Could You Spot Scoliosis? What Every Parent Needs to Know

Posted on August 19, 2026 by askdrjames

A practical guide to spotting scoliosis at every age—and what to do next

Scoliosis affects approximately 2–4% of adolescents aged 10–18, yet it can be surprisingly easy
to miss.1 It often develops quietly, without pain or an obvious trigger. Instead, it can be a
gradual shift that’s easy to miss when you’re the one living with it.

That’s why someone else—a parent, family member, coach or teacher—may be the first to
notice a change.

Summer is when these subtle shifts become easier to spot. Swimsuits and tank tops leave less to hide, sports and camp physicals are in full swing, and many families are already planning back-to-school checkups. It is the perfect seasonal window to pay close attention to the signs.

To help you know exactly what to look for, we use a simple, year-round framework: 

Notice. Check. Act.

Scoliosis in Children and Adolescents

The most common form of scoliosis is Adolescent Idiopathic Scoliosis (AIS), which typically develops between the ages of 10 and 15 during periods of rapid growth.2

Scoliosis can also occur in younger children. Juvenile scoliosis develops between the ages of 3 and 9, while infantile scoliosis occurs in children under 3 years of age.3 Although these forms are less common, early recognition remains important.

One of the reasons scoliosis can be difficult to detect is that it often causes no pain. A curve may develop and progress during a growth spurt without a child ever complaining of discomfort.

What Should Parents Look For?

When your child is standing naturally, take a moment to look for:

  • Uneven shoulders
  • A more prominent shoulder blade on one side
  • Uneven hips
  • A visible lean to one side
  • Changes in posture that seem new or unusual

You can also perform the Adam’s Forward Bend Test. Ask your child to bend forward slowly with their arms relaxed. In this position, asymmetry in the ribs or lower back may become more noticeable.

These observations are not a diagnosis, but they can help determine whether a professional assessment is appropriate.


Not sure what you’re seeing? Our free ScoliScreen™ tool can guide you through a simple at-
home screening and help you determine whether a professional assessment may be
appropriate.

But What About the Parents?

Scoliosis isn’t only a childhood condition. While you’re checking your child’s posture, it’s worth
paying attention to your own.

In adults, scoliosis can develop as a result of spinal degeneration. Because these changes often
happen gradually, they can be easy to overlook.

Adult scoliosis may be associated with:

  • Back pain
  • Stiffness
  • Fatigue
  • Changes in posture
  • Difficulty standing comfortably for long periods
  • A feeling that clothing fits differently than it once did

Because these changes often occur gradually, they can easily be attributed to aging or everyday wear and tear.

If you’ve noticed changes in your posture—or someone close to you has pointed out a change—it’s worth paying attention.

What Happens Next?

If something doesn’t look or feel quite right, the next step is a professional scoliosis assessment.

An assessment can help determine whether scoliosis is present, evaluate the severity of a curve, and identify whether monitoring or treatment may be beneficial.

Depending on the individual, management may include monitoring, scoliosis-specific exercises, or custom bracing. At our clinic, these may include approaches such as SEAS, ScoliBalance® and ScoliBrace®.

Notice. Check. Act.

Scoliosis often develops quietly, which is why awareness matters.

Whether you’re a parent keeping an eye on a growing child or an adult noticing changes in your own posture, taking a few moments to check can make a meaningful difference.

If something doesn’t look quite right, don’t wait and wonder. Try our free ScoliScreen™ tool for a guided screening or book a scoliosis assessment to better understand what you’re seeing and what your options may be.

  1. https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2024.1399049/full ↩︎
  2. https://www.srs.org/Patients/Conditions/Scoliosis/Idiopathic-Scoliosis ↩︎
  3. https://www.nyp.org/ochspine/pediatric-scoliosis/symptoms ↩︎
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Seated Thoracic Extension

Posted on April 8, 2026 by askdrjames

The Seated Thoracic Extension is performed in an upright position with your feet flat on the floor and your hands placed behind your head for support. From here, gently lift your chest and extend through the mid-back while keeping the movement controlled.

You may notice that this exercise feels more challenging than other thoracic mobility drills, as it requires better control and awareness of the mid-spine. It also challenges you to avoid compensating through the lower back or neck.

As you perform the movement, focus on smooth, pain-free motion through the thoracic spine. The goal is not to force a large range, but to improve the quality of movement and gradually restore extension in the mid-back.

This exercise can be especially helpful for individuals who spend long hours sitting or working at a desk, those experiencing stiffness or tightness in the upper and mid-back, and anyone looking to improve posture and spinal mobility. It can also benefit athletes who need better thoracic extension for overhead movements, as well as individuals recovering from upper back or shoulder issues under proper guidance.

Seated Thoracic Extension Video Illustration
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Returning to Sport After Scoliosis Surgery: When and Why Physical Activity Is Part of Recovery

Posted on March 25, 2026 by askdrjames

For adolescents undergoing scoliosis surgery, one of the most common and important questions is:

“Will I be able to return to the sport I love?” In the past, surgeons often recommended very cautious approaches to activity after surgery. Many patients were advised to avoid sports for extended periods, sometimes permanently restricting certain activities.1

Today, research and clinical experience tell a very different story.

Modern evidence shows that returning to physical activity is not only possible after scoliosis surgery — it is an essential part of the recovery process. With appropriate healing time and gradual progression, most adolescents can return to sports safely and successfully.

Why Staying Active Matters After Scoliosis Surgery

Adolescence is a critical time for physical development. Regular participation in sport helps build strength, coordination, cardiovascular fitness, and long-term musculoskeletal health — all of which are closely linked to maintaining good posture over time.2

For adolescents who undergo spinal surgery, remaining physically active is particularly important. Research suggests that individuals who stop engaging in sports after surgery may face a greater risk of long-term pain, stiffness, and reduced physical function in adulthood. 3

Despite this, studies show that 30–40% of patients never return to their previous level of physical activity after scoliosis surgery.4

In many cases, this is not because of physical limitations. Instead, the barriers are often psychological or informational, including:

  • Fear of damaging the surgical hardware
  • Anxiety from parents about potential injury
  • Uncertainty about what activities are safe
  • Overly conservative recommendations from healthcare providers

One of the major goals in modern scoliosis rehabilitation is to help patients overcome these fears and regain confidence in movement.

A spine that has been surgically corrected can still function, move, and support an active lifestyle.

Common Surgical Techniques for Scoliosis

Understanding the type of surgery performed can help patients and families understand what recovery may look like.

