Becoming a Patient at Scoliosis 3DC
At Scoliosis 3DC, we accept local and long-distance patients. For local patients, we recommend coming in for an initial examination appointment, if possible. For long distance patients interested in traveling for treatment, we can arrange a phone consultation with Dr. Moramarco so you can learn more and ask any clinical questions you may have.
Before your consultation/first visit, please send the following to email@example.com:
X-rays: We require a recent scoliosis x-ray (PA Scoliosis Standing X-ray) which shows the full spine from back to front.
If a lateral (side view) is available, please send that image also. A lateral x-ray is required for kyphosis patients and post-surgical scoliosis patients.
*Photos: 6 views for scoliosis patients (2 additional poses required for kyphosis patients – see below)
- Standing from behind
- Standing from the front (face not necessary).
- Standing – taken from the left side.
- Standing – taken from the right side.
- Standing from the front and back, while bending forward to show spine. The patient stands hip-width apart, hands together (like diving into a pool) chin to chest with hands below knees, if possible, but not all the way to floor.
- Kyphosis patients should also take forward bending photos from the left and right side so that the profile of the thoracic spine is visible.
*Girls/women should wear a sports bra or bathing suit top with exposure to the spine and athletic bottoms. Boys/men should be photographed without a shirt and wear athletic bottoms. These photos allow for postural analysis. Please see PDF for example.Postural Photos PDF
Medical History: Please include the patient’s full name, date of birth, and all available information pertaining to scoliosis or kyphosis diagnosis. This includes type of scoliosis (i.e. idiopathic, congenital, neuromuscular), age at diagnosis, Cobb angle, Risser Sign, family history of condition (if any), approximate date of first menses (if applicable, for females) and all treatments and physicians seen for scoliosis or kyphosis. If the patient has had a spinal MRI, please obtain and share the radiologist’s report. Please be sure to list any other medical conditions, previous surgeries, and/or current medications.
Patient Forms: Prior to your first visit, please print and fill out our New Patient Forms.
We understand adolescents (and their parents) are busy people. We do our best to work with you to schedule a convenient time to bring your child for scoliosis program participation.
Understandably, most parents want to take advantage of school breaks for appointments, however, please consider that scoliosis doesn’t wait. Any growth potential your child has means that they may be at risk of progression.
The best way to contact us for scheduling is by emailing firstname.lastname@example.org. If you have any questions, please don’t hesitate to call our office at (781) 938-8558. Dr. Moramarco also offers a complimentary phone consultation for patients and parents who have clinical questions.
What to Expect at Your First Visit
You will meet with Dr. Moramarco to review, in detail, the history of your scoliosis and x-rays followed by a comprehensive examination based on a complete scoliosis history considering age, type of curve, Cobb angle(s), health and family medical history, experience with bracing and/or scoliosis alternatives.
- Visual inspection: observation of curve(s), shoulders, hips, head, pelvis, knees, ankles, feet-from front, back and sides.
- Specific tests: range of motion, flexibility, scoliometer measurement, spirometry, chest expansion, palpation, muscle strength and gait analysis.
- X-ray review and an anatomy lesson focusing on your unique scoliosis. Many people think of scoliosis as just one or two curves. In reality, a primary scoliosis curve comes with countercurves above and below. Scoliosis is also usually accompanied by trunk rotation and a flattening of the sagittal (side) profile making it a 3D condition, not just something you see on an x-ray!
- An overview of our comprehensive treatment options and Dr. Moramarco’s recommendation for you/your child.
Thank you for placing your trust in us. We look forward to helping you learn how to manage scoliosis and improve your quality of life!
Our 4-Day Bracing Process
For efficiency, we have streamlined the process of getting a scoliosis brace. When brace measurement takes place at the beginning of the week, we have the capability to manufacture and fit a brace with a four-day turnaround at Scoliosis 3DC. This can be done alone or alongside a Schroth program, when scheduled accordingly.
