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Bracing for Scoliosis
We’ve all heard of scoliosis, but what exactly is it? Simply put, scoliosis is a condition that causes an individual's spine to become curved and rotated - like the letters “S” or “C”. In some cases, scoliosis can be a harmless condition, but often it is important to straighten the spine to avoid long term issues from arising. Thankfully, here at Eschen, we are really good at that!
Scoliosis brace design and technology have come a long way since their bulky, rigid predecessors were the industry norm. Modern day scoliosis braces are thin, flexible, and low-profile enough to fit under most clothing. For fun outfit ideas and to read more about scoliosis fashion, head over to our scoliosis patient center.
Recent breakthroughs in scoliosis bracing, most notably going from treating scoliosis one dimensionally to treating it in three dimensions, have made bracing the preferred conservative treatment option for most providers. As a result of this new way of thinking about and treating scoliosis, scoliosis bracing has become more effective, comfortable, and fashion-friendly than ever before.
Scoliosis is a 3-Dimensional Condition
Currently, the diagnosis of scoliosis relies solely on an x-ray, but clinically there is much more involved. In addition to a sideways curvature of the spine (frontal dimension; image 1 below) there is also vertebral rotation, or twisting, of the spine (transverse dimension; image 2 below), as well as a flattening of the trunk, referred to as “flat back” (sagittal dimension; image 3 below). These asymmetries are not always visible on an x-ray, but can often be seen during a clinical exam. When standing behind a patient with scoliosis, the shoulders, hips, and waist appear uneven. Viewed from the side, a patient’s profile may also appear to have a reduced kyphotic curvature. Upon a forward bend, the ribs may have a prominence and one shoulder blade may be more prominent than the other.
Why 3-Dimensional Correction is Important
Because it works! The three dimensional nature of scoliosis has been known for a long time, but only in the past 15 years have these concepts been used in the United States to design and create scoliosis braces. Recent studies have shown that braces incorporating 3-dimensional correction are better able to reduce curvature and rotation, improve alignment, and achieve superior patient compliance and outcomes.
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The Rigo-Cheneau Brace is an innovative scoliosis brace that treats all 3-dimensions of a scoliosis curve. The brace is designed to bring the trunk and spine into the best possible postural alignment by using a combination of forces and opposing relief areas. The brace was designed in Europe by Dr. Jacques Cheneau and Dr. Manuel Rigo and started to become available in the United States in 2004.
3D Eschen Scoliosis Brace
The 3D Eschen Scoliosis Brace is the latest iteration of the traditional Boston Brace. Originally the Boston Brace was a modular design, used to treat the sideways curvature of the spine. New design concepts and a better understanding of scoliosis have enabled us to enhance the original Boston Brace into a new design that incorporates the principles of 3-dimensional correction.
This Boston Brace was first fabricated in 1972 and is currently the most commonly prescribed scoliosis brace. The Boston brace works by applying corrective pressure on the convex side of the curve and cutting out corresponding areas of relief on the concave side of the curve so the spine can shift in that direction.
Providence Nighttime Brace
The Providence Nighttime Brace, as the name implies, is worn while the patient is sleeping. It is an alternative to traditional daytime bracing for the treatment of mild curves or for those who are weaning off a full-time wearing schedule. The Providence Brace applies three-point pressure and derotational forces to reduce curve magnitude while the patient is lying down. Due to the elimination of gravity, curves tend to correct more easily in this position and patients often report increased comfort and compliance.
The Wilmington Brace was developed in 1969 at the Alfred I. DuPont Institute after a patient refused to wear the standard bulky, cumbersome scoliosis brace her physician prescribed. The patient only agreed to a brace that was inconspicuous and easily removable, and so the Wilmington Brace was born. This brace goes onto the body similar to a tight jacket and is known as a full contact TLSO due to its lack of gaps or open spots.
What to Expect
Your scoliosis brace will be a reflection of YOU. It will be designed, customized, and fit to you - optimized to correct your curve without the need for surgical intervention. You can even choose the colors and design of your brace! In general, the process always includes the steps outlined on our What to Expect page.
At our patient center you can find useful scoliosis resources. We have compiled fashion tips and links as well as resources to help you learn more about scoliosis. It is often said that knowledge is power. To that end, we encourage you to educate yourself. The more you know, the more empowered and in control you will feel over your condition!
Eschen is Proud to Work With:
Why Choose Eschen?
Eschen is proud to be a leading provider of scoliosis bracing in the United States. As a thought leader and innovator in the field, we are able to offer an unparalleled patient experience and superior outcomes compared to other leading providers.
Treating scoliosis involves the coordinated care of a team of medical experts, and Eschen is proud to partner with scoliosis specialists in the fields of orthopedics, physical therapy, 3D printing, and biomechanical engineering.
At Eschen, our clinicians have dedicated their careers to treating scoliosis. Unlike most scoliosis bracing providers who tend to only provide one type of scoliosis brace, Eschen specializes in several 3-dimensional brace designs and brace designs with a history of proven clinical outcomes. For each patient, the best option will depend upon their skeletal maturity, curve magnitude, amount of rotation, and prescribed wearing schedule. With over 500 years of combined experience there’s nothing we haven’t seen and nothing we can’t do. Eschen’s Scoliosis Experts specialize in the following best-in-class scoliosis brace designs:
Our patients are the center of our universe, and our mission is to build strong and lasting relationships to help them set and achieve their goals. For our scoliosis patients, our goal is to provide an effective non-surgical treatment option by designing a functional brace they actually want to wear.
Our mission is to maximize the quality of life of our patients and provide an unparalleled patient-centered experience by mobilizing world-class clinicians, healthcare administrators, and institutional partnership in delivering top-of-the-line prosthetic and orthotic services. Our clinicians and administrators have over 500 years of combined experience. Unlike most orthotic and prosthetic providers who are comprised of generalists, Eschen is proud to have built a world-class team of specialists in the areas of: Prosthetics, Orthotics, Sports Bracing, Pediatrics and Scoliosis.