Scoliosis 3DC Results
Our before and after scoliosis x-rays are taken at independent facilities, many at Children’s Hospitals from across the US and Canada since Scoliosis 3DC℠ patients come from near and far.
Schroth Best Practice® instruction includes Physio-logic®, Activities of Daily Living (ADL’s), 3D Made Easy®, Mobilizations, and Power Schroth. Our program empowers patients with knowledge and necessary skills to manage scoliosis, hopefully halt progression, and improve lives.
It is our sincerest hope that all patients can achieve some scoliosis correction via the Schroth Method, but in reality, it is adolescents who have the best chance of achieving this outcome. Adult spines are less flexible and it is quite difficult to achieve reduction.
Whether adolescent or adult, nothing is guaranteed since numerous factors apply when treating scoliosis. Factors include age, spinal flexibility/rigidity, Risser sign, patient compliance to the prescribed program and practice, technique (attention to form), commitment to maintaining corrective positions during the day, etc.
The following x-rays demonstrate hard work on the part of the patient represented, but also illustrate that when Schroth Best Practice® principles are practiced faithfully, and corrective positions are incorporated during the course of the day, results can be gratifying and impressive.
In recent years, we began a scoliosis bracing program with the Cheneau-Gensingen brace from Germany. This 3D brace is completely compatible with the Schroth method, and we find that adolescents who do bracing & exercise ultimately have the most successful outcomes at the end of treatment. The following results offer hope to all with scoliosis and especially to those who learn, master, and practice the Schroth Method.
Schroth Method & Gensingen Brace – TE
This 13 year-old scoliosis patient from Connecticut was told that she needs spinal fusion surgery. Not wanting to go that route, her parents decided to bring her to Boston. In July 2015, she was fit with the Cheneau-Gensingen brace in our office. After her fitting, her in-brace x-ray showed a 60% correction. Later on in the summer, she came back to Scoliosis 3DC to complete a Schroth Best Practice® exercise program.
We are excited to share her results after 6 months of brace-wear, and about 3 1/2 months of scoliosis-specific exercise. Her out-of-brace x-ray from December 11th reveals a 15° thoracic curve reduction and 11° lumbar curve reduction. Keep up the great work!
Schroth Method – EB
Left: 41° thoracic and 46° lumbar (Before Schroth method program)
Right: 19° thoracic and 21° lumbar (After 8 months of regular Schroth exercise)
It is interesting to note that the patient’s surgeon wrote to the referring physician and said that despite initiating a brace program, E.B.’s progression was “guaranteed” and that she will probably have to return for surgery. When the girl’s mother inquired about the Schroth Method, the spinal surgeon told her it would be a waste of money. He prescribed a Boston brace, which she wore for 14+ months WITH NO CHANGE in curvature.
Eventually the parents decided to “waste their money” and brought their 14-year-old girl to Scoliosis 3DC℠ because they wanted to give their daughter every opportunity for improvement. She completed 21 hours of instruction over the course of 4 weeks, beginning in July 2011. After completing the program, she did her Schroth exercises regularly at home and she also continued to wear the Boston Brace. Not all patients will improve so dramatically and quickly: we give credit to this dedicated girl for her hard work and her family for their support!
When E.B.’s surgeon saw the latest X-rays showing her scoliosis curves had reduced to half their former Cobb angles, he stated that results like these were “unheard of” in all his years of treating scoliosis. According to the patient’s mother, the surgeon denied that the Schroth Method could have contributed to her incredible improvement and instead credited her result to the brace, completely.
However, the family (and we) think the Schroth Method might have helped a bit, so the patient continues to do her exercises. Given her faithful dedication to the regimen, perhaps more improvement is possible. One thing is for sure, there is no need for surgery!
Schroth Method – JM
Left: 29° thoracic and 37° lumbar
(May 2009 – Age 15.4)
Center: 23° thoracic and 28° lumbar
(October 2009 – Age 15.75)
Right: 20º thoracic and 21º lumbar
(June 2010 – Age 16.5)
JM began the Schroth program at Scoliosis 3DC℠ in May 2009 when she was 15 years old. At the time, her Cobb angles measured 29º thoracic and 37º lumbar. Her chest expansion was 6.5 cm. She participated in 17 Schroth sessions of approximately 1.5 hours over the course of the summer. The patient presented in December 2009 for a follow-up and her chest expansion had improved to 11cm. After 13 months of Schroth exercises, her June 2010 x-ray shows Cobb angles that measure 20º thoracic and 21º lumbar. In about a year, JM reduced her scoliosis from a moderate to mild category.
*All x-rays taken and measured at an independent, outside radiology facility.
