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c l i n i c s

Thank you for your interest in our unique and revolutionary system of scoliosis care.

You may be wondering what separates the ScoliSMART® brand from other clinics

or treatment options. First of all, the ScoliSMART® brand is not a specific treatment,

but rather, a promise of integrity. When you choose one of our doctors you are

choosing an expert in the field of non invasive scoliosis diagnosis, treatment and

management.

We are a focused group of doctors who have dedicated our careers to finding a

better way to successfully treat scoliosis. All of our certified doctors are Fellows of

the International Chiropractic Scoliosis Board. Our group of doctors has published

scoliosis research, presented at SOSORT (International Society on Scoliosis

Orthopedic Rehabilitation and Treatment), written hundreds of scoliosis articles,

patented innovative exercise equipment, and taught post graduate classes on the

topic of non-surgical treatment of scoliosis.

We lead and operate dedicated scoliosis practices that are patient focused. We offer

a variety of techniques, diagnostics, and management strategies to best serve you

or your child’s needs. We strive to make it easy for patients to succeed at avoiding

invasive scoliosis procedures by minimizing the risk of progression and ultimately

providing an effective program to alter the natural course of scoliosis, long-term.

We practice in an environment of informed choice based on four principles

•Scoliosis treatment is tailored to the individual

•The alignment of your spine is controlled by your brain

• In order to permanently alter the alignment of your spine we must engage

the areas of your brain that control alignment

• The most effective way to engage the alignment areas of your brain is to

Un-Lock the Spine (i.e., increase flexibility) and Re-Train muscle memory using

ScoliSMART™ exercises

This core understanding allows our doctors to provide excellence in scoliosis

treatment and management. Offering new and innovative scoliosis equipment,

combined with our clinical experience. Ensure positive outcomes for patients and

families.

we know scoliosis™

2

TABLE OF CONTENTS

4 ScoliSMART™ Clinics

5 Small Curves Camp

7 Scoliosis Boot Camp

9 What Happens After a

Camp?

10 ScoliPAIN for Adults

with Scoliosis

11 ScoliSMART™

Exercises

12 Scoliosis Activity Suit™

13 ScoliSMART™

Nutritional Support

14 ScoliScore™ Test

15 Patient Results

Find out quickly and confidentially by:

STEP ONE:

Submit a copy of your most recent x-rays to

EMAIL: [email protected] (jpeg or png files only)

Or

Upload to dropbox:

https://dropbox.hightail.com/treatingscoliosis

Or

X-rays should be mailed to:

ScoliSMART™ Clinics - New York

2 W 45th Street, Suite 404

New York, NY 10036

STEP TWO:

Call to schedule a complimentary phone consultation with one of our doctors.

212-354-2020

1

Is ScoliSMART® right for you?

There is NO CHARGE for consultations or second opinions

Consultations can be conducted via email or phone once you have submitted

x-rays and provided general information regarding your situation including:

•Ageandgenderofpatient

•Ageofirstdiagnosis

•Measurementwhenirstdiagnosed

•Currentmeasurements

•Currenttreatmentandrecommendedtreatment

c l i n i c s

ScoliSMART® clinics offer a unique and personalized treatment experience. The

doctors who created this unique system of responsible scoliosis management have

over 50 years combined clinical experience working directly with scoliosis patients

of all age groups. Our clinics offer three programs to provide individual treatment

plans to accomplish goals and deliver results.

Our clinics are dedicated scoliosis treatment centers with caring, compassionate,

and skilled staff providing excellence in non surgical scoliosis treatment and assisting

you in reaching your goals.

Our Programs:

Small Curve Camp™ is a 5 day low intensity outpatient scoliosis exercise program

designed to replace the observation phase (“watchful waiting”) prescribed by

doctors when idiopathic scoliosis is first detected. This program is effective at

reducing and stabilizing spinal curvature less than 25°. It also includes home care

equipment, monitoring, and a long term strategy for success.

Scoliosis BootCamp™ is a 10 day moderate intensity outpatient scoliosis exercise

program addressing idiopathic scoliosis starting at 25°. The main goal of this

program is to properly determine the type of curvature, risk of progression, and

long term prognosis utilizing ScoliSMART™ exercises. This program is effective at

slowing or stopping progression, reducing existing curvature, and stabilizing the

spine, long term. BootCamp is available to children and younger adults where

structural changes will not prevent reduction.

