Types of Scoliosis
Adolescent idiopathic scoliosis is the most common type, developing during the growth spurt of early adolescence, typically between ages 10 and 16. "Idiopathic" means no clearly identifiable cause has been established. Most cases are mild and can be monitored without active intervention, but some progress and warrant closer management.
Adult degenerative scoliosis develops or worsens in adulthood, often associated with asymmetrical disc degeneration, vertebral changes, or prior untreated curves that progress over time. This type is more commonly associated with symptoms, including back pain, stiffness, and in some cases nerve-related discomfort if the curvature narrows spaces around spinal nerves.
Congenital scoliosis is present from birth due to vertebral malformations during fetal development. This type is far less common and typically managed through specialized orthopedic care.
How Scoliosis Is Measured
The Cobb angle is the standard measurement used to quantify a scoliotic curve. It is measured from spinal imaging, specifically from the most tilted vertebra above and below the curve. Curves under 20 degrees are typically considered mild and often require monitoring rather than active intervention. Curves between 20 and 40 degrees may be managed conservatively, while curves exceeding 40 to 50 degrees in growing individuals are often considered for more intensive orthopedic management.
A formal Cobb angle measurement requires imaging and clinical evaluation - it cannot be determined by appearance alone.
What Scoliosis Feels Like
Not all scoliosis presentations produce symptoms. When discomfort does occur, it often reflects the mechanical consequences of the curvature rather than the curve itself. Common presentations include:
- Muscular fatigue and tension, particularly along the concave side of the curve where muscles are chronically shortened
- Localized spinal discomfort that may worsen with prolonged sitting, standing, or activity
- Visible postural changes such as uneven shoulder or hip height, one shoulder blade being more prominent, or the torso appearing rotated
- Reduced tolerance for sustained postures or activities that load the spine asymmetrically
- In adult degenerative scoliosis: radiating discomfort into the legs if narrowing of the spinal canal or foramina is present
What Chiropractic Care Can Offer
Chiropractic care for scoliosis focuses on managing the mechanical consequences of the curvature rather than correcting the curve itself. It is important to be clear about what chiropractic care can realistically accomplish: spinal adjustments do not straighten a scoliotic spine or permanently alter Cobb angle measurements. This is not something responsible chiropractors claim.
What chiropractic assessment and care can offer is meaningful help with:
- Identifying areas of joint restriction, asymmetrical mobility, and muscular tension that develop as adaptations to the curvature
- Reducing associated discomfort and muscular tension through targeted joint mobilization and soft tissue work
- Supporting movement quality and range of motion, which can become limited as the body compensates for structural asymmetry
- Providing practical guidance on posture, movement habits, and self-care strategies relevant to your specific curve pattern
- Serving as part of a collaborative care team when imaging, specialist referral, or other interventions are warranted
Some patients with scoliosis report meaningful improvements in comfort, flexibility, and physical confidence when mechanical contributors are addressed consistently over time.
Movement Habits & Daily Management
As the body adapts to structural spinal changes, surrounding musculature and joint mechanics often compensate. These compensatory patterns may contribute to tension, stiffness, or secondary discomfort. Our article on how to reduce back injury risk outlines several lifestyle and movement habits that are relevant to managing ongoing spinal stress, regardless of the underlying structural presentation.
Movement variability, regular low-impact activity, and avoiding prolonged static postures often support comfort for individuals living with scoliosis.
When to Seek Evaluation
If you have been diagnosed with scoliosis and have questions about how chiropractic care may fit into your management, or if you are noticing symptoms such as persistent back pain, uneven shoulder or hip height, or changes in your posture, clinical evaluation is a reasonable starting point. Dr. Mike Kricken can review your history and imaging, assess your movement and joint mechanics, and discuss what realistic management looks like for your specific presentation.
You can also visit our back pain page to learn more about how chiropractic assessment approaches spinal mechanical contributors in Calgary.