What should I do about scoliosis?

Scoliosis is a spinal deformity characterized by lateral curvature of the spine, caused by various factors. While the spinal cord appears straight when viewed from front to back, it exhibits a curved shape when observed from the side. In some patients, the degree of spinal curvature may worsen with age. If scoliosis is suspected, the first step is to seek medical evaluation at a hospital for accurate diagnosis. Treatment options for scoliosis generally fall into three categories: observation and physical exercise, bracing, and surgical correction.

1. Exercise-based Correction:

For patients with mild scoliosis—particularly those with idiopathic scoliosis—muscle-strengthening exercises can help correct or stabilize the curvature. Commonly recommended corrective activities include swimming and pull-up bar exercises.

2. Bracing:

The brace referred to here is a custom-fitted orthotic device designed by a certified orthotist—not a generic back-support apparatus. Patients must wear the brace for at least 20 hours per day. Except in rare cases where bracing is contraindicated, the brace should be worn continuously—including during sleep.

3. Surgical Correction:

If the spinal curvature is not excessively severe and the patient retains good spinal flexibility, surgery may proceed directly. However, if the curvature is very pronounced and spinal flexibility is significantly reduced, preoperative traction is typically required before surgery. Ultimately, the optimal clinical treatment plan should be determined in consultation with experienced physicians at a hospital, based on the patient’s individual condition.