ScoliPAIN™ is a 5 day outpatient treatment program designed to improve function,

stability, and appearance as well as decrease or eliminate pain caused from adult

scoliosis. A low to moderate intensity level allows for steady improvement in a short

amount of time. It is ideal for adults who are suffering from painful scoliosis.

4

Our 5 day Small Curve Camp™ is the foundation of early intervention designed for

children diagnosed with spinal curvature below 25 degrees. Our system features

ScoliSMART™ exercise therapy, combined with gentle cyclical traction equipment

to reduce spinal rigidity often found at the apical (peak of curve) region of existing

curvature.

This program accomplishes the following:

•Provides a proactive, effective approach to the passive, traditional,

and risky “wait and see” do nothing concept

•Determines risk of progression

•Creates a comprehensive long term plan for your child’s scoliosis

•Slows or eliminates natural scoliosis progression

•Reduces existing spinal curvature

•Eliminates posture asymmetry

•Induces stability

Our doctors will provide detailed timelines, homecare

protocols, and treatment goals empowering parents

and children thereby significantly decreasing the risk of

developing moderate to severe spinal deformity. In most

cases early intervention will significantly reduce or even

eliminate risk of progression while reducing existing mild

scoliosis often to single digits. Postural and balance based

ScoliSMART™ training is the main focus, designed to cause

a different brain-muscle communication and change muscle

coordination, asymmetry, and muscle memory.

Statistically if scoliosis curves reach the 25° range the chance

of progression is near 70%. In most cases when scoliosis

curvatures measuring less than 25 degrees are treated using

neurological based rehabilitation the scoliosis can be defeated,

stabilizing the spinal curves at less than 10 degrees. In order

Scoliosis Curvatures Less Than 25°

5

for this to occur it is important to re-educate the postural neurology before the 30

degree mark occurs to maintain the upper hand regarding soft tissue adaptations.

When your child performs ScoliSMART™ exercises using Auto Response Training,

your child’s spine will react to specific exercise induced stimuli, causing their brain to

initiate and reorganize their posture, creating a more stable alignment with gravity.

This will reduce existing spinal curvature and significantly decrease the chance

that their scoliosis will worsen as they grow. Unlike traditional physical therapy or

chiropractic care, ScoliSMART™ rehabilitation requires specialized equipment

combined with a knowledgeable doctor to achieve the desired outcome. We hope

that you will choose our program for your proactive scoliosis treatment. We look

forward to meeting you.

Monday

Consult & Exam

1st treatment

Lunch

Treatment from

2-4pm

Tuesday

Treatment from

8am-12pm

Lunch

Treatment from

2-4pm

Wednesday

Treatment from

8am-12pm

Lunch

Treatment from

2-4pm

Thursday

Treatment from

8am-12pm

Lunch

Treatment from

2-4pm

Friday

Treatment from 8am-1pm

Home Care Review

Dismissed

Example Small Curve Camp Schedule:

BEFOREBEFORE AFTERAFTER

CLINIC SCHEDULES WILL VARY

6

Our 10 day moderate intensity exercise based program is designed to:

•Stop or slow progression

•Reduceandstabilizeexistingcurvature

•Improvefunctionandcosmeticappearance

•Eliminatetheneedforinvasivebracingorsurgery

This program uses a unique process to first Un-Lock the spine by decreasing

scoliosis rigidity caused from neurological and soft tissue adaptations. Followed

by ScoliSMART™ training using patented scoliosis exercise equipment specifically

designed to create new muscle memory. Scoliosis BootCamp™ comes complete

with homecare equipment and instructions, timelines, and re-evaluation points.

Thousands of children and adults have been through our Scoliosis BootCamp™

program achieving lasting scoliosis reduction, cosmetic improvement, and have

avoided more invasive scoliosis procedures like bracing or spinal fusion surgery.

The 5 R’s of a Successful BootCamp Program

Reduce Curve Rigidity

Every patient’s curvature will carry a certain amount of rigidity.

Your doctor will determine what treatment is necessary to decrease curve rigidity.

