Conditions We Treat
Scoliosis
What Is It?
Scoliosis is a condition in which the spine curves sideways, forming an S-shaped or C-shaped curve when viewed from behind. The curvature may involve the thoracic spine, lumbar spine, or both regions. Scoliosis can be structural (permanent change in spinal anatomy) or functional (related to posture or muscle imbalance).
Types include:
- Idiopathic scoliosis (most common, often diagnosed in adolescence)
- Congenital scoliosis (present at birth)
- Neuromuscular scoliosis (associated with neurologic or muscular conditions)
- Degenerative scoliosis (develops in adulthood due to spinal wear and tear)
Symptoms
- Uneven shoulders, waist, or hips
- Prominent shoulder blade or rib hump
- Leaning to one side
- Back pain, especially in adults with degenerative scoliosis
- Severe cases may impair lung function
- Many cases, particularly in children, may be painless
Diagnosis
- Physical examination including Adam’s forward bend test
- X-rays to confirm diagnosis and measure Cobb angle
- MRI or CT scan in select cases to evaluate spinal cord or congenital abnormalities
- Periodic monitoring to assess curve progression
Treatment
Mild Curves (<20°):
- Observation and periodic monitoring
- Postural exercises and core strengthening
Moderate Curves (20–40°):
- Bracing in skeletally immature patients
- Physical therapy for mobility and muscular balance
Severe Curves (>40–50°):
- Surgical correction such as spinal fusion
Adult Management:
- Focus on pain control, function, and quality of life
Experience Personalized Care & Expertise Today