The journey of navigating scoliosis can be daunting for many parents. This guide provides information and resources for parents supporting their child with scoliosis.
From the moment of diagnosis to ongoing care, each stage brings its own set of challenges and uncertainties. It is essential for parents to stay informed and proactive, ensuring their child receives optimal care and support throughout this process. Here, we break down the information and resources so parents can better advocate for their child’s needs and promote their overall well-being.
Understanding Scoliosis
Scoliosis is a condition in which the spine develops a sideways curve, often resembling an “S” or “C” shape. While scoliosis can affect people of any age, it typically begins during a child’s growth spurt before puberty. The condition varies in severity, with some children experiencing mild curves that require monitoring, while others may develop more severe curvatures that need early intervention to prevent complications.
Adolescents Idiopathic Scoliosis (AIS)
The most common form of scoliosis, particularly in children and teenagers, is Adolescent Idiopathic Scoliosis (AIS). The term “idiopathic” means that the cause of this condition is unknown, but AIS generally occurs during the adolescent growth spurt, between ages 10 and 18.
Key Facts about AIS:
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AIS accounts for about 80% of scoliosis cases.
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It is more common in girls than boys.
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Most cases of AIS are mild, but in some instances, the curve may worsen as the child grows.
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While the exact cause of AIS is not fully understood, genetics may play a role, as scoliosis tends to run in families.
Early detection is critical for managing AIS, as curves can progress rapidly during adolescence. Regular screenings by healthcare professionals and monitoring the child’s spine as they grow is important for catching the condition early.
Symptoms of AIS
AIS is often painless, which can make it difficult to detect. However, parents may notice subtle signs, such as:
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Uneven shoulders, with one higher than the other
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A visible curve in the spine
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One shoulder blade sticking out more than the other
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Uneven hips
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The child leaning to one side when standing
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Clothing not fitting properly or appearing lopsided
If left untreated, severe curves can lead to issues like back pain, reduced lung function, and discomfort during physical activities. This is why seeking professional care is crucial once AIS is detected.
Progressive Scoliosis
For children with progressive scoliosis, Core Fitness offers a more comprehensive treatment plan. We collaborate with scoliosis brace makers, x-ray providers, and orthopaedic specialists to ensure that your child has access to the full range of treatments they may need.
Bracing is often used to prevent further curve progression in growing children. Our clinic can assist in coordinating care if bracing is recommended, while continuing to monitor the child’s progress through regular x-rays and consultations with orthopaedic experts.
Risk Factors for Progressive Scoliosis
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Gender – girls are more commonly affected than boys.
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Age of onset – generally speaking, scoliosis found in young children will resolve as they get older. If, however, the curve is progressive, it is likely a severe deformity will develop. Babies born with infantile idiopathic scoliosis tend to be at increased risk.
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Severity of the curve’s angle – severe angles are more likely to worsen than mild angles.
Diagnosis Methods
Any unusual curvature in a child’s spine warrants examination, even if there is no pain present, as scoliosis is often painless initially. Children with a family history of scoliosis should also undergo screening.
Diagnosis involves X-rays and a thorough physical assessment, considering factors such as:
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The curve’s shape (e.g., ‘S’ or ‘C’)
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The curve’s location (upper back, lower back, or both)
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The direction the curve leans (left or right)
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The angle of the curve
Treatment Options
Scoliosis Physiotherapy: A scoliosis physiotherapy programme based on the Schroth method is an effective and well-recognised approach for treating scoliosis. Particularly effective for adolescents still in their growth phase in helping to slow or stop curve progression through targeted exercises and breathing techniques. This early intervention is key in managing AIS, as it can prevent the condition from worsening.
Pilates for Scoliosis: For older adolescents with mild or stable scoliosis, Pilates for Scoliosis offers an alternative, exercise-based approach. Specially designed Pilates for Scoliosis programmesis a great option for adolescents whose scoliosis is not rapidly progressing. This form of exercise helps teens learn to manage their condition long-term, focusing on building core strength, improving flexibility, and enhancing spinal alignment while promoting a healthy, active lifestyle.
Orthopaedic Brace: A brace can be an option for children before they reach adolescence, but it does not guarantee a complete correction of the curve. In some instances, the spine may grow straighter during growth spurts, while in others, the brace may only help prevent the curvature from worsening or postpone the need for surgery.
Surgery: For severe cases, surgical intervention may be necessary. One common procedure is posterior spinal fusion, which involves using bone grafts (often taken from the patient’s pelvis) to stabilize the affected vertebrae. Devices like rods and screws are then implanted to maintain spinal alignment, and these implants are typically permanent.
Which Treatment is Right for Your Child?
Deciding between scoliosis physiotherapy and Pilates for scoliosis depends on several factors, such as your child’s age, the severity of the curve, and how rapidly it is progressing:
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Scoliosis Physiotherapy is recommended for younger children and adolescents whose scoliosis is progressing more quickly. The Schroth method offers a proven approach to slow down or prevent further curvature.
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Pilates for Scoliosis may be ideal for older adolescents with mild or stable scoliosis. Pilates helps teens maintain strength and flexibility while managing their condition effectively over time.
Our team will carefully assess your child’s condition and work with you to choose the most suitable treatment plan.
Why Choose Core Fitness?
At Core Fitness, we take pride in offering expert, individualised care. Our team of physiotherapists and Pilates instructors are highly trained in the treatment of scoliosis, particularly in children and adolescents. We understand that each child’s needs are unique, and we work closely with parents to create personalised treatment plans that address your child’s specific scoliosis condition.
With early intervention and the right support, scoliosis does not have to limit your child’s future. Our goal is to help your child live an active, healthy life, with the best possible management of their scoliosis.
To learn more about our scoliosis treatments and book an assessment, visit our dedicated scoliosis care pages: