Non-Surgical Scoliosis Treatment in Singapore: The All Well Approach

An individualised approach combining the CLEAR Institute protocol, ScoliBalance® scoliosis-specific exercises and ScoliBrace™ three-dimensional bracing.

A scoliosis diagnosis often raises difficult questions. Will the curve get worse? Is surgery inevitable? Can non-surgical treatment make a meaningful difference?

At All Well Scoliosis Centre in Singapore, we help patients and families understand their scoliosis and explore appropriate treatment options.

Our approach combines three complementary treatment components: the CLEAR Institute protocol, ScoliBalance® exercises and ScoliBrace™ bracing. Depending on the individual, these methods may be used separately or together.

Our aim is to help patients understand their condition, explore their options and pursue meaningful improvement with realistic expectations.

What Is Non-Surgical Scoliosis Treatment?

Scoliosis is a three-dimensional spinal deformity involving sideways curvature and rotation of the spine. Treatment decisions depend on factors such as the Cobb angle, age, skeletal maturity, curve pattern and risk of progression.

Non-surgical management may aim to reduce progression risk, improve spinal alignment where possible, or support postural control, strength and physical function.

These outcomes are different. A stable curve does not necessarily become smaller, and improved physical function does not automatically mean the structural deformity has been corrected.

Some patients may require observation, while others may benefit from bracing or scoliosis-specific exercises. Severe or progressive curves may require assessment by a spinal surgeon.

The Three Components of the All Well Approach

1. CLEAR Institute Protocol

The CLEAR protocol follows a structured sequence known as Mix, Fix and Set, combining preparatory activities, specialised manual interventions and exercises.

The approach is intended to address selected aspects of spinal movement, alignment and neuromuscular control, including posture and balance.

A publication by Woggon and Martinez describes the CLEAR protocol and its underlying rationale, while also acknowledging the need for quantitative research to establish its effectiveness.

At All Well, CLEAR may be incorporated into an individualised programme alongside scoliosis-specific exercises and bracing where appropriate.

Read the CLEAR Institute protocol publication.

2. ScoliBalance® Scoliosis-Specific Exercises

ScoliBalance focuses on individualised three-dimensional postural correction, breathing strategies, muscular control and movement.

Exercises are adapted to the patient's curve pattern and physical capabilities, helping them practise corrective positions and movement strategies in daily life.

A 2024 study published in the Journal of Clinical Medicine examined 33 adolescents with idiopathic scoliosis receiving ScoliBalance exercises together with ScoliBrace bracing. Researchers reported significant improvements in trunk extensor muscle endurance at short- and medium-term follow-up.

This is relevant because scoliosis management involves more than spinal measurements alone. Trunk muscle endurance is one aspect of physical function that may be important to patients.

However, the study was retrospective, had no control group and did not evaluate Cobb angle reduction as its primary outcome. It therefore supports the potential for functional improvement but does not establish the amount of curve correction that patients can expect.

Read the ScoliBalance and ScoliBrace study.

3. ScoliBrace™ Three-Dimensional Bracing

ScoliBrace uses three-dimensional design principles to create an individualised brace intended to influence spinal and trunk alignment.

Bracing may be particularly important for selected growing adolescents whose curves are at risk of progression. Its main goal is generally to reduce that risk, although some patients may also experience measurable curve improvement.

The BrAIST study, published in the New England Journal of Medicine, found that bracing improved the likelihood of preventing progression to the study's surgical threshold in appropriately selected adolescents.

Brace suitability, fit, prescribed wear time and follow-up should be considered individually.

How Do These Treatments Work Together?

Each component has a different role:

CLEAR: A structured programme involving manual interventions and exercises.
ScoliBalance: Individualised postural correction, breathing strategies and muscular control.
ScoliBrace: Three-dimensional bracing to help manage alignment and progression risk, particularly during growth.

Not every patient needs all three. We consider the individual's condition and goals when determining which components may be appropriate.

What Does the Research Say About Comprehensive Treatment?

Published reports illustrate the potential of multimodal non-surgical care, while also showing why outcomes must be interpreted carefully.

