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

A Guide to Back Braces for Scoliosis in Adults

11/16/2022

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Did you know that scoliosis is a condition that affects millions of people worldwide? Estimates suggest that scoliosis affects approximately 6-9 million people in the United States, which is 2-3 percent of the population. It’s a spine disorder that causes the spine to curve sideways. 

While it can occur in children, it’s more common in adults. If you’re one of the many adults with scoliosis, you may wonder if a back brace can help prevent the progression of this condition.

In this article, we’ll discuss all there is to know about back braces for scoliosis and how they can help improve your quality of life.

What is Scoliosis, and Who’s at Risk of Developing It?

Scoliosis is a complex spinal condition. Its effects are widespread and debilitating, impacting your back, legs, chest, and neck. The condition is characterized by an abnormal spine curvature, resulting in chronic pain and reduced mobility.

Although scoliosis is most commonly diagnosed in adolescence, the condition can occur at any age, although, on average, scoliosis begins from 10 to 15 years old for most people. 

While there’s no cure for scoliosis, treatments are available that can help manage the condition and prevent it from progressing.

Back braces for scoliosis are a common treatment option for adults affected by the condition. If you’ve been diagnosed with scoliosis, it’s essential to understand the different types of back braces available and how to choose the right one. In this guide, we'll also discuss the different types of back braces available and how to select the right one for your needs.

Main Types of Scoliosis

According to the American Association of Neurological Surgeons, four main types of scoliosis are distinguished by their cause and severity.

  1. Idiopathic scoliosis is the most common type. It typically develops in early adolescence and has no known cause. More severe cases may require surgery to prevent the spine from continuing to deform.
  2. Abnormalities cause congenital scoliosis in the bones or joints of the spine. This type tends to be more severe, and affected infants may need to wear a brace or have surgery.
  3. Neuromuscular scoliosis is caused by conditions that affect the nervous system, muscles, or both. This type often progresses rapidly and can be difficult to treat.
  4. Degenerative scoliosis occurs when the spine deteriorates with age, often due to arthritis.

How a Back Brace Can Help Prevent the Progression of Scoliosis in Adults

While it’s most commonly diagnosed in children, adults can also develop the condition. In many cases, scoliosis progresses gradually, and the spine curve becomes more pronounced over time. This can lead to pain, difficulty moving, and other serious health problems. 

Fortunately, back braces for adults can help prevent the condition from progressing. Holding the spine in alignment allows back braces to take pressure off the muscles and joints and reduce the chances of further damage. 

In some cases, back braces may even help improve the spine curve. As a result, they can be an effective treatment for adults and children with scoliosis.

Types of Back Braces Available on the Market

While scoliosis can occur at any age, it most commonly develops during adolescence, when the spine is still growing. For this reason, scoliosis bracing is often prescribed for children and adolescents to prevent the condition from worsening.

Once a person reaches adulthood, however, scoliosis bracing is less commonly prescribed. Because of this, adult patients who are candidates for bracing typically have mild to moderate scoliosis and are willing to comply with the wearing schedule. The purpose of bracing is to stop the curve's progression and prevent further deformity.

There are two main types of braces used to treat scoliosis:

  • Full-time braces are usually made of metal and are worn all day and removed for showers, exercising, and sleeping. They’re most commonly used in cases of severe scoliosis.
  • Nighttime braces are usually made of plastic and are only worn during sleep. They’re most commonly used for milder cases.

Full-time Braces

Different types of full-time braces can be used to treat scoliosis, and the best option for each patient depends on the severity of the condition.

  • Boston Brace is the most commonly used brace for scoliosis. It covers the chest to the pelvis and is usually made of plastic and metal bars. It puts pressure on the chest and stomach to stop the spine from curving more. This brace is worn all day but can be removed for bathing and exercise.
  • Wilmington Brace is a less common brace used for mild scoliosis cases. It only covers the part of the back that curves outward. It pushes the curve backward, and the user can wear it all day. Nonetheless, it can be removed for bathing and exercise.
  • Milwaukee Brace is the least common type of scoliosis brace. It covers from the chin to the pelvis and has a metal bar in front and behind the knees. This type of brace pushes back both curves of the spine at the same time. It is worn all day, but it can be removed for bathing.

