Scoliosis is a medical condition where the spine curves sideways instead of being straight. This curvature can range from mild to severe and may develop in children or adults. It often appears during growth spurts before puberty and can cause uneven shoulders, waist. Or hips. Severe cases may affect lung and heart function.
Category
Spinal deformity
Used for
Diagnosing and managing spinal curvature
Common confusion
Often mistaken for poor posture or temporary back pain
Also called
Spinal curvature, Curved spine
Often discussed with
Chiropractic Consultation and Diagnosis, Sports Injury Chiropractic Care

Scoliosis makes the spine curve sideways. It looks like an "S" or "C" shape. The spine should be straight.
Related glossary terms: Chiropractic Care, Spinal Decompression, X-Ray.
This curve can happen anywhere on the spine. It is most common in the upper back. That is called the thoracic (chest) area.
It also happens in the lower back. That is called the lumbar (lower back) area. Small curves may not cause problems.
Big curves can hurt. They may make it hard to move. They can press on the lungs or heart.
Most scoliosis has no known cause. Doctors call this idiopathic (no known cause). It often starts in kids aged 10 to 15.
Kids grow fast at this age. But scoliosis can also start in adults. This happens when the spine wears down.
Arthritis or osteoporosis (weak bones) can cause it. Other causes include spine defects at birth. Some muscle diseases can also cause it.
Injuries to the spine can lead to scoliosis too.
Doctors check for scoliosis by looking at the spine. They measure the curve. This is called the Cobb angle.
They take X-rays. Lines are drawn on the X-ray. These show the curved part of the spine.
A Cobb angle of 10 degrees means scoliosis. Angles over 25 may need treatment. The curve's shape and size help decide treatment.
The doctor may ask the patient to bend forward. They check for uneven ribs or back. They look for uneven shoulders.
They also look for uneven waist or leaning to one side. X-rays, MRIs. Or CT scans show the spine better. These tests rule out other problems.

Scoliosis can get worse over time. This is true for kids who are still growing. A worse curve can cause back pain.
It can make breathing hard. It can lower how well you move. In bad cases, it can press on the heart and lungs.
Finding it early helps. So does watching it closely. This stops problems and helps you live better.
Many people with scoliosis don't have pain. It doesn't stop daily activities. But even small curves can hurt self-esteem.
Teens may feel bad about uneven shoulders or hips. Support like therapy or braces can help. This keeps confidence and movement strong.
Scoliosis is most serious when kids grow fast. Watch for uneven shoulders. Also watch for a rib hump or clothes fitting oddly.
School checks and doctor visits catch it early. Adults may feel back pain or stiffness. They may get tired more easily.
Treatment depends on the curve size. It also depends on age and growth. Small curves (10-25 degrees) just need checks.
Medium curves (25-40 degrees) may need a brace. This stops the curve from getting worse. Big curves (over 40 degrees) may need surgery.
Surgery straightens the spine. Rods or screws hold it in place. Therapy and exercises can also help.
They manage pain and improve posture.
Kyphosis is an excessive forward rounding of the upper back. While scoliosis involves a sideways curve.
Lordosis is an inward curve of the lower back, whereas scoliosis curves sideways.
Scoliosis is not caused by poor posture, heavy backpacks. Or minor injuries. While these factors can contribute to back pain, they do not create the structural changes seen in scoliosis. Early screening and consistent monitoring are essential for managing progression.
A 12-year-old girl notices her right shoulder appears higher than her left. During a school screening, a nurse observes a slight curve in her spine. An X-ray confirms a 20-degree Cobb angle, leading to a plan for regular check-ups and exercises to support her posture as she grows.
Chiropractic Care is a healthcare discipline focused on diagnosing and treating musculoskeletal disorders, primarily those related to the spine. Chiropractic Care uses hands-on spinal adjustments and other manual therapies to improve joint function, reduce pain. And support the body’s natural ability to heal without surgery or medication. It's commonly used for back pain, neck pain, headaches.
Spinal Decompression is a non-surgical treatment designed to relieve pressure on the spine and spinal nerves. It involves gently stretching the spine using a motorized table or similar device to create negative pressure within spinal discs. This process aims to promote healing, reduce pain.
X-Ray is x-Rays are a type of medical imaging that uses safe, invisible electromagnetic waves to create pictures of the inside of the body, especially bones. X-Rays help chiropractors and doctors see fractures, misalignments. Or other problems without surgery. The images show dense structures like bones in white and softer tissues in shades of gray.
Magnetic Resonance Imaging is a non-invasive medical test that uses a strong magnetic field, radio waves. And a computer to create detailed pictures of the body’s internal structures, including bones, muscles, nerves. And organs. Unlike X-rays, MRI doesn't use radiation and is especially useful for viewing soft tissues like the brain, spinal cord.
Cervical Spine is the uppermost part of the spinal column, consisting of seven vertebrae labeled C1 through C7. These bones support the skull, protect the spinal cord. And enable head movement. The cervical spine allows flexibility while housing nerves that control sensation and function in the arms, hands. And other areas.
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