Scoliosis is a complex and often misunderstood condition that affects the alignment of the spine. While many associate it with childhood or adolescence, it can also persist into adulthood or develop later in life due to various factors. Over 2 million people in the UK have scoliosis, highlighting the importance of raising awareness and understanding of this condition.

In this article, we aim to shed light on scoliosis, exploring what it is, what causes it, who it affects, and how individuals can manage its symptoms.

What is Scoliosis?

Scoliosis is a medical condition characterised by an abnormal curvature of the spine, often described as an “S” or “C” shape when viewed from the back. Unlike a typical spine, which appears straight, a spine with scoliosis curves sideways, sometimes accompanied by a rotation of the vertebrae.

This condition can range in severity, with mild cases presenting minimal symptoms and severe cases potentially leading to significant physical discomfort or even impacting lung and heart function.

What Causes Scoliosis?

The causes of scoliosis can vary depending on its type. Below are the primary categories:

• Idiopathic Scoliosis: This is the most common type, with no known cause. It typically develops during adolescence and affects more girls than boys.
• Congenital Scoliosis: Caused by a malformation of the spine during fetal development, this type is present at birth.
• Neuromuscular Scoliosis: Linked to conditions such as cerebral palsy or muscular dystrophy, where muscular imbalances affect the spine’s alignment.
• Degenerative Scoliosis: Often developing later in life, this type is caused by age-related changes, such as disc degeneration or osteoporosis.
• Functional Scoliosis: A short leg or twisted pelvis (both often chiropractically correctable) can cause the spine to bend and then compensation, causing a ‘C’-curve.

Rarely Discussed Causes

While the above are well-documented causes, lesser-known factors such as connective tissue disorders or prior spinal injuries can also contribute to scoliosis. Additionally, some research suggests a genetic component, meaning a family history of scoliosis might slightly increase one’s risk.

Who Does Scoliosis Affect?

Scoliosis doesn’t discriminate, affecting people of all ages and backgrounds. However, some groups are more vulnerable:

1. Adolescents: The condition often becomes noticeable during growth spurts in puberty, particularly in girls.
2. Older Adults: Degenerative scoliosis is common in those over 50 due to spinal wear and tear.
3. Athletes: Sports involving repetitive one-sided movements, such as tennis or gymnastics, may increase the likelihood of developing scoliosis-related symptoms.

A fascinating and less-discussed aspect is the potential impact of scoliosis on mental health. Adolescents, in particular, may experience self-consciousness about their posture or brace treatment, which can lead to anxiety or low self-esteem. As the British Scoliosis Society highlights:

“Scoliosis is more than a physical condition; it’s an emotional journey that requires understanding and support.”

What Are the Effects and Symptoms of Scoliosis?

The symptoms of scoliosis can vary widely depending on the severity and type of curvature. While some individuals may experience no symptoms, others can face significant physical and emotional challenges.

Physical Symptoms

• Visible Asymmetry: Uneven shoulders, a prominent rib cage, or one hip higher than the other are common signs.
• Back Pain: Particularly in adults with degenerative scoliosis, chronic pain can result from spinal misalignment or muscle strain.
• Reduced Mobility: Severe curvature can limit flexibility, making everyday activities challenging.
• Breathing Difficulties: In rare cases, scoliosis can compress the lungs, leading to shortness of breath.

Emotional and Social Impact

Beyond physical effects, scoliosis can influence mental health. Adolescents may feel self-conscious about their appearance, while adults may experience frustration or anxiety over limitations in mobility or pain.

• Digestive Issues: Severe scoliosis can occasionally compress abdominal organs, leading to digestive discomfort.
• Balance Problems: A misaligned spine may affect proprioception, making it harder to maintain balance during movement.

How to Manage Scoliosis

Managing scoliosis often requires a multifaceted approach, tailored to the individual’s age, severity of the condition, and overall health. Below are some effective strategies:

1. Chiropractic

Physical therapy is a cornerstone of scoliosis management, focusing on balancing and strengthening the muscles that support the spine and improving spinal alignment.  Treatment of idiopathic scoliosis in teenagers is aimed at identifying and addressing any underlying causes to improve alignment and limit progression; in adults, the scoliosis is more likely to be permanent and treatment aims to  alleviate back pain and improve overall function.  At Chiropractic Care Clinics, we provide tailored treatment plans to help individuals manage their scoliosis symptoms and improve overall mobility.

4. Surgical Options

In severe cases, surgery may be necessary to correct the curvature and prevent further complications. Common procedures include spinal fusion, which stabilises the spine using rods and screws.

5. Lifestyle Adjustments

Incorporating small changes into daily life can make a big difference for those with scoliosis:

• Ergonomic Support: Use chairs and mattresses that promote good posture.
• Regular Movement: Prolonged sitting can exacerbate symptoms, so aim to take regular breaks.
• Weight Management: Maintaining a healthy weight reduces stress on the spine.

Self-Care Tips

• Practice mindfulness or meditation to manage stress.
• Engage in low-impact exercises such as swimming or yoga to build strength without straining the spine.
• Consider joining a support group for scoliosis, which can provide emotional and practical advice.

A Holistic View

The British Scoliosis Society emphasises the importance of a comprehensive approach: “Scoliosis management isn’t just about the spine – it’s about the person as a whole.” By addressing physical symptoms and emotional well-being, individuals can lead fulfilling lives despite their condition.

For further reading, the British Scoliosis Society provides resources for understanding and managing scoliosis.

How Chiropractic Can Help Scoliosis

While scoliosis cannot always be cured, as previously mentioned, chiropractic can play a valuable role in managing the condition and improving quality of life. Chiropractors use non-invasive, personalised treatments to help reduce pain, improve mobility, and support spinal alignment. Techniques such as gentle spinal adjustments, tailored exercises, and postural guidance can help individuals with scoliosis maintain better posture and alleviate discomfort.

For those living with scoliosis, chiropractic care offers a supportive, holistic approach to long-term management.

Why choose Chiropractic Care Clinics?

We provide a range of services across our Yeovil, Crewkerne, and Beaminster clinics. Our goal is to provide effective, compassionate care tailored to your individual needs. If you have any questions or concerns about your treatment, please do not hesitate to speak with our team.