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Idiopathic scoliosis is the most common type of scoliosis across all age groups. “Idiopathic” means the cause is unknown, though it’s believed to be multifactorial—likely the result of several contributing factors. The most prevalent form is adolescent idiopathic scoliosis (AIS), usually diagnosed between the ages of 10 and 18. Around 80% of all scoliosis cases are idiopathic.

We know idiopathic scoliosis tends to worsen over time. While its exact cause remains unclear, growth is a known driver of curve progression. The larger the curve becomes, the more likely it is to continue progressing. That’s why early detection and treatment—when the curve is still mild—are so important.

Scoliosis severity ranges from mild to very severe. As the curve increases, treatment becomes more difficult, especially if structural changes set in. Early intervention reduces the need for invasive procedures and offers the best chance for correction.

In children, scoliosis often causes visible postural changes: uneven shoulders or hips, a rib hump, or asymmetrical limbs. Gait and balance may also be affected. Most children don’t experience pain, but in adults, scoliosis is often painful. Once skeletal maturity is reached, the spine may compress over time, affecting nerves, muscles, and soft tissue.

Scoliosis is more common in females, with a 4:1 female-to-male ratio. Females are also more likely to develop severe curves. While it’s not purely genetic, scoliosis can run in families. Twin studies show only a 60% concordance, suggesting scoliosis is familial, not strictly inherited.

Since idiopathic scoliosis is progressive, early treatment yields better outcomes. As curves grow larger, they become more rigid, twisted, and harder to manage. Waiting and watching a curve may allow it to worsen, especially during growth spurts. Once curves reach 20–30 degrees, proactive care is typically more effective than trying to correct a larger curve later.

Idiopathic scoliosis often presents as a right thoracic curve, a left lumbar curve, or both. Treatment generally falls into two categories: traditional or non-surgical conservative care.

Traditional care offers minimal intervention until a curve becomes moderate or severe. A Boston Brace may be used during growth, but spinal fusion surgery is often recommended for severe curves. Surgery is invasive and typically avoidable with earlier intervention.

Non-surgical care combines chiropractic adjustments, scoliosis-specific physical therapy, exercises, rehab, and corrective bracing. The goal is early curve reduction to prevent long-term progression.

Though idiopathic scoliosis has no known cause, it is highly treatable—especially when addressed early. With proper care, scoliosis progression can be slowed, stopped, or even reversed without surgery.

00:00 What Is Idiopathic Scoliosis?
00:40 How Scoliosis Progresses Over Time
01:20 Early Symptoms in Children vs. Adults
02:09 Who Gets Scoliosis?
02:48 Why Early Treatment Matters
04:28 Traditional Treatment
05:17 Non-Surgical Treatment Options
06:03 Final Thoughts

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