Scoliosis Braces: Effectiveness and Importance

About 40 plus years ago, I wore a Milwaukee brace for scoliosis. It was like being put on a torture device, indeed—though not entirely. The brace extended from my neck to my pelvis and was adjusted as I grew. It was meticulously fitted to my body. A strap from the back pushed my rib cage to the left, while a wedge in the hip area pushed my spine to the right. With the right exercises and wearing the brace, my spine straightened out, avoiding the need for surgery.

For some reason, they no longer use the Milwaukee brace now; other types of custom-fit braces have taken over the market. An orthotist will make a custom scoliosis brace for your child, and there are different types available. These braces support the spine so the curve does not increase in angle during the child’s growth periods. However, for many, the effectiveness of these braces can vary.

Types of Scoliosis Braces

There are several types of scoliosis braces, each designed to fit specific needs and curvatures of the spine. Some well-known types include:

Milwaukee Brace: This brace uses a single point of behind-the-neck support and a front thoracic component that pushes the ribcage forward to diminish the curvature of the spine. Cleveland Brace: This brace is designed to provide full thoracic support and is often used for larger, more severe curves. It is a type of "total contact" brace (T/C). Thermolite Brace: A very rigid brace, it is designed for young patients with large curves and high sagittal verticalAxis (SVA) measurements. Alexandria Brace: This brace is a front-contact brace that uses compression on the ribs and abdomen to correct the spine. Shilla Brace: It is a thoracolumbosacral orthosis (TLSO) brace that is well-suited for larger curves.

Whether a child needs a specific type of brace depends on the severity and location of the spinal curve, as well as the age and growth potential of the child.

Customization and Fit

A custom scoliosis brace is vital because it provides the necessary support and correction based on the unique anatomical needs of the individual. An orthotist will examine the patient, taking detailed measurements, and then create a brace that fits perfectly. While the Milwaukee brace used to be popular, it is no longer the only option available. Nowadays, braces like the Providence night brace are more lightweight and comfortable, but they may not be as effective for every child.

We tried the Providence night brace for my sons, but unfortunately, their spinal curves increased. Although we were disappointed, we are thankful for the attempt. The Providence brace is one example that demonstrates that not every brace will work for every child, even if it is recommended by the medical community.

The Role of Braces in Developing Bones

A scoliosis brace is not magic, it works by doing what a brace on teeth does: it helps developing bones grow straighter at a time in their life when it is still possible. The key is to wear the brace consistently as prescribed by the orthotist or orthopedic specialist. Braces are most effective when there is still significant growth potential for the child. As the child grows, the brace must be adjusted to maintain its effectiveness.

My daughter was diagnosed with mild scoliosis in middle school, but neither the school nor the doctor ever informed us. She 'simply forgot' to tell us. Now, as an adult, she is experiencing severe spinal pain, and we wonder if we missed an opportunity for early intervention. Scoliosis bracing is not a one-size-fits-all solution, and early detection and management can make a significant difference in the long-term health of the patient.

Conclusion

Scoliosis braces can be a key component in managing and correcting the curve of the spine, especially during periods of growth. Whether it's the Milwaukee brace or one of the many other options available, a custom-fit brace can make a difference. It's crucial to work closely with a medical professional to determine the best course of action and to ensure that the brace is fitted and adjusted appropriately. Early intervention can often lead to a better outcome, so it's important for parents and patients to stay informed and proactive in their management of scoliosis.