**Arrows indicate areas of thoracic and lumbar concavity
Schroth Method – SS
Left: 24º thoracic and 28º lumbar (Before Schroth method program)
Right: 16º thoracic and 20º lumbar (After 3 months of Schroth exercises)
10-year-old S.S. traveled from Maryland to Boston for Schroth Method instruction at the end of June 2012. She was a Risser sign 0 and had scoliosis curves that measured 24° thoracic and 28° lumbar. After ‘watch and wait’ failed, her doctor prescribed S.S. a scoliosis brace but admitted to having difficulty wearing it.
She learned Schroth principles such as ADL’s (activities of daily living) and 3D Made Easy® and after 3 months of working hard and regular exercise, her September 2012 x-ray revealed an 8° thoracic reduction and 8° lumbar reduction.
With a Risser of 0, S.S. must stick to her Schroth exercise program, but she is off to a great start in her fight against scoliosis progression.
Schroth Method – PS
Left: 21° thoracic and 41° thoracolumbar (Before Schroth Best Practice® Program)
Right: 22° thoracic and 22° thoracolumbar (After 10 Months of Schroth Exercises)
The Schroth Method helped enable P.S. to reduce his primary scoliosis curve from 41 degrees to 22 degrees in a matter of 10.5 months. His posture has also greatly improved after beginning Schroth exercises. We are so glad that PS saw such great results from his hard work!
Schroth Method – ES
1st: 26° thoracic and 41° thoracolumbar (Before entering Schroth program)
2nd: 22° thoracic and 37° thoracolumbar (7 months after starting Schroth exercises)
3rd: 21° thoracic and 30° thoracolumbar (Standing with self-correction)
4th: 20° thoracic and 19° thoracolumbar (Patient is holding her Schroth corrections)
E.S. was 14 years old when she participated in our scoliosis outpatient rehabilitation program over two weeks in July 2008. She was never braced and her scoliosis is now stable since she has reached skeletal maturity.
*All x-rays taken at an independent radiology facility
Schroth Method – AB
Left: 19° thoracic and 26° lumbar (Before Schroth method program)
Right: 13° thoracic and 14° lumbar (6 months after Schroth exercises)
Enthusiastic 11-year-old A.B. came to Scoliosis 3DC℠ in November 2011 for for 20 hours of instruction over the course of 6 consecutive days. She took her moderate lumbar scoliosis to a mild curvature in just 6 months after traveling to Boston, from Virginia, to learn the Schroth Method! She did NOT wear a scoliosis brace. Her results clearly illustrate that dedication and hard work in combination with the Schroth Method can be an effective alternative for scoliosis management. A.B. reported the results to Dr. Moramarco over FaceTime and her joy at the result was infectious!
Schroth Method – LW
Left: 16° thoracic (Before Schroth method program)
Right: 6º thoracic (6 months after learning Schroth exercises)
(November 2010…technically, at 6°, this no longer counts as scoliosis).
L.W. was a ten-year-old female when she came to Scoliosis 3DC℠ for treatment. Initially, Dr. Moramarco was reluctant to instruct this girl since she had just turned 10 and he had concerns that she may not be able to internalize the Schroth Method as needed. (Since she lives quite a distance from Boston, he did not have the advantage of meeting her personally to make advance judgement).
Her mother was persistent in her belief that her daughter could handle the long sessions and instruction. The family traveled from central New York for four 3-hour sessions over the course of four days, in June 2010. They came to follow-up a month later and complete another three, 3-hour sessions, during the course of three days. Twenty-one hours total.
That was more than four years ago. L had a successful follow-up visit about a year ago and continues to practice her exercises and grow, straight-spined.
L.W. not only won Dr. Moramarco over, but she also demonstrated that many 10- year-olds are mature beyond their years and capable of learning our program. She had an amazing work ethic and her result demonstrates that perhaps young, more flexible spines should be treated via the Schroth Method and taught Physiologic® techniques immediately, rather than subscribing to the ‘watch and wait’ philosophy for mild scoliosis. Had her mother not been so insistent on coming for treatment, L.W. could have easily ended up wearing a scoliosis brace through adolescence.
Schroth Method – BE
Left: 26º thoracic and 34º thoracolumbar
(Before Schroth method program: September 2012)
Right: 19º thoracic and 22º thoracolumbar
(After less than 8 weeks of Schroth exercises: January 2013)
B.E. began her program at Scoliosis 3DC℠ in late November 2012 at age 12. In less than 2 months, she achieved a reduction of 7º in her thoracic curve and 12º in her thoracolumbar curve. Great work!
Here’s an interesting overview of B.E.’s scoliosis history. Note the effect Schroth Best Practice® had even after the patient had progressed in the Boston brace.
