Restorative Treatment of Scoliosis in Children

• Development of an individualised program based on the proprietary method of Professor Blum
• We take into account medical history, age, severity, complications, and secondary consequences
• We accept patients of all ages with congenital and acquired scoliosis

General description of the problem

Scoliosis in children is a spiral deformation of the spine in three planes, a highly complex biomechanical issue. Scoliosis can be classified as congenital or acquired. In children, congenital scoliosis is more common, often caused by deformities and asymmetries in the mother's body, which the child copies and inherits at birth. Another cause of scoliosis is injury, most commonly during childbirth.

How quickly scoliosis progresses in a child depends on risk factors and conditions of growth and development. In some cases, it may stabilise at a mild first-degree stage, while in others, the progression is rapid, and by adolescence, the curvature may reach 30-40%.

The danger of scoliosis in children lies in the fact that progressive spinal curvature during growth leads to the deformation of the ribs and chest, which puts pressure on internal organs. This can result in dysfunctions of the heart and blood vessels, respiratory, digestive, endocrine, and immune systems. A rib hump forms, the body becomes deformed, chronic back pain develops, and serious cosmetic and psychological issues arise. It is crucial to begin treatment and comprehensive rehabilitation for scoliosis in children before the stage of active growth, to prevent the deformation fr om progressing to a point wh ere extensive surgical intervention is required.

In what types of scoliosis and asymmetries is rehabilitation possible?

At our Centre, we welcome parents who want their children to be healthy, straight, well-balanced, and confident in their appearance. The earlier the rehabilitation begins, the easier it is to restore the spine's correct shape. The areas we address can be categorised into several groups:

• S-shaped right/left-sided scoliosis of the thoracic/thoracolumbar spine
• C-shaped right/left-sided scoliosis of the thoracic/thoracolumbar spine
• Pelvic obliquity, hip joint dysplasia
• Leg length discrepancy, flat feet
• Chest deformities, rib hump
• Asymmetry of the face, neck, lower jaw
• Rehabilitation after scoliosis surgery
• Preparation for pregnancy and childbirth for women with scoliosis
• Biomechanical testing of newborns with risk factors

A comprehensive individualised rehabilitation program is developed taking into account the medical history, age, severity of scoliosis, rate of progression, secondary consequences and complications, as well as the results of any previous manual or surgical treatments.

Our medical strategy

Our many years of experience confirm that the trigger mechanism for scoliotic spinal deformation is the misalignment of the pelvis on asymmetrical hip joints. In all cases, we observe either an anterior or lateral tilt of the pelvic bones, or both. The changes in the position of the pelvic bones—an imbalance—are the root cause of subsequent pathological changes in the "spine-pelvis-lower limbs" system.

Professor Blum's approach is based on the pelvis as the centre of the body's mass, with the rehabilitation process structured around the principle that the starting point must be restoring the proper position of the pelvis. This serves as the foundation on which a straight and strong spine is built. The key difference in our rehabilitation strategy is that straightening the spine is only possible by correcting its alignment from the bottom up, starting from the pelvis and moving toward the neck.

The next important point is that the underlying cause of asymmetries is often a connective tissue development disorder—connective tissue dysplasia. Therefore, our approach to developing individualised programs includes techniques and methods aimed at strengthening connective tissue and restoring its structure—the "building blocks" of a healthy spine.

Compensatory deformities, such as those in the neck and head, shoulders, shoulder blades, lower limbs, flat feet, valgus or varus feet, and O- or X-shaped legs, which accompany scoliosis, can only be corrected after addressing the misalignments and obliquities of the pelvis and hip joints.

Thanks to a clear strategy of biomechanical step-by-step progression, scoliosis rehabilitation at Professor Blum's Centre delivers lasting results for children with any degree of scoliosis. Professor Blum's method allows for comprehensive rehabilitation from a very early age, detecting the problem at its earliest stages, even at the level of predisposition. Through the unique capabilities of his proprietary system of methods and techniques, the condition can be systematically eliminated.

Proprietary methodology

Professor Blum’s Centre has specialised in the conservative treatment of scoliosis of any severity in children. Our patented system of methods, techniques, and specialised equipment consistently delivers positive, stable results. It enables the correction of spinal curvature and the secondary consequences of these curvatures while preventing further progression and the need for major surgical interventions.

Our custom-designed rehabilitation equipment offers unparalleled adaptability and precision in treatment, with controlled parameters such as intensity, angles, acceleration, and dozens of other settings. This ensures the desired response, even from the weakest muscles and fascial structures, allowing us to correct body configuration even in cases of severe deformities.

Constant monitoring of the range of motion and specific musculoskeletal responses guarantees safety, ensures consistency and predictability of results, and prevents overload, which is particularly crucial for patients with severe scoliosis.