Scoliosis Do's and Don'ts
Activities that Can Help — or Hurt — if Your Child has Scoliosis
Idiopathic scoliosis is a misunderstood condition, as are the recommended do's and don'ts for people with scoliosis. You may think scoliosis stems from weak muscles or a problem with the spine, but it's actually a genetic condition triggered by environmental factors. The spinal curve is the most prominent symptom of miscommunication between the brain and muscles.
Activities and poor postures can't cause scoliosis, but they can accelerate its progression and cause increased pain.
Learn what to avoid when you have scoliosis:
* If you prefer, jump ahead to our recommended scoliosis activities.
Don'ts: Activities that May Trigger Scoliosis Problems
Don't Wait to Get Treatment — You may have learned recently that your son or daughter has idiopathic scoliosis. The orthopedic doctor took X-rays and said there is a 20-degree curvature of the spine and nothing you can do at this time. You must wait six months to see if the scoliosis progresses. If this doesn't feel right to your paternal instincts, that's because waiting is foolish. Your child will benefit from early intervention and neuromuscular retraining even if the spinal curve is less than 10 percent. Early intervention can reduce your child's spinal curve and stop scoliosis progression.
Don't Text Frequently — The forward, bent head position of texting is terrible for people with scoliosis. It's not good for anyone, actually. It puts pressure on the spinal cord and compresses blood vessels to the spinal cord. Texting can damage the spinal cord and degenerate vertebra over time. If your child has the scoliosis gene, texting can trigger scoliosis progression. Using talk to text functions, holding the phone at eye level and lying on a cervical roll are the safest ways to text.
Don't Swim Competitively — Swimming laps for hours daily causes the thoracic spine (spine from the base of the neck to the bottom of the ribs) to flatten, which can drive curve progression. Avoiding environmental drivers of scoliosis progression is important so the three dimensions of the spine stay as close to normal as possible.
Don't Play Football — This is a high-contact sport even when it's played safely, so it can result in traumatic body and spine injuries. Traumatic sports like football put significant stress on your child's spine. Your son will not develop scoliosis because of football, but if he has the idiopathic scoliosis gene, it can be triggered by football. Playing football is also dangerous if your son has metal rods in his back from scoliosis surgery.
Don't Sleep on Your Stomach — Sleeping on your stomach is the worst position if you have scoliosis because it causes the thoracic spine to become flatter. Scoliosis is three dimensional; if one dimension gets worse, the others follow. Sleeping on your belly also requires you turn your head to the side, which twists your spine.
Don't Perform Torso Extensions — Repeatedly extending your thoracic spine in backbends, gymnastics, high jump, dance maneuvers (especially in ballet) and certain yoga positions causes vertebrae to rotate further into the hollow of the scoliosis curve. The force often causes rapid scoliosis progression. Rather than force your child to quit these activities, have them limit back bends and use modified poses.
Don't Sleep with the Lights On — Melatonin is a hormone secreted by the pineal gland when your child sleeps. This hormone regulates puberty, especially in girls. Studies show that people with scoliosis have lower melatonin levels. Since melatonin is secreted primarily while you sleep, even the faintest light can slow or stop its release. A melatonin deficiency can cause early onset of puberty and associated growth spurts, as well as scoliosis progression. If your child enters puberty early, she has an increased risk of scoliosis progression because their brain and body aren't yet in sync.
Consequently, sleeping with a light, night light or television on is harmful for children with scoliosis, or who are at risk of scoliosis because it runs in the family. A streetlight shining in the window also disrupts sleep and melatonin secretion. If you have adult scoliosis, you'll want to avoid light at night as well.
Don't Run Long Distances — Spinal compression occurs every time you or your child takes a step, jump or run. Running over hills and uneven terrain also makes you bend or rotate your back. Prolonged running or jogging creates a great risk of scoliosis progression. If you pound a bent nail with a hammer, it becomes more bent. We suggest limiting running to 400 meters, which is one lap around the track, or less. Horseback riding also compresses and jars the spine.