Schroth Method – PB
Left: 23° thoracic and 28° thoracolumbar (Before Schroth method program)
Right: 11° thoracic and 16° thoracolumbar (1 year after regularly participating in Schroth method exercises)
17 year old PB and her mother traveled to Scoliosis 3DC℠ from Montreal in May, 2010. She worked especially hard during the 21-hour, seven-day intensive program and returned to Montreal and incorporated the Physio-logic®, Scoliosis ADL’s, 3-D Made Easy® techniques along with the Schroth exercises. It was her hope to halt scoliosis progression since she did not want surgery. PB’s result is particularly impressive since she was almost fully grown at the time she came for treatment (Risser 4) and reducing a scoliosis curvature is challenging once skeletal maturity has been reached. She continues to do well and is happy with her improved spine.
Schroth Method – NE
Left X-ray -Before Schroth Method program, Cobb angles 49° and 32°
Right X-ray – 5 months after program – Cobb angles 41° and 34°
This Vancouver teen came to Scoliosis 3DC℠ to learn the Schroth Method and was fit with a Rigo-Cheneau Brace shortly after near San Francisco. Her hard work resulted in an 8° reduction of her thoracic curvature. Her doctor agreed to remove her from the surgery list! She continues to practice her Schroth program regularly and incorporates scoliosis specific activities of daily living into her routine. She is looking forward to her next x-ray and hopes for continued scoliosis curve reduction!
Schroth Method & Cheneau Gensingen Brace – AK
Reducing scoliosis without surgery is impossible, right? Think again.
Meet AK, a 13-year-old girl with scoliosis. At 12 years old, she had pneumonia, had a chest x-ray and was diagnosed with a 49º Cobb angle. Her concerned parents researched various programs and decided to bring her to Boston for the Scoliosis 3DC℠ Schroth method program in May 2014.
As A’s appointment approached, her parents took her for an updated x-ray which revealed that her thoracic curve had progressed to 62º, a 13º increase in just 26 days.
She was then fit for a Gensingen brace® and achieved an excellent 58% in-brace correction. At the same time, she completed our Schroth method intensive program. A is dedicated to wearing her brace and completing her scoliosis-specific protocols everyday.
We were impressed to see from her recent out-of-brace x-ray that her curve had reduced from 62° to 38°! She has also achieved reduced spinal derotation from 18° to 11° (as measured by Scoliometer™) and an improved postural appearance. While we are excited about A’s progress, the work didn’t stop there.
As she grew, she came back to our clinic in July 2015 to be fit with a second scoliosis brace. A’s second brace again provides an 58% in-brace correction. Now a Risser 3, A plans to wear her Gensingen brace® until she reaches bone maturity (Risser 5). We hope to see some additional improvement in her next out-of-brace x-ray this coming winter!
Schroth Method & Cheneau Gensingen Brace – OD
O. D. a 12.5 year-old girl, came to Boston from California for the Scoliosis 3DC℠ program in mid August, 2012. She was 12.1 years-old at the time.
Her initial diagnosis was in December 2011. Her right thoracic Cobb angle was 26º. She was advised to wait and see…O’s scoliosis progressed:
Her Cobb angle meaurements prior to the scoliosis treatment program at our facility:
Cobb Angles – June 2012 :
30º Upper Thoracic • 37º Right Thoracic • 17º Left Lumbar
It is unknown if O’s scoliosis was greater than 37º at the time she started the program since there was a two month span between her June 2012 x-rays and her one-one treatment program with Dr. Marc. At the time of her program, in addition to Schroth Method and Best Practice instruction, he recommended scoliosis bracing.
O. had another set of x-rays taken recently, in January, 2013, in California. Her right thoracic curvature reduced by 9º since August. Her current Cobb angles, 5 months post scoliosis specific exercise instruction – out of Rigo-Cheneau brace:
32º Upper Thoracic • 28º Right Thoracic • 16º Left Lumbar
O’s Cobb angles, in-brace:
29º Upper Thoracic • 17º Right Thoracic • 18º Left Lumbar
O’s results are impressive especially considering she has grown 2 1/2″ since her visit. O reversed her curvature during a growth spurt – a time when scoliosis is at greatest risk of progression!
Schroth Method & Cheneau Gensingen Brace – EB
An effective scoliosis brace should create a 30-50% correction of the primary (major) Cobb angle and have the goal of achieving a more balanced spine. When a spine is more balanced, a more visually pleasing postural appearance at the conclusion of brace treatment is the result.
Results will vary by individual and a number of factors play a role in the final outcome, however the Gensingen brace consistently delivers excellent results because of CAD/CAM standardization and other beneficial features. Learn more on our chart that compares the Chêneau Gensingen® to other braces.
