Scoliosis

Overview

Scoliosis is where the spine twists and curves to the side.

Symptoms

Signs of scoliosis include: a visibly curved spineleaning to 1 sideuneven shoulders1 shoulder or hip sticking outthe ribs sticking out on 1 sideclothes not fitting well Some people with scoliosis may also haveback pain. This is usually more common in adults with the condition.

Causes

In around 8 in every 10 cases, the cause of scoliosis is unknown. This is called idiopathic scoliosis. Idiopathic scoliosis cannot be prevented and is not thought to be linked to things such as bad posture, exercise or diet. Your genes may make you more likely to get it though, as it sometimes runs in families. Less commonly, scoliosis may be caused by: the bones in the spine not forming properly in the womb – this is called congenital scoliosis and is present from birthan underlying nerve or muscle condition, such ascerebral palsyormuscular dystrophy– this is called neuromuscular scoliosiswear and tear of the spine with age – this is called degenerative scoliosis, which affects older adults Scoliosis Support & Researchhas more information about the different types of scoliosis.

Treatment

Treatment for scoliosis depends on your age, how severe the curve is, and whether it's likely to get worse with time. Many people will not need any treatment and only a small number will need to have surgery on their spine. Babies and toddlers may not need treatment as the curve might improve over time. A plaster cast or plastic brace may be fitted to their back to stop the curve getting worse as they grow.Older children may wear a back brace to stop the curve getting worse until they stop growing. Sometimes surgery may be needed to control the growth of the spine until an operation to straighten it can be done when they stop growing.Adults may need treatment to relieve pain, such as painkillers, spinal injections and, very occasionally, surgery. It's not clear whether back exercises help improve scoliosis, but generalexerciseis good for overall health and should not be avoided unless advised by your doctor. Read more abouttreatments for scoliosis in childrenandtreatments for scoliosis in adults.

Prevention

Cannot be prevented.

When to see a doctor

See a GP if you think you or your child has scoliosis. It's unlikely that there's anything seriously wrong, but it's best to get it checked out. If the GP suspects scoliosis they should refer you to a specialist. If you're diagnosed with scoliosis, they will discuss treatment options with you. AnX-rayof your back will be carried out to check how big the curve is. You can find a specialist scoliosis centre by contacting Scoliosis Support & Research: Scoliosis Support & Research: Support