Scoliosis, Its Diagnosis And Treatment

Scoliosis, Its Diagnosis And Treatment

Scoliosis is a three-dimensional disorder that causes abnormal curves in the spinal cord. It occurs when the spinal cord becomes curved and rotated sideways. The angle of the curve can vary, i.e., it may be small, large, or somewhere in between it. But anything measuring more than 10 degrees visible on an X-ray is considered scoliosis. Doctors may use the letters ‘S’ or ‘C’ to describe the curvature. 

There are various types of scoliosis based on some known cause and also the age when the curvature develops. Ideally, it is seen of 4 categories:

• Idiopathic scoliosis

• Congenital scoliosis

• Neuromuscular scoliosis

• Degenerative scoliosis

Depending on the severity of the curve and also the risk for getting it worse, scoliosis can be treated with observation, bracing, physical therapies, and lastly surgeries.


One of the most common symptoms of scoliosis is the curvature of the spine. If a scoliosis curve gets worse, the spine may also rotate or twist, along with curving side to side. This causes the ribs of one side to stick out farther than the other side. Below are listed symptoms of scoliosis that the victim may acknowledge:

• A visible curve

• Shoulders, hips, or a waist that looks uneven

• One shoulder blade looks bigger

• Ribs that stick out farther on one side of your body than other

• Low back pain

• Back stiffness

• Fatigue due to muscle strain


In non-structural scoliosis, the spinal cord functions but looks curved. This may happen for a variety of reasons, such as having one leg longer than the other, muscle spasms and inflammation like treated, scoliosis often goes away whereas in structural scoliosis, the curve of the spine cannot be reversed. The common causes of scoliosis may include:

• Birth defects

• Muscular dystrophy

• Cerebral palsy

• Infections

• Tumors

• Genetic conditions

• Injuries


Scoliosis can be improved by the use of physical therapy treatments that target the muscle imbalance and various other factors that contribute to excessive spinal curvatures. Physical therapy treats scoliosis in people who use braces as well as those who don’t. It supports the results achieved through backing by ensuring that a normalized special position is maintained as an individual eliminates the use of a brace.

Focused physical therapies develop a treatment program that can help in achieving greater flexibility in muscles that are chronically short and tight while strengthening those that are long and weak. Physical therapists consider numerous factors when developing treatment programs. These include the degree and location of spinal curvatures as well as the patient's age, gender, and the development of bone. Physical therapy retrains the human body to function more effectively with particular alignment issues. In addition, it increases the mobilization, as well as builds strength in parts of your body that have been weakened through misalignment caused by scoliosis.

Some physical therapies or the exercises to help against scoliosis are -

Pelvic tilts - Lie on your back with flat feet and bent knees. Tighten your stomach muscles while flattening your back towards the floor and hold for 6-7 seconds breathing normally. Release and do two sets of 10.

Cat Camel - Start on knees and hands ensuring your back is leveled and your head and neck are comfortable. Take a deep breath, then draw the abdominal muscles in and up, arching your back. Exhale and release the abdominal muscles, dropping the back, letting the belly fall, and lifting the head towards the ceiling, do two sets of 10.

Plank - Get onto a push-up position and bend your arms at the elbows so your weight rests on your forearms. Tighten your abs, glutes and keep your body straight from head to heels and hold as long as possible.

Arm and leg raise - Lie on your front with your forehead on the ground. Then extend your arms out over your head, with palms positioned flat. Raise an arm off the ground and hold for around one or two full breaths, then lower the arm back down. Repeat with each arm, leg and aim for 15 repetitions on each limb.

Schroth exercises - In the case of scoliosis, you want the least invasive treatment. The Schroth method is a low-impact form of physiotherapy with exercises designed in a way to stop curve progression and improve the overall quality of life. In some cases, it can prevent the need for spine surgery.

The goal of the Schroth method is to elongate, de-rotate, and stabilize the spine in a three-dimensional plane.


Pain caused due to scoliosis is likely to go away if scoliosis is diagnosed early and treated properly. Treatment of pain may take some time but by working with your physical therapist, you can develop a treatment plan that can manage most of your pain.

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