Adult scoliosis

Without Treatment

Once a structural scoliosis has begun, asymmetrical gravitational loading takes over. Without treatment gravity causes: more changes in the deformed vertebrae; further progression of the curve, which looses its flexibility; and further changes in trunk deformity.

Excluding scoliosis that develops early in life or from a separate syndrome there are 2 types of adult scoliosis: adult idiopathic scoliosis and adult degenerative scoliosis, also known as de novo (new) scoliosis. Whilst the former is a progression and worsening of the disorder from either childhood or adolescence, the latter relates to aging.

Whilst adult idiopathic scoliosis can appear in both thoracic and lumbar spine, adult degenerative scoliosis usually occurs in the lumbar spine. When viewed from the side, the lumbar spine often appears to have flattened, or is 'rounded', loosing its normal physiological curve (lordosis).

Degeneration of discs and spinal (facet) joints, which can also lead to spinal stenosis (narrowing of the spinal canal, causing nerve impingement), are common factors in both types of adult scoliosis.

2 most common symptoms of adult scoliosis are low back pain and stiffness. Depending on the extent of degeneration in the spine, other symptoms include numbness, cramping and shooting pain in the legs due to nerve impingement, and fatigue to due the strain on back and leg muscles.

In woman, degenerative scoliosis commonly occurs with menopausal change, although the onset of osteoporosis can also be the cause Pain, muscle inbalance and noticeable postural changes are likely indicators of degenerative scoliosis.

With Treatment

The main aim of our adult programs is to empower patients to take control of their scoliosis and better manage it in all Activities in Daily Living.

The Schroth 3D approach can help adults with scoliosis turn the 'Vicious Cycle into a Virtuous Cycle'. A program of customized Schroth 3D scoliosis specific exercises can improve postural alignment, mobility, provide relief pain, stop progression. and improve overall health related quality of life. As Adults, typically have a more rigid spine, older Adults should not expect a curvature reduction.

: Basic corrections and adjusting Body Blocks

: Lumbar spine correction

: Lumbar Spine & Prominent Hip correction

: Thoracic and Lumbar spine correction

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Effectiveness of Schroth Method Treatment

Evidence that the Schroth Method of conservative treatment for scoliosis can alleviate, and eliminate pain, and therefore enhance quality of life despite the presence of adult scoliosis, is well documented in a research article published in 2012.

A 62 year old female noticed the unevenness in her hips and shoulders when she was at high school. 2 years before she was diagnosed with scoliosis the onset of various muscular pains occurred. Pain was constant in her right shoulder blade, right lower back and hip, which increased when walking. The pain in her right shoulder disturbed her sleep and troubled her with daily activities. Shortness of breath was problem during prolonged activities. Occasionally, she experienced difficulty climbing stairs, due to a weak left hip.

Click on the research article Citation to download a copy of the Case Report.

Citation: Watters H, Volansky K, Wilmarth M (2012) The Schroth Method of Treatment for a Patient Diagnosed with Scoliosis: A Case Report. J Nov Physiother 2:113. doi: 10.4172/2165-7025.1000113

Download a PDF Summary of the content, structure and scope of our Schroth 3D Scoliosis Exercise Therapy Programs: