What is scoliosis and what does the future hold for those with it


What is scoliosis and what does the future hold for those with it

6 Mar, 2022

What is Scoliosis?

Scoliosis is when the vertebrae, that makes up your spine, form a curved line that can look like a “C” or “S” shape that goes side to side, instead of being straight. The most common type of scoliosis is called “Adolescent Idiopathic Scoliosis” or AIS. Idiopathic means “of unknown origin”, meaning the majority of people with scoliosis have no particular cause to why their scoliosis occurred. Research into the cause of scoliosis suggests that there may be a genetic factor which affects the control of the growth of the spine.
Scoliosis is usually first detected in children between the ages of 11 and 15. However, it can appear in younger children aged 3 to 10 years and in babies, as well in adults with no previous history, usually due to spinal degeneration and aging.

How do we recognise scoliosis?

Sometimes, scoliosis is really easy to see. A curve in the spine can make the body tilt to the left or right, like you’re leaning to one side. Sometimes it’s a simple as one shoulder being higher than the other or one shoulder blade sticks out a little bit more than the other does. However, a lot of the time scoliosis is not something that has obvious signs to look out for and find.

Things to look out for in your children:
• Look for a lack of symmetry, such as uneven shoulder height.
• Look out for when clothing, such as shorts, ‘don’t quite fit’ evenly on each side.
• Listen carefully if the child suddenly informs you that their clothing is not fitting well on one side, or they are struggling to find clothes that fit well.
• If your child bends to touch their toes and you notice one side of their ribs are raised higher than the other, this could indicate a scoliosis curve.

Looking ahead to the future:

The best thing for scoliosis is early detection. If you do suspect you or your child has scoliosis, our chiropractors can perform a thorough scoliosis exam, even refer you off to have x-rays to determine if you do have a scoliosis curve. From there we can evaluate the best course of action and care.

At Knox Chiropractic & Wellness, if needed,we collaborate scoliosis cases with ScoliCare. ScoliCare are world leaders in non-surgical scoliosis treatment.



  1.  Negrini, S., Grivas, T.B., Kotwicki, T. et al. (2006) Why do we treat adolescent idiopathic scoliosis? What we want to obtain and to avoid for our patients. SOSORT 2005 Consensus paper. Scoliosis 1, 4. https://doi.org/10.1186/1748-7161-1-4
  2. Dickson, RA. (1999). Spinal deformity–adolescent idiopathic scoliosis.Nonoperative treatment. Spine. 24:2601-2606.
  3. Dickson, RA. (1989). Idiopathic scoliosis. Bmj 1989, 298:906-907.15.
  4. Dickson RA (1984). Screening for scoliosis. Br Med J (Clin Res Ed) 1984, 289:269-270.
  5. Dickson, RA. and Weinstein SL. (1999). Bracing (and screening)–yes or no? J Bone Joint Surg Br. 81:193-198.
  6. Goldberg, CJ., Dowling, FE., Hall, JE., Emans, JB. (1993). A statistical comparison between natural history of idiopathic scoliosis and brace treatment in skeletally immature adolescent girls. Spine. 18:902-908.
  7. Goldberg, CJ., Dowling, FE., Fogarty, EE., Moore, DP. (1995). School scoliosis screening and the United States Preventive Services Task Force. An examination of long-term results. Spine. 20:1368-1374.
  8. Hawes, MC. (2003). Health and function of patients with untreated idiopathic scoliosis. JAMA. 289:2644; author reply 2644-5.
  9. Negrini, S., Brambilla, C., Carabalona, R. (2004). Social Acceptability of Treatments for Adolescent Idiopathic Scoliosis. Pediatr Rehabil. 7:52-53.
  10. Negrini, S., Aulisa, L. Ferraro, C., Fraschini, P., Masiero, S., Simonazzi, P., Tedeschi, C. and Venturin, A. (2005). Italian guidelines on rehabilitation treatment of adolescents with scoliosis or other spinal deformities. Eura Medicophys. 41:183-201.
  11. Hawes, MC (2003). The use of exercises in the treatment of scoliosis: an evidence-based critical review of the literature. Pediatr Rehabil. 6:171-182.\
  12. Negrini, S., Antonini, G., Carabalona, R., Minozzi, S. (2003). Physical exercises as a treatment for adolescent idiopathic scoliosis. A systematic review. Pediatr Rehabil. 6:227-235.
  13. Rigo, M., Reiter, C., Weiss, HR. (2003). Effect of conservative management on the prevalence of surgery in patients with adolescent idiopathic scoliosis. Pediatr Rehabil. 6:209-214.
  14. Weiss, HR., Weiss, G., Schaar, HJ. (2002). Conservative management in patients with scoliosis–does it reduce the incidence of surgery? Stud Health Technol Inform. 91:342-347.
  15. Winter, RB., Lonstein, JE. (1997). To brace or not to brace: the true value of school screening. Spine. 22:1283-1284.
  16. Weiss, HR., Weiss, G. Schaar, HJ. (2003). Incidence of surgery in conservatively treated patients with scoliosis. Pediatr Rehabil. 6:111-118.
  17. Lawn, B. (1996). L’arte perduta di guarire. Italian Edition edition. Milano, Garzanti Editore; 1996:332.
    18. Sacks, O. (1985). L’uomo che scambiò sua moglie per un cappello. Volume Italiana edition. Milano, Adelphi Edizioni. 318.
  18. Grol, R. and Grimshaw, J. (2003). From best evidence to best practice: effective implementation of change in patients’ care. Lancet. 362:1225-1230.
  19. Malterud, K. (2001). The art and science of clinical knowledge: evidence beyond measures and numbers. Lancet. 358:397-400.
  20. Weinstein, SL. (2019). The Natural History of Adolescent Idiopathic Scoliosis, Journal of Pediatric Orthopaedics: 39(S44-S46) doi: 10.1097/BPO.0000000000001350