Scoliosis

Last update: June 10, 2025

Summary about Disease


Scoliosis is a sideways curvature of the spine that occurs most often during the growth spurt just before puberty. While scoliosis can occur in people with conditions such as cerebral palsy and muscular dystrophy, the cause of most scoliosis is unknown. Most cases of scoliosis are mild, but some spinal curves worsen as children grow. Severe scoliosis can be disabling.

Symptoms


Signs and symptoms of scoliosis may include:

Uneven shoulders

One shoulder blade that appears more prominent than the other

Uneven waist

One hip higher than the other

Leaning to one side

Causes


The exact cause of most scoliosis is unknown. Possible causes include:

Idiopathic Scoliosis: This is the most common type, and its cause is unknown.

Congenital Scoliosis: This occurs when the spine doesn't form correctly during fetal development.

Neuromuscular Scoliosis: This is caused by conditions like cerebral palsy, muscular dystrophy, or spina bifida.

Degenerative Scoliosis: This can occur in adults due to wear and tear on the spine.

Medicine Used


Scoliosis treatment does not typically involve medication to correct the curvature itself. Pain relievers may be used to manage discomfort. In some cases of osteoporosis-related scoliosis, medications to treat osteoporosis may be prescribed.

Is Communicable


Scoliosis is not communicable. It is not an infectious disease and cannot be spread from person to person.

Precautions


There are no specific precautions to prevent scoliosis, as the cause is often unknown. Early detection and monitoring are important for managing the condition. Good posture and core strengthening exercises may be beneficial, but won't prevent scoliosis.

How long does an outbreak last?


Scoliosis is not an outbreak. It is a condition that develops over time, often during adolescence. The progression of the curve can vary greatly from person to person.

How is it diagnosed?


Scoliosis is diagnosed through:

Physical Exam: A doctor will check for uneven shoulders, hips, and waist, and will also observe the spine while the patient bends forward.

X-rays: X-rays confirm the diagnosis and determine the severity of the curvature.

Spinal Exam: neurological tests can be used to ensure proper spinal health

Timeline of Symptoms


The timeline of scoliosis symptoms varies.

Childhood/Adolescence: The curve often develops gradually during the growth spurt before puberty. It may not be noticeable at first.

Progression: The curve can progress more rapidly during periods of rapid growth.

Adulthood: In some cases, scoliosis may not be diagnosed until adulthood, or it may progress slowly over many years.

Important Considerations


Early Detection: Early detection is crucial for effective treatment.

Regular Monitoring: Regular check-ups with a doctor are important to monitor the progression of the curve.

Treatment Options: Treatment options vary depending on the severity of the curve and the age of the patient. They may include observation, bracing, or surgery.

Psychological Impact: Scoliosis can have a psychological impact, particularly on adolescents. Support groups and counseling may be helpful.