What is Scoliosis?

Written by Osteopath Georgia Hutchinson

Scoliosis is a condition marked by an abnormal curvature of the spine, which can form an “S” or “C” shape. Imagine looking at someone's back and noticing that their spine isn't straight but has a noticeable curve. This condition can happen to anyone, but it's most often spotted in children and teenagers during growth spurts.

Contrary to popular belief, not all cases of scoliosis result in musculoskeletal pain. This week we will explore scoliosis, its potential impact on the musculoskeletal system, why it doesn't always equate to pain and how Osteopathy can help manage symptoms of scoliosis.

Types of Scoliosis

Idiopathic Scoliosis: The most common form, particularly in teenagers, with no definitive cause.

Congenital Scoliosis: Resulting from spinal malformations present at birth.

Neuromuscular Scoliosis: Associated with neuromuscular conditions like cerebral palsy or muscular dystrophy, where muscle imbalances lead to spinal curvature.

Degenerative Scoliosis: Occurs in older adults due to the wear and tear of the spine, often linked to arthritis.

The Pain Misconception

The assumption that scoliosis always causes pain is widespread and is inaccurate. While some individuals with scoliosis experience discomfort and pain, many do not. Several factors contribute to this variability:

Severity of the Curve: Mild scoliosis often goes unnoticed and asymptomatic. Severe curves may cause pain but not always.
Location of the Curve: Curves in certain areas of the spine might be more likely to cause pain due to pressure on other structures such as nerves and muscles.
Age and Activity Level: Younger, more active individuals might not experience pain, while older adults or those with sedentary lifestyles may notice discomfort due to muscle deconditioning rather than the curvature itself.
Psychosocial Factors: Stress, anxiety, and other psychological factors can influence the perception of pain, making it difficult to attribute discomfort solely to scoliosis.
Idiopathic scoliosis isn't caused by everyday activities, like carrying heavy backpacks, “bad posture” or playing sports. You don't have control over whether you get scoliosis.

When Scoliosis Does Cause Pain

In cases where scoliosis does lead to musculoskeletal pain, it is often due to secondary issues such as:

Muscle variance: Uneven muscle development around the curved spine can cause strain and discomfort.
Joint Degeneration: In adults, scoliosis can contribute to the wear and tear of spinal joints, leading to pain.
Nerve Compression: Severe curves may compress nerves, resulting in radiating pain or numbness.

Osteopathic Approach to Scoliosis

Scoliosis is a complex condition that doesn't permanently result in musculoskeletal pain. Many individuals with scoliosis lead pain-free, active lives. For those who do experience discomfort, a multifaceted approach that includes osteopathic treatment and lifestyle changes can offer significant relief. Understanding the true nature of scoliosis and its relationship to pain can empower patients to seek appropriate care and improve their quality of life.

Assessment and Diagnosis: Osteopathic practitioners conduct thorough assessments to understand the extent of the curvature and its impact on the body. This includes physical examinations and, if deemed necessary, imaging studies such as X-Rays of the spine. Scoliosis can be officially diagnosed once the curve (known as the Cobb Angle) measures greater than 10 degrees on a spinal X-Ray.

Manual Therapy: Gentle, hands-on techniques may help to improve spinal mobility, reduce muscle tension, and alleviate pain. Techniques such as soft tissue massage, myofascial release, and spinal manipulation are commonly used.

Exercise Prescription: Tailored and patient specific exercise programs are designed to strengthen the muscles supporting the spine, improve range of motion, and enhance overall flexibility. Exercises may include stretching, strength and conditioning, and balance training.

Education: Patients can be educated and provided guidance on lifestyle modifications, such as ergonomic adjustments at work or home, to support pain free living, health and wellbeing.

When to Seek Osteopathic Care

If you or someone you know has been diagnosed with scoliosis, consider consulting an osteopath if:

You experience persistent back pain or discomfort.
The curvature of the spine is noticeable and impacts daily activities.
You are looking for a non-invasive, holistic approach to managing scoliosis

Scoliosis is a condition that can be effectively managed with the right approach. Osteopathy offers a comprehensive and individualised treatment plan that addresses the unique needs of each patient. By combining manual therapy, exercise, education, and lifestyle advice, osteopathy can help improve the quality of life for those living with scoliosis.

If you have any questions or would like to schedule an appointment, feel free to contact us. We're here to support you on your journey to better spinal health. Call 0425 876 929 or book an appointment below.

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