Retrain Muscle

ScoliSMART™ exercises are used to recruit new muscle memory which holds the

spine in a new straighter position.

Repeat Home Training

Multiple sessions of ScoliSMART™ exercise training at home will cause corrective

adaptation and spinal stability.

Re-Evaluate

Periodic evaluations are needed to monitor success of your home care

program and determine if more clinical treatment is needed.

Re-Engage

Additional treatment may be necessary to achieve

greater scoliosis reduction levels.

Scoliosis Curvatures 25° or Larger

7

Monday

Consult &

Exam 1st

treatment

Lunch

Treatment

from 2-4pm

Monday

Treatment

from

8am-12pm

Lunch

Treatment

from 2-4pm

Tuesday

Treatment

from

8am-12pm

Lunch

Treatment

from 2-4pm

Tuesday

Treatment

from

8am-12pm

Lunch

Treatment

from 2-4pm

Wednesday

Treatment

from

8am-12pm

Lunch

Treatment

from 2-4pm

Wednesday

Treatment

from

8am-12pm

Lunch

Treatment

from 2-4pm

Thursday

Treatment

from

8am-12pm

Lunch

Treatment

from 2-4pm

Thursday

Treatment

from

8am-12pm

Lunch

Treatment

from 2-4pm

Example Scoliosis BootCamp™ Schedule:

Week Two:

Friday

Treatment from

8am-12pm Weekend

Care Review

Dismissed

Rehab Session

(2 total)

Friday

Treatment from

8am-12pm

Home Care Review

Dismissed

Saturday

Rehab Session

(4 Total)

Saturday

Sunday

Rehab Session

(4 Total)

Sunday

All Rehab sessions are conducted by the patient outside of the office according to the home rehab program

prescribed by the doctor.

CLINIC SCHEDULES WILL VARY

8

Scoliosis is a progressive condition that is most active and aggressive during the

adolescent years in which a child is experiencing periods of rapid growth. It is

imperative that an ongoing scoliosis training program is consistently performed on

a daily basis. The single most important factor in the continued long-term success

of scoliosis stabilization is a high compliance rate with the home training

program. It needs to be recognized from the very beginning that the

home care program is a long-term commitment and must be continued

to ensure stabilization of the scoliosis during these periods of rapid growth.

The greatest factors in ensuring compliance to a long-term home training program

are a positive patient attitude towards the program and a low confusion rate. Keep

it fun/rewarding and keep it simple. While the patient will need to dedicate a fair

amount of time and effort into the initial scoliosis training program during the curve

reduction phase of treatment, they can often maintain their

scoliosis reduction with less effort once the curvature

has been stabilized.

What Happens After a Camp?

3-4 months following Scoliosis Exercise Camps

Static ScoliSMART™ Training

Morning (1 session before school or work):

Wear ScoliSMART™ Training Equipment 20 minutes

Afternoon (2 sessions after school or work)

Wear ScoliSMART™ Training Equipment 20 minutes

Spinal molding program prior to bed 15 minutes if prescribed.

Weekends (Up to 5 Sessions permitted)

Dynamic ScoliSMART™ Training1-2 hours daily movement wearing the Scoliosis Activity Suit™

Generally this routine is required for at least 6-8 months before

scoliosis stability is achieved and a reduction of home care

frequency can be considered, always consult your

doctor when changing training frequency.

9

For Adult Scoliosis Sufferers

A less intense 5 day outpatient program for adults suffering from pain associated

from scoliosis, degeneration, or kyphosis specifically designed to increase

function levels and decrease pain using a combination of cyclical traction, muscle

detoxification, and exercise. In addition, a supportive neoprene Scoliosis Activity

Suit can be used to help stabilize “postural collapse”, the number one pain inducing

problem with adult scoliosis.

Unlike progressive juvenile or adolescent scoliosis adult curvature can be very

painful and create unwanted function changes. We have worked with hundreds of

adult patients with scoliosis, although overall corrective levels may be reduced due

to spinal degeneration, function can be significantly improved and pain can often

be reduced or eliminated.

