scoliosis management

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Scoliosis management

Scoliosis is a three-dimensional condition affecting the alignment of the spine.  While gentle  curves are normal when viewed from the side, a healthy spine appears straight from behind. In scoliosis, changes in the shape of the disc and vertebra that form the spine result in an unbalanced alignment causing rotation of the vertebrae.  The body naturally compensates for this above and below the affected area.

Scoliosis can be identified in childhood, adolescence, or adulthood. Some curves remain stable for years, while others may progress, especially during periods of growth or age-related changes. With appropriate education, guidance, and scoliosis-specific exercises, many people can support their spinal health, improve posture and comfort, and better manage their condition over time.

Types of scoliosis

Understanding the type of scoliosis helps determine the most effective care plan.

Idiopathic Scoliosis

The most common type, especially in adolescents. The exact cause is unknown, and it is not due to poor posture. Subtle changes in vertebral growth lead the spine to rotate and curve.

Degenerative / Adult-Onset Scoliosis

Occurs later in life due to arthritis, disc changes, or age-related weakening of spinal structures.

Functional Scoliosis

A temporary curve created by something outside the spine (e.g., a leg-length difference or muscular imbalance). When the underlying cause is corrected, the curve often improves.

Congenital Scoliosis

Congenital scoliosis occurs when one or more vertebrae do not form normally during early fetal development. This can result in a spinal curve that is present at birth and may progress as the child grows. Because the underlying bone structure is affected, children with congenital scoliosis require careful monitoring and coordinated care. Conservative exercises can support posture, mobility, and breathing mechanics, but treatment plans often vary depending on the specific vertebral formation.

Children & Adolescents

A scoliosis diagnosis can feel overwhelming — for the child and the family. Some kids are unfazed; others may feel worried or upset. Support, education, and early guidance make a tremendous difference.

My role is to help your child understand their spine, feel confident in managing their condition, and learn safe, effective scoliosis-specific exercises.

What to Expect During the Initial Evaluation

The first visit is thorough and includes:

  • Review of spinal imaging, including Cobb angle and curve classification

  • Musculoskeletal assessment: posture, mobility, strength, balance

  • Scoliometer / Angle of Trunk Rotation (ATR) measurements

  • Breathing or spirometry assessment as appropriate

  • Digital postural photographs to track progress

  • Ample time for questions and discussion

This evaluation lays the foundation for a personalized treatment plan tailored to your child’s age, curve type, and risk of progression.

Follow-Up Sessions for Kids & Teens

Follow-up visits focus on:

  • Learning scoliosis-specific exercises (PSSE)

  • Improving postural awareness

  • Practicing alignment strategies

  • Understanding how daily positions affect their curve

  • Making the exercises engaging, approachable, and age-appropriate

Early management matters. Many clinicians treat scoliosis, but not all are trained in conservative, research-informed approaches. My goal is to support your child and collaborate with your medical team for the best possible outcomes.

Adults With Scoliosis

Adults may have had scoliosis since adolescence or developed it later in life. While the spine is less malleable after maturity, scoliosis-specific exercise can still help with:

  • Reducing pain

  • Improving posture and alignment

  • Increasing strength and mobility

  • Slowing or limiting curve progression

  • Supporting confident, safe movement

Does This Sound Like You?

  • “I’m afraid to exercise because I don’t want to make things worse.”

  • “My posture seems to be changing, and I want to prevent it from progressing.”

  • “I’m starting to experience pain and don’t know what’s safe.”

  • “I want to avoid surgery — or stay strong after having one.”

  • “I’m not sure what movements help or hurt my spine.”

You’re not alone — and there are strategies that work.

Working together will help you understand your unique curve pattern and learn how to care for your spine through posture, exercise, and daily habits.

Physiotherapeutic Scoliosis-Specific Exercises (PSSE)

Scoliosis is three-dimensional — and so are the exercises used to manage it.

Physiotherapeutic Scoliosis Specific Exercises (PSSE) help:

  • Decompress or “open” collapsed areas of the spine

  • Strengthen deep trunk and ribcage stabilizers

  • Improve alignment and posture

  • Reduce forces that contribute to curve progression

  • Enhance breathing mechanics and body awareness

These exercises are not one-size-fits-all. They are customized based on:

  • Curve pattern and severity

  • Growth stage (for adolescents)

  • Pain levels

  • Movement habits

  • Lifestyle demands

A personalized approach ensures the exercises support — not worsen — your spine.

Working with me

Whether you’re seeking care for yourself or your child, you will receive:

  • A thorough evaluation

  • A clear explanation of your curve pattern

  • A customized scoliosis exercise program

  • Education on posture, breathing, movement, and daily habits

  • Ongoing support and collaboration with your medical team

My goal is to empower you with knowledge, improve your confidence, and help you build sustainable habits that support your spine for years to come.

If you have questions or aren’t sure if scoliosis-specific care is right for you, I’m happy to talk and guide you toward the best next step.

Examples of Schroth Exercises