Chiropractic treatment and pain management for Scoliosis symptoms From Bournemouth Chiropractors | Charminster Chiropractic Clinic

What is scoliosis

Are you suffering with scoliosis? Were you diagnosed early teenage years or later in life? Carry on reading and read about information and treatment options.

This condition is a three-dimensional deformity of the spine characterised by an abnormal lateral curvature combined with vertebral rotation. Rather than a simple sideways bend, it involves complex structural changes affecting how the spine is aligned in multiple planes. The condition is typically defined using imaging and radiography.

Scoliosis can present at any age but is most commonly identified during adolescence, particularly during periods of rapid growth. The most frequent form is adolescent idiopathic scoliosis (AIS), meaning we don’t know the cause. Other forms include congenital scoliosis which is due to the bones in the spine changing (vertebral malformations), neuromuscular scoliosis that is associated with conditions like cerebral palsy or muscular dystrophy, and wear and tear (degenerative) scoliosis in adults.

Through the chiropractor lense we see this condition not only from the curve itself, but from a “biomechanical” perspective as a dynamic process. As the spine deviates, more forces are placed on each spinal bone (vertebrae), discs between the vertebraes, and surrounding joints, ligaments and muscles. Over time, these imbalances can worsen and lead to further progression of the curve and more asymmetry of the spine.

Causes of scoliosis

The causes of scoliosis depend largely on its classification and we will talk you through the different types below.

Idiopathic scoliosis

Idiopathic scoliosis is the most common type, particularly in adolescents. A lot of research has been made understanding this type, however, knowing its exact cause is still unknown. It is believed to involve a combination of genetic, hormonal, and biomechanical factors. Some studies suggest abnormalities in growth patterns, ligaments, tendons and muscles (connective tissue), or the connection and control from the nerves to the muscles (neuromuscular control).

Congenital scoliosis

Congenital scoliosis results from abnormalities in the development of the bones in the spine (vertebraes) during fetal growth (hemivertebrae or failure of segmentation). These structural defects lead to the characteristic curvature seen as the child grows.

Neuromuscular scoliosis

Neuromuscular scoliosis is part of conditions that have poor muscle control or neurological function. Examples of these are cerebral palsy, spinal cord injury, or muscle wasting (muscular dystrophy).

Degenerative scoliosis

In adults, degenerative scoliosis may develop due to age-related wear and tear changes, including joint and disc wear and tear (degeneration), brittle bones (osteoporosis), and joint instability.

Functional (non-structural) scoliosis

This form is not due to structural spinal changes but arises from other reasons (external factors) such as unequal leg length (leg length discrepancy), muscle imbalances or spasms, or poor posture. It is typically reversible once the underlying cause is addressed. This functional form is an issue the Bournemouth chiropractors are helping with pain management and focus on preventing on a regular basis. We have successfully helped thousands of patients with their muscle and joint aches and pains.

Common symptoms of scoliosis

Scoliosis symptoms vary depending on the severity and progression of the curve. Many individuals, especially mild cases, may be asymptomatic at first. The imbalance in muscle development around the spine can lead to symptoms. Muscles on one side may shorten while those on the opposite side lengthen, making the curve of the spine worse and more discomfort.

Visible signs

Uneven shoulders or hips
Flaring or winging (prominent) shoulder blade on one side
Asymmetrical waistline
Leaning resting posture
Visible rib hump when bending forward

Musculoskeletal symptoms

Low back pain (more common in adults)
Mid-back and rib pain
Neck pain
Muscle fatigue or imbalance
Stiffness
Low mobility and movement (reduced range of motion)

Neurological or systemic effects (in severe cases)

Nerve compression leading to neurological symptoms (pins and needles, burning pain, numbness, weakness, cramping etc)
Difficulty breathing due to mid-back and rib posture and deformity
Low exercise tolerance

When to seek urgent help

Although scoliosis is often a gradual condition, certain signs require urgent medical evaluation. These symptoms may show underlying pathology such as spinal cord involvement, tumors, or severe structural instability. Prompt assessment by a specialist is very important to prevent complications.

Quick (rapid) progression of spinal curvature
Severe or worsening back pain
Neurological symptoms (e.g., numbness, weakness, loss of coordination)
Difficulty breathing or chest pain
Bowel or bladder dysfunction, numbness in groin, inner thighs and the surrounding area, pain or pins and needles, cramping down both legs.
Early detection in very young children

Risk factors for scoliosis

Several factors could increase the likelihood of developing or worsening the condition. Understanding these risk factors help guide us to look out for and have follow up strategies, particularly in school-aged children.

Age

Adolescents, especially during growth spurts, are at highest risk for progression.

Sex

Unfortunately, females are more likely than males to develop significant curves requiring treatment.

Family history

Genes (genetic predisposition) can also play a role, particularly in idiopathic scoliosis.

Growth rate

Quick (rapid) skeletal growth could higher the risk of curve progression.

Underlying conditions

Neuromuscular disorders, connective tissue diseases, and congenital anomalies can increase risk.

Curve magnitude

Larger curves early on are more likely to worsen over time.

Examination and diagnosis of scoliosis

Clinical examination

Initial assessment includes a physical examination focusing on posture, symmetry, and spinal alignment. The Adam’s forward bend test is commonly used to find the rib hump (rib prominence or asymmetry). However, diagnosis, pain management, treatment and rehabilitation often involve multidisciplinary care, including orthopedists, physiotherapists, and other specialists.

Imaging

Imaging and radiography X-rays are the gold standard for diagnosis and monitoring. The Cobb angle is measured to quantify curvature and guide treatment decisions. Additional imaging (MRI or CT scans) may be used if they suspect other structures are involved (underlying pathology).

Functional assessment

Evaluation of muscle strength, flexibility, range of motion, and neurological function are also important.

Role of chiropractors

Chiropractors may use physical examination, palpation, and refer for imaging (such as X-rays) to confirm scoliosis and, additionally, assess spinal function.

Chiropractic treatment and pain relief for scoliosis

Chiropractic treatment for scoliosis typically involves pain management, spinal manipulation, postural correction, exercise programs, and lifestyle advice. Our chiropractors use a broad spectrum of treatment options that combine manual therapy with rehabilitation techniques.

Common chiropractic approaches

Spinal adjustments/manipulation
Soft tissue therapy
Postural training
Exercise programs and bracing exercises especially for preventing progression in adolescents.
Symptom relief to help with symptoms such as low back pain, mid-back and rib pain, neck pain, muscle tension, and help gain more mobility.
Many reports suggest that chiropractic care can improve quality of life in adults suffering with scoliosis and often helped through maintenance care.

Prognosis for scoliosis

The prognosis often depends on several factors including age, curve severity, and underlying cause.

Mild scoliosis

Often stable
May require only observation
Minimal impact on daily life

Moderate scoliosis

May need bracing, chiropratic care and rehabilitation
Risk of progression during growth state

Severe scoliosis

May lead to significant deformity
Potential breathing and heart issues (respiratory and cardiovascular complications)
Often requires surgical intervention

Role of conservative care

Non-surgical approaches including exercise, chiropractic care and bracing may help manage symptoms and improve spinal function.

Long-term outlook

Many individuals live normal, active lives. Early detection and appropriate management are key to preventing complications later on.

By following these tips and working with our Bournemouth chiropractors at Charminster Chiropractic Clinic you can receive chiropractic treatment and pain management for your scoliosis symptoms to improve your chances of pain relief, better spinal function and mobility, and rehabiliation. Book your chiropractic appointment here today!