Scoliosis is defined as a spine with a sideways curve There may be one curve or two in the thoracic or lumbar spine. They can be divided into structual and non-structural. The former are fixed and the spine rigid, whereas the latter are in response to inflammation or muscle spasms and so may go away. The majority (80%) of scoliosis have no obvious cause (idiopathic), and commonly occur in children aged 10-14. They don't usually cause pain but need to be monitored in case they worsen. If the curve is over 20% they may be recommended a brace to support the spine especially whilst the person is still growing.Severe ones may need surgery because they can affect the functioning of the heart and lungs and severely restrict mobility.
Some scoliosis are congenital ie present from birth, due to a malformation in the womb and others are secondary conditions such as Spina Bifida, Cerebral Palsy, Muscular Dystrophy, Marfans Disease and Ehlers-Danlos Syndrome. There is also degenerative scoliosis which occurs later in life due to collapsing of bones in the spine such as with Osteoporosis and weakening of ligaments and discs.
Some signs may be noticeable such as more pronounced musculature on one side of the spine. There may be a prominence of the ribcage or shoulder blade on one side due to a rotation in the thoracic spine. This may be more noticeable when the person flexes forward to touch the floor. There may be back, shoulder, neck and buttock pain and restricted mobility.
An Osteopath will look out for Scoliosis and may refer you on in moderate to severe cases if it has not been picked up before. Many people live with a scoliosis without any pain and discomfort. It will not usually prevent you from having osteopathic treatment. Osteopathy may help you to manage any symptoms you have such as tight muscles and discomfort. It may help you to follow an exercise plan to limit any restrictions and discomfort where possible.