs) or sleeve (for arms) to improve socket suction and help with fit and skin protection. 

For body-powered prosthetic arms, the harnesses are made from leather and attached to the cables that control arm movements. The harnesses can also be made from artificial materials. But the hooks to the cables are typically made of stainless steel.

How Prosthetic Limbs Work

For prosthetics to serve their purpose and improve the quality of life of amputees, they need to fit right and function well. There are three main components that ensure a prosthetic limb is a good fit:

1. The Socket

This is the part that fits into the end of the real limb. A patient wears a layer of prosthetic socks to ensure the socket fits snugly. If not fit well, the socket can cause irritation and even damage to the skin tissues.

2. The Pylon

The pylon is the internal frame of the prosthetic limb. It’s also referred to as the skeleton. The purpose of the pylon is to provide structural support to the prosthetic limb. It’s usually made from lightweight carbon-fiber composite rods. Then a foam cover, matched to the skin tone of the patient to look more like a real limb, can be put over the pylon.

3. The Suspension System

This is the part that keeps the prosthetic limb attached to the body of the patient. Suction is the most common type of suspension system, but straps can also be used. An airtight seal is then used to keep the prosthetic limb snugly fitted to the residual limb.

What You Should Know Before Getting a Prosthetic Limb

While many amputees would do well with a prosthetic limb, not everyone with limb loss is a good candidate for prosthetic limbs. Some of the factors you should consider before getting a prosthetic limb include:

  • How much pain are you in?
  • Is there a soft tissue still cushioning the remaining bone?
  • What range of motion does the remaining limb have?
  • What is the condition of the skin on the limb?
  • Is the other limb healthy?
  • What are your mobility goals?

Align Clinic can provide a full range of prosthetic and orthotic profiles, including transtibial, transfemoral, cranial orthotics, spinal orthotics, and ankle and foot orthoses. We can perform an expert diagnosis to determine if you need a prosthetic limb and the type that would suit you. Book an appointment today.

Making a Prosthetic Limb Work for You

If you need to get a prosthetic limb, working with a licensed and certified prosthetist is essential. Our team of experts will help restore your mobility and improve your quality of life. Reach out for questions regarding prosthetic limbs. Call us today.
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Uncovering the Causes of Pectus Carinatum: Everything You Need to Know

3/16/2023

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​Pectus carinatum is a rare condition that affects nearly 1 in 1000 teens. It affects a person's chest wall, causing it to stand outward. The condition is commonly known as “pigeon chest” due to the shape of the chest wall when affected.

This condition can be very uncomfortable and affect a person’s quality of life and self-esteem. The treatment can include a variety of options. And early identification is crucial, so that professionals can cure it with noninvasive methods.

So, if you or someone you know is dealing with pectus carinatum, look no further. In this article, we are going to show you:

  • What is pectus carinatum
  • What the symptoms are
  • What are the causes
  • How it can be diagnosed
  • And treatments for the condition

What Is Pectus Carinatum?

Pectus carinatum is a medical condition that affects the development of the chest wall. It’s a condition of abnormal growth of the cartilage and ribs of the chest wall, causing it to bulge outwards. Due to the shape of the chest wall, the disease is sometimes called “pigeon chest.”

It's usually present at birth but can also develop during childhood or adolescence. And it’s more common in males than females. The condition can range from mild to severe:

  • Mild cases: The chest wall may only bulge slightly and may not need any treatment.
  • Severe cases: The chest wall may clearly bulge. It may cause difficulty breathing, discomfort, and even pain. Severe cases can also cause emotional suffering due to their visible appearance.

What Are the Symptoms of Pectus Carinatum?

Symptoms of pectus carinatum include:

  • Bulging of the chest wall: The chest wall will appear to be pushed outwards. It's more noticeable when a person is standing up.
  • Sensitiveness to touch: In the area of the chest wall that bulges.
  • Difficulty breathing and/or pain: That is caused due to the pressure of the chest wall pushing against the lungs and heart.
  • Fatigue and/or dizziness: Due to the difficulty in taking in enough air.
  • Hooked shoulders
  • Lateral curvature in the spine

Pectus Carinatum Causes

The exact cause of pectus carinatum is unknown. Yet, some factors may contribute to the development of the condition. 

