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Scoliosis
WHY DO WE GET SCOLIOSIS?
Scoliosis is a condition in which the spine develops an abnormal sideways curvature. While a healthy spine appears relatively straight when viewed from behind, a spine affected by scoliosis may curve into an “S” or “C” shape. This condition can affect people of all ages and may range from mild to severe.
In many cases, the exact cause of scoliosis is unknown. This is referred to as idiopathic scoliosis and is most commonly diagnosed during adolescence. Other cases may be related to congenital spinal abnormalities, neuromuscular conditions, injuries, or degenerative changes that occur later in life.
As the curvature progresses, it can place uneven stress on the discs, joints, muscles, and ligaments of the spine, leading to discomfort, stiffness, and changes in posture.
HOW DOES SCOLIOSIS AFFECT THE SPINE?
The spine is designed to distribute weight evenly throughout the body while providing support and flexibility. When scoliosis develops, the abnormal curvature can cause certain areas of the spine to experience greater pressure and strain than others.
Over time, this imbalance may contribute to muscle fatigue, joint irritation, disc degeneration, and reduced mobility. As the body attempts to compensate for the curvature, additional stress may be placed on the neck, shoulders, hips, and lower back.
The degree of symptoms often depends on the severity of the curve, the location of the curvature, and how long the condition has been present.
WHAT ARE THE SYMPTOMS OF SCOLIOSIS?
Many people with mild scoliosis experience few or no symptoms. However, as the curvature becomes more significant, a variety of problems may develop.
Common signs and symptoms include uneven shoulders, an uneven waistline, one hip appearing higher than the other, poor posture, muscle tightness, back pain, and fatigue after prolonged standing or activity. In some cases, individuals may notice that clothing fits unevenly or that their body appears tilted to one side.
More advanced cases can affect overall spinal function and may contribute to chronic discomfort and reduced quality of life.
While scoliosis may not always cause immediate symptoms, the abnormal curvature can continue to place stress on the spine over time. Early evaluation and appropriate management can help monitor progression, improve function, and support long-term spinal health.
WHAT IS IT?
Scoliosis is a structural curvature of the spine. On an X-ray, a
scoliosis curve measures more than 10 degrees and may look like a C or S. This will affect the appearance and balance of the shoulders, ribs, waist or hips.
COMMON SYMPTOMS
- One shoulder or hip appearing higher than the other
- Uneven shoulder blades or waistline
- The body or head leaning to one side
- A rib or back prominence when bending forward
- Many people—especially adolescents with idiopathic scoliosis—have little or no pain
COMMON CAUSES
- Idiopathic scoliosis: no specific cause is identified and it is the most common type
- Degenerative changes can contribute to adult scoliosis
- Neuromuscular or genetic conditions
- Congenital differences in the vertebrae
HOW IS IT EVALUATED?
Standing full spine X-rays are the easiest way to identify and measure a curve. The curve size, location, age and growth status help guide management.
TREATMENT OVERVIEW
Small or stable curves may simply be monitored. Scoliosis curves that are more severe can now be treated with modern scoliosis-specific bracing. This new approach has shown dramatic reductions in the number of life changing spinal fusion surgeries that are needed.
HOW IS IT EVALUATED?
Standing full spine X-rays are the easiest way to identify and measure a curve. The curve size, location, age and growth status help guide management.
TREATMENT OVERVIEW
Small or stable curves may simply be monitored. Scoliosis curves that are more severe can now be treated with modern scoliosis-specific bracing. This new approach has shown dramatic reductions in the number of life changing spinal fusion surgeries that are needed.