What is scoliosis?

Scoliosis is defined as a lateral curvature of the spine with a Cobb angle of 10 degrees or more. What X-rays show as a sideways bend is actually a three-dimensional change — the vertebrae rotate as they deviate, which is why scoliosis can affect rib position, shoulder height and hip alignment simultaneously.

It most commonly develops during the adolescent growth spurt (idiopathic adolescent scoliosis), but it can also present in younger children, and in adults where it is often related to degenerative disc and facet joint changes over time.

Types of scoliosis

Idiopathic scoliosis

Accounts for around 80% of all cases. The cause is not fully understood. It is more prevalent in females and tends to progress during rapid growth phases. Curves are classified as mild (10–25°), moderate (25–40°) or severe (over 40°).

Degenerative scoliosis

Develops in adults, typically from the fifth decade onwards, as asymmetric disc and facet joint degeneration causes the spine to shift laterally. Often accompanied by spinal stenosis and lower limb symptoms.

Congenital scoliosis

Present from birth due to vertebral abnormalities that form during foetal development. Less common, and usually managed in specialist orthopaedic settings.

Symptoms commonly associated with scoliosis

  • Uneven shoulder height or a prominent shoulder blade
  • One hip sitting higher than the other
  • Visible curve when the person bends forward (Adams forward bend test)
  • Muscle fatigue and aching along one side of the spine
  • In more severe cases: restricted breathing, nerve-related symptoms into the legs

It is worth noting that many people live with mild to moderate scoliosis with minimal discomfort. Pain is not always proportional to the degree of curvature.

How chiropractic care helps

Chiropractic cannot structurally correct an established scoliosis. What it can do — often very effectively — is address the secondary effects: the tight, overworked muscles on the concave side of the curve; the restricted facet joints that contribute to stiffness and pain; and the compensatory patterns that develop throughout the rest of the spine and pelvis.

At our Mooloolaba clinic, a scoliosis assessment typically includes:

  • Full postural assessment — evaluating shoulder levels, pelvic tilt and spinal alignment
  • Motion IQ testing — measuring how the spine moves and identifying segments with restricted range of motion
  • On-site X-ray where appropriate — to establish the Cobb angle and monitor any changes over time
  • Specific chiropractic adjustments — targeting restricted joints to restore movement and reduce associated muscle guarding
  • Therapeutic exercise guidance — to strengthen the muscles that support the spine and address postural imbalances

When to refer on

Cobb angles above 40–45 degrees in a skeletally immature patient, or curves that are progressing rapidly, may require orthopaedic or specialist review and possible bracing or surgical consultation. We are straightforward about this — if we believe your situation warrants specialist input, we will tell you and refer appropriately.

Scoliosis in Mooloolaba

Our clinic on Smith Street has the imaging infrastructure to assess scoliosis properly on-site, without sending you elsewhere. If you or someone in your family has been told they have scoliosis — or you’ve noticed postural asymmetry and want it properly assessed — book in for a comprehensive evaluation.