These factors include:

  • Genetics: The condition is caused by a mutation in certain genes. These genes are responsible for the development of the chest wall and the formation of cartilage and ribs.
  • Environmental factors: Certain environmental factors may also contribute to the development of pectus carinatum. These factors include smoking or exposure to certain chemicals.
  • Certain medical conditions: Certain medical conditions, such as Marfan syndrome, scoliosis, and Ehlers-Danlos syndrome, are also associated with pectus carinatum.
  • Trauma to the chest wall: In some cases, pectus carinatum can be caused by injuries and trauma to the chest wall.

How is Pectus Carinatum Diagnosed?

Pectus carinatum can be diagnosed through physical examination, imaging tests, and genetic tests.
​
  • Physical examination: During the examination, the doctor will examine the chest wall for any signs of the condition. He will check for other abnormalities, like chest deformity or difficulty breathing.
  • Imaging tests: It includes X-rays or CT scans to better look at the chest wall. These tests can help the doctor determine how severe the condition is.
  • Genetic test: The goal of a genetic test is to determine if a genetic mutation causes the condition.

How is Pectus Carinatum Treated?

Treatment for pectus carinatum depends on the severity of the condition. In mild cases, no treatment may be necessary.

Yet, in more severe cases, professionals may suggest treatment. Because it can be necessary to reduce the symptoms and improve the appearance of the chest wall.

One of the most common treatments for pectus carinatum is a surgical procedure. It involves the insertion of a metal bar into the chest wall to push the chest wall back into its normal position. This procedure is usually done under general anesthesia, and is very invasive.

You can also treat it by using a brace to help push the chest wall back into its normal position. It can be an effective treatment, and it’s way less invasive than a surgical procedure. The downside is that it must be worn several hours a day for several months to be effective.

Bracing is more effective for treating the condition in young children because they have more flexible chests. Once the kid starts to grow, and the bones become more rigid and formed, bracing isn’t so effective. Because of that, pectus carinatum must be diagnosed and treated as early as possible.

Next Steps

Pectus carinatum is a medical condition that can affect your self-esteem, and cause physical symptoms. If you or someone you know is living with pectus carinatum, getting treatment is important to reduce the symptoms and improve the quality of life.

If you want to learn more about the best treatment for your specific case, book an appointment with us. We will give you specific directions based on our expertise. 

You can also take advantage of some publicly available resources:
​
  • The Pectus Carinatum Foundation. This foundation provides information and support to those living with pectus carinatum. It also offers a forum for people to connect with others living with the condition.
  • The Pectus Carinatum Network. This network provides resources, support, and a forum for people living with pectus carinatum.
  • ​National Institute of Health. The National Institute of Health provides information about pectus carinatum. The information includes treatments, research, and support resources.
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Wilmington Brace for Scoliosis: Everything You Need to Know

3/2/2023

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Scoliosis is a medical condition that causes the spine to curve sideways. The condition can affect people of all ages and is more common in females than males. The Wilmington brace is a type of brace used to treat scoliosis. This article will discuss everything you need to know about the Wilmington brace for scoliosis.

What is Scoliosis?

Scoliosis is a medical condition that causes the spine to curve sideways. The condition can develop in people of all ages, but it is more common in females than males. The cause of scoliosis is not always known, but it can be due to various factors, including genetics, neuromuscular conditions, and congenital disabilities.

How is Scoliosis Diagnosed?

Scoliosis is typically diagnosed through a physical exam and imaging tests, such as X-rays, CT scans, or MRIs. A healthcare provider will look for signs of scoliosis during a physical exam, such as uneven shoulders, a tilted waist, or a prominent ribcage.

What is the Wilmington Brace?

The Wilmington brace is a type of brace used to treat scoliosis. It is a custom-made brace that fits around the torso and is designed to straighten the spine and prevent further curvature.

How Does the Wilmington Brace Work?

The Wilmington brace works by applying pressure to the torso, which helps to straighten the spine and prevent further curvature. The brace is worn most of the day, typically around 18-23 hours daily.

Who is a Candidate for the Wilmington Brace?

Candidates for the Wilmington brace are typically children and adolescents with moderate scoliosis (a curvature of 25-45 degrees) and are still growing. The brace is most effective when worn during periods of growth, as it can help to prevent further curvature.

What Are the Benefits of the Wilmington Brace?

The Wilmington brace has several benefits, including:

  • Preventing further curvature of the spine
  • Reducing the need for surgery
  • Improving the quality of life
  • Allowing the wearer to participate in everyday activities

How Long Do You Have to Wear the Wilmington Brace?

The length of time the Wilmington brace must be worn varies depending on the severity of scoliosis and the wearer's age. Typically, the brace is worn for several years, and the wearer must visit their healthcare provider regularly to ensure it is still effective.