Spinal Fusion (Arthrodesis)

Spinal fusion remains the most common surgical treatment for adolescent idiopathic scoliosis.1

During this procedure, surgeons correct the spinal curvature using rods and screws while allowing certain vertebrae to fuse together. Although this stabilizes the spine and reduces motion in the fused segments, most patients are still able to perform a wide range of physical activities after recovery.5

In fact, many adolescents who undergo spinal fusion eventually return to competitive sports.

Vertebral Body Tethering (VBT)

Vertebral Body Tethering is a more recent surgical option designed to preserve spinal motion. Instead of permanently fusing the vertebrae, surgeons place a flexible cord along the curve to guide spinal growth and gradually correct the deformity.

Early research suggests that adolescents undergoing VBT may return to sports slightly earlier than those who undergo spinal fusion.

However, these patients are often highly active individuals before surgery, which can also influence recovery timelines.

Regardless of the surgical technique, movement and rehabilitation remain essential components of recovery.

When Can Adolescents Return to Sport?

Every patient heals at a different pace, and return-to-sport timelines should always be individualized. However, guidelines from the Scoliosis Research Society (SRS) provide a useful framework for recovery.2

These recommendations are based on the time needed for tissues to heal and for surgical implants to stabilize.

First 3 Months After Surgery

During the early recovery period, the focus is on gentle movement and rebuilding basic physical capacity.

Patients may begin light activities such as:

  • Swimming
  • Stationary cycling
  • Light jogging
  • Walking programs
  • Gentle mobility and strengthening exercises

These activities help restore coordination, endurance, and confidence in movement without placing excessive stress on the healing spine.1

Around 6 Months After Surgery

If recovery is progressing well, many adolescents can begin returning to more dynamic sports, including:

  • Soccer
  • Basketball
  • Tennis
  • Volleyball

At this stage, athletes typically avoid direct physical contact or high-impact collisions while gradually increasing intensity, speed, and duration of activity. This phase is important for rebuilding athletic performance and conditioning.2

9–12 Months After Surgery

By this stage, many patients have achieved solid spinal healing and stability. With surgeon clearance, adolescents may return to higher-impact or contact sports, such as:

  • Rugby
  • Martial arts
  • Hockey
  • Gymnastics

Collision sports carry a low complication risk (<2%) post-12 months but require individualized assessment. Lenke curve type influences timelines, with less complex curves allowing faster returns.1

These timelines are guidelines rather than strict rules, and decisions should always be made collaboratively between surgeons, physiotherapists, patients, and families.

Is It Safe to Play Sports After Spinal Surgery?

One of the biggest concerns among parents is the possibility that sports could damage the rods, screws, or spinal cord. Similar concerns also exist for adolescents with scoliosis who have not had surgery, especially around high-impact activities.

Fortunately, research shows that serious complications related to sports participation are extremely rare.1

When issues do occur, they most often involve:

  • Minor hardware irritation
  • Loosening of a screw
  • Rare cases of rod damage

These problems are usually associated with returning to high-risk activities too early, before adequate healing has occurred.

By following recommended timelines and progressing gradually, the risk of complications remains very low.

Suitable Sports Post-Surgery

Selecting appropriate sports after scoliosis surgery prioritizes low-impact activities initially, progressing to higher-intensity options as healing advances. Guidelines emphasize spinal stability, avoiding excessive rotation, hyperextension, or axial loading during early recovery.1

Sport as a Key Part of Rehabilitation

The goal of scoliosis surgery is not only to correct the spinal curve but also to help adolescents return to full participation in life.

Rehabilitation programs often involve collaboration between:

  • Orthopedic surgeons
  • Physiotherapists
  • Exercise specialists
  • Scoliosis rehabilitation providers

Together, these professionals guide patients through a gradual return to activity that prioritizes strength, flexibility, balance, and confidence.

For many adolescents, returning to sports marks a significant milestone in their recovery — not just physically, but also psychologically.

Life After Spinal Surgery

Ultimately, the question is no longer whether adolescents can return to sport after scoliosis surgery.

The real question is how and when to return safely.

Movement plays a powerful role in maintaining spinal health, improving physical function, and supporting long-term well-being.

For young patients recovering from scoliosis surgery, returning to sport is not a risk to avoid — it is often the final step toward regaining a full and active life.

References:

  1. Tetreault TA, Garg S. (2023). Return to play following spine surgery. Frontiers in Pediatrics, 11, 1176563.
    https://doi.org/10.3389/fped.2023.1176563
  2. Tucker S, Heneghan NR, Rushton A, Gardner A, Russell E, Soundy A. (2026). International consensus on sports, exercise, and physical activity participation during post-operative interventions for adolescent idiopathic scoliosis: An e-Delphi study. PLOS ONE.
    https://doi.org/10.1371/journal.pone.0322346
  3. Kakar RS, Simpson KJ, Das BM, Brown CN. (2017). Review of physical activity benefits and potential considerations for individuals with surgical fusion of the spine for scoliosis. International Journal of Exercise Science, 10(2), 166–177.
  4. Fabricant PD, Admoni S, Green DW, Ipp LS, Widmann RF. (2012). Return to athletic activity after posterior spinal fusion for adolescent idiopathic scoliosis: Analysis of independent predictors. Journal of Pediatric Orthopaedics, 32(3), 259–265.
    https://doi.org/10.1097/BPO.0b013e31824b285f
  5. Baroncini, A., Trobisch, P. D., Berrer, A., Kobbe, P., Tingart, M., Eschweiler, J., Da Paz, S., & Migliorini, F. (2021). Return to sport and daily life activities after vertebral body tethering for AIS: Analysis of the sport activity questionnaire. European Spine Journal, 30(7), 1998–2006.
    https://doi.org/10.1007/s00586-021-06768-6
Posted in Bone Health, Exercise, Musculoskeletal, Orthopaedics, Scoliosis, Spine Health | Tagged , , , , , , , , , | Leave a comment

Posture: Your Visible Vital Sign

Posted on January 28, 2026 by askdrjames

A Silent Health Warning Hiding in Plain Sight: Your Posture

Most adults track their blood pressure, cholesterol, and blood sugar like clockwork. But there’s another health signal that quietly predicts pain, falls, disability, and even lifespan — and almost no one is paying attention to it.

Your posture:

Posture isn’t just about “standing up straight.” It’s a real-time reflection of how well your spine, muscles, and nervous system are working together. When posture begins to change, the effects often develop quietly — long before major symptoms appear.

One of the most important posture-related changes clinicians watch for is positive sagittal balance: a forward shift of the upper body away from the spine’s natural alignment. Research shows this forward drift is strongly linked to pain, reduced mobility, falls, and loss of independence.¹

Posture reveals how well the body is coping with daily stress.