Nighttime Braces

There are two most common nighttime braces, the Charleston Bending Brace and Providence Brace, both are custom-made to fit each patient's unique body shape, and both types can be adjusted as the patient's condition progresses.
​
  • Charleston Bending Braces are typically used for patients who have mild to moderate scoliosis and are still growing. The brace is worn at night and helps slow the condition's progression by applying pressure to the ribs, which encourages the spine to grow in a straighter position.
  • Providence Braces are typically used for patients with severe scoliosis or no longer growing. The brace is worn at night and helps to hold the spine in a straighter position, which can help to relieve pain and improve mobility.

The Benefits of Wearing a Back Brace for Scoliosis

In younger patients, bracing is mainly recommended to limit the condition's progression. In older adults, bracing is most often prescribed to reduce pain and limit the need for medication.

The rationale for this difference is that in older adults, the bones are no longer growing, so there is no potential for improvement with bracing. Instead, the goal is to provide support and stability to the joints to prevent further deterioration and help reduce pain.

There are a variety of brace styles available, and the type of brace that is prescribed will depend on the patient's individual needs. The type of brace best suited for each individual will be determined by the severity of their scoliosis and other factors, such as age, overall health, and tolerance for discomfort. 

In some cases, a combination of full-time and nighttime bracing may be recommended.

How to Choose the Right Back Brace for You

There are many different types of back braces, and choosing the right one can be a challenge. 

The first and most important step is to consult with your doctor or orthopedic specialist. They will be able to evaluate your condition and recommend the best type of back brace for you. After this, there are still some factors that you need to consider:
​
  • General information like age, weight, height, the severity of your condition, and the type of scoliosis you have. 
  • How often will you need to wear the brace? A less bulky brace may be more comfortable if you only need it occasionally. However, a more supportive brace may be necessary if you need to wear it all day. 
  • Your budget. Back braces can range in price from a few hundred dollars to over a thousand, so it's important to find one that fits your needs without breaking the bank. 

Get The Treatment You Deserve

We hope that you have found our guide helpful. If you’re still unsure which brace is best for you, or if you would like more information on treatment options, book an appointment with our professionals.
​

They’ll help you determine the best treatment course based on your situation. 
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What Is an AFO? - The Ultimate Guide to Ankle Foot Orthotics

11/9/2022

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Do you have foot pain? Are your feet sore and uncomfortable almost every day, and does your discomfort interfere with your daily routine? If so, you are not alone. Many people suffer from foot pain or other common foot conditions that hinder their daily activities.

Some people may even develop a condition at the sole of their feet called “athlete’s foot.” It has been named such due to its prevalence among athletes who frequently wear moist socks and shoes in locker rooms.

Or, you may be dealing with the condition that has resulted in your doctor recommending that you get an Ankle Foot Orthosis or an AFO. In this article, we'll take a close look at AFOs - what is an AFO, how they work, what their benefits are, how they are made, why you might need one, and how to choose the right one for your condition. So keep reading to learn more!

What Is an AFO?

An AFO stands for Ankle Foot Orthosis. It is a device that helps stabilize and support the ankle and the foot. It also allows for mobility in other areas of the leg and helps a patient walk with less pain and other complications.

Many people with neurological conditions such as cerebral palsy, multiple sclerosis, stroke, or spinal cord injury use AFOs to walk more efficiently and safely. It can be used in conjunction with different braces or on its own as a standalone treatment for conditions such as arthritis, gout, or fibromyalgia.

AFOs can be used in addition to crutches, a walker, or a wheelchair. They are specially designed for each patient, so each one is unique to the person who is wearing them.