Cosmetic Improvement after Just One Week of ScoliPain™

10

What Makes ScoliSMART™ exercises so SMART?ScoliSMART™ exercise is the first scoliosis treatment approach that uses nutritional

support principles in combination with both static and dynamic Auto Response

Training equipment. Recent clinical studies have shown that certain neurotransmitter

(brain chemical) imbalances are commonly found in scoliosis patients. These

neurotransmitters are directly related to your spine’s reflex control mechanism which

affects your spine’s alignment.

Our doctors test these neurotransmitters and provide supplementation to support,

Rebalance, and prevent spinal fatigue during exercises. Neurotransmitter monitoring

in combination with Auto Response Training create a unique environment for

positively influencing these spine reflexes and reducing your scoliosis. Auto

Response Training is performed using specialized equipment such as the

TorsoTrainer™, Scoliosis Cantilever™ and the patented Scoliosis Activity

Suit™.

ScoliSMART™ exercises focus on your spines reflexes and subconscious

brain control. Like the beating of our heart, the alignment of our spinal

column is controlled by your brain. Like your heart beat, your spinal

alignment cannot be directly controlled by you. You can, however,

indirectly influence this control mechanism by causing a reaction.

Our doctors use innovative exercise equipment, this equipment

effectively engages the muscles influencing your spine’s alignment.

This equipment influences how the brain contracts your spine’s deep

muscle layers, the layers controlling alignment of your spine. You do not

“think” about which muscle to contract, rather your spines natural righting

reflexes automatically do it for you. This is known as Auto Response Training.

If you were to run up a flight of stairs your heart would automatically increase

its rate in order to produce more blood flow. It is an autonomic reflex that

increased the heart rate; we use this same principal to cause your spinal

reflexes to react causing more symmetrical muscle firing resulting in a

straighter spine.

11

We use two types of Auto Response Training: Dynamic, with movement, and Static,

without movement. Your spinal reflexes are constantly controlling your spines

alignment and stability when sitting, standing, or walking. There are different

muscles that are firing in a sequence during each of these actions. The static

training is performed standing while balancing on a vestibular disc using specialized

cantilevers that create forces on the head, torso, or pelvis which in turn cause a

corrective response by the spinal reflexes that reduce your scoliosis. The dynamic

training is performed while walking wearing a specialized neoprene suit that creates

torque forces which cause your spinal reflexes to reduce your scoliosis.

The use of neurotransmitter testing and support enhances your potential for new

muscle programs to form. By creating a custom nutritional support program we

can help strengthen your spinal reflexes which in turn leads to a stronger exercise

induced response, better scoliosis reduction, and overall stability of your spine.

IT’S NOT A BRACE!

A dynamic ScoliSMART™ exercise program used in combination

with outpatient care.

Designed to work with the natural torque pattern of human

locomotion, the Scoliosis Activity Suit™ is the latest innovation

in scoliosis treatment.

New Scoliosis Activity Suit harnesses energy of human’s natural movement to create

new muscle memory. This new muscle memory reduces and stabilizes asymmetrical

muscle firing thereby reducing risk of curve progression and helping the spine

unwind naturally, never forced.

With each step, the body resists the Scoliosis Activity Suit’s force, changing the

muscle’s stored energy and firing sequence. Like muscles, the spine adapts in terms

of time and need according to demand.

Unlike bracing, the Scoliosis Activity Suit™ does not use direct pressure on the

peaks of the curves to force correction as forcing correction does not induce new

muscle memory.

12

ScoliSMART™ Nutritional SupportQ) What are neurotransmitters?

A) Neurotransmitters are chemicals used by our brain to communicate

with the rest of the body. To use an analogy, our nervous system is

similar to a long stretch of roads and highways. Along various roads

we come to a traffic light. These ‘intersections’ or junctions use

neurotransmitters to allow nerve communication to continue on down

the road, similar to the way a green light allows traffic through, and red

tells it to stop. If there aren’t enough ‘green light’ neurotransmitters,

the brain cannot effectively communicate with the rest of the body,

thus contributing to neurological symptoms.

Q) How are neurotransmitters checked?

A) ScoliSMART™ clinics utilize urinalysis testing to look for direct measures of

neurotransmitters. Urinalysis is an easy, noninvasive means of collecting this

information. A single morning collection of urine is enough to evaluate the most

common neurotransmitters.

