Problems arise when other curves are present in the spine. By taking an AP (or front view) x-ray of the spine we can determine if any of these unwanted curves exist. Scoliosis results when the spine takes on an “S” or “C” appearance due to abnormal curving. Curves of <10 degrees affect about 3-5 out of every 1,000 people. Scoliosis curves of <20 degrees affects men and women equally. Scoliosis normally develops or worsens during an adolescence growth spurt.

            Scoliosis may be present without any symptoms at all or may be accompanied by several. Many people notice that one shoulder or hip is higher than the other or they have a hump on one side of their back due to the rotation of the spine. As the spine curves the musculature tries to conform to the new curve producing muscle spasms which cause pain. If scoliosis is left untreated the curves will most likely worsen and pain may present by early adulthood.

            Scoliosis screening is performed by exposing the back and bending over to allow the doctor to view the spine. The doctor determines if the spine has any curves which require more evaluation. If the test is found to be positive, a posture evaluation and x-rays are needed. The most crucial time to perform the scoliosis screening is between 6^th and 8^th grade when the most growth occurs.

            The posture evaluation begins with the doctor checking for level shoulders and hips. The ribcage is examined for a prominent shoulder blade or rib humping due to rotation of the ribcage. The doctor observes the muscles of the back to determine if uneven musculature is present on one side when compared to the other.

            By performing x-rays the cause of the curvature can be determined. For example, the person may have an anomaly in the formation of their spine which causes the curvature. Muscle spasm and lifestyle may also be to blame. If a child carries a heavy backpack only on one shoulder a curvature may form over time. After discovering the cause, the treatment will be specially designed for that person. The severity of the curve can be established by drawing lines on the x-ray at the top and bottom of the curve to determine the angle. Traditionally bracing and therapy is used for curves <30 degrees. For curves 40-50 degrees, surgery is most likely required.  Scoliosis progression can be reversed or halted if diagnosis is made early. This is why it is important to have your spine and especially your child’s spine screened for scoliosis.

            Other medical and psychological problems my result if scoliosis is left untreated. Due to the rotation of the spine and ribcage, a person may suffer from diminished lung capacity, pressure on the heart or a restriction on their physical activity. Many children have self-esteem problems and may withdraw due to “feeling different” or being unable to play with the other children. With treatment the child could gain self confidence and be more outgoing. 

            You have many options when dealing with scoliosis. Chiropractic physicians, through adjustments, therapy and strengthening or stretching of specific muscles, can reduce or eliminate the pain and discomfort that is associated with scoliosis. In addition, the angle may be reduced in a person who has not reached skeletal maturity; which normally occurs around the age of 18-25. If scoliosis is diagnosed early a full recovery is possible. Medical doctors traditionally use braces to stop the curves from progressing or surgery to reverse curves. Bracing can cause discomfort and render the child unable to move about easily. If a curve is severe enough to warrant surgery, two metal rods are attached to the spine to correct the curve. Surgery should be considered a last resort because it is very painful, dangerous, and expensive. Once the rods are in place they can never be removed so the patient loses that flexibility and range-of-motion forever.

            Chiropractic physicians are excellent in the diagnosis, evaluation and management of scoliosis. We suggest that everyone periodically be screened for scoliosis. Scoliosis can exist at birth or develop over time. We recommend that children be screened on a yearly basis till skeletal maturity is reached, then every 3-5 years after. Over the years, we have treated many cases of scoliosis in children and have seen amazing results.