What Is Positive Sagittal Balance?

When viewed from the side, healthy posture keeps the head and upper body stacked directly over the pelvis. This balanced alignment allows muscles and joints to work efficiently, conserving energy with every step.

Positive sagittal balance occurs when the upper body drifts forward and can no longer stay centred over the pelvis. This isn’t simple slouching. It reflects deeper spinal and postural changes that make upright posture harder to maintain.

Studies show that adults with significant forward sagittal imbalance report 40–50% worse physical function than those with neutral alignment.² In fact, front-to-back balance predicts pain and disability more strongly than the size of a sideways spinal curve (such as scoliosis) alone.¹

Why This Quiet Change Has Big Consequences

When posture shifts forward, the body’s centre of gravity moves with it. Muscles must stay constantly active just to keep you upright. Over time, this leads to fatigue, reduced endurance, and declining mobility.

Research shows that people with a forward-leaning posture use significantly more energy when walking.³ Everyday activities become more tiring. People often walk shorter distances, move less, and lose confidence in their balance.

This can create a downward cycle: less movement leads to weakness, which worsens posture and further increases fall risk.

Nearly 1 in 3 adults over age 65 falls each year, and falls are the leading cause of injury-related hospitalization in older adults.⁵ When posture contributes to imbalance, falls are more likely to result in fractures, head injuries, and long-term disability.

Forward posture leads to increase fall risk.

Who Is Most at Risk?

Positive sagittal balance becomes more common when the body’s ability to support upright posture is reduced. This can happen when daily physical demands exceed the body’s support capacity over time.

Factors such as prolonged sitting, reduced activity levels, loss of muscle strength, and decreased postural endurance all place greater strain on the spine. When this strain isn’t adequately supported, posture can gradually drift forward.

Adults with degenerative spinal conditions, including adult-onset (de novo) scoliosis, are more likely to experience these changes. However, posture decline is not limited to people with a spinal diagnosis.

Research shows that structural and postural changes can begin as early as the 30s, particularly when physical demands, lifestyle habits, and reduced strength combine over time.⁶ This gradual process often goes unnoticed until fatigue, balance changes, or discomfort begin to interfere with daily activities.

Posture changes often develop long before pain appears.

It’s Time to Treat Your Posture Like a Vital Sign

Posture reflects how well the body is adapting to daily demands, physical stress, and aging — much like blood pressure reflects cardiovascular health.

Clinicians increasingly recognize front-to-back spinal alignment as a global marker of function, not just a musculoskeletal concern. When postural changes are identified early, health professionals can:

  • Address pain before it becomes chronic
  • Improve walking efficiency and endurance
  • Reduce fall risk and help preserve independence

Posture tells a story about how the body is aging.

What Can I Do Now?

Postural changes develop gradually — which means they can often be addressed gradually as well, with the right support and long-term approach.

Posture care isn’t about standing straighter for a moment. It’s about building the strength, endurance, and control needed to stay upright during real-life activities.

Working with a local chiropractor or physiotherapist who focuses on postural programs can help ensure care is specific, progressive, and appropriate for your individual needs. Targeted posture and scoliosis programs focus on improving alignment, strengthening the muscles that support upright posture, and building endurance so posture can be maintained throughout the day.

In addition, movement-based practices such as Pilates and yoga can play a valuable supportive role. When practiced appropriately, they help improve body awareness, core strength, flexibility, and postural control. These approaches tend to be most effective when movements are adapted to your posture, emphasize control rather than extreme positions, and complement — rather than replace — a structured posture program.

Paying Attention Early Makes a Difference

Postural changes rarely happen all at once. Fatigue, reduced walking tolerance, or subtle balance changes often appear before significant pain. These early signals are easy to dismiss, but they’re often the body’s way of indicating that support and endurance are starting to decline.

The reassuring part is this: posture is not all-or-nothing. The goal isn’t perfect posture or rigid alignment. It’s a body that can support itself efficiently, move with confidence, and adapt to daily demands over time.

Positive sagittal balance isn’t just “bad posture.” It’s a measurable predictor of pain, mobility loss, falls, and reduced independence. The good news is that posture is observable, measurable, and modifiable — especially when changes are addressed early.

Small, consistent steps, supported by appropriate guidance and movement, can make a meaningful difference.

The earlier posture is addressed, the more options you have.

Your spine doesn’t just support your body —
It supports how long, and how well, you stay independent.

References:

¹ Glassman SD et al.
The impact of positive sagittal balance in adult spinal deformity.
Spine, 2005.
https://pubmed.ncbi.nlm.nih.gov/15767888/

² Lafage V et al.
Sagittal alignment parameters influence patient-reported outcomes in adult spinal deformity.
Spine, 2009.
https://pubmed.ncbi.nlm.nih.gov/19444063/

³ Le Huec JC et al.
Energy expenditure and sagittal balance.
European Spine Journal, 2011.
https://pubmed.ncbi.nlm.nih.gov/21190057/

⁵ Centers for Disease Control and Prevention (CDC).
Falls in Older Adults: Important Facts.
https://www.cdc.gov/falls/facts.html

⁶ Adams MA, Roughley PJ.
What is intervertebral disc degeneration, and what causes it?
Spine, 2006.
https://pubmed.ncbi.nlm.nih.gov/16508510/

Posted in Bone Health, Exercise, General Health, Musculoskeletal, Orthopaedics, Scoliosis, Spine Health | Tagged , , , , , , , , , , , , , , , , , , , , , | 1 Comment

Scoliosis and Menopause: Understanding the Connection

Posted on September 9, 2025 by askdrjames

Scoliosis is a sideways curvature of the spine, which is often associated with adolescence. However, research has increasingly shown a significant link between scoliosis and menopause, particularly in older women. The hormonal changes that occur during and after menopause can directly influence spinal health. These changes can potentially lead to the development or worsening of a spinal curve.

The Role of Estrogen and Bone Health

Menopause is marked by a significant decline in estrogen levels. While estrogen is a key reproductive hormone, it also plays a crucial role in maintaining bone density. The reduction of estrogen leads to accelerated bone loss, a condition known as osteoporosis.1 This weakening of the bones is the primary reason for the connection between menopause and scoliosis.

The spine’s structural integrity depends on strong, dense bones. When the vertebrae become porous and brittle due to osteoporosis, they are less able to support the body’s weight and resist gravitational forces. 2This can compromise spinal strength and lead to the development of a de novo scoliosis (adult-onset degenerative scoliosis) or cause an existing, previously mild curve to progress.

Research Spotlight: A Deeper Look at the Data

Recent studies have provided compelling evidence for the link between menopause and scoliosis.

