Scoliosis is often thought of as a condition that primarily affects children and teenagers, but it can also develop or become apparent in adulthood. Known as adult-onset scoliosis, this condition can have significant impacts on mobility, posture, and overall quality of life. At Advanced Care Physical Therapy, we aim to empower patients with knowledge and effective treatment options tailored to their needs.
What is Adult-Onset Scoliosis?
Adult-onset scoliosis refers to the abnormal curvature of the spine that either develops in adulthood or progresses from an undiagnosed condition earlier in life. The curvature typically measures 10 degrees or more, often forming an S or C shape. Unlike scoliosis in adolescents, which is frequently idiopathic (without a known cause), adult scoliosis is typically degenerative, meaning it results from wear and tear on the spine .
Causes of Adult-Onset Scoliosis
Degenerative Disc and Joint Changes
The most common cause is age-related wear and tear on the spine, known as degenerative scoliosis or de novo scoliosis. Spinal discs lose their cushioning ability over time, and facet joints can deteriorate, leading to asymmetrical alignment.
Untreated Childhood Scoliosis
Scoliosis present in childhood may worsen if left untreated or improperly managed.
Osteoporosis
Weak and brittle bones may contribute to spinal deformities as they lose structural integrity.
Spinal Injuries or Surgeries
Trauma or surgical procedures on the spine can disrupt normal alignment, leading to curvature over time.
Symptoms of Adult-Onset Scoliosis
The symptoms of adult-onset scoliosis vary depending on the severity and location of the curvature. Common symptoms include:
- Chronic back pain or discomfort.
- Uneven shoulders, hips, or waist.
- Reduced height over time.
- Muscle fatigue or spasms.
- Difficulty standing or walking for long periods.
- Numbness or tingling in the legs if the spinal curvature compresses nerves.
Diagnosis of Adult-Onset Scoliosis
A diagnosis typically begins with a physical examination and a review of symptoms. Diagnostic imaging such as X-rays, MRI scans, or CT scans may be used to confirm the presence and extent of the curvature.
Treatment Options for Adult-Onset Scoliosis
Treatment for adult-onset scoliosis focuses on relieving symptoms, improving mobility, and preventing further progression. Common approaches include:
Physical Therapy
Physical therapy is a cornerstone of scoliosis management. Through targeted exercises called Physiotherapeutic Scoliosis Specific Exercises (PSSE) and manual therapy, patients can improve core strength, spinal flexibility, and posture. At Advanced Care Physical Therapy, we emphasize evidence-based techniques to alleviate pain and enhance quality of life.
Pain Management
Nonsteroidal anti-inflammatory drugs (NSAIDs) or corticosteroid injections can help reduce pain and inflammation.
Bracing
While bracing is more common for adolescents, some adults may benefit from soft braces to support spinal alignment and relieve pressure.
Surgical Intervention
In severe cases, surgery may be recommended to correct the curvature or alleviate nerve compression.
How Advanced Care Physical Therapy Can Help
Our team at Advanced Care Physical Therapy understands that every patient's journey is unique. We use scoliosis specific techniques such as the Schroth Method and other European based methods to teach the patient how to use “corrective” forces that resist the “deformity” forces of scoliosis. We also focus on postural re-education, core stabilization exercises, and manual therapy to address the root causes of pain and discomfort associated with scoliosis. Additionally, our emphasis on patient education ensures you understand your condition and are equipped to make informed decisions about your care.
Building a Healthier Spine, One Step at a Time
Living with adult-onset scoliosis doesn’t mean accepting a lower quality of life. With the right care, you can manage symptoms, maintain mobility, and enjoy an active lifestyle. If you or a loved one is struggling with scoliosis, contact Advanced Care Physical Therapy today. Our team is here to guide you on your journey toward better spinal health. Call 716-282-2888 to get started.
