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Physica e-Newsletter

May 2014



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A lateral deviation of the spine is known as a Scoliosis. This results in the spine rotating around the vertical axis giving the spine a twisted appearance. Radiologically a scoliosis is defined by a Cobb angle of greater than 10 degrees, which is basically an indicator of the severity of the curve.
The most common type of scoliosis is known as Idiopathic scoliosis, or no known cause. This type of scoliosis can present at three different development ages; 1) infantile (<2 years) 2) juvenile (2-10 years) 3) Adolescent > 10 years to the end of the growth spurt. Adolescent Idiopathic scoliosis (AIS) accounts for 80% of idiopathic cases.

Adolescent Idiopathic scoliosis (AIS);

  • positive family history
  • more common in girls than boys
  • AIS in girls accounts for 90% of the curves seen in clinical practice
Physical Traits of scoliosis;
  • lateral deviation of the spine
  • spine has a rotated appearance
  • one shoulder or hip may look higher than the other
  •  rib hump with bending forward

Detection is via an x-ray and the severity is assessed by a radiologist who determines the cobb angle.


Most curves can be managed with physiotherapy which consists of postural education, manual therapy to loosen stiff joints and strengthening/core exercises to strengthen areas of weakness. Scoliosis where the cobb angle exceeds 25 degrees may require bracing and curves over 50 degrees may require surgery. This consists of straightening the curve with Harrington rods.


All physica staff have received extra training in the management of scoliosis. We will assess your spinal curve and may request an x-ray to confirm the diagnosis. We will then devise a comprehensive physiotherapy plan to return you to optimum capacity.




We are proud to announce the commencement of the Precision Ascend Pain Management programme at Physica Ringwood and Physica Devonport this month. The programme is a six week intensive course run by Physiotherapists, Psychologists and Occupational Therapists with input from Neurologists and Spinal surgeons. This programme is suitable for patients  with complex persistent pain that has been resistant to prior therapies. A referral from your treating G.P is required prior to being accepted onto the programme.


Carlos Bello and Nicole Hasseldine will be conducting the physiotherapy component at the Ringwood Clinic and Daniel Zwolak will be overseeing the project.


Please contact the reception at either Physica Devonport or Physica Ringwood if you would like further information on Precision Ascend Pain Management. 





Physica Spinal and Physiotherapy Clinics
25 Wantirna Rd
Ringwood Vic 3134
ph 9870 8193

also at
Physica Devonport
Physica Shearwater
Physica Latrobe