On Thursday 7th February 2019, we were privileged to welcome Mr Darren Lui into the Scoliosis SOS Clinic along with Kate Robertson, a physiotherapist who works alongside him in South West London. Mr Lui specialises in orthopaedics and has a particular interest in vertebral body tethering.
Mr Lui gave a very interesting presentation to our ScolioGold therapists and patient care co-ordinators about sagittal balance and the importance of assessing and treating each patient individually based on their presentation. He also discussed the ways in which he feels having an effective pre- and post-surgery physiotherapy structure in place could help to decrease scoliotic patients' pain and improve many patients' quality of life.
As a team, we discussed the significance of having a 'pretty x-ray' showing a straighter spine, and how this is often the sole goal of young girls undergoing spinal fusion surgery. Although this is the outcome for some patients, in a lot of cases this is far from a realistic outcome for the patient and the more important outcomes should be measured against patient flexibility, quality of life and pain reduction.
Mr Lui explained that if he is able to stabilise a curvature and prevent further progression, the procedure is still classed as a success. This initially shocked our team of ScolioGold therapists who had been so used to hearing about the significance of Cobb angle reduction within the orthopaedic world. In fact, many of our patients contact the clinic specifically to find out by how much they can expect to reduce their Cobb angle.
Here at Scoliosis SOS, we have seen patients reduce their Cobb angle by up to 20 degrees through exercise. However, this is never something we guarantee, and patients are specifically advised that the aim of our treatment is to prevent further progression and improve quality of life.
Up until very recently, most orthopaedic surgeons have failed to acknowledge that scoliosis can cause a patient a significant amount of pain. However, times are now changing, and more orthopaedic consultants are identifying that imbalances around the spine due to scoliosis can cause pain in patients. It has also been recognised that surgery would not necessarily be able to decrease pain levels in a patient with scoliosis.
Mr Lui was very keen to see the work our ScolioGold therapists do with our patients during a 4-week treatment course. The aim of ScolioGold treatment is to rebalance the muscles surrounding the spine, allowing patients to stand in a symmetrical upright position, improving their cosmetic appearance, reducing pain, and preventing further progression.
Patients on the NHS are currently offered very little opportunity to learn specific scoliosis exercises. These exercises are proven to be successful, and not only in preventing progression - they have also been shown to improve a patient's quality of life significantly.
Pre- and post-surgery physiotherapy is almost non-existent on the NHS, but allowing patients to take part in such activity could both prevent the need for surgery and improve the outcome for patients undergoing spinal fusion surgery.
We hope to work closely with Mr Lui over the next few months to make the dream of being able to offer ScolioGold treatment to more patients throughout the UK a reality.
For more information on the treatment we offer, please contact us online or call the Scoliosis SOS Clinic on 0207 488 4428.