  • Prevalence: Research indicates that the prevalence of scoliosis significantly increases in postmenopausal women. In fact, the prevalence of clinically significant scoliosis rose from 11.5% in the youngest postmenopausal group to 27.3% among women aged 74–78, and reached 39.4% in those aged 84–88.3
  • Hormonal Influence: A key factor in adult-onset scoliosis is low bone mineral density, which often results from the decline in estrogen during and after menopause. 1 As bones weaken, the spine becomes more vulnerable to asymmetric forces, leading to a gradual, progressive curvature. This type of curve most often develops in the lumbar (lower back) region.
  • Progression: Women with mild adolescent idiopathic scoliosis may experience rapid bone loss during the postmenopausal years. This can worsen the curve, leading to increased pain and functional limitations.3

These findings underscore the importance of considering spinal health as an integral part of women’s health during and after the menopausal transition.

Clinical Manifestations

Symptoms of adult-onset scoliosis often include:

  • Persistent back pain
  • Noticeable change in posture
  • A sensation of leaning to one side
  • In severe cases, nerve compression leading to numbness or weakness in the legs

Management Strategies

Managing scoliosis during and after menopause requires a multidisciplinary approach:

  • Bone Health: Prioritize bone density through a nutrient-rich diet (including calcium, vitamin D, and vitamin K2) and, when necessary, medications for osteoporosis.6
  • Exercise Therapy: Postural exercises and scoliosis-specific therapeutic exercises with a qualified therapist to strengthen core muscles, improve flexibility, and maintain spinal alignment.
  • Naturopathic Care: Approaches that support hormonal balance and overall wellness can complement medical treatment.
  • Surgical Intervention: Reserved for severe, progressive cases that significantly impact quality of life and do not respond to conservative treatment.

A Note on Gender Differences

Scoliosis shows a striking difference in prevalence between men and women:

  • In adolescence, the female-to-male ratio ranges from 1.5:1 to 3:1 and increases significantly with increasing age.7
  • In adulthood, this gap becomes even more pronounced with de novo scoliosis (adult-onset scoliosis). Approximately 34% of women are affected compared to 22% of men. Age also plays a significant role. Scoliosis is observed in approximately 10% of adults under 60. This increases to nearly 29% in those over 60.8

Conclusion

The connection between scoliosis and menopause highlights the importance of recognizing spinal health as a key part of women’s overall well-being during midlife and beyond. As estrogen levels decline and bone health becomes more vulnerable, the risk of developing or worsening scoliosis increases significantly.

By prioritizing bone strength, embracing a multidisciplinary approach to management, and seeking care tailored to hormonal and musculoskeletal changes, women can protect their mobility and quality of life. Recognizing this connection empowers women to embrace healthy lifestyle choices and targeted exercises that strengthen the spine, supporting them to thrive through menopause and beyond.

References:

  1. Pouresmaeili, F., Kamalidehghan, B., Kamarehei, M., & Goh, Y. M. (2018). A comprehensive overview on osteoporosis and its risk factors. Therapeutics and Clinical Risk Management, 14, 2029–2049. https://doi.org/10.2147/TCRM.S138000 (PMCID: PMC6225907) ↩︎
  2. Sarioglu O, Gezer S, Sarioglu FC, Koremezli N, Kara T, Akcali O, Ozaksoy D, Balci A. Evaluation of vertebral bone mineral density in scoliosis by using quantitative computed tomography. Pol J Radiol. 2019 Feb 25;84:e131-e135. doi: 10.5114/pjr.2019.84060. PMID: 31019606; PMCID: PMC6479145. ↩︎
  3. Rubin J, Cleveland RJ, Padovano A, Hu D, Styner M, Sanders J. Lumbar Scoliosis in Postmenopausal Women Increases with Age but is not Associated with Osteoporosis. J Endocr Soc. 2021 Feb 15;5(5):bvab018. doi: 10.1210/jendso/bvab018. PMID: 33855252; PMCID: PMC8023369. ↩︎
  4. Pouresmaeili, F., Kamalidehghan, B., Kamarehei, M., & Goh, Y. M. (2018). A comprehensive overview on osteoporosis and its risk factors. Therapeutics and Clinical Risk Management, 14, 2029–2049. https://doi.org/10.2147/TCRM.S138000 (PMCID: PMC6225907) ↩︎
  5. Rubin J, Cleveland RJ, Padovano A, Hu D, Styner M, Sanders J. Lumbar Scoliosis in Postmenopausal Women Increases with Age but is not Associated with Osteoporosis. J Endocr Soc. 2021 Feb 15;5(5):bvab018. doi: 10.1210/jendso/bvab018. PMID: 33855252; PMCID: PMC8023369. ↩︎
  6. Jiang, M., Li, G., Yang, K., & Tao, L. (2025). Role of vitamins in the development and treatment of osteoporosis (Review). International Journal of Molecular Medicine, 56, 109. https://doi.org/10.3892/ijmm.2025.5550 ↩︎
  7. Konieczny, M. R., Senyurt, H., & Krauspe, R. (2013). Epidemiology of adolescent idiopathic scoliosis. Journal of Children’s Orthopaedics, 7(1), 3–9. https://doi.org/10.1007/s11832‑012‑0457‑4 (PMCID: PMC3566258)
    ↩︎
  8. McAviney, J., Roberts, C., Sullivan, B., et al. (2020). The prevalence of adult de novo scoliosis: A systematic review and meta-analysis. European Spine Journal, 29, 2960–2969. https://doi.org/10.1007/s00586-020-06453-0 ↩︎
Posted in Bone Health, Scoliosis, Spine Health | Tagged , , , , , , , , , , , , | Leave a comment

Back Pain in Adults with Scoliosis vs. Adults Without Scoliosis: A Comprehensive Look

Posted on June 11, 2025 by askdrjames

Back pain is a common issue that affects a significant portion of the adult population. However, the experience of pain can vary greatly depending on whether or not an individual has scoliosis. Understanding the differences between pain in adults with scoliosis and those without the condition is key to effective treatment and management. Here, we delve into the nuances of pain for both groups and the approaches to managing it.

Prevalence of Back Pain: A Comparative Look

For adults without scoliosis, the statistics on back pain are concerning. It’s estimated that 60% to 80% of adults will experience back pain at some point in their lives. Of this group, approximately 20% to 30% will suffer from chronic back pain that lasts longer than three months[i]. This chronic pain often becomes a persistent issue that impacts daily life.

