Scoliosis is a lateral curvature of the spine — typically S-shaped or C-shaped when viewed from behind — often accompanied by vertebral rotation. The majority of cases are idiopathic (no identified cause). Most mild scoliosis requires monitoring rather than treatment; curves above 40–50 degrees may require surgical consideration.

Can complementary therapies help manage scoliosis?

For mild-to-moderate scoliosis, specialised exercises — particularly the Schroth method, a scoliosis-specific three-dimensional rehabilitation approach — have evidence for reducing curve progression in adolescents and improving function and pain in adults. Pilates and yoga, adapted by instructors with scoliosis experience, can improve core strength and body awareness. Massage and osteopathy address associated muscle tension.

Does scoliosis always cause pain?

Not necessarily — many people with mild or moderate scoliosis experience little or no pain, particularly during childhood. Pain becomes more common in adulthood, often relating to muscle fatigue, asymmetric loading, and secondary degenerative changes. The relationship between curve severity and pain is not linear; general fitness and psychological factors also influence the pain experience.

What should I look for in a practitioner for scoliosis?

Experience with scoliosis-specific rehabilitation is important — not all physiotherapists, yoga teachers, or Pilates instructors are trained in scoliosis management. Schroth-certified physiotherapists offer the most evidence-aligned exercise approach. Manual therapists should be informed of your curve pattern and degree before any treatment begins.

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Scoliosis

Scoliosis is a common condition with abnormal curvature of the spine

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Reviewed by Dr. Ian Henderson · Microbiobial Health & Medicine26 March 2026Emerging evidence

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Scoliosis is a common condition with abnormal curvature of the spine

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Sideways curvature of the spine.

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Postural Imbalance

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