The process begins with a quick and easy brace measurement appointment. Our team will take a 3D body scan (no radiation involved), manual measurements, and postural photos, which are submitted for brace design along with a recent x-ray to create a customized brace made to the patient’s exact specifications. Once the brace is fabricated, fittings begin. Dr. Moramarco will make individual adjustments to the brace for optimal comfort and correction. We require multi-day appointments so that patients have an opportunity to wear and sleep in the brace before returning for follow-up fitting. Each individual fitting is about 1.5-2 hours long, but this can vary.
Long-distance patients will need an in-brace x-ray (at a local facility) during their stay to ensure optimal in-brace correction. Local patients may choose to take the in-brace x-ray within a few weeks of the initial fitting. In-brace correction is patient dependent. Some factors playing a role are spinal flexibility, type of scoliosis, Cobb angle at start of bracing, and stage of growth. We strive for at least 30-50% correction in brace.
While in-brace correction is important, bracing for adolescent scoliosis requires a strict wearing schedule and compliance to treatment is necessary for the best possible outcome. Dr. Moramarco will go over instructions for wear (how many hours per day, estimated length of treatment) and care (how to clean the brace, situations when to take it off, etc.).
We follow-up with local patients as needed, while long-distance patients will receive a discharge packet with outlined instructions when to send updated postural photos (both in and out-of-brace) and height/weight updates so we can make sure the brace is fitting properly over time. For long-distance patients, most adjustments can be addressed remotely as long as the patient has not outgrown their brace (at which point, a new one will need to be made).
Schroth Method Intensive Program
Dr. Moramarco will recommend a certain number of hours of instruction based on the specifics of your/your child’s case (age, curve severity, etc.). Most often, patients will do either a 12-hour or 17-hour program which can be completed over the course of 3-4 days.
Your stay will be action-packed – about 3-5 hours per day in office with brief breaks built into the schedule. Patients with special considerations (i.e. considerable pain and/or learning and attention difficulties) can be accommodated with shorter sessions and a slightly longer stay if need be.
We firmly believe in intensive-style instruction as the best way to acquire the skills to combat scoliosis progression. It’s been done like this in Germany for nearly 100 years, for a reason. That said, local patients may opt to complete the Schroth program over 3-4 weeks if preferred.
During appointments, you/your child will most likely see Dr. Marc, Amy, and Kim over the course of treatment. They work as a team on behalf of each patient and co-manage cases together. All three are personable and passionate about empowering people with scoliosis, whether the patient is a child, adolescent or adult! Schroth sessions are 1-on-1 with no other patients present. At this time, we offer group learning only for family members (i.e. siblings with scoliosis, or parent & child with scoliosis).
Near the end of the program, we will narrate and film the patient’s entire program from start to finish. We’ll copy that video to a USB drive for the patient to keep and refer to after they leave. As an additional resource, we also create a binder filled with detailed instructions and photos of each patient performing their exercises. The videos and written instructions can serve as a ‘coach’ during independent practice until practicing alone is easy. Some patients use it regularly and practice along with the video. We also provide exercise checklists to help keep track of the routine to be done at home.
At Scoliosis 3DC, we provide personalized treatment based on each patient’s individual case. Cost will be dependent on the recommended treatment plan (i.e. Schroth program, bracing, or combination treatment). Please contact us at email@example.com for pricing details and other inquiries.
Payment is accepted in the form of cash, checks, all major credit cards (Visa, MasterCard, American Express, Discover), FSA/HSA*, and pre-approved CareCredit funds (see below for more information about CareCredit).
*FSA/HSA: Please direct questions to your plan administrator.
CareCredit for Treatment and Care
We accept CareCredit – a card designed specifically for your healthcare needs. CareCredit can help you move forward with health care you see as necessary, with expenses not covered by your insurer. With low minimum monthly payment options, no up-front costs or prepayment penalties, you can obtain the care you want and need. Patients using CareCredit to pay for treatment must apply and obtain approval before arriving to the office. To apply now or to learn more about CareCredit, please visit CareCredit.com, or contact our office for additional information.
For other frequently asked questions, please see our FAQ page.Read Our Frequently Asked Questions