transparent-logo

A 14-year-old male presents with complaints of back pains. The pain has been going on for a few years and is rated a 4/10. It is located midline in the mid thoracic region. He says the pain has been going on since his last growth spurt and the pain is worse at night. He has difficulty standing in an upright position. Physical examination reveals a positive Adam’s bend test. Xray images were obtained, and the Cobb angle is measured to be 48 degrees. Which of the following is the next best step in management of this patient?