How Is an AFO Made?

AFOs are usually made from a plaster cast or a mold of the person's foot. The orthosis is then made by shaping plastic or other suitable materials to match the plaster cast. 

However, plastic is not the only option for AFOs, as they can be made from different materials, depending on what is best for the person's needs. For example, some people may need an AFO that is very lightweight and flexible, while others may need a more durable one.

The process of making an AFO usually takes several weeks. First, the orthotist takes a plaster cast or mold of the person's foot. They then shape the plastic or any other suitable material to match the plaster cast. Finally, they make any necessary adjustments to ensure a perfect fit.

How Does an AFO Work?

For people with certain physical disabilities, an AFO performs wonders. It provides stability and foot support needed for activities of daily living. These include, but are not limited to, walking, sitting down, standing, and going up and down stairs. 

An AFO can also be helpful for people with diabetes, as it supports the foot and ankle by fitting around them and connecting them to the leg with a strap that either goes behind the leg or around the leg. This connection helps keep the foot and ankle in place while allowing the wearer to move the knee and the hip.

Benefits of Using an AFO

There are many benefits of using an AFO:
  • Help prevent injuries and reduce the risk of falls.
  • Allow patients to walk more efficiently and safely.
  • Keep joints aligned.
  • Enhance mobility for people with neurological conditions.
  • Improve blood flow and reduce swelling in the ankle.
  • Accommodate deformity and lessen spasticity.
  • Minimize the risk of skin breakdown.

Who Needs an AFO?

Some conditions that may require the use of an AFO include:
  • Cerebral Palsy
  • Multiple Sclerosis
  • Muscular Dystrophy
  • Spina Bifida
  • Stroke
  • Traumatic Brain Injury

People who have any of these conditions may experience weakness, paralysis, or muscle contractures in their lower extremities. This can cause difficulty with walking or even make it impossible. An AFO can provide support and improve mobility for people with these conditions.

How to Choose the Right AFO?

If you have been diagnosed with a foot or ankle condition that requires the use of an ankle foot orthosis (AFO), the next step is to choose the right AFO for your needs. Many different types of AFOs are available on the market, so it’s important to consult your doctor or orthotist to find the best device for you.

Here are some factors to keep in mind when choosing an AFO.

1. The Type of Foot or Ankle Condition You Have

There are different types of AFOs designed to treat different conditions. For example, rigid AFOs provide support for conditions like drop foot, while softer and more flexible AFOs are better suited for conditions like arthritis. Your doctor or orthotist will be able to recommend the right type of AFO for your condition.

2. The Level of Support You Need

Some AFOs provide more support than others. If you have a more severe condition, you may need an AFO that provides more stability and rigidity. On the other hand, if your condition is not as severe, you may be able to get by with a lighter and more flexible

Conclusion 

AFO is a device that is strapped to the foot and ankle and is important for injury prevention and safety. If you're experiencing foot or ankle pain, it might be time to consider getting an AFO. 

At Align Clinic, we specialize in custom-fit AFOs. Our team of experts can help relieve your pain and improve your quality of life. 
​

Give us a call today to learn more about how we can help you, as, with the right treatment, many people with ankle-foot orthotics lead full and active lives!
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What to Consider When Choosing Ankle-Foot Orthotic Devices? A Quick Yet Comprehensive Guide!

11/2/2022

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When dealing with ankle or foot pain, it's hard to know which ankle-foot orthosis is the best for you. There are a lot of different ankle and foot orthoses on the market, and it can be tough to figure out which one is right for you.

There are a lot of factors to consider when choosing an ankle-foot orthotic device. Do you want one that is lightweight and easy to wear? Or do you need one with strong support for more severe cases? Maybe you're looking for a versatile model that can be used for different activities.

We've written this article to help make choosing an ankle-foot orthosis easier. We'll also provide tips on finding the right AFO for your needs and getting the most out of ankle-foot orthotic devices.

