Understanding Scoliosis in Children

30 Apr, 2025 | Dr. Malik | No Comments

Understanding Scoliosis in Children

Scoliosis, a condition where the spine curves sideways, often emerges during periods of rapid growth, especially in children between the ages of 10 and 15. While the diagnosis can be concerning for parents, understanding the condition and available treatment options can provide clarity and peace of mind.

What Causes Scoliosis? Most scoliosis cases in children are classified as “idiopathic,” meaning there is no known cause. However, scoliosis can also result from congenital spine abnormalities, neuromuscular conditions (such as cerebral palsy or muscular dystrophy), or be linked to genetic factors. It is not caused by poor posture, carrying heavy backpacks, or sports activities.

Signs Parents Should Watch For

 

Scoliosis can be subtle and painless in the early stages. Common signs include:

  • – Uneven shoulders or hips 
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  • – A visible curve in the spine
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  • – One shoulder blade more prominent than the other
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  • – Leaning to one side when standing
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  • – A noticeable difference in leg length or posture

These signs may first appear during routine physicals or when a child is bathing, dressing, or playing sports.

What Are the Different Types of Scoliosis?

 

Scoliosis isn’t just one condition—it comes in different forms, depending on its cause and when it first appears. Here are the main types every parent should be aware of:

1. Idiopathic Scoliosis

This is the most common type of scoliosis, especially in children and teens. The word “idiopathic” simply means the exact cause is unknown. However, research shows that it often runs in families, suggesting a strong genetic link. Depending on when it’s diagnosed, idiopathic scoliosis is further classified into:

Infantile (under 3 years old)

Juvenile (ages 4–10)

Adolescent (ages 11–18)

Adult idiopathic scoliosis (diagnosed after growth is complete)

2. Congenital Scoliosis

This form of scoliosis is present at birth and is caused by spinal bones that didn’t develop properly during pregnancy. Congenital scoliosis is relatively rare and often identified during infancy or early childhood.

3. Neuromuscular Scoliosis

This type occurs when underlying neurological or muscular conditions affect the muscles that support the spine. It’s commonly associated with conditions like cerebral palsy, spina bifida, muscular dystrophy, or spinal cord injuries. In these cases, scoliosis is often more complex and may progress more rapidly.

What About Adults?

When scoliosis develops or becomes noticeable in adulthood, it may be referred to as adult-onset scoliosis or degenerative scoliosis. This can occur due to wear and tear on the spine, loss of bone density (osteoporosis), or longstanding mild scoliosis that went undiagnosed in youth.

Why Early Detection Matters:

 

Early diagnosis allows for timely intervention. A child with scoliosis who is still growing may have a mild curve that worsens over time if not monitored. Timely treatment can prevent the need for more invasive procedures, such as surgery.

How Is Scoliosis Diagnosed?

 

Initial screening often involves the Adams Forward Bend Test, where a child bends forward while a healthcare provider observes the spine. If a curve is suspected, X-rays are ordered to determine the degree and type of curvature. Spinal curves are measured using the Cobb angle, a tool that helps determine the severity and appropriate treatment.

Treatment Options for Pediatric Scoliosis

  • Observation: For mild curves (less than 25 degrees), regular monitoring ensures the curve does not worsen.
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  • Bracing: If the curve is moderate (25-45 degrees) and the child is still growing, a custom brace can help prevent further progression. Children can typically participate in regular activities while wearing the brace.
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  • Surgery: Reserved for severe cases (over 45 degrees) or when other treatments are not effective. Spinal fusion is the most common surgical procedure, where metal rods and screws are used to straighten and stabilize the spine.

How Chiropractic Care Can Help

 

Chiropractic care offers a non-invasive, supportive approach for children with scoliosis. While chiropractic adjustments do not correct the spinal curvature itself, they can:

Help manage pain and discomfort associated with muscle imbalance

Improve mobility and posture

Support neuromuscular coordination through tailored exercises

Provide education and lifestyle strategies to reduce strain on the spine

 

When used alongside conventional treatments such as bracing and physical therapy, chiropractic care can play a valuable role in a child’s scoliosis management plan. It’s important to work with a chiropractor experienced in pediatric care and scoliosis-specific techniques.

Tips for Parents

  • – Ensure regular checkups, especially during growth spurts.
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  • – Pay attention to changes in posture or gait.
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  • – Encourage physical activity and core-strengthening exercises.
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  • – Work closely with your child’s care team to monitor progress.
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  • – Provide emotional support and reassurance to your child.

 

With early detection, proper monitoring, and a personalized treatment plan, most children with scoliosis can lead active, healthy lives. If you have concerns about your child’s spine or posture, consult your healthcare provider or reach out to a qualified musculoskeletal clinic for a scoliosis assessment.

At the Muscle and Joint Clinic, our team is here to help guide families through scoliosis care, offering personalized treatment options to support your child’s growth and well-being. Call us today to schedule a consultation or learn more about our pediatric services.

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