a person's spine curve from side to side. Curves can get worse as you grow, and may
cause health problems. So health care providers sometimes suggest teens wear a brace
while they're growing.
What Is a Scoliosis Brace?
A scoliosis brace is a stiff plastic jacket that fits around the torso, from underneath
the arms down to the hips. It has straps to keep it in place and straighten the spine.
A brace is also called an orthotic or orthosis. There are different types. An
works with you to choose the right one. The right brace is the one that
works best for the kind of curve you have, but it's also the one you're most likely
Why Is Bracing Done?
Wearing a brace is often the first step if you need treatment for
scoliosis. Doctors prescribe the brace hoping it will stop your curve
from getting worse and help you avoid spinal
How Does Bracing Work?
For bracing to work, you must still be growing. Before prescribing a brace, the
orthopedic team will check to be sure that you aren't too far along in your growth
and development. To do this, they may measure your height; ask questions about periods
if you're a girl; or take X-rays of hip, hand, and wrist bones.
Braces don't work on every curve. Bracing won't help if a curve is too big (usually
more than 40 degrees). And a brace may not be needed if a curve is too small (less
than 20 degrees).
The orthopedic specialist will examine you and recommend a brace based on what
type of scoliosis you have, how severe it is, and where it is on the spine.
Every scoliosis patient's body and curve is unique, so a brace must be specially
made. Your care team will send you to an
to be fitted. Some hospitals have in-house orthotics experts who can make
braces in a day. In other cases, it may take a few weeks to make a brace.
As you grow, orthotists may need to adjust or even replace the brace.
Wilmington Brace and Boston Brace
These jacket-style braces treat moderate curves in the ribcage and lower spine.
Both have excellent track records for success and research to back them up.
These braces are worn under clothing. They cover the torso from hips to armpits
and are made of lightweight rigid plastic. They fit the body and use special shaping
and padding to adjust the spine's alignment in the brace.
The Wilmington brace closes in the front and is custom molded
to each person's body. An orthotist makes a plaster mold of the torso, then uses
it to create a brace.
The Boston brace closes in the back. It's available in many
sizes that are customized with pads and cut-outs.
The number of hours per day that people need to wear a brace can vary, but it's
usually between 12 and 20 hours.
This is a custom plastic brace that is sometimes used with the Schroth method of
Charleston Bending Brace
This brace is worn only at night. Like daytime jacket-style braces, it's a solid
piece of plastic that holds the back in position. Instead of keeping the person upright,
it's shaped to "overcorrect" the curve by keeping the spine bent to one
side. Charleston braces usually only help with C-shaped curves in the lower back.
This is the first type of brace invented to treat scoliosis. Like jacket-style
braces, people wear it 12–20 hours a day. It's a solid piece of plastic that fits
around the hips and waist with vertical bars in the front and back that attach to
a ring around the neck. Because it's harder to wear, this brace is rarely used anymore.
This is a more flexible bracing method that uses bands and a cotton vest. So far
it doesn't seem to be as effective as hard braces.
How Long Do People Wear Braces?
Bracing works best when the patient is still growing and before the curve is too
big. Bracing ends after the person stops growing. That can take a couple of years.
How long you wear a scoliosis brace depends on your curve and when you're done growing.
Sometimes doctors can tell that a brace isn't helping, so they stop early. When
a brace doesn't work, the next step is often surgery.
What Problems Can Happen?
Braces are designed to fit tightly against the body, and that can lead to skin
irritation from heat or rubbing. Protecting the skin is important:
Follow the instructions for cleaning and caring for the brace.
Be sure you always wear a thin, tight-fitting, sweat-wicking shirt under the brace.
Some redness is normal when wearing a brace, but call your doctor's office if:
Redness doesn't go away within 30 minutes after taking off the brace.
You get blisters or sores.
You get a rash under the brace.
A couple of other temporary issues can happen with braces. For example, some people
may not be able to breathe as deeply with the brace on. Or, the brace may feel too
tight right after eating.
What If I Have Questions?
Most people do well with wearing their brace. But it's natural to have questions
when it comes to wearing a brace on a daily basis. Your care team is a resource —
for you and your parents. They help many teens who wear braces and have tips and ideas
on how to handle any challenges.
Having understanding family members helps too. It's always best to talk
to parents or other adults if there's anything that you struggle with.
What can you expect when you are finished with bracing treatment? Most people easily
transition to their brace-free life. Some need physical
therapy to build up their muscle strength. Other than that, you can return to
all your normal activities.