FAQ

Frequently Asked Questions about the Schroth Method and Scoliosis 3DC℠:

Will my curve improve?

There are no guarantees a curve will improve with bracing, surgery or alternative methods, but by consistently incorporating Schroth exercise and breathing techniques and ADL’s, over time most patients see and/or feel positive results.

How old should a patient be?

Scoliosis patients are accepted into our program from ten or eleven years and up and no one is ever too old to learn how to manage their scoliosis. Dr. Moramarco has treated patients well into their seventies. See Testimonials.

Will I have to do exercises for the rest of my life?

Yes. Schroth is a scoliosis management program and the more you incorporate what you learn into your daily life (Schroth techniques and ADL’s) the more likely you are to control your scoliosis successfully. This program requires commitment for tangible results. At the conclusion of the program you will be provided with specific home care exercises. For optimal results, a patient should aim to do the exercises 5-6 times per week for about 30 minutes per day.

If this technique is so effective, how come it has only recently begun to be offered in the United States?

First, the basic contention in our country’s twentieth century medical literature is that exercise will not help scoliotic curves. This body of evidence has been examined and challenged in “Scoliosis and the Human Spine” by Dr. Martha Hawes. It is only recently that a few US healthcare professionals have worked diligently to bring the Schroth Method to the US. Dr. Moramarco has researched numerous conservative treatment methods, but his eight years of involvement with the Schroth method has convinced him this is the program of choice for patients who are willing to work at managing their scoliosis. Although the Schroth exercise and breathing techniques require practice, for those who want to take a more active role to control scoliosis – and not just wait and see or participate in bracing and/or surgery, the Schroth Method offers a viable alternative.

Can you provide a few more details about your program?

The scoliosis program at Scoliosis 3DC℠ is based on the protocols of the Asklepios Katharina Schroth Clinic including techniques outlined in “Best Practice” by Dr. Hans-Rudolf Weiss and Schroth Method exercises. These techniques are incorporated in a way that accommodates the American lifestyle. It is condensed, highly individualized, and an intensive program requiring commitment and motivation on the part of the patient and instructor. For maximum efficiency and comprehension, sessions will be for just one to three individuals with similar curves. For more details please link to Schroth at Scoliosis 3DC℠.  At the Asklepios Katharina Schroth Clinic in Germany, where the Schroth technique has been taught and practiced successfully for eighty-seven years, larger groups of patients participate in an inpatient program lasting from 4-6 weeks.  For information and articles on the Schroth method please see Scoliosis Resources.

Is this program covered by my insurance carrier?

The Schroth Method and “Best Practice” protocols are considered scoliosis-specific back school. Unfortunately, most insurance companies do not offer coverage for these services at this time. Of course, we will provide you with a detailed description of our services, as it applies to your case, so that you may inquire with your insurer directly about coverage prior to entering our program. It is truly unfortunate that insurers usually fail to cover alternative treatments for scoliosis. It is unfortunate that insurers will offer coverage for bracing and surgery but not this scoliosis specific back school. You can help by insisting that insurers cover alternative treatment for scoliosis prior to accepting insurance coverage. Please note, when it comes to insurance, we do not make the rules, but we do strictly abide by them.

For the sake of clarity, Dr. Moramarco is a chiropractor, but the Schroth Method does not incorporate chiropractic manipulation. So having chiropractic coverage in your insurance policy does not apply to the Schroth instruction provided in this office. However, the combination of the Schroth techniques and the mobilization provided by chiropractic manipulation is beneficial for a scoliosis patient. In fact, chiropractic manipulation is incorporated at the German clinic as an ancillary service to Schroth instruction. However, it is not, by any means, the core of the Schroth and “Best Practice” protocols. If you request chiropractic services while in our facility, we will be happy to bill your insurer for those services, however, your instruction for the Schroth breathing exercises is a completely separate service.

As of now, scoliosis instruction in this office is payable by cash, check or credit card. Because our program is highly individualized, with Dr. Moramarco setting aside blocks of time specifically for you, a deposit is required to hold reservations. The deposit is refundable up to six weeks before your Schroth program is to commence.

Many patients have opted to help pay for services by accessing funds in employee sponsored Flexible Spending Accounts (FSA’s) or Health Savings Accounts (HSA’s). If your employer does not offer one of those types of accounts, we recently learned that some banks provide services so individuals and families can set up HSA’s so they too, may also take advantage of using pre-tax dollars for health care spending. Also, please be mindful of timing when it comes to accessing funds in FSA’s. If you have any additional questions, regarding payment, please do not hesitate to contact our office.

I am from out-of-state, how can I participate?

Dr. Moramarco frequently treats patients from out-of-state. There are several hotels within a few miles from our office including an Extended Stay Deluxe Hotel directly across the street and a Marriott Residence Inn a short distance away offering shuttle service and a special negotiated rate. Woburn is 10 miles north of Boston and Boston’s Logan Airport (BOS), about a 25 minute ride (without traffic) and Manchester, NH (MHT), about 50 minutes. Since each scoliosis is unique, we have found it is best to communicate with prospective patients by telephone or email. After discussing your or your child’s case with you Dr. Moramarco will let you know which records he requires before your arrival. Upon receipt of those records, he will review them, provide you with an overview of what the specific program will entail, and let you know how long you can expect to be in our area. Depending on your unique circumstances, you may require just a couple of long sessions, or many, to master the program as it applies to your specific curve(s). A session is typically three hours. Even the longest programs can be accomplished within a twelve-day period, usually beginning on a Sunday. At times we may be able to offer split sessions, where a patient comes for five days, then returns at a later date.

What are Dr. Moramarco’s credentials regarding scoliosis?

Dr. Moramarco is a graduate of Boston University and The National College of Chiropractic. He has been treating musculoskeletal conditions since 1985. He learned of the Schroth Method in late 2001, and has been studying and utilizing it ever since. He has visited the Asklepios Katharina-Schroth Clinic on three occasions since April 2002. Dr. Moramarco has also participated in a Schroth course taught by esteemed Schroth expert, Dr. Manuel Rigo, of Barcelona, Spain. Dr. Moramarco has also attended numerous scoliosis conferences around the globe and is a founding member of SOSORT -the International Society on Scoliosis Orthopedic Rehabilitation and Treatment.  He is also on the editorial board of Scoliosis, an online publication dedicated to the conservative treatment of scoliosis. In 2007, through his mentor and friend, Dr. Hans-Rudolf Weiss, he arranged to become the first U.S. licensed physician to be certified in the Schroth method at the Asklepios Katharina Schroth Clinic in Bad Sobernheim. He recently returned from his third visit to Germany where he spent time augmenting his experience and knowledge of the Schroth Method and “Best Practice” protocols.

What does the program entail?

The initial visit is a comprehensive exam with detailed conversation and feedback about your specific scoliosis. This examination is followed by an anatomy lesson which provides a basis for understanding the information you will receive in the Schroth instructional sessions that take place during the week. These initial visits will typically take place on Sunday evenings for those patients coming in from out-of-town. Sessions are typically three hours daily. The program is intensive and longer sessions are not practical.

What do I need to bring to a session?
To learn the protocols taught for managing scoliosis a patient should wear shorts or sweatpants and a sports bra or a two-piece bathing suit top under a shirt.

If you have additional questions, please contact our office at 781-938-8558 or email info@scoliosis3dc.com.