Is it a Good Idea to Watch and Wait?

Even in a pandemic, the ‘watch and wait’ approach to scoliosis is not advised

In these challenging times, it can be easy to forget to keep a complete check on our health. Sure, we are all trying to get enough exercise, keep check on our hearts and blood pressure, and look after our mental health… but what about your spinal health?

While not top of mind for many people, staying vigilant about any changes in our spines, including pain and any postural changes, is especially important.  Regular at-home checks of all family members can help with early detection of any spinal issues, which include scoliosis.


Especially for children who are at home from school, a change that might have been picked up by a teacher or sports coach might be overlooked by busy parents.


Have you noticed a change?


A change in your, or a loved one’s spine, may indicate the signs of a developing scoliosis. Visual changes like a visible curve, uneven shoulders or hips, or a prominent shoulder blade, particularly in growing children and adolescents, can all be warning signs.


It can be easy to downplay these changes. As we are urged to stay at home, we might prefer to think that they will resolve on their own, or be complacent with a promise to ‘get that checked when this is all over’.


Don’t watch and wait.


It’s been shown that ‘watch and wait’ is not a viable option in treating scoliosis. Ignoring a change in spine needs to be investigated and importantly, any delay seeking advice may mean symptoms develop further.


Particularly for growing children and adolescents, without assessment and management, the scoliosis is likely to progress over time and small curves have the potential to rapidly progress into larger curves. For older adults, seeking advice early about any postural changes or pain, can help to greatly enhance the quality of life and prevent pain and progression.


It’s also been shown that early detection and then early intervention leads to better patient outcomes including wider opportunities for treatment and access to a range of non-surgical scoliosis treatment options including modern 3D bracing and scoliosis specific exercise programs.


Luckily, even in these uncertain times, scoliosis care is essential and accessible. 


You may not have a scoliosis clinic near you physically open, or you might not be able to attend a clinic in person, however, TeleHealth consultations mean you can be in touch with a professional for assessment, advice, and support.


For now, and going forward, here are some practical tips to keep in mind:

  • Keep a check on your, and your family’s, spinal health
  • Check regularly for any signs of scoliosis, especially in children
  • If you notice a change, don’t watch and wait
  • Be proactive in seeking professional advice for assessment, treatment, and support

We are here to help, please don’t hesitate to contact us at

– Dr. Payne


AVANT Chiropractic Case Study: Kate

Usually when someone celebrates a ‘workiversary’ it means they’ve been with a company for a certain number of years. For me, it’s also a chiropractic anniversary. Before showing up for my first day of work, Dr. Payne had said, “This might not mean anything to you right now, but it will eventually.”

I am an employee at AVANT Chiropractic, but every time I get onto an adjustment table, I am choosing to put my neck and spine in Dr. Payne’s hands. Trust is the biggest word I can use to describe my experience this past year; trusting his expertise and trusting that the process will work. Believe me, there were moments of doubt.

With no further ado, I’m going to guide you through my own personal case study. There are a collection of posture pictures, X-Rays, journal entries and thoughts.

JULY 2015
I had my first exam and went through the entire New Patient process, especially so I could learn the administrative steps involved. The strangest part was telling my new boss all of the things going on with my 1/4 century body. He just hired a physical train wreck. The list looked like this:

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I was asked what life would look like, if these symptoms went away. The answer? Getting back to my athletic self, because then everything else would fall back into place. All of these symptoms meant that I couldn’t do the activities that mattered most.

I wrote a journal entry one night when I couldn’t fall asleep and it was dated August 25, 2015 / 20 adjustments in.

“I want you to know I’ve felt nauseous, really nauseous, these past few months. I’m laying in bed on the brinks of tears, have succumbed to taking one Gravol and my neck is not comfortable whatsoever. There’s a point to this turmoil though. I signed up for it. No one said correcting a spine would be easy; the toxins that get released, the push-back your body wants to give (like taking braces off too soon), and the mental game it plays on whether Dr. Payne’s calculated adjustments are equalling anything. Let’s face it, I have no educated idea. All I know is when I walked into this place, if I touched my neck, I was instantly nauseous. This has substantially improved.”

Oh, I forgot to let you know about my anomaly – I have an extra vertebrae!


