You usually notice it in a photo first. One shoulder looks higher than the other. Or maybe a shirt just never hangs right. If you’re a parent, you might have spotted a curve in your child’s spine at the beach or during a school screening.
Scoliosis is a condition where the spine curves sideways, often forming an “S” or “C” shape instead of a straight line. But it’s not just a simple bend. The spine actually twists in three dimensions. That’s why you might see a “rib hump” on one side when bending forward. It most often shows up between ages 10 and 15, and studies show it’s more common in girls (4.06%) than boys (2.58%) [1].
The good news? You don’t need surgery to manage it. In our Greenpoint clinic, Dr. Patel helps patients with scoliosis every week. About 3% of teenagers have some degree of spinal curvature [1]. You’re not alone, and there are real options beyond just “wait and see.”
Honestly? Most of the time we don’t know. That’s what “idiopathic” means in medical terms. It just happens. But we do know a few factors that play a role:
If your mom or sister has scoliosis, you’re more likely to develop it too. Research shows there’s a strong hereditary component, so family history matters.
When kids grow fast, especially between ages 10 and 15, mild curves can progress quickly. That’s why monitoring during these years is so important.
Sometimes the vertebrae just didn’t form perfectly before birth. These cases are less common but can be identified early with proper screening.
Conditions like cerebral palsy or muscular dystrophy can affect the muscles that support the spine, leading to curvature over time.
Let’s clear something up: Bad posture didn’t cause this. Your teen didn’t get scoliosis from video games or carrying a heavy backpack [3]. Those things might make their back sore, but they won’t structurally twist the spine. That’s a myth we hear all the time.
Here’s the tricky part: in kids, scoliosis usually doesn’t hurt. The curve can progress without any pain signals at all. For adults, it’s a different story. Years of wear and tear on a curved spine often lead to stiffness, aching, and sometimes nerve compression.
Common signs to watch for:
When to act fast: If you notice sudden changes in posture, new numbness or tingling in the legs, difficulty breathing, or loss of bladder control, see a healthcare provider right away. These could signal nerve compression that needs immediate attention.
Studies show that chiropractic rehabilitation can make a real difference for scoliosis patients. A study published in the Journal of Chiropractic Medicine followed 28 adult scoliosis patients receiving chiropractic care. The results? Significant improvements in pain scores, Cobb angle measurements, and disability ratings. And here’s what matters most: those improvements were maintained at 24-month follow-up [2].
Another finding worth knowing: specific exercises like the Schroth method, which focuses on breathing and postural correction, have been shown to significantly reduce Cobb angles in adolescents with idiopathic scoliosis (p<0.05) [4]. That’s why we incorporate similar principles into our treatment plans here in Brooklyn.
The research is clear. While we can’t “cure” scoliosis or force a spine straight, we can help you move better, hurt less, and potentially slow curve progression. Most of our patients see meaningful improvement within 6-8 weeks of consistent care.
When you come to our Greenpoint clinic, you won’t be rushed. Dr. Patel takes time to understand your full history: when the curve was first noticed, what treatments you’ve tried, and how scoliosis affects your daily life. Bring any X-rays or MRIs you have. They help us see the full picture.
During the exam, we’ll check your posture from multiple angles, test your range of motion, and assess muscle strength on both sides of your spine. For adolescents, we pay close attention to growth indicators since curves can progress during growth spurts.
Before you leave, you’ll have a clear treatment plan. We’ll explain what we can realistically help with, how many visits to expect, and what you can do at home between appointments. No pressure, no scare tactics. Just honest information so you can make the best decision for yourself or your child.
Between your chiropractic appointments, these strategies can help manage your symptoms and support your progress:
Dr. Patel starts with a thorough evaluation. This includes posture analysis, range of motion testing, and a detailed look at any imaging you bring in. For adolescents, we also assess growth patterns since curves can progress during growth spurts. You’ll leave knowing exactly what you’re dealing with and what your realistic options are.
We use gentle, specific adjustments to mobilize the stiff segments of your spine. With scoliosis, certain vertebrae get “locked” while others become hypermobile to compensate. Our goal is to restore balanced motion throughout the curve. Most patients notice improved flexibility and less muscle tension after just a few sessions.
Dr. Patel’s flexion-distraction table is particularly effective for scoliosis. This technique gently stretches the spine, taking pressure off compressed discs and tight muscles on the concave side of the curve. It’s comfortable, there’s no twisting or cracking, and it works well for patients of all ages.
A curved spine creates muscle imbalances. One side gets tight and overworked while the other becomes weak. We address both through targeted exercises you can do at home. Schroth-style breathing exercises are also part of the plan since the curve can compress the ribs and limit lung capacity [4].
• Adolescents with newly diagnosed curves who want to avoid bracing
• Adults with scoliosis experiencing back pain or stiffness
• Anyone whose curve causes muscle fatigue after standing or sitting
• Post-surgical patients looking to maintain mobility
• Those who want to avoid pain medication
• People seeking non-invasive treatment options
• Anyone noticing their posture getting worse over time
Most patients notice improvement within 4-6 weeks of consistent care. A study showed that about 6 months of chiropractic rehabilitation led to improvements in pain and Cobb angle that lasted at 24-month follow-up [2]. Chronic cases may take longer, but we'll give you a realistic timeline after your first evaluation.
Yes, it's generally very safe. Serious complications are extremely rare, with research showing incidence rates as low as 1 per 2 million adjustments. We use gentle techniques appropriate for curved spines. No high-velocity twisting on fragile areas. We focus on mobility and stability, not forcing anything.
We can't force a curved spine straight. But we can improve how it functions. Research shows chiropractic care can reduce pain, improve Cobb angle measurements, and help slow progression [2]. The goal is helping you move better and hurt less, not promising a "cure" that doesn't exist.
No. This is one of the biggest myths out there. People with scoliosis may appear to have poor posture, but the scoliosis causes the posture issue, not the other way around [3]. Slouching, sleeping position, and heavy backpacks won't cause structural spinal curvature.
Stay active. Movement is medicine for scoliosis. Specific exercises like the Schroth method have been shown to significantly improve Cobb angles and quality of life [4]. We'll teach you which exercises help your specific curve pattern and which activities to modify.