There are two types of scoliosis, functional and structural

Structural

There is an anatomical deformity on the vertebral bone causing the vertebral column to bend naturally to the side to accommodate the deformity. This condition is not possible to revert only with conservatory treatment and surgery might be indicated depending on the degree of severity of the curve.

Functional

Functional scoliosis develops due to spinal misalignment followed by poor soft tissue health and strength. Misalignments on the pelvic foundation with or without short leg deficiencies and at L5 segment are the most common causes for the appearances of scoliosis.

Assessment

Spinal/Pelvic clinical assessment to identify the dysfunctional vertebral segments that contributed to this deformity.

Xray analyses

Anteroposterior (AP) and Lateral spinal views are essential to accurately diagnosed and visualise the patterns of dysfunction and distinguish between anatomical and functional scoliosis.

Treatment Protocol

Specific spinal/pelvic adjustments followed by a rehabilitation regime to strengthen the entire soft tissue support of the spine.

Heel lift might be indicated If there is over 7 mm leg deficiency

Initial stretching protocol on the muscles on the concave side of the curve and strengthening on the muscles groups on the convex side of the curve

Depending on the level of deformity and chronicity, minimum 6 weeks to 12 weeks of care is advisable to resolve this condition.