A 2025 Cureus case report described a 14-year-old boy whose Cobb angle decreased from 42.4° to 23.8° over 13 months while receiving a comprehensive non-surgical programme developed by the CLEAR Institute.

This was a substantial change in one patient. However, a single case report cannot establish how frequently similar outcomes occur or predict the results for other patients.

The 2024 ScoliBalance and ScoliBrace study provides complementary evidence on trunk muscle endurance, but it does not establish a percentage of Cobb angle reduction.

Together, these publications provide different perspectives on multimodal scoliosis management: one reports an individual curve outcome, while the other examines functional changes in a group of patients.

They do not prove that every patient will experience the same benefits, or that the exact combination used at All Well will produce a particular percentage of correction.

Read the 2025 CLEAR-based case report.

What Does Treatment at All Well Involve?

Assessment: We review the patient's history, concerns, available spinal imaging, curve characteristics and treatment goals.

Individualised planning: Depending on the assessment, the plan may include one or more of our three treatment components. We also recognise when observation, further medical assessment or a surgical opinion may be appropriate.

Treatment and follow-up: Our intensive programme may run for approximately 10–14 days, depending on the treatment plan, followed by ongoing support and maintenance where appropriate. Progress is reviewed according to the patient's response and clinical needs.

Treatment duration does not guarantee a particular outcome, and non-surgical care should not delay necessary specialist evaluation.

Who May Consider Non-Surgical Scoliosis Care?

Children and teenagers: To assess progression risk and consider appropriate options during growth, including observation and bracing.

Adults with scoliosis: To work on strength, mobility, postural control, physical function and symptom management.

Patients exploring their options: To understand the potential benefits, limitations and risks of different approaches before making a decision.

Severe or progressive curves, significant neurological symptoms, worsening function or breathing concerns require appropriate medical assessment. Some patients may need a spinal surgeon's opinion.

Frequently Asked Questions

Can scoliosis be treated without surgery?

Yes. Depending on the individual, management may include observation, bracing and scoliosis-specific exercises. The appropriate approach depends on curve characteristics, skeletal maturity and progression risk.

Can non-surgical treatment straighten the spine?

Some patients experience measurable improvement in spinal alignment, but complete correction cannot be guaranteed. Preventing progression, reducing a curve and improving physical function are different goals.

Does every patient need all three treatment components?

No. CLEAR, ScoliBalance and ScoliBrace have different roles. Treatment should be tailored to the individual's circumstances rather than automatically applying every method.

How long does treatment take?

All Well offers an intensive programme that may run for approximately 10–14 days, depending on the individual plan, followed by ongoing support where appropriate. Treatment duration does not guarantee a specific result.

Is surgery always necessary for severe scoliosis?

Not in every case, but severe or progressive scoliosis requires careful specialist assessment. Non-surgical treatment should not delay a recommended surgical evaluation.

Understand Your Scoliosis. Know Your Options.

At All Well Scoliosis Centre in Singapore, we combine individual assessment with structured non-surgical treatment options where appropriate.

We do not promise a perfectly straight spine or claim that every curve will improve. Our aim is to help patients understand their condition, learn about available options and make informed decisions based on their individual circumstances.

You deserve to understand your options before deciding what is right for you.

Medical References

Woggon A, Martinez D. Chiropractic Treatment of Idiopathic Scoliosis with the CLEAR Institute Method: A Description of the Protocol. Scoliosis. 2013;8(Suppl 2). Read the publication.
Marchese R, Du Plessis J, Pooke T, McAviney J. The Improvement of Trunk Muscle Endurance in Adolescents with Idiopathic Scoliosis Treated with ScoliBrace® and the ScoliBalance® Exercise Approach. Journal of Clinical Medicine. 2024;13(3):653. Read the study.
Dick JM, Spurgeon S. Reduction of Adolescent Idiopathic Scoliosis: A 13-Month Follow-Up. Cureus. 2025;17(2). Read the case report.
Weinstein SL, et al. Effects of Bracing in Adolescents with Idiopathic Scoliosis. New England Journal of Medicine. 2013;369:1512–1521. Read the BrAIST study.