Overview of Ankle-Foot Orthosis

Sometimes arthritis, fracture, and inflammation of the Achilles tendon cause strain in the ankle. But if the pain doesn't go away after a certain period, you should use an ankle-foot orthotic (AFO). 

Ankle-foot orthotics are the artificial external biochemical device used on lower limbs to support and assist relative muscle movement. Depending upon the cause of the pain, there are several varieties of foot orthotic devices that you can use according to your own need. 

In case of severe injury, you can use custom fabricated AFO, which is non-allergic and encourages proper joint alignment to protect the damaged limb.

6 Essentials to Consider When Selecting an Ankle-Foot Orthosis

The right ankle-foot orthosis could be a game changer. Therefore, it’s really important to put a lot of thought into selecting one.

Here are six essential factors you should consider while choosing an ankle-foot orthotic.

1. Trustable Brand

Although there are many good brands, TurboMed Orthotics is an expert in manufacturing ankle-foot orthotic devices. They can provide the best ankle fitting for treating any lower limb abnormality.

After a cast or scan of the patient, they use advanced computerized technology to provide the best and most comfortable fit. They offer an adjustable hinge angle, which limits the movement of your lower limb and supports weak muscles.

2. Material

The patient's speedy recovery depends on the orthotic material used in the manufacturing of the ankle-foot orthotic. Materials should be dense and thick to hold enough pressure to contour the patient foot during gait.

Acrylonitrile Butadiene Styrene (ABS), Polylactic Acid (PLA), Nylon 6/6, Polypropylene, and 13% Kevlar Fiber reinforced ultra-high molecular weight polyethylene (UHMWPE) are used in the development of ankle-foot orthotics.

A supportive device consists of materials such as thermoplastics for patients with weak plantar muscles. Hence, different materials are used depending on the type of ankle-foot orthotics. Check this out to know more about materials used in ankle-foot orthotics. 

3. Size & Shape

Tight, improper, or wrong-size ankle-foot orthotics can create more problems instead of providing support. If you want a controlled motion, selecting the right size and shape of the insole is important.

You should take your foot measurements for the optimal selection of AFO. Measure the longest and widest parts of your foot and then measure above the ankle at the level of two malleoli. You should choose the ankle-foot orthotics with no pinching and comfortable enough to give the ankle room for movement. Do you want to learn more about choosing the right fit? Click here! 

4. Shoe & No Shoe Format

You can use ankle-foot orthotic without or without the shoes. However, if you are a professional and experienced general foot pain while walking, choosing the shoe that fits your dress shoe better is best. 

On the other hand, if you are an athlete and have to use your feet frequently, you should opt for the best fit for the sneakers. Besides that, if you want a firm counter and a  sensible heel height, you should try the combination of orthotics and good shoes.

5. Maintenance

While buying the best ankle-foot orthotic or in-sole device, you might look for the best quality with maximum longevity. It’s necessary to take them off weekly and clean them with mild soap or detergent for maintenance. You can also use rubbing alcohol to kill the odor and bacteria.

But never try to soak them in a washing machine or apply direct heat of any kind. However, if your orthotic device causes any redness in your foot, it’s time for you need to replace them.

6. Replaceable Parts
​

Usually, ankle-foot orthotics last for one to two years. However, if you use it on a daily basis, there is a high chance that its foam may deform after some time. So, instead of spending on buying a new one, it’s better if you get its replaceable parts. In order to do so, you can directly contact its manufacturer. 

Recovery from neuromuscular disorders may take time, especially in the lower limb. So you should always look for replaceable parts such as AFO pads, Velcro straps, and extension stopper kits which would be economical.

How to Get the Most Out of Ankle-Foot Orthosis?