Don't Play on Trampolines — Jumping on trampolines is disastrous if your child has scoliosis. It can lead to a rapid advancement of spine curvature and postural collapse because jumping compresses the spine with every bounce. If your child has even mild scoliosis, it's best to avoid this backyard fun.
Don't Carry Heavy Things — Carrying heavy things, especially on one side, adds to the natural pull of gravity and compresses your spine further. An overloaded backpack is terrible for your child with scoliosis. Carrying the pack over just one shoulder is also unhealthy.
The total weight of a backpack should not exceed 10 percent of your child's body weight. Ask the school to provide a set of books for school and a second set for home.
Do's: Tips for Children and Adults with Scoliosis
Do Get Early Intervention — Doctors may tell you to wait six months to a year if your child has a mild curve, but the greatest results may be achieved if your child gets muscle retraining and nutritional support before the curve reaches 30 degrees. You have the right to get a second opinion and chose the best scoliosis treatment options.
Do Use a Quality Mattress — Typically a firm or medium-firm mattress is best, but you want to pick one that fits your child's body well – or yours if you have scoliosis. Skip the cushiony mattress pad, but use extra pillows for comfort.
Do Move Often — Sitting or standing in one place too long stresses the spine. Stretch or take a walk as often as possible. Choose a chair with great support if you must sit for extended periods of time.
Do Get Help with Chores — Activities that require bending like cleaning bathrooms and floors can exacerbate scoliosis, so it's best if your child doesn't do them. If you have scoliosis, get help with these chores.
Do Stretch — Stretching helps mitigate pain and discomfort. Good stretches include:
- Hang from a bar as long as possible, then repeat
- Bend in the direction of your curve
- Lie on rolled towels, one under your neck and the other under the lower back (spinal molding)
- Static chest stretch: stand and stretch arms out to your sides with the palms of your hands facing forward
Do Improve Core Strength — Do exercises to improve core strength because these muscles support the spine. Examples of core exercises are:
- Stand on a BOSU Balance Trainer or vestibular disc and balance; next, do three sets of 15 squats without weights
- Upright rows: stand with your spine very straight and do rows with dumbbells or a barbell
- Superman exercise: lie on your stomach with arms extended in front of you, palms down; lift both feet and arms
Do Play Soccer — If your child has mild scoliosis, soccer is a great exercise that does not worsen scoliosis or cause its progression. It's a good aerobic sport that strengthens the core muscles. All positions except goalie are fine. If your child has moderate to severe scoliosis, though, it's best to talk to your doctor before enrolling in soccer.
Do Continue Dancing — There's no reason to make your child stop dancing. Some dance movements like repeated back bends can aggravate scoliosis, but avoiding those movements makes more sense than eliminating dance altogether. Scoliosis muscle retraining treatment is a long-term commitment. We've found that restricting activities your child loves is psychologically damaging. A frustrated child often abandons her scoliosis treatment program quickly.
Do Nutritional Testing — If your child has scoliosis, it's likely that she also has brain chemical, hormone and nutritional imbalances. Recent studies show that correcting these imbalances (link to nutrition article) helps stop scoliosis progression and greatly enhances the results of neuromuscular retraining. Healthy neurotransmitters are directly related to your child's spine reflex control and proper alignment.
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Additional Scoliosis Resources
What is Scoliosis?
A Detailed Summary of Scoliosis
Scoliosis Fusion Surgery
Why Risks May Outweigh Benefits
Why Bracing is Outdated & Ineffective
Recent Improvements & Alternatives
Target the Causes of Progression
Treating the Condition
Degenerative & Idiopathic Treatments
Causes of Scoliosis
A Look at Brain/Muscle Communication
Information on Treatment Options
How to Stop Further Progression
Vitamins, Diet & Nutritional Supplements
Early Stage Scoliosis
Frequently Asked Questions About Scoliosis