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Understanding Adult Scoliosis

Scoliosis is often associated with adolescence, but it can also develop or persist into adulthood. Adult scoliosis refers to a spinal curvature of 10 degrees or greater in individuals 18 years and older. It may be the result of untreated adolescent idiopathic scoliosis or may arise due to degenerative changes in the spine later in life.

Recent research finds that adult scoliosis affects nearly 30% of adults over the age of 60. Many individuals live with mild curves for years without symptoms, but as the spine ages, scoliosis can lead to chronic pain, stiffness, reduced mobility, and other complications that impact daily function and quality of life.

Causes of Scoliosis in Adults

There are two primary categories of adult scoliosis:

1. Adult Idiopathic Scoliosis

This type is carried over from adolescent idiopathic scoliosis (AIS) that was either undiagnosed or untreated during youth. In some cases, the curve remains stable, but in others, it continues to progress with age, especially after the age of 40.

2. Adult Degenerative Scoliosis

Also known as de novo scoliosis, this form develops in adulthood due to spinal degeneration. As the intervertebral discs and facet joints wear down, the spine loses structural integrity, leading to curvature. Degenerative scoliosis typically appears after age 50 and is often accompanied by spinal stenosis, arthritis, or osteoporosis.

Symptoms of Adult Scoliosis

Unlike adolescent scoliosis, which is often painless, adult scoliosis frequently presents with symptoms that worsen over time. These may include:

* Chronic lower back pain

* Stiffness and fatigue in the back and legs

* Uneven hips or shoulders

* Visible spinal curve or posture imbalance

* Numbness, tingling, or weakness in the legs (in cases involving nerve compression)

* Difficulty standing or walking for extended periods

Treatment Goals for Adult Scoliosis

The primary goals of treating adult scoliosis are to:

* Relieve pain and discomfort

* Improve posture and function

* Prevent further curve progression

* Enhance quality of life and mobility

Treatment depends on the severity of the curve, the level of pain or dysfunction, and the patient’s overall health and goals.

Non-Surgical Management Options

1. CLEAR™ Scoliosis Treatment

At Elite Chiropractic, we specialize in non-surgical scoliosis care through the CLEAR™ Method, a comprehensive treatment system that combines:

* Chiropractic adjustments tailored for scoliotic spines

* Spinal rehabilitation and posture-specific exercises

* Neuromuscular re-education to restore balance and spinal alignment

This approach is particularly effective for adults who want to reduce pain, improve posture, and enhance spinal function without undergoing surgery. The CLEAR™ Method is designed to not only alleviate symptoms but to stabilize the curve and retrain the body for long-term relief.

2. ScoliBrace® for Adults

While bracing is often associated with children and teens, the ScoliBrace system offers a modern, effective option for adults as well. Using 3D scanning and computer-aided design, ScoliBrace is custom-built to each patient’s unique spinal structure. For adults, ScoliBrace can:

* Support the spine during daily activities

* Reduce postural collapse and visible deformity

* Alleviate discomfort caused by spinal instability

* Slow or stop further progression of the curve

ScoliBrace differs from traditional bracing by offering an over-corrective, asymmetrical design that promotes better spinal alignment and comfort. It’s a valuable part of a broader non-surgical management plan.

3. Lifestyle & Supportive Therapies

Additional non-invasive options may include:

* Physical therapy to improve strength and flexibility

* Anti-inflammatory medications for symptom relief

* Nutritional support for bone and joint health

* Low-impact exercises like walking, swimming, or yoga to maintain mobility

At Elite Chiropractic, we guide patients through supportive care that aligns with their treatment goals and overall wellness.

When Is Surgery Considered?

Surgery is typically reserved for severe cases of adult scoliosis where:

* Curves exceed 50 degrees

* There is progressive worsening of the curvature

* Nerve compression leads to significant neurological symptoms

* Pain is chronic, disabling, and unresponsive to conservative care

Surgical intervention may involve spinal fusion, decompression, or the installation of rods and screws to stabilize the spine. Recovery time can be extensive, and patients must consider the risks, downtime, and long-term implications carefully.

Which Treatment Option is Right for You?

The best scoliosis treatment depends on factors such as age, curve severity, and overall health. While surgery may be necessary for extreme cases, most patients with mild to moderate scoliosis can benefit from non-surgical treatment and bracing before considering invasive procedures.

At Elite Chiropractic, we provide a personalized scoliosis treatment plan that focuses on natural, non-surgical solutions designed to improve spinal health, prevent progression, and enhance overall well-being.

Early intervention is key to managing scoliosis effectively. If you suspect scoliosis in your child or want a professional evaluation, our team is here to help.