Correction of pseudoscoliosis (lateral thoracic translation posture) for the treatment of low back pain: a CBP^® case report

Abstract

[Purpose] To present the case of a total reduction of pseudoscoliosis spinal deformity in an adult female suffering from recurrent back pains. [Participant and Methods] A 29 year old female suffering from recurrent back pains was diagnosed with lateral thoracic translation posture; aka pseudoscoliosis. The patient was initially given 12 treatments of relief care including spinal manipulative therapy, then another 24 treatments receiving the same plus mirror image® translation traction and exercises. [Results] The patient achieved a complete reduction of the lateral thoracic translation posture (pseudoscoliosis) as indicated on a post-treatment radiograph after 36 total treatments. Most orthopedic tests became normalized and the patients back pains were significantly improved after the correction of posture, but only slight improvements after the initial 12 sessions of manipulative therapy only. [Conclusion] Pseudoscoliosis is structurally reducible by use of CBP® mirror image® lateral translation traction methods and exercises and led to the resolution of back pains in this case. The diagnosis of pseudoscoliosis as opposed to true scoliosis is very important and likely underdiagnosed in common practice. Upright radiographic imaging is essential to differentiate these two spinal disorders and offers no harm to the patient. Comprehensive assessment including routine use of x-ray is recommended to differentiate between spinal disorders.

Radiophobic Fear-Mongering, Misappropriation of Medical References and Dismissing Relevant Data Forms the False Stance for Advocating Against the Use of Routine and Repeat Radiography in Chiropractic and Manual Therapy

“…case reports/series) should be viewed as important and considered in guidelines created for the manual therapies, particularly chiropractic. 127 , 128 When considering the chiropractic and manual therapy literature showing improvements in other spine and pelvis deformities/subluxation types, there is evidence showing reduction of anterior whole-spine sagittal balance, 129 , 130 reduction of cervical pseudo-scoliosis, 131 - 133 reduction of lumbar pseudo-scoliosis, 134 , 135 increase in thoracic hypokyphosis (straight back syndrome), 136 - 138 reduction of thoracolumbar kyphosis, 139 increase in lumbar kyphosis (flat back syndrome), 82 reduction of lumbar hyperlordosis and pelvic tilt, 140 reduction of cervical spondylolisthesis, 141 , 142 and reduction of lumbar spondylolisthesis. 143 , 144…”

The Scoliosis Quandary: Are Radiation Exposures From Repeated X-Rays Harmful?

“…Another differential diagnosis is the newer understanding of differentiating true scoliosis from "pseudoscoliosis," [27][28][29] which is a postural thoracolumbar subluxation that mimics aspects of scoliosis but responds better to different treatment approaches. 30,31 X-rays are essential in the follow-up management of scoliosis to monitor treatment progress. Often a change in treatment will be indicated if the deformity progresses (ie, "watch and wait" to bracing; bracing to surgery).…”

Are Restrictive Medical Radiation Imaging Campaigns Misguided? It Seems So: A Case Example of the American Chiropractic Association’s Adoption of “Choosing Wisely”

“…54 -56 Thus, the universal pressure to restrict X-ray use in spinal rehabilitation goes against the evidence-based practice of many patient-centered, spine-specific, biomechanical treatment approaches that are readily available, taught in graduate and postgraduate education, and practiced by a significant number of clinicians. 11 -45…”

“…Additionally, RCTs provide evidence for spine correction from physiotherapy back extension exercise programs to reduce thoracic hyperkyphosis, [20][21][22] as well as physiotherapeutic scoliosis-specific exercise programs (eg, Schroth methods) for reducing scoliosis spinal curvature. [23][24][25][26] Clinically weaker evidence (from case control, case studies/ series) exists supporting the effectiveness of many other nonsurgical generalized spine rehabilitation approaches, for example various methods to reduce forward head translation, [27][28][29][30] thoracic hyperkyphosis, [31][32][33][34][35][36] scoliosis, [37][38][39][40] pseudo-scoliosis, 41,42 spondylolisthesis, 43 and methods to increase thoracic hypokyphosis. 44,45 There are in fact many spine and posture rehabilitation approaches that use spinal X-rays for the diagnosis and screening of biomechanical parameters essential in guiding patient-centered, spine-specific rehabilitation approaches to reduce various spine displacement or subluxation types 46 in the effort to enhance patient outcomes.…”