What is Scoliosis?

Idiopathic scoliosis appears to be a "neuro-hormonal condition" driven by genetic predisposition. The 3-D change in the spine's alignment — the spine curvature — is the primary and most obvious symptom of the condition. That is why scoliosis is a whole-body condition that requires a comprehensive treatment. This is one of the great obstacles that has challenged health care professionals worldwide for centuries.

"The spine curve seen with scoliosis is only the most visible symptom.  There is so much more to treating the condition."

- Clayton J. Stitzel DC
CEO, ScoliSMART

Scoliosis occurs most often in children aged 9 to 14, affecting females 7 times more than males. Scoliosis is a broad term that may describe a spinal curve of 10 degrees or higher. The curve occurs at different points of the spine in each case, but develops in 1 of 4 common curve patterns. It may or may not tilt the pelvis. 

Scoliosis causes a bent spine, curvy spine, or even an S-shaped spine. Scoliosis may only have a curve on one side, elevate one shoulder, or make one shoulder blade prominent. But it is not life-threatening after the age of 5, prompting many doctors to conclude it does not need treatment. 

The spine condition is often progressive; but, ScoliSMART doctors know more about and how to treat scoliosis now than ever before. Get free scoliosis treatment recommendations sent to your email.

Is scoliosis hereditary? Is scoliosis genetic? Curvature of the spine (scoliosis meaning "crookedness") has been documented in medical records dating back to 450 BC.  Historically, it has been considered and treated only like a spinal problem. But a growing and overwhelming volume of evidence supports curves of the spine are so much more than a curved spine. 

Adolescent idiopathic scoliosis stems from a family history of genetic variant patterns.  These affect neurotransmitters and hormones. These combine to create an incorrect "posture memory" of spine alignment during periods of rapid growth. These clinical findings are the suspected causes of scoliosis and result in a twisted spine. Non-invasive, home-collected saliva and urine samples can help determine if scoliosis in children could become severe or get worse as they grow.

Scoliosis patients lose some degree of curvature in their necks, resulting in forward head posture. The sideways curve of a scoliosis spine is greater than 10 degrees. It causes the rib cage to twist and the normal curve of the spine to flatten. A scoliosis curve looks flat where the spine is curved when viewed from the front or side. It appears twisted where there is no twist when viewed from the top down. 

Understanding the faulty "postural memory" of a scoliosis spine on an x-ray is like watching the wind outside a window. You cannot actually see the wind, yet you can tell the direction and force in which it is blowing by the way it affects the grass, trees, and leaves.

Catching scoliosis early is critical because once a curve measures 25 degrees or more, there is a 68 percent chance scoliosis may get worse. You may detect signs of mild idiopathic scoliosis in its early stages by observing five different points on your child's body.

• Eye line Are your child's eyes level or is the eye line tilted?
• Shoulder level Do your child's shoulders hang even or is one higher than the other?
• Hips Are your child's hips even or is one hip higher or more pronounced?
• Forward head posture When you look from the side, does your child's mid-ear line up with the tip of the shoulder?
• Head to hip line Would a line from the center of your child's eyes line up horizontal to the center of the hips?

You may also use a detection method called Adam's forward bend test. Have your child do a full forward bend to see if the rib cage (shoulder blade) sticks out on one side, especially on the right side. If your child appears out of line using any of these views, he or she may have a spinal curvature. A trained posture analysis expert will help you determine if your child needs early-stage scoliosis intervention. Make sure any evaluation for scoliosis includes a standing full spine x-ray.

Scoliosis often is associated with family history. Although progressive scoliosis of the spine affects girls more often, your boys will be just as likely to develop it. Remind your pediatrician to check your children for scoliosis, especially if it runs in the family. Many parents are opting for genetic testing for scoliosis in children who are still growing. This very simple and safe saliva test may predict if patients are at higher risk for severe scoliosis, differentiate different types of scoliosis, determine their need for treatment, and even predict symptoms of scoliosis.

