Guest guest Posted January 13, 2008 Report Share Posted January 13, 2008 , Welcome to the group! Although I'm sorry to hear that your daughter has the unfortunate diagnosis we all share, I am relieved to hear how young she is for the diagnosis and that you're already on the right path to early intervention. My son was diagnosed with a seventy degree curve at ten months. We lost quite a bit of valuable time (two months) by seeing two orthopaedic surgeons who did not believe in early intervention - in fact, the common practice amongst them is to watch and wait. There is always a chance a curve is not going to progress. However, the measurement of the RVAD (rib vertebral angle - the angle at which the rib goes into the spine - instead of being perpendicular, it is on a slant) can help to determine that. A properly trained physician (in the Mehta method of early intervention like we advocate here) will help you to determine that number. I would not waste precious time with local physicians, sadly. Most just are unfamiliar with this rather rare diagnosis and have not seen much in their practice. Because it is so rare, they are simply misinformed (or ill informed) in the best way to treat - not just hold or stabilize like has been their previous experience, but treat and potentially cure these children of scoliosis. Most of us have also dealt with reflux and our children have also used assistive devices to prevent them from choking. However, there is no definitive link between this positioning and scoliosis - but I do believe the curve in their spine puts pressure on their abdomens, thus forcing the contents of the stomach back up the esophagus. I don't think it is anything we have done as parents, just something that occurs and is a symptom. From Virginia, I would imagine Erie, PA would be your nearest Shriner's who has been properly trained in the Mehta method of early intervention serial casting. There are also trained surgeons in Birmingham, AL and Rochester, NY's Shriner's, I believe. Begin the calling on Monday morning and hopefully someone here can get you the contact numbers. Dr. or Khoury, I think - but we don't have experience with them ourselves (though they are some of the most experienced in this method in the country). Best to you - we'll be here throughout the journey, Sandi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 13, 2008 Report Share Posted January 13, 2008 , I agree with Sandi that the two top docs that are closest to you are Dr. Khoury (he was the one in the video that I sent you) and Dr. . Both have treated Ian and they were fantastic. The only issue is insurance...you would have to find out if they cover it. There is a doc at Erie Shriners who is being trained by Dr. in the Mehta casting technique. Anyway, I gave you other suggestions via email. Shriners is free, so if the other two docs don't work because insurance you could look into the one in SC. Glad to see you posting here. Noelle (12-2-01) Ian (8-15-04) Re: New to group 7 mo old dd recently dx with idiopathic infantile scoliosis 36deg , Welcome to the group! Although I'm sorry to hear that your daughter has the unfortunate diagnosis we all share, I am relieved to hear how young she is for the diagnosis and that you're already on the right path to early intervention. My son was diagnosed with a seventy degree curve at ten months. We lost quite a bit of valuable time (two months) by seeing two orthopaedic surgeons who did not believe in early intervention - in fact, the common practice amongst them is to watch and wait. There is always a chance a curve is not going to progress. However, the measurement of the RVAD (rib vertebral angle - the angle at which the rib goes into the spine - instead of being perpendicular, it is on a slant) can help to determine that. A properly trained physician (in the Mehta method of early intervention like we advocate here) will help you to determine that number. I would not waste precious time with local physicians, sadly. Most just are unfamiliar with this rather rare diagnosis and have not seen much in their practice. Because it is so rare, they are simply misinformed (or ill informed) in the best way to treat - not just hold or stabilize like has been their previous experience, but treat and potentially cure these children of scoliosis. Most of us have also dealt with reflux and our children have also used assistive devices to prevent them from choking. However, there is no definitive link between this positioning and scoliosis - but I do believe the curve in their spine puts pressure on their abdomens, thus forcing the contents of the stomach back up the esophagus. I don't think it is anything we have done as parents, just something that occurs and is a symptom. From Virginia, I would imagine Erie, PA would be your nearest Shriner's who has been properly trained in the Mehta