How Do You Care for the Wilmington Brace?

The Wilmington brace should be cleaned regularly with a damp cloth and mild soap. It should also be air-dried and not placed in a dryer. The wearer should avoid using lotions or creams on their skin underneath the brace, which can irritate.

How Effective is the Wilmington Brace?

The effectiveness of the Wilmington brace varies depending on the severity of scoliosis and the wearer's age. In general, the brace effectively prevents further curvature of the spine and reduces the need for surgery. However, treatment success with the Wilmington brace also depends on the wearer's compliance with wearing it for the recommended length of time and following other treatment recommendations from their healthcare provider.

Are There Any Side Effects of the Wilmington Brace?

As with any medical treatment, there may be some side effects associated with the Wilmington brace. Common side effects include skin irritation or discomfort, especially during the initial adjustment period. Some wearers may also experience difficulty sleeping or breathing while wearing the brace. However, these side effects are usually temporary and can often be managed with proper care and adjustments to the brace.

Can You Exercise While Wearing the Wilmington Brace?

Yes, it is generally recommended that wearers of the Wilmington brace continue to exercise and participate in physical activity while wearing it. However, it is essential to consult with your healthcare provider before beginning any exercise program while wearing the brace, as certain activities may need to be modified or avoided.

Can the Wilmington Brace Be Worn at Night?

While the Wilmington brace is typically worn for most of the day, it is generally not recommended to wear it while sleeping. Instead, wearers may be instructed to perform specific exercises or stretch before bed to help maintain the progress made during the day with the brace.

How Much Does the Wilmington Brace Cost?

The cost of the Wilmington brace can vary depending on several factors, including the type of brace needed, the location of the provider, and the patient's insurance coverage. The brace cost ranges from several hundred to several thousand dollars.

How Can You Find a Wilmington Brace Provider Near You?

To find a Wilmington brace provider near you, ask your healthcare provider for a referral or search online for orthotics providers. Choosing a provider with experience in treating scoliosis and fitting braces is essential, as proper fitting and adjustment of the brace are crucial to its effectiveness.

Conclusion

The Wilmington brace is a custom-made brace used to treat scoliosis by straightening the spine and preventing further curvature. The brace is most effective in children and adolescents with moderate scoliosis who are still growing. While some side effects may be associated with the Wilmington brace, the benefits of preventing further curvature and improving quality of life often outweigh these risks. If you think you or a loved one may be a candidate for the Wilmington brace, contact us to learn more.

FAQs

How long does it take to see results with the Wilmington brace?

Results with the Wilmington brace can vary, but generally, it can take several months to a year to see significant improvement in the curvature of the spine.

Can the Wilmington brace be worn during sports or other physical activities?

The Wilmington brace can be worn during sports and other physical activities, but modifications or adjustments may be necessary. Talk to your healthcare provider for specific recommendations.

What is the success rate of treatment with the Wilmington brace?

The success rate of treatment with the Wilmington brace depends on several factors, including the severity of scoliosis and the wearer's age. However, in general, the brace effectively prevents further curvature of the spine and reduces the need for surgery.

Does insurance cover the Wilmington brace?

The coverage of the Wilmington brace by insurance can vary depending on the patient's specific insurance plan. It is essential to check with your insurance provider to determine if the brace is covered and to what extent.

How long does it take to get a Wilmington brace?

Getting a Wilmington brace involves several steps, including a consultation with a healthcare provider, measurement and fitting, and adjustments as needed. The time it takes to get the brace can vary, but generally, it can take several weeks to a few months to complete the process.

Is the Wilmington brace uncomfortable to wear?

The Wilmington brace may initially feel uncomfortable or awkward, but most wearers adjust to it over time. Proper care and adjustments to the brace can also help minimize discomfort or irritation.
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San Mateo, California
700 S Claremont St
Suite #105
San Mateo, CA 94402 
Hours: 8:30-5:30 M-F
​Phone: (650) 375-2231
Fax: (650) 627-4632
Green Bay, Wisconsin
445 Cardinal Lane
Suite #110
Green Bay, WI 54313
Hours: 8:30-5:30 M-F
Phone: (920) 940-5277
Fax: (844) 308-8462


Houston, Texas
1001 Medical Plaza Drive,
​Suite #130
The Woodlands, TX  77380
Hours: 8:30-5:30 M-F
​Phone: (346) 770-2970
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