Q) How are neurotransmitter problems treated?

A) Since neurotransmitters are created from amino acids, and metabolized by various

enzymes, neurotransmitter imbalances can typically be corrected by individualized

amino acid and/or enzyme supplementation. Once neurotransmitter imbalances

are corrected via supplementation, ongoing maintenance can often be achieved by

dietary modification, thus introducing food choices that are rich in specific amino

acids or enzymes.

Q) How do neurotransmitter imbalances relate to scoliosis?

Preliminary research suggests that specific neurotransmitter deficiencies may

contribute to the development or progression of idiopathic scoliosis. Some

neurotransmitters are vital for the maintenance of normal postural control.

Therefore, if those neurotransmitters are out of balance, postural control suffers,

and therefore may create an environment favorable to the development of scoliosis,

or the progression of an existing scoliosis. It is also important to restore

normal neurotransmitter levels so that patients may improve their

ability to participate in exercise-based scoliosis

13

programs. Since ScoliSMART™ exercises require repetitive stimulation of postural

control centers, having normal neurotransmitter levels may help scoliosis patients

get better results from their specifically prescribed ScoliSMART™ exercises.

Q) Is neurotransmitter testing covered by my insurance?

A) Yes, typically most insurance companies provide for neurotransmitter testing.

However, Pharmasan Labs is an out-of-network lab, so please check with your

insurance company to make sure out-of-network labs are a covered benefit. Also,

for those who are underinsured/uninsured, Pharmasan Labs offers a very reasonable

PrePay cash price to run the test.

ScoliScore™ ScoliScore™ is a Prognostic Genetic Test that can predict the progression of

scoliosis in the early stages of diagnosis and development. This test virtually

eliminates the traditional ‘wait and see’ method often prescribed by orthopedic

specialists for patients with curves that are lower than 25 degrees.

What are the results of the ScoliScore™ Test?

The ScoliScore test results provide a Curve Progression Score that assigns

a numerical value to the likelihood of a scoliotic curve progressing. This result

corresponds to the likelihood of mild, moderate, or severe curves—among

adolescents between the ages of 9-13 years. This test adds information beyond the

traditional factors your physician considers when evaluating the patient.

It is important to note that a Low Curve Progression Score result does not mean that

there is no chance that an Adolescent will have some curve progression. Instead,

the Curve Progression Score provides information about the likelihood of curve

progression—it cannot determine with 100% certainty that there will be no curve

progression.

What are the benefits of using the ScoliScore™ Test?

The test report delivers information for both physicians and patients with AIS

that may improve their confidence that treatment planning will be based on an

understanding of each individual patient’s disease characteristics.

14

37% Initial Reduction

Kaylee is a 14.4 year old female Risser IV with a primary thoracic

scoliosis and right body shift of 2 inches. Initial response to 2 week

BootCamp resulted in a 37% reduction of her scoliosis from 49º

to 31º. She was prescribed daily home exercises consisting of a

TorsoTrainer™ and a vestibular disc to ensure new muscle memory

will be achieved. She will be evaluated in 3 months to determine the effectiveness

of home care.

Patient Results

80% Sustained Reduction

12 year old female high risk Risser II primary thoracic scoliosis. Two

week initial BootCamp, one additional week of camp at 6 months

and a total of 14 months home exercises using the TorsoTrainer™.

Sustained 80% reduction 29º to 6º after 14 months. She is now 13

and Risser III.

For more information, visit www.treatingscoliosis.com.

On the Path to Curve ReductionBrent is a 16 year old male Risser III presenting with a 48º primary

thoracic scoliosis. Following the Scoliosis BootCamp program,

he was able to reduce his scoliosis to 30º. He has been

prescribed a home care program consisting of auto

response training using a TorsoTrainer™ for

twenty minutes three times daily for four months. The

probability of long term success with his case

is high due to his age and initial

reduction level.

Sustained Correction Without Bracing

Maddie, now 16.7 years old has a lumbar scoliosis measuring 18º

using the standard Cobb measurement. She and her twin sister

started the program 3 years ago at age 13.7. Maddie presented

with a 37º curve before the program.

15

www.treatingscoliosis.com

we know scoliosis™