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This would have gone undiscovered if I didn’t have X-Rays. How can anyone know what’s going on in your back/neck/spine without taking a look first? Now that we know it exists, the story becomes a little more clear. This my friends, is a culprit to some of my lower back pain.

If we don’t keep the vertebrae healthy, it can cause a ton of unnecessary discomfort and degeneration. These little guys can decay, compress and misalign, but the fascinating part is that they are living organisms which can rejuvenate and repair. From my understanding, it’s like cutting the water supply off from a plant. These adjustments help the discs (cushions in between the vertebrae) stay hydrated, so a degenerated disc can start to regenerate again!

Approaching my 3-month mark, I was curious to see if there was change in my upper neck. The fog brain was leaving, and my productivity had insanely improved. A 12-hour day and I finally felt “on” rather than droopy and un-attentive.

Dr. Payne warned me that there may not be a distinct difference in my X-ray, since it hadn’t been long enough for structural change to be visible. Most people were accelerating their care with a neck traction devise called a Denneroll, but it was way too painful for me. I’m 26 though – I should be invincible, right?

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RED LINE = My curve
BLACK LINE = Normal curve

This didn’t mean much to me. In fact, I think the second one looks worse. This is what Dr. Payne said though, “The mid part of the neck is less reversed now, and the top bone in the neck is adapting its proper curve position.” Okay, that makes a little more sense.

I play competitive indoor volleyball and it seems to be a trend that the hardest hitters in the league focus on my face. I had two minor concussions and my fingers were going numb setting. I kept flashing them like I had spirit fingers, checking to see if they could still function by the third game. Will this keep getting worse? And, why isn’t an adjustment instantly curing it?

At this point, I had been seeing an RMT (Jon Alcombrack in Stittsville, ON) since November. My typical session with him involved many tears and alterations. He couldn’t support my head with just his hands; even the pressure of his fingers were too much. I kept asking, “can normal people handle this?”

Jon has his own chiro success story which carries over into the way he practices. It was always baffling me that his RMT comments mimicked what Dr. Payne was saying in my other ear. They are both officially apart of my health team. Cue the song: Cheerleader.

By this point, my hands were never bothering me anymore (my wrists get adjusted, especially with all this typing). I can shampoo my hair without flipping my head upside down, and chair pose is much more manageable! Volleyball was going well, except I crashed down on my knee and it gave me some sort of side whiplash. Dr. Payne worked on this a handful of times, and it’s much better now.

Headaches rarely exist and if the odd one does set in, it’s because I haven’t been drinking water. I changed my mentality whereby I can only say I have a headache out loud if I am well hydrated and it still exists.

Dr. Payne did a ton of current research on the best sitting / standing techniques and this also helped changed my office work life. My shoulders are stronger from sitting at the edge of my seat on my sit bones; this way they are forced to hold good posture. We’re also getting a stand up desk soon, so that we practice what we preach ;)

Iron North Studio was also a huge component of my health team. Once I got feeling better, I was able to sign up for more strength, yoga and spin classes. They provide an incredible sense of community and support too.


  • I had a breakthrough in the last month or so.
  • My shoulders can now rest back with ease
  • My vertebrae don’t make me nauseous at all when I touch them and I can finally use the Denneroll (neck traction device).
  • My endometriosis is tame now; I only take max two Aleve each month.
  • I had an RMT session with Jon that didn’t result in a single tear (it’s basically a measuring tool for me now).
  • I feel way stronger.
  • You can see in the posture pictures below that my forward head is now on straight ;)

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Let’s look at my neck up close. This is a one-year difference. The left was taken with film, and the right with our new digital X-Ray machine!

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* These are both side views. My face is pointing towards the left side of the screen. Can you see my chompers?

Normally the neck bones should form a “C” shape curve. The first picture on the left, I don’t have this at all. I’m the red line and it’s straight with a reversal in my C-4 and C-5 vertebrae.

The second picture at my year anniversary shows that these bones are on their way to curving in a proper direction. You can see a huge change at the top of the neck. Here the blue and green lines are much closer. I’m the blue line. Green is what “normal” would be and blue is my curve trying to play catch-up after 25 years of gymnastics, falling, improper pillows and conversing through a phone box.

