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Understanding Scoliosis in Adults: Causes, Symptoms, and Treatment

Scoliosis, a curvature of the spine, isn't exclusive to children. It can affect adults as well, often stemming from age-related degeneration or underlying conditions. While many cases are mild, some require intervention. This guide explores the various aspects of adult scoliosis, from its origins and symptoms to diagnosis and management.

X-ray depicting scoliosis

X-rays are the primary diagnostic tool for scoliosis. (BSIP/UIG Via Getty Images)

Unraveling the Causes of Scoliosis

In many cases, the exact cause of scoliosis remains a mystery – this is known as idiopathic scoliosis. However, several known factors contribute to its development, including congenital disabilities (present at birth), neuromuscular disorders (affecting nerves and muscles), and degenerative changes in the spine due to aging.

Illustration of a spine affected by scoliosis

Scoliosis involves an abnormal curvature of the spine. (Carl Court/Getty Images)

Can Scoliosis Be Corrected?

The good news is that scoliosis is treatable. The approach depends on the severity of the curve. Mild cases might not require any treatment, while moderate cases may benefit from bracing to prevent further progression. Targeted exercises can also play a role in managing the condition. For severe scoliosis, surgical intervention, such as spinal fusion, may be necessary to realign and stabilize the spine.

A young woman wearing a back brace for scoliosis

Bracing can help manage scoliosis progression. (Pat Greenhouse/The Boston Globe via Getty Images)

Recognizing the Symptoms

Scoliosis can manifest in various ways, including leaning to one side, uneven shoulders or hips, a prominent rib cage on one side, and a visibly curved posture. Back pain, muscle weakness, and difficulties with sitting, standing, or walking can also occur.

When Do Symptoms Typically Appear?

While scoliosis can emerge at any age, it's often detected during adolescence. Early diagnosis is crucial, as the curve can worsen over time, especially during growth spurts. Females are more susceptible to developing scoliosis than males.

Living with Scoliosis: What to Avoid

An individual performing a yoga pose

Specific exercises can be beneficial for individuals with scoliosis. (Michael Allen Jones/Sacramento Bee/Tribune News Service via Getty Images)

Most individuals with scoliosis can engage in regular activities. However, high-impact sports and heavy lifting should be approached with caution. Consulting with a doctor or physical therapist can provide personalized guidance on suitable activities and exercises. Supportive footwear is also recommended, while high heels should generally be avoided.