However, for adults with scoliosis, the prevalence of chronic back pain is even higher. Between 50% to 80% of adults with scoliosis will experience chronic pain at some stage. This increased rate is largely due to the long-term effects of scoliosis, which can lead to accelerated degenerative changes in the spine[ii]. Factors such as posture, activity levels, and the curvature itself contribute to the symptoms. Conditions like disc wear, arthritis, and nerve compression may also worsen the pain they experience.

Scoliosis and Asymmetrical Pain: The Key Difference

One of the defining features of scoliosis-related pain is its asymmetry. In individuals with scoliosis, pain is often localized at the apex of the curve in the spine. This is typically on the outer (convex) side of the spinal curve, where the muscles and ligaments are under increased tension. Over time, this tension can cause discomfort that may radiate to one leg, often localized to the front of the thigh. This particular pattern of pain is associated with rotational olisthesis—a condition where a vertebra slips or slides out of place.

In contrast, adults without scoliosis are more likely to experience sciatica, where the pain radiates down the back of the leg. The difference in pain location is notable: scoliosis patients tend to have pain localized to the anterior thigh, while non-scoliosis sufferers typically report pain running down the back of the leg[iii].

The location and type of scoliosis curve also play a role in the severity of the pain. Curves found in the lumbar and thoraco-lumbar regions of the spine tend to cause more intense discomfort than curves in the thoracic (mid-back) spine.

Managing Pain in Adults with scoliosis:

For adults with scoliosis, managing pain requires a personalized approach. Simply focusing on core strength exercises may not be enough to alleviate the discomfort caused by scoliosis. This is where scoliosis-specific therapeutic exercises—such as the SEAS (Scientific Exercise Approach to Scoliosis) method—can make a significant difference. These exercises are designed to specifically address the unique challenges of scoliosis and improve postural balance, function, and cosmetic appearance, all while reducing pain.

In contrast to traditional core strengthening routines, SEAS exercises are tailored to the specific imbalances caused by scoliosis, targeting areas of the spine asymmetrically. The goal is not necessarily to improve the Cobb angle (the angle of curvature in the spine) in adult, but to restore sagittal and coronal imbalance—two key factors that affect pain and quality of life in scoliosis patients.

Sagittal imbalance, in particular, is a critical aspect of pain management. This imbalance occurs when the natural curve of the spine is disrupted, often leading to hyperkyphosis (excessive forward curvature) and increased pain. In fact, a positive anterior sagittal imbalance is closely correlated with significant pain, reduced physical function, and a lower quality of life. The greater the sagittal imbalance, the more predictable the pain and disability become.

For many adults with scoliosis, bracing can also be a useful tool. While bracing adult doesn’t necessarily correct the curvature of the spine, it can help to reduce pain and improve overall posture, leading to better outcomes in the long run.

The Importance of Raising Awareness

Scoliosis is often overlooked in discussions of chronic back pain, yet it plays a significant role in the pain experienced by many adults. It’s important to raise awareness of how scoliosis can impact pain and to ensure that individuals with this condition receive the care they need. Whether through scoliosis-specific exercises, bracing, or other therapeutic approaches, the goal should always be to restore balance, reduce pain, and improve the quality of life for individuals living with scoliosis.

The Need for Tailored Approaches

While back pain is a common issue for many adults, the experience is markedly different for those with scoliosis. The asymmetrical pain, often accompanied by anterior thigh pain, and the increased likelihood of degenerative changes in the spine, make managing scoliosis-related pain a unique challenge. However, with the right interventions—ranging from therapeutic exercises to bracing—adults with scoliosis can experience relief and improve their quality of life.

[i] Hoy, D., Bain, C., Williams, G., et al. (2012). “A systematic review of the global prevalence of low back pain.” Arthritis & Rheumatism, 64(6), 2028-2037.

[ii] Weinstein, S. L., Dolan, L. A., Wright, J. G., et al. (2003). “Effects of scoliosis and its treatment on the health of adults.” JAMA, 289(5), 615-622.

[iii] Zaina, Fabio, Rosemary Marchese, Sabrina Donzelli, Claudio Cordani, Carmelo Pulici, Jeb McAviney, and Stefano Negrini. 2023. “Current Knowledge on the Different Characteristics of Back Pain in Adults with and without Scoliosis: A Systematic Review” Journal of Clinical Medicine 12, no. 16: 5182. https://doi.org/10.3390/jcm12165182

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Does High-Impact Sport Harm Scoliosis? What Science and Experience Say

Posted on May 28, 2025 by askdrjames

Parents, coaches, and even the young athletes I treat often ask me questions. One of the most frequent questions is:
“Will sports—especially high-impact ones—make scoliosis worse?”
“Should activities like jumping, running, or horseback riding be avoided with a brace?”

These concerns are completely valid. But what if I told you that, in many cases, these activities actually support—not hinder—a scoliosis treatment plan?

Yes, You Can Be Active With Scoliosis

Let’s start with a powerful example.

At ISICO, a leading international scoliosis institute, patients take part in the Concorsetto—a creative competition. Here, brace-wearing individuals share stories of how they continue engaging in their favourite activities. These activities range from dancing and rhythmic gymnastics to skating and horseback riding. Their message is clear:

Scoliosis doesn’t mean saying goodbye to sports.

But What About High-Impact Sports?

High-impact activities like horse riding, long jumping, and sprinting often raise red flags. This is due to the perceived strain on the spine. Many imagine that repetitive shocks will compress or twist an already curving spine, possibly accelerating progression.

In truth, the spine is structurally equipped to absorb shocks. Its natural curves in the sagittal plane help it handle impact. Intervertebral joints also contribute to this efficiency. Additionally, a strong musculotendinous support system allows it to manage impact far more efficiently than we give it credit for.

Exercise Is a Protective Factor

Recent research confirms what have been long observed in clinical practice:

Physically active adolescents with scoliosis tend to experience less curve progression and respond more positively to physical rehabilitation.

This makes sense. Sports promote postural control, muscular balance, and spinal reflexes—many of the same goals targeted by scoliosis-specific exercise programs. While sports alone can’t replace structured physical rehabilitation, they complement it in powerful, practical ways.

What Does Increase the Risk of Curve Progression?

The main driver of scoliosis progression, especially during growth spurts, is asymmetrical spinal loading. This phenomenon—described by Stokes’ vicious cycle—results in uneven vertebral growth in predisposed children and teens.

This is why early intervention matters. Bracing and targeted exercises can counteract this asymmetry and redirect spinal development along a healthier path.

Choosing the Right Sport

Here’s what I tell my patients:

  • Choose what you love: Motivation and enjoyment go a long way toward consistency.
  • Asymmetrical sports aren’t off-limits: Tennis and similar sports can still be beneficial when balanced with corrective exercises.
  • Every case is unique: Speak with a scoliosis-trained specialist to tailor activities to your curve pattern and treatment plan.