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In the first picture on the left, my back is VERY posterior weight bearing. I’m the red line, and the black is “normal”. Without getting very technical (because I don’t even understand the lingo), this means that the lower back is pushed so far backwards it causes pain and dysfunction because parts of my body are bearing weight that they shouldn’t. This then damages my nerves.

The right picture shows the lower back coming into the proper position. I’m the pink line, and the green is “normal”. This is so much healthier for the spine, discs and nerves. My low back can now touch the floor in yoga! I started to make an effort to quit leaning to one side, always on my right hip (which is 4.4 mm lower) and to tuck my pelvis in. Guess what else happened?

Currently, I’m on medication for a dreaded face rash which is taking me on a crazy ride and suppresses my immune system. One day, I was ready to puke and an adjustment settled the nausea immediately. I still didn’t feel well, but at least it calmed the storm. I have digestive issues to map out, endometriosis (hormone related condition) to continue living with and sports that set me back with each injury or fall. The GOLDEN TICKET is that all of these things have improved:

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I want to add a few final notes to sign off on this case study. This entire year of chiro care has been tough. Re-structuring a spine is NOT a walk in the park. Our bodies are all so uniquely different and my experience is never going to look the same as yours will. It takes a lot of motivation and all depends on how much I want to improve.

I am not 100% free and clear of pain either. Hopefully my body will be moving and shifting for many more years to come; pain and discomfort I’ve learned, are just a communication point that change needs to be made. My body is telling me something and I can either ignore it, or face it head-on.

– Kate

P.S. If you read all the way to the end of this blog, THANK YOU SO MUCH. We’d love to meet you here at the clinic. Send me a message to set up a time, and if you mention that you read my story, your initial appointment is on the house!

*This blog post was originally written on July 21, 2016 and moved to wordpress on March 27, 2018.

SO, what does a chiropractor actually see?

While an adjustment doesn’t take very long, the process before and after is very intricate.

The second someone walks into my office, I’m observing them. My mind is racing, and I’m pulling their history, injuries and ailments to the forefront. A lot of evaluation happens as you move into the adjustment space and onto the table. I register your general state. Are you happy, sad, stressed, calm, relaxed or anxious? I watch your posture and how you walk. I look for asymmetries. I note the details you provide about activities over the past few days. 

When you lie on the table, I feel for a few key differences. Is there tension in your muscles and along the spine? Are there movement problems or tenderness? Are there temperature differences? I compare all of these things to your X-Ray results and your subluxations (misalignments). Yes, I remember! 

The next part is your adjustment using my hands, instrument or a combination of the two. I apply many years of schooling and incorporate my twenty years of experience. It is all unique to you. 

After your adjustment, I look the the things I mentioned above again. I want to see your improved postural symmetry and balance, as well as the tone around those subluxations in the spinal joints. 

When you hear me say, “that was a GREAT adjustment,” these are all the things I’m referring to. 

I hope this helps, 
Dr. Greg Payne, D.C. 




I’m Dr. Greg Payne, and welcome to my premier structural corrective care chiropractic office in Ottawa’s downtown core. In a nutshell, this means I help to take care of your whole nervous system (the main control system for everything in your body).


I’ll be straight up, our blog is a mixture of both formal and informal posts. Some days, I’ll want to provide you with educated topics, proper citations and links to further your research; while, other days I might want to post a photo of Jasper, my dog, or give you an update on my ski/cycling adventures.


This space is where we can have genuine conversation, about topics that matter to both you and our clinic at large. We hope you comment, engage and even challenge the posts that get published. This is the only way we will grow and improve to meet your chiropractic needs (including apprehensions). Feel free to suggest ideas for posts you’d like me to cover too.


Keeping with the transparency, the chiropractic world is like any other industry. There are people newly entering their profession, ones who have been practicing their craft steadily and lastly, those who live for their trade. I like to think I’m apart of the latter. Every day here, is exhilarating and full of mini-miracles that we’ll share from time to time. I get adjusted each week and take the same vitamins offered here at the clinic. Crazy, eh?


Thank you for reading our first entry. We’ll be posting again soon!


Stay awesome.
Dr. Payne