Scoliosis

What is it?

An abnormal curvature of the spine is prevalent in up to 2% of the population.  Although it can run in families, most cases are of unknown cause. Often, it can develop before puberty and can go unnoticed for many years. The development of a scoliosis in adults is usually secondary to degenerative changes and more often associated with pain.

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What are the symptoms?

A scoilosis can lead to asymmetry of the body.  The head, shoulders or pelvis may not appear level and the ribcage could stick out on one side (rib hump), which is more obvious upon bending forwards.

A scoliosis can cause embarrassment and affect confidence. If scoliosis is severe, it can affect the mechanics of your spine and result in aching or pain or even affect lung function. Scoliosis due to degenerative changes in adulthood can be a cause of back pain and nerve entrapment.

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Management

Most scoliosis just require observation and reassurance.  Sequential X-rays can measure the curve progression whilst MRI scans are useful to exclude any concerning underlying causes.
In some instances, a brace may be indicated and occasionally surgery to straighten and fuse the spine.