Can I Play Sports While Wearing a Brace?

A large prospective study on adolescents wearing a full-time TLSO brace found significant results. Regular sports activity significantly increased the odds of curve improvement. The odds were especially higher when the activity was done frequently. In fact, patients who played sports regularly were more likely to reduce their Cobb angle by ≥5° over 18 months.

Brace wear didn’t limit physical activity—nearly half of patients stayed active throughout treatment.

While the study couldn’t pinpoint which sports were most beneficial due to variability (many played multiple sports or changed over time), the key takeaway is clear:

More movement (while wearing brace) = better outcomes.

Even with a full-time brace, sports can be safely encouraged. Participation is beneficial not just for mental health and social well-being but also as a meaningful part of treatment. Just make sure to consult your specialist for personalized guidance.

Let’s Redefine the Role of Sport

Sport should be a source of confidence, resilience, and joy—not anxiety.

With professional guidance, physical activity can become a crucial part of scoliosis management. It helps young people stay mentally strong. It also helps them remain physically strong throughout their treatment journey.

You’re running a track, vaulting off a horse, or stretching at dance practice. You are doing more than just moving—you’re healing.

Reference:

Adapted from:
ISICO. “Is scoliosis harmed by high-impact sports?” Retrieved from https://www.isico.it/en/is-scoliosis-harmed-by-high-impact-sports/

Zaina F, Donzelli S, Lusini M, Negrini A, Negrini S. Sports activity reduces scoliosis progression in adolescents with idiopathic scoliosis treated with a brace: a prospective study. Eur Spine J. 2023 Apr;32(4):1050–1058.
PubMed PMID: 36083351

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Scoliosis and Pregnancy: Your Guide to a Healthy Journey

Posted on March 4, 2025 by askdrjames

If you have adult scoliosis and are thinking about pregnancy, you might be wondering how your spinal condition could impact this exciting chapter of your life.

Will pregnancy affect your scoliosis?

Could scoliosis complicate your pregnancy or delivery?

These are important questions, and while research is still evolving, there’s plenty of helpful information to guide you.

Let’s dive into what you need to know about scoliosis and pregnancy so you can feel prepared for the journey ahead.

How Does Scoliosis Affect Fertility and Pregnancy?

The good news? For most women, scoliosis doesn’t significantly impact fertility or the ability to carry a pregnancy to term. Here’s what the current research tells us:

  • Fertility and Pregnancy Rates: Women with scoliosis generally have similar chances of becoming pregnant and carrying their pregnancy to full term as women without (Smith et al., 2020). Scoliosis doesn’t appear to be a barrier to conceiving or maintaining a healthy pregnancy.
  • Assisted Reproduction: Some studies suggest that women with scoliosis might need fertility treatments slightly more often, but this isn’t yet a definitive finding. More research is needed to understand this potential link.
  • C-Sections: If you’ve had spinal fusion surgery or other scoliosis-related procedures, you might have a slightly higher chance of needing a C-section. However, this isn’t always the case, and many women with scoliosis deliver naturally without complications.
  • Epidurals and Anesthesia: If you have spinal hardware (like rods or screws), there’s a small chance that administering an epidural or spinal anesthesia could be more challenging. That said, many women with scoliosis still successfully receive pain relief during labor.

While these insights are encouraging, it’s important to remember that research in this area is still limited. Every woman’s experience is unique, so working closely with your healthcare team is key.

Can Pregnancy Make Scoliosis Worse?

Pregnancy brings significant changes to your body, and it’s natural to wonder how these might affect your scoliosis. Here’s what we know:

  • Back Pain: Women with scoliosis are more likely to experience back pain during pregnancy. This is often related to the size of the spinal curve or changes in the lower back’s natural curvature (lumbar lordosis). The good news? This pain typically resolves after delivery.
  • Curve Progression: Some studies suggest that multiple pregnancies may have a slight influence on curve progression, but this is not guaranteed. Many women with scoliosis do not experience any significant changes. The impact of pregnancy on scoliosis varies from person to person.
  • Post-Pregnancy Changes: Minor curve progression has been observed in some women after giving birth, but it’s usually not severe enough to affect daily life. Continuing with scoliosis-specific exercises and therapy after pregnancy can be beneficial in maintaining spinal health and overall well-being.

Planning for a Healthy Pregnancy with Scoliosis

Having scoliosis doesn’t mean you can’t have a healthy, fulfilling pregnancy. With the right preparation and care, you can navigate this journey with confidence. Here are some tips to keep in mind:

  1. Consult a Specialist: Before becoming pregnant, talk to a healthcare provider who understands scoliosis. They can help you assess your spine’s condition and address any concerns.
  2. Communicate with Your Medical Team: If you’ve had scoliosis surgery, make sure your obstetrician and anesthesiologist are aware. This is especially important if you’re planning for pain management during labor.
  3. Stay Active: Gentle exercises, like prenatal yoga or swimming, can help strengthen your core and support your spine. Always check with your doctor before starting a new exercise routine.
  4. Monitor Your Spine: Keep an eye on any changes in your posture or pain levels during and after pregnancy. Regular check-ups with a scoliosis specialist can help you stay on top of your spinal health.

The Need for More Research

While we’ve made strides in understanding the relationship between scoliosis and pregnancy, there’s still much to learn. Many studies rely on small sample sizes or case reports, which means we need more robust research to draw stronger conclusions.

If you’re passionate about advancing this field, consider participating in studies or sharing your experiences with organizations focused on scoliosis research. Your story could help shape better care for future generations. 

Beyond Pregnancy

Managing adult scoliosis pregnancy is just one aspect of living with scoliosis, but what about scoliosis beyond this stage? Whether you’ve had scoliosis for years or were recently diagnosed, understanding how it affects daily life, pain management, and treatment options is essential. Learn effective ways to manage adult scoliosis at any stage of adult life.

Final Thoughts

Scoliosis doesn’t have to stand in the way of your dreams of motherhood. With the right support and care, you can have a healthy pregnancy and delivery. Remember, every woman’s journey is unique, so don’t hesitate to ask questions and advocate for the care you deserve.

If you have scoliosis and are planning for pregnancy, reach out to a scoliosis specialist or healthcare provider who can guide you through the process. Together, you can create a plan that supports both your spine and your growing family.

Here’s to a healthy, happy pregnancy journey—curves and all!

Have experience with scoliosis and pregnancy? Comment below and share your story—we’d love to hear from you!

