Schroth exercise – Well and More Clinic

How to View Scoliosis Radiographs

When evaluating a scoliosis radiograph, it is a useful practice to flip the film (if the X-ray was taken front-to-back, known as anterior to posterior, or A-P projection) as if you are viewing the patient from the back.

When it comes to scoliosis specific exercises, it is NOT just by bending your spine to the other side, or hanging off the chin-up bar. In order to slow down curve progression with conservative treatment, you need to expand the thorax and ribs on the concave side, de-rotate and de-tether the spine as you stretch longitudinally. For significant curvatures, a brace may be needed to complement the exercises.

Early Detection of Adolescent Idiopathic Scoliosis

What is Scoliosis?

Scoliosis is a term derived from Greek, meaning side-ways curvature of the spine. In reality, all scolioses are three-dimensional malformation of the vertebral column.

While there are many conditions that can contribute to scolioses (plural of scoliosis), by far the most common is the adolescent idiopathic scoliosis (AIS). Please click here for a more comprehensive discussion.

What is AIS?

Adolescent Idiopathic Scoliosis (AIS) is a form of scoliosis where the abnormal spinal curvature primarily develops during the adolescent growth spurt. The exact cause of AIS remains unknown, which is why the term “idiopathic” is used, though most experts agree genetics and heredity play a significant role.

Early Screening is Essential

While the majority of AIS cases are mild, untreated or undetected scoliosis can progress and lead to more severe deformity. Regular screening by parents, especially during growth spurts, plays a significant role in detecting any signs of spinal curvature.

Treatment Options

Effective conservative techniques including certain specific exercises (e.g. Schroth exercises) and bracing are available in the mild to moderate cases (less than 30 degrees), however, early detection is crucial in minimising progression and improving the possible correction of the curvature. More severe cases will require orthopaedic intervention.

Recognising the Signs

As parents, you are the first line of defence when it comes to noticing potential signs of scoliosis. While AIS can vary in severity, some common signs include:

Uneven Shoulders: If you notice one shoulder appearing higher than the other, it could be indicative of spinal curvature.
Asymmetrical Waist: An uneven waistline, with one side appearing more prominent, might suggest the presence of scoliosis.
Leaning to One Side: If your child consistently leans to one side while standing or walking, or if the gaps between their arms and trunks are uneven, it’s a sign worth investigating.
Visible Curvature: In some cases, a noticeable sideways curvature of the spine might be visible when your child bends forward.

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