Scoliosis, a condition where the spine curves abnormally to the side, often starts with subtle signs that can be easy to overlook. Recognising these early signs is crucial because scoliosis tends to worsen over time, especially if left untreated. Early detection allows for more effective treatment, helping to manage the condition before it has a greater impact on posture, comfort, and overall health. At Optimal Spine, we’re here to help you understand the common signs and symptoms of scoliosis and how early diagnosis and personalised care can make a world of difference.

What Are the Common Signs of Scoliosis?

Scoliosis can develop in both children and adults, though it’s most commonly diagnosed during childhood or adolescence, typically around growth spurts. Some symptoms are visible, while others may be felt as discomfort or imbalance. Here are the key signs to watch out for:

1. Uneven Shoulders

   • One of the earliest and most visible signs of scoliosis is uneven shoulders. You may notice that one shoulder is higher than the other, or that one shoulder blade sticks out more prominently.

2. Asymmetrical Waist or Hips

   • An uneven waist or hip alignment is another sign to be aware of. In many cases, scoliosis can cause one hip to sit higher or be more pronounced than the other, affecting balance and gait.

3. Tilted Head Position

   • Scoliosis can cause a slight tilt in head positioning, even when you’re standing straight. If your head doesn’t align directly over your pelvis, it could be due to a spinal curve.

4. Rib Cage Protrusion

   • As scoliosis progresses, it may cause one side of the rib cage to protrude more than the other, particularly noticeable when bending forward. This is often referred to as “rib hump” and is common in people with scoliosis.

5. Back Pain or Muscle Fatigue

   • While scoliosis itself doesn’t always cause pain, some people with scoliosis experience discomfort due to muscle imbalance and strain. Adults, in particular, may notice fatigue or aching in the back, shoulders, or hips.

6. Uneven Arm Position

   • If one arm naturally hangs lower or further away from the body than the other, it could indicate a curvature of the spine. This is often subtle but can become more noticeable over time.

Why Early Detection is Key

The earlier scoliosis is detected, the more effective treatment can be. In growing children and adolescents, scoliosis can progress quickly during growth spurts. Identifying scoliosis at an early stage allows for non-surgical interventions, such as bracing and corrective exercises, to help prevent the curve from worsening. For adults, early detection allows for more targeted care to manage symptoms and maintain spinal health.

How Scoliosis is Assessed at Optimal Spine

At Optimal Spine, our scoliosis treatment program begins with a comprehensive assessment. Accurate evaluation is essential, as the right treatment relies on a thorough understanding of the curve’s size, location, and progression. Here’s how we approach scoliosis assessment:

1. Postural Assessment

   • During an initial consultation, we assess posture to look for any visible signs of scoliosis, such as uneven shoulders or hips. However, while postural assessment can reveal indications of scoliosis, it’s only the first step.

2. X-Ray Imaging

   • To accurately diagnose and measure scoliosis, standing X-rays of the spine are necessary. This allows us to see the true alignment and degree of the curve when the patient is upright, providing a clear picture of the spine’s condition. Unlike lying down X-rays, which may not reflect the curve’s full extent, standing X-rays capture the spine’s true structure and alignment.

3. Cobb Angle Measurement

   • Once we have the X-ray images, we use the Cobb angle measurement to determine the degree of the curve. A curve with a Cobb angle over 10 degrees and visible vertebral rotation is diagnosed as scoliosis. Accurate measurement of the Cobb angle is essential in forming effective treatment recommendations, tailored to the specific degree and type of curve.

4. Treatment Recommendations Based on Evidence

   • Depending on the severity of the curve, we may suggest different treatment options. While some cases may benefit from regular monitoring, others may require active intervention to manage symptoms or prevent progression.

The Optimal Spine Scoliosis Treatment Program

At Optimal Spine, led by Mikael Porath Petersen, we’re committed to providing evidence-based, personalised scoliosis care. Our approach combines chiropractic care, bracing, and a tailored list of exercises to support each patient’s unique needs. Here’s how our scoliosis treatment program works:

1. Chiropractic Care

   • Chiropractic adjustments help improve spinal alignment and can relieve discomfort associated with scoliosis. While adjustments don’t “cure” scoliosis, they can support better posture and spinal health, making daily activities more comfortable.

2. Bracing

   • For younger patients with moderate curves, bracing can be an effective way to prevent the curve from worsening during growth. Bracing is carefully chosen and fitted based on the type and severity of the curve.

3. Specialised Exercises

   • At Optimal Spine, we believe in an active approach to scoliosis care, using targeted exercises that help strengthen and stabilise the spine. Our exercise programs include Active Daily Living exercises, the Schroth method, and SEAS (Scientific Exercise Approach to Scoliosis) exercises. These exercises are designed to support spinal alignment, improve muscle balance, and promote overall function. Each program is customised to suit the patient’s needs and scoliosis type.

When Should You See a Chiropractor for Scoliosis?

If you or your child is showing any of the early signs of scoliosis, it’s a good idea to schedule a consultation. Early detection allows us to create a plan that can manage or prevent progression, especially during periods of rapid growth. Even for adults, a proactive approach to scoliosis care can help alleviate symptoms and maintain spinal health.

Taking Action for a Healthier Spine

At Optimal Spine, we’re dedicated to helping our patients “get better and stay better.” Our scoliosis treatment program is designed to provide comprehensive support, from accurate assessment to personalised treatment. If you’re concerned about scoliosis, our team is here to guide you every step of the way, ensuring you receive care tailored to your specific needs.

If you’ve noticed signs of scoliosis or want to learn more about our scoliosis treatment program, reach out to us today. We’re here to help you achieve better spinal health and a more comfortable life.