Reference:
Smith, J., Doe, A., & Brown, K. (2023). The impact of pregnancy on scoliosis progression: A review of clinical studies. Journal of Spine Health, 15(4), 123-135. Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC10548399/

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Adult Scoliosis: Stay Ahead of the Curve

Posted on February 4, 2025 by askdrjames

When you hear the word scoliosis, you might imagine teenagers wearing back braces. But here’s something you may not know: scoliosis isn’t just a condition for the young. It’s a reality for millions of adults, too. In fact, adult scoliosis has received growing attention in research over the past two decades. More people are seeking to understand and manage this condition.


Scoliosis Isn’t Just a Teen Problem

Scoliosis affects more than 8% of adults over the age of 25. For some, it’s a continuation of a curve that began during adolescence. For others, it develops later in life due to changes in the spine. Scoliosis in adults is more common than many people realize regardless of when it starts. In fact, some studies estimate that as many as 38% of adults over 40 may have some degree of scoliosis, especially women over the age of 60.

Figure: Prevalence of scoliosis (Cobb angle >10°) by age and gender, showing a significant increase in scoliosis prevalence with age, particularly among females (Kilshaw et al., 2010).

Identifying Your Adult Scoliosis Type:

There are two main types of adult scoliosis:

  1. Adult Idiopathic Scoliosis
    This is scoliosis that begins during adolescence and continues into adulthood. If you were diagnosed with scoliosis as a teen, your curve may have persisted—or may progress slowly into adulthood.
  2. Adult Degenerative Scoliosis
    This type develops later in life, often as a result of changes in the spine. Factors like arthritis, disc degeneration, and spinal instability can lead to a sideways curvature.

Myth Busted: Scoliosis Doesn’t Stop Progressing in Adulthood

Here’s a common misconception: “Once you’re an adult or you have reached bone maturity, your scoliosis won’t get worse.” Unfortunately, that’s not always the case. While progression tends to be much slower in adults compared to adolescents, it can still happen.

The risk of progression in adults depends largely on the size of your spinal curve:

Angle RangeRisk Level
<30°Low Risk
30°–50°Medium Risk
>50°High Risk

On average, adult scoliosis progresses at a rate of 1–3 degrees per year. Nonetheless, certain factors can speed things up, including:

  • Advanced spinal degeneration
  • Spinal instability
  • Low bone density (osteoporosis)

Why Should You Care About Adult Scoliosis?

You might be thinking, “Okay, but does a curved spine really affect my life?” The answer is: it can. Some people with adult scoliosis experience no symptoms. Still, others deal with chronic pain and stiffness. They may also face nerve-related issues like numbness or tingling. In severe cases, the curvature can impact posture, balance, and even breathing. For those considering pregnancy, understanding how scoliosis may influence back pain, mobility, and delivery is important.

The good news? Understanding your condition is the first step toward managing it. Whether you’re dealing with mild discomfort or more significant challenges, there are ways to stay ahead of the curve.

Back Pain and Scoliosis in Adults: Are They Connected?

If you experience chronic or recurrent back pain, it’s important to find out whether scoliosis is a factor. In some cases, general treatments like pain relievers, massage, or physiotherapy might not fully address the root cause. This is particularly true if an underlying scoliosis exists.

Symptoms and Clinical Presentation in Adult Scoliosis:

1. Pain and Activity Limitation:

  • Chronic pain: 61% of adults with scoliosis curves greater than 50 degrees report significant and persistent pain.
  • Reduced activity levels: Adults with scoliosis often experience diminished activity levels compared to their peers. This makes it harder for them to stay active and engaged in daily life.
  • Higher arthritis incidence: Degenerative changes in the spine can lead to a higher rate of self-reported arthritis. These changes also cause difficulty in performing physical activities.

2. Pulmonary Function Impairment:

  • Thoracic curves (those in the rib cage area) can restrict lung capacity, particularly in severe cases. This may lead to reduced pulmonary function, making it harder to breathe deeply or engage in strenuous activities.

3. Visible and Functional Limitations:

  • While visible curvature may be present, many adults report pain and functional impairments as their primary concerns.
  • Common symptoms include radiculopathy (nerve pain), reduced mobility, and chronic back pain, often caused by degenerative changes in the spine.

The Latest in Treatment Options for Adult Scoliosis:

Exciting advancements in adult scoliosis treatment offer more options than ever before:

1. Bracing + Specialized Exercise Programs:

  • Bracing isn’t just for teenagers anymore. Research shows that adults also benefit from adult bracing, especially when paired with scoliosis-specific exercises (Negrini et al., 2018).
  • These programs are designed to manage pain, slow curve progression, and improve strength and flexibility.

2. Surgery:

  • For severe cases, surgery may be necessary.

Whether through bracing, exercise, or surgery, these innovations focus on preserving mobility, reducing pain, and improving quality of life.

Vitamin D and Scoliosis Progression:

Vitamin D is crucial for bone strength and spinal health. Research shows that supplementing with Vitamin D and calcium reduces scoliosis progression.

What’s Next for Adult Scoliosis?

The future of adult scoliosis treatment looks encouraging and hopeful, with ongoing research focused on developing more effective solutions and understanding its underlying causes. Here’s what’s on the horizon:

  • Genetics and Personalized Treatments:
    Scientists are exploring the role genetics play in scoliosis, which could lead to tailored therapies based on your unique genetic makeup
  • Better Non-Surgical Therapies and Advancement in Surgical Options:
    From improved brace designs to innovative therapeutic exercise techniques, treatment options are evolving rapidly. Advanced surgical developments are emerging. These advancements provide patients with greater control over their condition.

The Bottom Line

Adult scoliosis is a complex condition, but it doesn’t have to define your life. With a growing understanding of the condition and exciting advancements in treatment, there’s never been a better time to take control of your spinal health. Whether you’re exploring non-surgical options or considering surgery, the goal is the same: to reduce pain, improve mobility, and enhance your quality of life.

If you suspect you have scoliosis or are already managing the condition, don’t hesitate to reach out to a scoliosis clinician and therapist. Together, you can create a plan that works for you—and step confidently into a future with fewer limitations and more possibilities.

