Scoliosis: Signs, Treatment and Schroth Exercises
By Dr Charbel Alam, Osteopath & Physiotherapist · 5 min read
Signs to look for
Scoliosis is often noticed during growth, and many people have no pain. Parents may spot it when clothes hang unevenly or during a school or sports check.
- One shoulder or hip higher than the other
- One shoulder blade that stands out more
- A rib hump on one side when bending forward
- A body that appears to lean to one side
How scoliosis is diagnosed and monitored
A doctor confirms scoliosis with a physical examination and an X-ray. The curve’s size, the person’s age and how much growing they have left all guide the decision. If you suspect scoliosis in a child, see a doctor promptly, because options such as bracing work during growth.
Where Schroth exercises fit in
The Schroth method is a scoliosis-specific exercise approach. Exercises are tailored to the pattern of your curve and combine posture correction, targeted strengthening and rotational breathing, with the aim of improving posture, function and everyday awareness of your spine.
Research supports scoliosis-specific exercise as a useful part of care for selected patients, but it does not replace medical monitoring. It should not delay a specialist opinion when a curve is large or progressing.
When bracing or surgery is considered
Bracing is usually considered for moderate curves in people who are still growing. Surgery is generally reserved for large or progressing curves. These decisions belong with an orthopaedic spine specialist, and physiotherapy can support you before and after them.
When to get checked urgently
See a doctor promptly if a curved spine comes with any of the following:
- A curve that seems to be changing quickly
- Severe or night-time back pain, or pain with fever or weight loss
- Numbness, weakness or changes in bladder or bowel control
- Shortness of breath
Dr Alam’s training
Dr Charbel Alam has completed the ISST Basic Course, Part 1, in Schroth three-dimensional scoliosis therapy. He can assess your posture and movement and refer you to a specialist when you need one.
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Questions patients ask
Can exercise cure scoliosis?
Exercise is not a cure. Scoliosis-specific exercises can improve posture, function and comfort, and they work alongside medical monitoring.
Is scoliosis caused by bad posture or heavy school bags?
Usually not. Most cases in young people have no known cause and are not caused by posture or bags.
Do adults benefit from physiotherapy for scoliosis?
Many do. Adults often seek help for back pain or stiffness, and a tailored plan can focus on strength, movement and managing daily activities.
This article is general information and does not replace an individual assessment. If you have severe, worsening or unusual symptoms, seek medical advice.