method of early intervention serial casting. There are also trained surgeons in Birmingham, AL and Rochester, NY's Shriner's, I believe. Begin the calling on Monday morning and hopefully someone here can get you the contact numbers. Dr. or Khoury, I think - but we don't have experience with them ourselves (though they are some of the most experienced in this method in the country). Best to you - we'll be here throughout the journey, Sandi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2008 Report Share Posted January 14, 2008 , Welcome to the group. The first thing I would do is yes contact a casting doctor myself. You will be able to send xrays to shriners and Dr.Khoury can take a look at them. Also before they can cast she needs to have a full MRI head, neck and spine done to rule out any other congenital problems. My son is 2yrs old and also has Chiari malformation which is a brain malformation. He had to have surgery before they could cast. He started at over 40degrees in May and is now at 8degrees and in a brace. It is very good that you don't want to waste any time. I'm sure all the parents on this site will agree. Time is very important with these rapid growing spines. Also contact and get the DVD. This will help to understand exactly how the early treatment works and benifits most children. You are in the right place and in the right mode to get the best care for your daughter. I believe there is an article in the files section of this site to explain the RVAD and how it is measured, also there is an article written by Dr. Mehta in the files section that is very informative and helpful. Best of luck!! Rochelle mom to Devyn 2yrs infantile scoliosis, Chiari 1. Tiffanni 10yrs. Dominic 7yrs > > , > > I agree with Sandi that the two top docs that are closest to you are Dr. Khoury (he was the one in the video that I sent you) and Dr. . Both have treated Ian and they were fantastic. The only issue is insurance...you would have to find out if they cover it. There is a doc at Erie Shriners who is being trained by Dr. in the Mehta casting technique. > > Anyway, I gave you other suggestions via email. Shriners is free, so if the other two docs don't work because insurance you could look into the one in SC. > > Glad to see you posting here. > > > Noelle (12-2-01) > Ian (8-15-04) > Re: New to group 7 mo old dd recently dx with idiopathic infantile scoliosis 36deg > > > , > Welcome to the group! Although I'm sorry to hear that your daughter > has the unfortunate diagnosis we all share, I am relieved to hear how > young she is for the diagnosis and that you're already on the right > path to early intervention. > > My son was diagnosed with a seventy degree curve at ten > months. We lost quite a bit of valuable time (two months) by seeing > two orthopaedic surgeons who did not believe in early intervention - > in fact, the common practice amongst them is to watch and wait. There > is always a chance a curve is not going to progress. However, the > measurement of the RVAD (rib vertebral angle - the angle at which the > rib goes into the spine - instead of being perpendicular, it is on a > slant) can help to determine that. A properly trained physician (in > the Mehta method of early intervention like we advocate here) will > help you to determine that number. > > I would not waste precious time with local physicians, sadly. Most > just are unfamiliar with this rather rare diagnosis and have not seen > much in their practice. Because it is so rare, they are simply > misinformed (or ill informed) in the best way to treat - not just hold > or stabilize like has been their previous experience, but treat and > potentially cure these children of scoliosis. > > Most of us have also dealt with reflux and our children have also used > assistive devices to prevent them from choking. However, there is no > definitive link between this positioning and scoliosis - but I do > believe the curve in their spine puts pressure on their abdomens, thus > forcing the contents of the stomach back up the esophagus. I don't > think it is anything we have done as parents, just something that > occurs and is a symptom. > > From Virginia, I would imagine Erie, PA would be your nearest > Shriner's who has been properly trained in the Mehta method of early > intervention serial casting. There are also trained surgeons in > Birmingham, AL and Rochester, NY's Shriner's, I believe. Begin the > calling on Monday morning and hopefully someone here can get you the > contact numbers. Dr. or Khoury, I think - but we don't have > experience with them ourselves (though they are some of the most > experienced in this method in the country). > > Best to you - we'll be here throughout the journey, > > Sandi > > > > > Quote Link to comment Share on other sites More sharing options...
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