Children & Adolescents

First and foremost, it’s important to know that scoliosis is not a dangerous condition, and children and teens can absolutely live healthy, active lives with scoliosis.

However, there is a lot that can be done to prevent the progression of spinal curves, and in some cases, even reduce them. The key is to begin treatment at the right time.

Growth and Risk of Progression

Curves tend to progress the most rapidly during the primary growth spurt in puberty—typically the period before a girl’s first menstruation and a boy’s voice change.

• For girls, this often begins when breast development starts, usually between ages 10–11, though this varies based on biological age.
• For boys, the critical period is often around ages 13–14.

Initial Assessment at ScolioFys

At the first consultation, we perform a risk assessment to evaluate the likelihood of curve progression, based on:

• Curve size (Cobb angle)
• Risser sign (skeletal maturity)
• Chronological and biological age

Based on this assessment, we determine the most appropriate treatment plan at that moment—observation, Schroth-based exercise, or bracing. Our recommendations and treatment plan are guided directly by this risk profile.

How to Spot Scoliosis

Scoliosis is often first noticed by observing the child from behind while standing. Early signs may include:

• One shoulder hanging lower than the other
• The pelvis appearing shifted to one side
• One side of the waist looking more compressed (which may mimic a leg length discrepancy)
• A visible asymmetry or bulge in the ribcage or lower back, caused by spinal rotation

Adam’s Forward Bending Test

If scoliosis is suspected, you can perform the Adam’s Forward Bend Test, which helps detect spinal rotation.
From a bent-forward position, you may observe that one side of the back is higher, either in the lower back or ribcage.

Next Steps

If you suspect your child has scoliosis:

• Contact your family doctor
• They can perform a clinical exam and refer you to both a hospital orthopedic specialist and a physiotherapist with expertise in scoliosis
• These professionals can confirm the diagnosis and plan the appropriate course of treatment

Why Early Detection Matters

Scoliosis can progress very rapidly in children during their growth spurt—cases of up to 30° progression in just three weeks have been documented.
Research shows that children with a 20° curve at the onset of puberty are at high risk of significant progression. That’s why every day counts.

Evidence-Based Treatment

It’s important to know that evidence-based exercise exists for scoliosis. The Schroth Method is thoroughly researched and has shown positive results in:

• Preventing curve progression
• Reducing pain
• Improving posture and function

You can read more about Schroth and Schroth Best Practice on our website.

Note: During the primary growth phase, exercise alone is not enough—a full-time brace is usually necessary.
Learn more under the section: Bracing

If scoliosis is suspected, you can perform the Adam’s Forward Bend Test, which helps detect spinal rotation.
From a bent-forward position, you may observe that one side of the back is higher, either in the lower back or ribcage.