3y/o with scoliosis - need help (Full Version)

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kevinPT27 -> 3y/o with scoliosis - need help (February 10, 2007 9:54:00 AM)

I work in an outpatient department and treat primarily adults, as such I have slim to no experience with pediatrics. Recently, I was referred a 3y/o girl with marked scoliosis (thoracic left convexity with right anterior rib hump). Another practicioner at my office (DO) is treating her, but I need to give her and her mother some sort of stretching/ROM routine. Any good websites with downloadable pictures/handouts?



tc -> Re: 3y/o with scoliosis - need help (February 11, 2007 2:32:00 PM)

I realize you are in a difficult position to do what I recommend, but what if I posed the question:
"I treat only children (usually from 0-3 years old with neuro/genetic issues) and have not worked with adults or ortho/back injuries ever. However I have an adult presenting with back pain (or whatever), can you advise me on how to mobilize for this?" Would you adivse me on how to treat this patient?
Nope. Best for me to bow out gracefully and refer to a better suited PT.
Children really need to be treated by pediatrics people, particularly a scolisis like this. Even I would probably try to find the family a PT who works more with ortho peds even though if I had to I could treat it fine. But idiopathic scoliosis, particularly this young, can be tricky and dangerous. Lots of musculoskeletal issues, as well as dealing with respiratory issues and compression of organs in the thoracic cavity.

My best advice: assist the family in locating a children's hospital or pediatric therapy clinic that can offer them more specialized PT treatment. Usually the family has a pediatric orthopedist on board (or they should because they will probably require bracing and/or surgery) and those tend to work in clinics that work with rehab staff trained in that area. If you are in the southern calif,. area by any chance I could help you out with that if you want to send me a private message.
Good luck.



kevinPT27 -> Re: 3y/o with scoliosis - need help (February 11, 2007 4:00:00 PM)

tc- I am completely in agreement with your reply and would normaly proceed just as you stated(and have in the past). There is much more to this case, and I assure you I would not be accepting this case if it were not for good reason. I appreciate the response, however. Anyone else with a little help?



tc -> Re: 3y/o with scoliosis - need help (February 11, 2007 2:32:00 PM)

I realize you are in a difficult position to do what I recommend, but what if I posed the question:
"I treat only children (usually from 0-3 years old with neuro/genetic issues) and have not worked with adults or ortho/back injuries ever. However I have an adult presenting with back pain (or whatever), can you advise me on how to mobilize for this?" Would you adivse me on how to treat this patient?
Nope. Best for me to bow out gracefully and refer to a better suited PT.
Children really need to be treated by pediatrics people, particularly a scolisis like this. Even I would probably try to find the family a PT who works more with ortho peds even though if I had to I could treat it fine. But idiopathic scoliosis, particularly this young, can be tricky and dangerous. Lots of musculoskeletal issues, as well as dealing with respiratory issues and compression of organs in the thoracic cavity.

My best advice: assist the family in locating a children's hospital or pediatric therapy clinic that can offer them more specialized PT treatment. Usually the family has a pediatric orthopedist on board (or they should because they will probably require bracing and/or surgery) and those tend to work in clinics that work with rehab staff trained in that area. If you are in the southern calif,. area by any chance I could help you out with that if you want to send me a private message.
Good luck.



kevinPT27 -> Re: 3y/o with scoliosis - need help (February 11, 2007 4:00:00 PM)

tc- I am completely in agreement with your reply and would normaly proceed just as you stated(and have in the past). There is much more to this case, and I assure you I would not be accepting this case if it were not for good reason. I appreciate the response, however. Anyone else with a little help?



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