Scoliosis is a three-dimensional curve which involves rotation & wedging of the vertebrae of the spine. There are many types of structural scoliosis, including neuromuscular, congenital, and adult-onset. However, 80% of all structural scoliosis is idiopathic scoliosis, which means it arises spontaneously and a cause is unknown.

Adolescent idiopathic scoliosis most often begins during an adolescent growth spurt where one side starts to grow faster than the other, which also brings some rotation to the spine as well. This rotation is often noticed visually by a protrusion of the ribcage on one side of the back.

Scoliosis involves a Cobb angle of more than 10 degrees on an x-ray. Your physio can also monitor rotation using a Scoliometer, a screening tool to help your doctor to decide if an x-ray would be appropriate.

Schroth was started by Katharine Schroth in Germany in 1921 and developed into the most recognized conservative exercise-based approach for scoliosis treatment. It involves understanding your curve & learning three-dimensional exercises.

Not all scoliosis needs treatment and each case is unique. It is important to remember that a larger curve does not necessarily mean having pain or less function. There are Olympic athletes who have scoliosis and people with scoliosis who have no pain. However, a lot of patients have anxiety and concerns about their curve and working with a physiotherapist who follows the evidence on scoliosis can help you make informed decisions for yourself. Research shows Schroth is especially effective when you are still growing. In some cases, especially with larger curves, a custom brace and specific scoliosis exercises provide the best outcomes. Your Schroth physiotherapist can help understand your particular case and what might be appropriate for you.