What is the medical therapy for treatment of idiopathic scoliosis?

Updated: Dec 02, 2020
  • Author: Charles T Mehlman, DO, MPH; Chief Editor: Jeffrey A Goldstein, MD  more...
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Answer

Nonoperative management consists of either simple observation or orthosis use. Observation is watchful waiting with appropriate intermittent radiographs to check for the presence or absence of curve progression. Some studies have found physiotherapeutic scoliosis-specific exercises (PSSEs) to be beneficial in adolescents with idiopathic scoliosis. [103]  

No other treatments, including electrical muscle stimulation, usual physical therapy, spinal manipulation, and nutritional therapies, have been shown to be effective for managing the spinal deformity associated with idiopathic scoliosis. The lack of demonstrated effectiveness in this context means either that scientifically valid studies have been done that do not support the treatment or that no such studies have yet been published that would allow an evidence-based evaluation.

The International Scientific Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) has published guidelines for the use of conservative treatment approaches to idiopathic scoliosis. [104]


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