This adolescent girl from Canada was fit for a Boston Brace in Buffalo, NY in November. Although she had experienced a favorable in-brace correction, she was having a hard time wearing the brace. Once here for our program, her mom clearly understood the benefits of the Gensingen brace. Our Schroth brace offers the opportunity for corrective breathing at all times for optimal compatibility with the Schroth Best Practice® program. They decided they wanted to change her brace and she achieved an even better correction (shown above) as well as a more wearable brace.
Cheneau Gensingen Brace Results – GD
When it comes to scoliosis bracing, we cannot stress the importance of in-brace corrections enough. In-brace corrections will vary by individual since each spine responds differently to bracing.
Once it is decided an adolescent requires bracing for scoliosis, parents will want to make sure their child is in the best brace for halted, and potentially, reduced progression. This newest Chêneau from Europe offers that opportunity.
Bracing is typically recommended when a Cobb angle reaches 25º. When a child is braced depends upon factors such as growth potential (estimated on x-ray by Risser sign), risk of progression.
Unfortunately, not all scoliosis is diagnosed at a mild or mildly moderate Cobb angle degree when we can address the mild curves via Best Practice techniques and activities of daily living for scoliosis. Sometimes a brace is essential. The Chêneau-Gensingen® is the right choice for many reasons no matter what the Cobb angle and addresses curves above the 45 – 50º threshold where most physicians advocate surgery.
Higher curves can be a challenge to brace and several of our earliest cases have certainly qualified. However, the Chêneau-Gensingen® has consistently lived up to expectations and we have been pleased with in-brace corrections thus far.
These x-rays are of an adolescent girl (Risser 4) who achieved a nearly 70% in-brace correction with the Gensingen scoliosis brace. Brace wear compliance led to a 20° scoliosis curve reduction as shown on the x-ray on the right.
Cheneau Gensingen In-Brace Correction – GG
Here’s a patient Dr. Marc braced this past January. What makes this in-brace correction even more remarkable is that the patient is 22 years old and the x-ray was taken just after fitting the brace!
Out-of-brace Cobb angles: 76° thoracic
In-brace Cobb angles: 48° thoracic (37% correction)
This patient and her parents declined surgery when she was an adolescent. Instead, she chooses to manage her scoliosis with her Schroth exercise program and part-time brace wear.
All reports are positive. In fact, this patient recently referred her close friend – the biggest compliment we can get! Things are changing in the scoliosis world because of Schroth Best Practice® and the Gensingen brace®!
Cheneau Gensingen In-Brace Correction – VR
The x-rays above demonstrate in-brace correction of 50% thoracic and 68% lumbar in the Chêneau-Gensingen® brace, the newest scoliosis brace from Germany now offered in the U.S. The Chêneau Gensingen® is an innovative brace and Schroth Method compatible. In the U.S. it is available at Scoliosis 3DC℠, near Boston, Massachusetts. It is the latest evolution in scoliosis bracing and provides adolescents the greatest opportunity for halted progression, and potentially reduced curvature.
In-brace curvature corrections vary by individual based on: spinal flexibility, growth potential, compliance, etc.
Congratulations to this 15-year old patient on her out-of-brace improvement. The x-ray on the right was taken 24 hours out-of-brace. Her compliance with daily Schroth exercises and brace-wear will certainly pay off in the long-run!
Cheneau Gensingen In-Brace Correction – NL
Congratulations to N! N is a 15-year-old girl who came to Scoliosis 3DC℠ in October of 2013 and was fitted for her second Chêneau-Gensingen® brace. N and family traveled to Germany in May 2013 for her first brace, but didn’t need to travel across the pond for her second brace since Dr. Weiss’s Chêneau brace is now in the U.S. Her scoliosis brace was measured, manufactured, and fit for maximum comfort and in-brace correction in under three days. This is possible because of the CAD/CAM system Dr. Weiss has devised for this newest version of the Chêneau scoliosis brace. N is compliant and wears her brace 22 hours per day.
The x-ray on the left was taken in March of 2013. This out-of-brace x-ray shows a 53º thoracic curve and 41º lumbar curve. N had an in-brace x-ray (pictured on the right) in December of 2013 showing a 34º thoracic curve (36% in-brace reduction) and a 31º lumbar curve (25% in-brace reduction).
Cheneau Gensingen Brace Results – IO
Cheneau Gensingen Brace Results – BJ
Cheneau Gensingen Brace Results – CC
Cheneau Gensingen Brace Results
Cheneau Gensingen Brace Results
Congratulations to 13-year-old JB on her scoliosis correction after almost a year of wearing the Chêneau-Gensingen® brace! Her brace wearing compliance is obvious. The x-ray on the right was taken 12 hours out of brace. Notice how the rib space has improved considerably on the second x-ray.