Scoliosis treatment
Scoliosis-specific exercise and follow-up with the Schroth method
Scoliosis is a three-dimensional spinal deformity that involves not only a sideways curve of the spine but also rotation of the vertebrae around their own axis. The most common type is idiopathic scoliosis; its cause is not fully known, and it is usually noticed before and during puberty, in the years when growth speeds up.
Which signs should you look out for?
Scoliosis is often not painful in children, so it is usually noticed by the family by chance. If any of the following signs are present, an assessment is needed:
- One shoulder sitting higher than the other
- One shoulder blade looking more prominent
- The waist creases looking different on each side
- A hump forming on one side of the back when bending forward
- The trunk appearing shifted to one side
How is it assessed?
The assessment starts with an examination by the orthopaedic specialist. The forward bend test is used to look for rotation of the trunk; if needed, an X-ray is taken and the degree of curvature is measured using the Cobb angle. Skeletal maturity is also assessed on the X-ray, because how long growth will continue directly affects the risk of the curve progressing.
The physiotherapy assessment looks at posture, trunk balance, spinal flexibility, muscle balance and breathing. The exercise programme is tailored to the individual based on these findings.
Treatment options
The approach is not decided by the degree of curvature alone; the location and shape of the curve, age, remaining growth potential and the risk of progression are all assessed together.
- Monitoring: Small curves with a low risk of progression are followed with regular check-ups.
- Scoliosis-specific exercises: These differ from general strengthening exercises. Our clinic bases its approach on the Schroth method, which includes three-dimensional correction, breathing and postural awareness work tailored to the person's curve pattern. The movements learned are carried into daily life through a home programme.
- Bracing: May be used, on the orthopaedic specialist's decision, in children who are still growing and whose curve is above a certain degree. The exercise programme can continue alongside brace treatment.
- Surgical assessment: May be considered for severe curves. Rehabilitation after surgery can continue at our clinic.
The Schroth method
The Schroth method is one of the main approaches within physiotherapeutic scoliosis-specific exercises (PSSE). The programme is planned according to the type and location of the curve; it is built on three-dimensional correction of the spine, corrective breathing techniques and maintaining the corrected posture in daily life. The aim is for the person to be able to achieve this posture on their own and carry it into everyday life.
At our clinic, the scoliosis exercise programme is prepared and delivered by physiotherapist Yıldız Cöcen Y., an SSOL Schroth Therapist.
How does the process work at Anora Clinic?
Because the orthopaedic specialist and the physiotherapist work in the same team, the examination, measurements and exercise programme are managed through a single file. The physiotherapist who prepares the programme also delivers the sessions; progress is measured at regular intervals and the programme is updated together with the doctor when needed.
Check-up intervals are not the same for everyone; they are set according to age, growth rate, the size of the curve and changes seen in previous measurements. During growth, these check-ups are more frequent.
Scoliosis in adults
Scoliosis can continue into adulthood, or it can develop later as a result of age-related wear in the spine. In adults, the aim is often less about correcting the curve and more about reducing pain and maintaining balance and daily function. Scoliosis-specific exercises, manual therapy and posture education can be part of this process.
When should you seek an assessment?
If you notice a clear asymmetry in your child's shoulders, waist or back, an early assessment helps to determine accurately how significant it is and what follow-up is needed. In adults, a change in posture accompanying back or low back pain is also a reason for an assessment.