Scoliosis can be corrected without braces or surgery.

1. Scoliosis Correction Protocols
1. Static and Stress xrays Assessment for amount of correction
2. Neurologic component change afferentation by restoring the
lordotic curves C/S, L/S
3. Cross Crawl Exercises
4. Stabilize Pelvis
5. Adjust using drop techniques
6. Correct biomechanics of the calf
7. Take post x-rays

2. My Hero’s
CBP The Harrison’s
Donald D. Harrison, PhD, DC, MSE Deed E. Harrison, DC

3. Scoliosis Chair and Neurologic Exercises
Great for correction
MUST be coupled with restoration of the Lordotic Curves

4. Scoliosis Bracing
1. Must be dynamic = allow for movement
2. Must be designed for correction NOT Stabilization
Good
Bad
Ugly

5. Stress X-rays laterally flex
into the convexity
1. Stress X-rays give minimal
amount of Correction (Goal)
2. If no Change on Flexing then
Change will be hard to predict
3. Change in 90 days full correction
can take between 3 – 8 years

6. Neutral A-P Right Flexion
Stress X-rays
This is the minimum amount of
Correction
You and Patient see the Goal
Look at the
osteophytes

7. Upright MRI was found to be superior to recumbent MRI (did not miss or
underestimate condition)
Eur J Radiol 2007;
The AMA Guides notes that no pain-producing trauma can be found for 85%
of patients who complain of back pain.
…the failure of medical and surgical investigations may result from looking at
the wrong place and at the wrong time…
MRI’s Recumbent vs Weight bearing
DON’T TRUST DISC FINDINGS FROM MRI’s

8. Micro discectomy post surgical pain
(They Operated in the Wrong Spot)
Liquid Lock or Abnormal disc motion
You Can See Disc Function on a Stress X-Ray
Neutral Left BendingRight Bending

9. Disc Injuries Are NOT the
Problem they are a clue to
improper biomechanics :
Slipped
Bulging
Herniated
Discs Get
Nutrition
thru
imbibition
or
movement
Disc = 80 bands of Ligament

10. Another artificial disc …
can you see the Real Problem
Front View Before Side View After

11. Before After
7 Back Surgeries

12. Postural vs Phasic muscles
Postural no conscious control they increase in tone under
proprioception
Never relax muscles under proprioceptive firings
Loss or reversal of curves

13. Convex vs Concave
Increased in
tone on the
convexity

14. Convex muscles increase in tone
10 cycles a sec
relaxes ligaments only on the concave part
NEVER Relax the muscles on the convex area

15. 1st
Nasium View 1st
Goal1st
post at 9 monthsNew Goal
Lauren 25 yo Change Goals at Re-exam

16. Thoracic Adjusting for Scoliosis
1. Most Protected area of the body
2. Low ROM

17. Left Thoracic rotation with a left convexity preload by
turning the head to the spinous rotation

18. Right Upper
Thoracic Convex
Adjusting
Keys:
•Line-o-drive = elbows thru palm
•Grab the Table and Gentle Thrust
•Use rib cage
•Rotate at the Last Part of the Thrust

19. Start with the Head supported
Note:
•Palm on left rib cage
•Doc uses Back Leg for
Leverage L.O.D elbows Thru Palm
• Grab the table gentle thrust
Left Convex Scoliosis upper T/S

20. Thoracic Scoliosis Exercises
1. Restore the Lordotic Curves
2. Rolled up towel on convexity 20 min
3. Arm on Door way

21. Left Upper Convexity
Lower Right Convexity
T1 /T2 Left Curve
Left leg forward
T3 /T6 Left Curve
Left leg forward
Use Scapula and the 18 Muscles to distort the Thoracic Cage
Hold for 2 - 4 min. 3 to 4 times a day

22. Use Scapula and the 18 Muscles to distort the Thoracic Cage
Hold for 2 - 4 min. 3 to 4 times a day
Left Upper Convexity
Lower Right Convexity
T7/T10 Right Curve
Right leg forward
Hold Elbow in tight to T-spine

23. Restore Lordotic Curves and Decrease Lateral Curves
Plastic / elastic deformation curve = 18 min.
Exercises:
• rolled up towel on convexity
•Neck extension
•Deno roll

24. Turn Sitting into Therapy
•Bottom of the elbow is the bottom of the towel
•Base of the rib cage
•20 min on
•10 min off
Ball Chair stabilizes pelvis
Only time for No Towel

25. Rolled Towel Exercise
1. Roll tight as Possible
2. Diameter between 4” – 8”
3. Support Head and Pillow Between Legs for the Pelvis Stability
4. Place at the Apex of the Convexity
5. For 18 Min.

26. Right leg drop for a left
convex scoliosis
RL
Leg Drop Exercise for Lumbar Scoliosis
1. Stand Straight Concave (side) Leg out
2. Drop Heal to floor by dropping pelvis
3. Hold for 2 – 4 min 3 to 4 times a day
Bad Posture
Right leg drop perfect for this

27. Stabilizing the Pelvis a Must to Correct Scoliosis
• Approximate hips 1st
visit if symptoms change try a trochanter support
•Unstable pelvis from long term LBP, scoliosis, sedentary lifestyle
•“the adjustment feels good but the pain comes back in a hour”
•Takes about 3 weeks to stabilize
•Trochanter support $ maker
Approximate hips 1st
visit
Sit Like a cowgirl/cowboy
Stable sitting position
Or Ball Chair

28. Bad Stretch
Good Shoe
Bad Calf Notice only 90
degrees of dorsiflexion
Calf Stretch Vital for a Stable Pelvis
Good Stretch
Bend the Knee over
the toe
Must Check Calf to Correct:
•Scoliosis
•Long term LBP
•Unstable pelvis
•Past pregnancy
•High Heels
•Tennis, B-Ball, jumping
•Runners
Foot on block Stretch:
“Hold for 1 min 2 times a
day”

29. Bend into convexity for goalInitial neutral A-P 18 Months Post Care
Challenging thoraco-lumbar correction

30. Don’t get fooled by loose pants and a hurt knee
16 yo with back and knee pain
Pediatrician wanted steel rods
Before After

31. Initial 8 Months Post Care
64 yo Nurse
7 Back Surgeries / 4 Screws / 2 Artificial Discs

33. Linda 68 yo
Scoliosis / Unstable pelvis / Loss of foot dorsiflexion / Diffuse pain
9 months post

34. Scoliosis Patients
Are Missing lateral Lordotic Curves…“Linda”

37. 13 neck surgeries = is a C1 Technique
important?

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41. TheThe
ChiropractiChiropracti
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AdjustmentAdjustment