Scoliosis is the abnormal curvature of the spine to the sides.
It does not usually cause noticeable symptoms in children other than affecting the appearance of the back.
Physical signs of scoliosis may include:
- a visibly curved spine
- one shoulder or hip being more prominent than the other
- a tendency to lean to one side
Usually only adults with scoliosis experience back pain.
Seeking medical advice
If you or your child shows physical signs of scoliosis, you should make an appointment to see your doctor.
Your doctor can carry out a physical examination of your back, but you may be referred for an X-ray to confirm the diagnosis.
Why does scoliosis happen?
The cause of scoliosis is often not identified. This is known as idiopathic scoliosis and accounts for about eight out of every 10 cases.
In rare cases, scoliosis can be present from birth, due to a problem with the development of the spine in the womb.
In adults, the condition can be the result of damage to the spine or due to previously undiagnosed scoliosis that worsens over time.
Who is affected?
It used to be thought that scoliosis was a childhood condition. However, it is now recognised as a condition that increasingly affects older adults. This is most likely due to the increasing age of the population.
It is thought that as many as 7 out of 10 older adults aged 65 or over have some degree of scoliosis.
Scoliosis is more common in females than males.
How is scoliosis treated?
The majority of children with scoliosis do not require treatment because the condition is mild and corrects itself as the child grows.
If treatment is necessary, a back brace worn until the child stops growing is usually successful in preventing the spine from curving further. Very few children will require surgery to correct the position of their spine.
In adults, it is usually too late to correct the position of the spine so treatment aims to relieve the symptoms of pain. Non-surgical options, such as painkillers, are the first line of treatment with surgery seen as a last resort.
Scoliosis can sometimes cause further emotional and physical problems.
Having a visibly curved spine or wearing a back brace can cause problems related to body image, self-esteem and overall quality of life. This is particularly the case for children and teenagers with scoliosis.
In rare cases, scoliosis can cause the upper spine to twist (kyphosis) and the curvature of the spine can put increased pressure on the heart and lungs.