Dr. Sucato explains the scoliosis brace to one of his patients.

Jun 10, 2020 / Scoliosis & Spine

Scoliosis Awareness Month: Wearing Your Scoliosis Brace

At Scottish Rite for Children, our spine experts care for the common to the complex of scoliosis curves. The type of treatment required for the condition depends on the child, when they were diagnosed and the severity of the curve.

One treatment option for scoliosis is bracing. At Scottish Rite, our in-house Orthotics department creates custom braces – making sure it fits the child just right. Here are a few basics to know about the scoliosis brace:
  • The purpose of a brace is to help stop the curve from getting worse with a goal of preventing the patient from needing surgery. 
  • Although it does not cure the condition, if used on a curve that ranges from 25 to 40 degrees and the child is still growing, it can be extremely effective. 
  • Your doctor will determine the number of hours the brace should be worn throughout the day.
  • If the brace is uncomfortable, our team works with the patient to make adjustments as needed throughout treatment. 
Different Types of Braces:
  • TLSO (thoracolumbosacral orthosis) – used for curves located in the mid to lower part of the back
  • Providence Brace– also known as the nighttime brace, used for curves that are less severe. 
The Importance of Temperature Sensors 
  • Each brace includes a dime-sized sensor that is placed inside. 
  • The sensor monitors temperature, so when the brace is being worn, the sensor is at body temperature. 
  • Through ongoing research, our team has found that patients are more compliant with wearing their brace the prescribed hours when they know they are being monitored. 
  • Through an app created by Scottish Rite experts called Brace Rite, parents and patients are able to keep track of the wear time to make sure they stay on track in real time. The data is also reviewed with your doctor. 
Being Active While Wearing Your Brace:
  • Our team encourages a child who must wear a brace to continue with their sport and/or activity. 
  • Bracing for this condition is only temporary, and although adjustments might need to be made to make the brace more comfortable, etc., it is created to fit the child so they can continue being active.
Taking Care of Your Skin
The brace pushes firmly on your body and will cause redness of your skin. Over time the skin in the pressure areas may become darkened and tougher. These changes are temporary and may improve brace comfort. If you develop a sore, your brace needs adjustment.  

Clothing Suggestions
  • We recommend you wear a form fitting tank top under the brace. It is more comfortable when there is something between you and the brace. 
  • Loose fitting clothing will hide the brace better than form fitting clothing. 
  • Bras without underwire may be more comfortable. 
  • To make using the bathroom easier while wearing the brace, wear your underwear over the brace.  
Taking Care of the Brace
To help prevent skin irritation, the inside of the brace must be cleaned at least once a week, or more often as needed. Use a cloth to wipe the brace clean using soap and water or rubbing alcohol. 

Learn more about the care & treatment of scoliosis. 

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