ScoliSMART Clinics doctors never recommend waiting and watching. This is because all large curves begin as small curves. Scoliosis is a chronic, progressive condition. It often progresses throughout childhood and into adulthood. We recommend starting a posture memory retraining approach like Small Curve Camp for Scoliosis as soon as your child's curve is detected. 

A one-week "Small Curve Camp" program, followed by a home exercise program. Thousands of children have had their scoliosis curve reduced and progression stopped with this approach.

Historically, doctors have used a measurement called a Cobb angle to determine the degree of scoliosis. The doctors at ScoliSMART Clinics use this measurement along with a gravitational comparison line to further understand the biomechanics of a patient's curvature. The Cobb angle measurement only shows the degree of lateral bending on an x-ray. Scoliosis DNA testing and other clinical testing can provide more personalized data to determine the root causes of childhood scoliosis. It can determine if it will remain mild/moderate scoliosis or progress to severe scoliosis. 

Plus, you need to consider the impact of scoliosis on your child or yourself before considering treatment. How does it affect breathing, digestion, mobility, daily activities, and psychological health? How much back pain is involved? Often, patients don't have pain or symptoms of scoliosis.

Bracing is commonly recommended for children with a scoliosis curve measuring 25 to 40 degrees. We do not support the dated treatment of rigid scoliosis bracing for 20 hours a day or at nighttime, nor do we support newer/softer braces. Here are a few reasons why:

• Scoliosis braces cause the muscles to weaken or atrophy because they aren't used
• The joints around the spine need movement, or other degenerative issues may develop
• The brace stresses the ribs and often creates or worsens a rib-hump deformity
• Bracing is not proven to stop scoliosis progression or reduce the need for scoliosis surgery
• Studies show that bracing significantly decreases lung function, causing respiratory distress
• Respiratory distress causes headaches, anxiety, sleep problems, and cognitive dysfunction

Hard braces and softer "dynamic corrective braces" often cause pain. This is very disturbing since many children have no scoliosis pain before bracing. All the corrective benefits of bracing fade as soon as your child stops wearing the brace. It seems counterintuitive to risk the side effects and pain for the possibility of a short-term solution.

Spinal fusion is rarely recommended for children who have a curve measuring less than 50 degrees. Even then, surgery is risky, and comes with many complications (short- and long-term). Spinal fusion surgery is almost never medically necessary because of heart or lung compromise. Typically, it is primarily recommended to reduce the cosmetic spine deformity. Despite the risks, though, about 20,000 children and teens have spinal fusion annually. 

German researchers in 2002 found that 40 percent of people who had surgery were severely handicapped within 17 years. A study done at the University of Iowa found that adults who don't have scoliosis surgery have a much better quality of life. In 2007, another report stated that no studies prove that scoliosis patients get long-term benefits from surgery.

While doctors may debate statics, most agree that the hardware used in spinal fusions cannot last 60+ years. The ScoliSMART Clinics doctors only recommend surgery in rare cases of an extreme curvature.  Research cannot prove the benefits of spinal surgery and we have talked to thousands of adults who developed lifelong chronic pain after surgery (many of whom had no pain prior to surgery). 

Do orthopedic specialists support the ScoliSMART Approach? 

Yes!  Many orthopedic surgeons support scoliosis exercise treatments. Our hope is to help families catch scoliosis early so children can start Posture Memory retraining exercises that halt progression and reduce curvature. Early Stage Scoliosis Intervention is ideal; but, every child (and adult) with scoliosis deserves a better way to treat scoliosis regardless of their age or curve size!

Don’t know where to start?  Take our FREE “ScoliQuiz.”  (No x-ray required)

ScoliSMART Clinics is committed to treating the WHOLE scoliosis condition, not only the curve. Genetic & clinical testing with targeted nutrient therapies, expert in-office treatment programs, and the world’s only ScoliSMART Activity Suit provides patients of all ages with the most comprehensive, most effective, and least invasive treatment options available worldwide.