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Scoliosis & Kyphosis Brace Wear

A brace can prevent your child’s spinal curve from getting bigger. This is accomplished by correcting the curve while the patient is in the brace so that the curve does not progress with time. Bracing is for patients with curves that measure between 25° and 40° during their growth phase.

Weaning into the Brace

Most children will become adjusted to wearing the brace in about three weeks. Suggested weaning schedule into the brace includes:

Wearing the brace after school until bedtime (4–6 hours) for the first week. Check the skin after the brace has been on the first 2 hours. If the skin is pink, put the brace back on for 2 more hours. Check the skin again after 2 hours. If the skin is red, keep the brace off for 1/2 hour.

At the end of the week, your child should start to wear the brace from after school until morning. Then it is time to increase the brace wear to full-time. 

Helpful Hints

Firm or hard chairs may be more comfortable than soft, low chairs when sitting with the brace on. When traveling in the car, try placing a firm cushion under your child’s seat to provide support. 

Activities

Your child may continue with most of their usual activities. Physical activity is important to maintain muscle tone while wearing the brace. Your child may participate in gym class.

Scheduled off brace wear can be organized around your child’s sports/activities and physical education, but arrange to have your child go the school nurse to assist your child with taking off the brace before gym class and putting on the brace afterwards. 

Skin Care

The brace should be applied over the cotton tee shirt/tank top that fits snugly. A tee shirt without seams will help protect your child’s skin from rubbing and chafing under the brace. Your child should shower or bathe daily. Do not use lotions, creams or oils under the brace. This will make the skin soft and irritated. Medicated powder may be used in small amounts to help decrease moisture and chafing. Clean caked powder off the skin to avoid irritation. 

Clothing

Most styles of clothing will fit over a brace. Loose clothing will hide the outline of the brace. Underpants and slacks will need to be large enough to fit over the lower part of the brace. Your child should try different size pants over the brace to find out what size works best. Drawstring pants, bib overalls and elastic waistbands work very well. 

Brace Care

Clean the brace once a week. Remove the brace and wipe the inside of the brace (if it is damp) with rubbing alcohol. Dry thoroughly. Store the brace in a cool dry place. Do not put the brace in a hot place (in a car trunk, near a radiator/heater, or in the sun). 

Follow-up

The first doctors visit after brace wear will be 6 weeks after your child began using the brace. An x-ray will be taken with the brace on to make sure the brace is doing its job in holding the spinal curvature. Your doctor will also check to make sure the brace fits correctly. Subsequent follow-up visits will be every 4-6 months with x-rays taken out of the brace.

For these follow-up visits please remove the brace 24 hours before your scheduled appointment time. Also bring your brace to check brace fit because as your child grows they may need a new brace to be made.

It is very important to keep all your scheduled appointments to make sure your child’s curve is not getting worse while wearing the brace. 

Call the clinic if

  • Your child is not tolerating the new brace by 3 weeks
  • You have questions as to what activities your child can do in their brace
  • Your child develops sores under the brace
  • Your child’s brace cracks, breaks or the straps wear out
  • Your child’s brace is not fitting well