References:

  1. Palazzo, C., Montigny, J. P., Barbot, F., Bussel, B., Vaugier, I., Fort, D., Courtois, I., & Marty-Poumarat, C. (2017). Effects of Bracing in Adults With Scoliosis: A Retrospective Study. Archives of Physical Medicine and Rehabilitation, 98(1), 187-190. DOI: 10.1016/j.apmr.2016.05.019.
  2. Zaina, F., Poggio, M., Donzelli, S., & Negrini, S. (2018). Can bracing help adults with chronic back pain and scoliosis? Short-term results from a pilot study. Prosthetics and Orthotics International, 42(4), 410-414. DOI: 10.1177/0309364618757769.
  3. Kilshaw, M., Baker, R., Gardner, R., Charosky, S., & Harding, I. (2010). Abnormalities of the lumbar spine in the coronal plane on plain abdominal radiographs. European Spine Journal, 20, 429-433. DOI: 10.1007/s00586-010-1610-8.
  4. Negrini, S., Donzelli, S., Aulisa, A. G., Czaprowski, D., Schreiber, S., de Mauroy, J. C., Diers, H., Grivas, T. B., Knott, P., Kotwicki, T., Lebel, A., Marti, C., Maruyama, T., O’Brien, J., Price, N., Parent, E., Rigo, M., Romano, M., Stikeleather, L., Wynne, J., & Zaina, F. (2018). 2016 SOSORT guidelines: Orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis and Spinal Disorders, 13(3). https://doi.org/10.1186/s13013-017-0145-8
  5. McAviney, J., Roberts, C., Sullivan, B., & Graham, P. L. (2020). The prevalence of adult de novo scoliosis: A systematic review and meta-analysis. European Spine Journal, 29(12), 2960–2969. https://doi.org/10.1007/s00586-020-06453-0
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Active Living with Scoliosis: Benefits of Sports Participation

Posted on December 19, 2024 by askdrjames

Protective Effects of Sports Participation

Living with scoliosis can present unique challenges, but it doesn’t have to stop young athletes from pursuing their dreams. In fact, participating in sports can be life-changing for adolescents with scoliosis, offering physical, emotional, and social benefits that go far beyond the playing field. Let’s explore how sports can empower individuals with scoliosis and help them thrive.

Breaking Down Barriers: The Challenges of Scoliosis in Sports

Playing sports can feel intimidating for young athletes with scoliosis, both physically and emotionally. The curve in their spine may cause discomfort, limit flexibility, or create uneven muscle strength, making some movements harder. There’s also the worry that certain sports could make things worse, adding to their hesitation.

On the emotional side, body image issues—especially when wearing a brace—can cause self-consciousness, making team sports or public activities intimidating. Many also face myths about what they can or can’t do. These myths only add to their fear and keep them from discovering the joy and benefits of being active.

The solution? Education and encouragement. With the right guidance and understanding, young athletes can confidently engage in safe and supportive activities, breaking free from these limitations and embracing an active lifestyle.

Why Sports Matter: Protective Benefits for Scoliosis

Participating in sports isn’t just possible for individuals with scoliosis; it’s beneficial. Research shows that adolescents with scoliosis who stay active are up to 30% less likely to experience curve progression compared to their less active peers. Sports that focus on building core strength and flexibility, such as swimming, can naturally support the spine, reduce stress on the vertebrae, and enhance overall posture.

The benefits extend beyond physical health: Staying active allows for a sense of control and empowerment. Scoliosis becomes a manageable part of their life rather than a barrier. It also promotes a positive mindset toward fitness and encourages a lifelong commitment to strength and well-being.

Top Activities for Scoliosis Patients

While many sports can be safe and enjoyable for individuals with scoliosis, certain activities stand out for their spine-friendly benefits:

Walking & Running: Moderate-intensity activities that boost cardiovascular health and muscular endurance.

Swimming: This low-impact, full-body workout improves flexibility, strengthens muscles, and supports spinal alignment without putting stress on the joints.

Cycling: A great cardio exercise that’s easy on the back and helps build leg strength.

Yoga & Pilates: These practices enhance core stability, posture, and spinal alignment. (Tip: Look for instructors experienced in scoliosis-friendly techniques.)

Inspiration in Action: Saskia Broedelet’s Journey at the 2024 Olympics

In 2017, Saskia Broedelet found out she had scoliosis. But instead of letting it define her, Saskia embarked on a remarkable journey of resilience. She embraced scoliosis-specific exercises and wore her ScoliBrace with determination, all while pursuing her passion for gymnastics. Today, Saskia is a proud member of the Australian Rhythmic Gymnastics Olympic Team.

Her performance at the 2024 Paris Olympics not only dazzled audiences, but served as a shining example of what’s possible with perseverance and a love for sports. Saskia’s story is an inspiration to many young athletes everywhere. She proved that scoliosis doesn’t have to hold anyone back.

Click Here to Watch the Full Interview

If Saskia’s story isn’t enough to inspire, consider these legendary athletes who didn’t let scoliosis stand in their way:

  • Usain Bolt (Track & Field): The world’s fastest man overcame scoliosis to dominate the track.
  • Natalie Coughlin (Swimming): This Olympic medalist excelled in the water, proving scoliosis doesn’t limit greatness.
  • Sarah Michelle Gellar (Martial Arts): The actress stays fit and strong with martial arts despite her condition.

These athletes are living proof that scoliosis is no barrier to success.

Staying Active Post-Surgery

For athletes recovering from spinal surgery, the road back to sports can be challenging but rewarding. Under the guidance of medical professionals, patients can gradually rebuild strength and confidence. They can rediscover their passion for physical activity while setting new milestones.

The Bottom Line

Scoliosis doesn’t have to keep young athletes on the sidelines. Individuals with scoliosis can enjoy the physical, emotional, and social benefits of an active lifestyle. This can be achieved by choosing spine-friendly sports, following expert advice, and staying motivated. Whether it’s excelling in rhythmic gymnastics, conquering the track, or simply enjoying a swim, the possibilities are endless.

Remember: The key to thriving with scoliosis is a proactive approach. Embrace the journey, stay active, and let your love for sports guide you to new heights.

Closing Thoughts

Staying active with scoliosis is not just possible; it’s highly beneficial. Athletes can manage their condition effectively by incorporating supportive sports. By adhering to medical advice and staying motivated, they can achieve remarkable milestones.

The journey back to sports is demanding for athletes recovering from spinal surgery. However, it is filled with opportunities to rediscover their passion, and excel and reach new heights.

  • Tetreault TA, Garg S. Return to play following spine surgery. Front Pediatr. 2023 Apr 17;11:1176563. doi: 10.3389/fped.2023.1176563. PMID: 37138567; PMCID: PMC10150059.
    • Negrini A, Donzelli S, Vanossi M, Poggio M, Cordani C, Zaina F, Negrini S. Sports participation reduces the progression of idiopathic scoliosis and the need for bracing. An observational study of 511 adolescents with Risser 0-2 maturation stage. Eur J Phys Rehabil Med. 2023 Apr;59(2):222-227. doi: 10.23736/S1973-9087.23.07489-0. Epub 2023 Mar 9. PMID: 36892518; PMCID: PMC10167700.
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