Your First Visit
On your first visit to our office 3 types of exams will be performed. It is necessary for the patient to where form fitting clothing. Girls should wear tighter shorts and a jog bra and boys should wear shorts like bicycle shorts. Loose clothing will hinder our postural and clinical exams.
- Clinical exam – This is where we will assess the contours of the spine using a scoliometer, which is a device to determine the inclination at certain segments of the spine. We will take your height both standing and seated and we will take measurements of the chest, thighs and spinal regions.
- Postural exam – During this exam we will assess the shifts, rotations and contours of the patients posture using a visual inspection and a laser inspection. Certain types of scoliosis create certain postural deformities, which assist in the classification of the scoliosis.
- X-ray exam – We will take 3 x-ray views during this exam. They are a back to front standing X-ray of the full spine, a standing side view of the entire spine and a laying front to back view of the full spine. These three views combined allow us to get a very good idea of the classification of scoliosis. The back to front standing view allows us to measure the curves using the Cobb analysis. The side view allows us to see if the normal curves are too flat or too curved or just right. Finally, the laying view allows us to determine the flexibility of the curve, which helps in determining the prognosis for correction or stabilization.
Once all of these exams are completed, we will enter all the data into what is called the Scoliosis Assistant Software, which helps us in the classification of the scoliosis and the chances of reducing the curves. Once we complete these exams we should know if the patient is a good candidate for the SpineCor brace or not. If a patient is a good candidate then we will schedule a date the following week to return to fit the brace. If a patient is not a good candidate then they will be referred to the proper provider for further consultation.
We will also have a consultation during this first visit to cover the costs of the brace and the likelihood of insurance helping out or not.
Brace Criteria | About the SpineCor Brace | Protocol of Care | Your First Visit | Fitting the Brace | Follow up Visits