The ankle-foot orthosis is a great device that allows you mobility, and you need it almost daily. Here are a few tips that you can use to make the most out of your AFO.  
  1. Follow your doctor's instructions. It's important to wear your AFO as prescribed by your doctor. 
  2. When you first get your AFO, it may be uncomfortable to wear, so give yourself time to get used to it. Gradually increase the amount of time you wear your AFO each day until you're wearing it as prescribed.
  3. Check your AFO for any cracks, tears, or other damage. If you notice any damage, be sure to contact your doctor right away.
  4. When you're not wearing your AFO, be sure to store it in a dry, safe place. Avoid exposure to extreme temperatures, as this can damage the device.

Final Thoughts

If you're considering an ankle-foot orthosis, it’s important to consult a professional who can help you choose the right ankle-foot orthotics for your needs. There are many different types of ankle-foot orthoses available, and the right one for you will depend on your individual situation.
​

At Align Clinic, we offer a wide range of AFOs and other medical devices to help people with mobility issues live life to the fullest. Visit our website or call us today to learn more about our products and services.
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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
Fax: (281) 419-1615
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​Lauderdale Lakes, FL 33313
attention only by appointment
Phone:
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Fax: (844) 308-8462
Photos used under Creative Commons from shixart1985, wuestenigel
  • Home
  • The WCR Brace
    • Case Presentations >
      • Infantile Idiopathic Scoliosis
      • Juvenile Idiopathic Scoliosis
      • Adolescent Idiopathic Scoliosis
      • Switching to a WCR Brace
      • Adult Scoliosis Bracing
      • Neuromuscular Scoliosis
      • Treating Upper Thoracic Curves
    • Brace Articles
    • Patient Testimonials >
      • Grant's Testimonials
      • Paul's Testimonials
    • WCR Partner Testimonials
    • Grant's MS Thesis
    • Our Patients
    • Patients and Sports
    • Patients and Hobbies
    • Brace colors
    • Scoliosis Fashion
  • Locations
    • AC San Mateo, CA >
      • Inside AC SM
      • Advanced Technology
      • Stanford Children's Health Partnership
      • Local Hotels
      • Contact Us
      • Team Members
      • Our Practitioners >
        • Grant Wood
        • Paul Burnette
        • Steve Baum
        • Miguel Bustamante
    • AC Green Bay, WI >
      • Inside Wisconsin
      • Patient Testimonials
      • Contact Us
      • Emery Maloney
    • AC The Woodlands, TX
    • AC Fort Lauderdale, FL
  • Patient Resources
    • WCR Brace Clinics >
      • USA Clinics
      • China Clinics
      • Canada Clinics
      • Australia Clinics
      • WCR Brace Clinic Finder
    • WCR Certified Practitioners
    • Professional Contacts & References
    • Forms & Insurance
    • Clinical Photos and X-rays
    • Scoliosis Rehab PT, CA
    • Blog
  • Events
    • Brace Clinic Calendar
    • Sosort 2022 - San Sebastian, Spain
    • Past Events >
      • Advancements in Conservative Treatment of Scoliosis 2018 >
        • Award for Advancements in the Conservative Treatment of Scoliosis
      • Past USA WCR Clinics and Conferences
      • Advancements in Conservative Treatment Of Scoliosis 2017
      • Shanghai Clinic
      • AAOP Meetings
      • BSPTS Schroth PT Training
    • Past SOSORT Conferences >
      • sosort2019 San Francisco - CA
      • SOSORT2018 Dubrovnik/Croatia
      • SOSORT2017 Lyon/France
      • SOSORT2016 Canada
    • Northeast Region Re-Align Clinic
  • Services
    • Scoliosis & Spine Online Learning
    • Prosthetics
    • Orthotics >
      • Pediatric Orthotics
      • Cranial Remolding Band
  • Hope's EmbraceĀ® Undershirts
  • Wall Grids
  • WCR Brace Fitting Evaluation
  • For PTs/Orthotists
  • WCR Measurement Order Form
  • Masterclass Conferences
  • Careers
    • Front Desk - ACSM