John Miller Physiotherapist

Article by John Miller


What is Scoliosis?

Scoliosis, a condition characterised by an abnormal curvature of the spine, results in an “S” or “C” shape rather than a straight line. It affects approximately 2% of the population, with severe cases making up 10%. The highest point of this curvature, known as the apex, is typically found in the mid-back or at the junction between the thoracic and lumbar regions, rarely affecting the neck.


Early Scoliosis Diagnosis is Vital

Early diagnosis and treatment, especially between ages 11 and 14, are critical to prevent the condition from progressing into adulthood. Timely intervention can enhance comfort, muscular strength, and mobility, potentially eliminating the need for surgery.

What Causes Scoliosis?

There are different types of scoliosis to consider.

  1. Structural scoliosis, the most common form, is often genetic and typically develops during early adolescence, potentially progressing if left untreated.
  2. Functional scoliosis can manifest in adulthood due to injury or repetitive activities.
  3. Pathology-related scoliosis is associated with neuromuscular disorders or severe spinal cord injuries. Detecting and addressing these issues early is paramount to preserving one’s quality of life.

What are the Symptoms of Scoliosis?

Symptoms may include uneven hips, shoulders, and one shoulder blade protruding more than the other. Additionally, listing or bending to one side and discomfort around the imbalanced areas may be present. Notably, poor posture doesn’t cause scoliosis, though weak spinal muscles can contribute to its progression. Therefore, early identification and treatment are crucial. If you or your child exhibit these symptoms, seeking medical attention is advisable to rule out scoliosis.

How is Scoliosis Diagnosed?

Scoliosis is typically diagnosed during a routine clinical examination by a physiotherapist or doctor. They will assess various body parts for abnormalities, including the spine, shoulders, rib cage, pelvis, legs, and feet. X-rays are used to measure the severity of the curve, quantified by the Cobb angle. If a significant curvature is detected in adolescence, an orthopaedic spine specialist should evaluate the case. For those experiencing physical symptoms associated with scoliosis, consulting a healthcare professional is essential for early diagnosis and treatment.

Scoliosis Treatment

Scoliosis treatment typically involves a variety of approaches depending on the severity of the condition. In many cases, the primary goal is to manage pain, improve posture, and prevent further curvature progression. Non-surgical treatments include physiotherapy, bracing, and exercises. In more severe cases, surgical intervention might be necessary to straighten the spine. It’s crucial to consult a healthcare professional for personalised guidance on the most suitable treatment for your specific situation.

Scoliosis Prognosis

Results of scoliosis treatment vary based on factors like the severity of the curvature, age at which treatment begins, and the chosen approach. Mild to moderate scoliosis sufferers can expect improvements in pain, posture, and a mild reduction in spinal curvature with appropriate treatment. In more severe cases, orthopaedic braces or surgery may be necessary, overseen by specialists and monitored with routine X-rays. Outcomes can significantly enhance function and quality of life. Your healthcare provider can offer personalised guidance on expected results based on your unique situation.

Common Causes of Upper Back Pain & Injury

Thoracic Spine Conditions

Upper back pain and injury are common issues that can significantly affect one's quality of life. Various factors can contribute to this discomfort, from thoracic spine conditions and joint injuries to muscle-related issues and nerve-related pain. Additionally, bone-related injuries, disc-related problems, and systemic diseases can lead to upper back pain.

Understanding the root causes of this discomfort is essential for effective treatment and prevention. This article will explore the different culprits behind upper back pain and injury, providing valuable insights into their symptoms and potential solutions. Whether you're seeking relief from muscle soreness, nerve pain, or posture-related problems, we have you covered with information on posture syndromes, braces, improvement products, and frequently asked questions to help you journey to a pain-free upper back.

Joint Injuries

Muscle-Related Injuries

Bone-Related Injuries

Disc-Related Injuries

Nerve-Related / Referred Pain

Systemic Diseases

Posture Information

Sitting Posture

Standing Posture

Sleeping Posture

Posture Products


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