OneEssential - Hong Kong Causeway Bay Physiotherapy Clinic
+852 3905 1828
+852 3905 1828

Scoliosis Physical Therapy: Correct Your Spine, Restore Mobility, and Improve Posture

OneEssential offers professional scoliosis physical therapy, providing customized treatment plans for specific symptoms of spinal curvature. Through a series of corrective exercises and muscle training, we help patients improve spinal alignment, restore spinal health, prevent condition worsening, and long-term alleviate pain and enhance physical performance.

脊柱側彎治療

What is Scoliosis?

Scoliosis is medically defined as a spinal curvature (Cobb Angle) greater than ten degrees, resulting in the spine leaning and twisting to one side, thus forming a “C” or “S” shape.

This deformation can occur at any part of the spine, with the thoracic spine being the most common. It progressively worsens over time, especially during the rapid growth phase of adolescence. In Hong Kong, it affects approximately 2-3% of adolescents, with the onset typically around the age of ten. Girls are generally more prone to developing scoliosis.

脊柱側彎治療

Causes of Scoliosis

Most cases of scoliosis are unpredictable and of unknown origin, with various classification methods. Below are some scenarios:

Primary Scoliosis (80% of Cases)

  • Unknown Causes
  • Unrelated to Posture or Exercise Habits

Functional Scoliosis (Curvature Disappears When Lying Flat)

  • Caused by Previous Injuries and Posture Habits
  • Muscle Imbalance

Adult Scoliosis

  • Degeneration, Fractures, and Structural Changes
  • Neuromuscular Diseases

Common Symptoms of Scoliosis

  • Uneven Shoulders
  • Protruding Scapula
  • Protruding Ribs
  • Uneven Pelvic Bones
  • Asymmetrical Waist Line
  • Twisted Posture Toward One Side
臨床知識

Classification of Adolescent Primary Scoliosis

Adolescent primary scoliosis is the most common type of scoliosis, which can rapidly worsen during puberty and is the most critical period for monitoring and treatment. Physical therapy can provide corresponding treatments and training based on the severity and type of scoliosis in children, offering professional support. We aim to share some clinical knowledge here to help you better understand your underlying issues and trust our professional expertise.

脊柱側彎角度

Mild Scoliosis (10 to 19 Degrees)

  • Regular Check-ups to Monitor Curvature Changes
  • Consistent Exercise to Prevent Deformation Worsening

Moderate Scoliosis (20 to 45 Degrees)

  • Bracing and Slowing Deformation Progress
  • Targeted Physical Therapy

Severe Scoliosis (Above 45 Degrees)

  • Potential Impact on Heart and Lung Function
  • Surgical Correction
  • Targeted Physical Therapy
C型脊柱側彎

More Common Type, Often Occurs in the Thoracic Spine. Most Noticeable Features: Uneven Shoulders and One Scapula Protruding Backwards. Less Impact on Pelvic Level

Physical therapy focuses on manual and stretching exercises for muscle imbalances, relaxing tight muscles and joints, strengthening weaker muscles on both sides, and improving awareness and control of neutral posture. For areas with long-term tightness and difficulty in exertion, acupuncture and shockwave therapy can be combined to enhance training quality.

S型脊柱側彎

Multiple Curvatures Occur Simultaneously in the Thoracic and Lumbar Spine, Bending in Opposite Directions, Forming an "S" Shape. This Deformation More Often Affects Lower Limb Balance

In Terms of Exercise, Due to the More Complex Biomechanical Issues in S-Type Scoliosis, General Strengthening Exercises May Not Address Muscle Imbalances Caused by Curvature. Physical therapists will use more meticulous corrective exercises to first reshape the patient's understanding and control of neutral posture, then gradually strengthen muscles. For areas with long-term tightness and difficulty in exertion, acupuncture and shockwave therapy can be combined to enhance training efficiency.

Hear from Customers with Scoliosis

Alan is a physiotherapist with a scientific mind. He is smart, honest and people-oriented. I especially like the way he educates his patient, for example by sharing myths behind treatment and clearing fallacious thoughts on patient.

A physical therapy center with a scientific approach.
Yi Yeung Cheung
A physical therapy center with a scientific approach.

Diagnosing Scoliosis

Accurately treating scoliosis requires detailed clinical examinations and imaging tests to identify the type, direction, and degree of spinal curvature, allowing for the creation of targeted treatment plans. Physical therapists will conduct comprehensive and in-depth examinations to understand the specific condition and its impact on daily life, further designing personalized treatment plans.

物理治療師問診

One-on-One Consultation

Scoliosis has many different classifications, and consultations help us determine the cause and impact of the curvature on the patient’s life. Since most scoliosis cases are unpredictable and the degree of curvature cannot be naturally restored to normal, providing appropriate guidance and personalized training plans based on posture, daily life, exercise, and even psychological barriers is essential.

臨床檢查

Clinical Examination

In addition to medical tests, clinical examinations are also an effective method for assessing scoliosis. Physical therapists will test various movements and areas, observing the location of pain to determine your condition. These may include:

MRI醫學檢測

Medical Testing

If you suspect scoliosis, doctors will eventually arrange X-ray examinations. X-rays can clearly show the curvature of the spine and measure the Cobb angle to determine the severity of the scoliosis. Some parents may have concerns about their children undergoing X-rays, so it is recommended to first consult a physical therapist for a preliminary assessment before proceeding to more in-depth examinations.

Although X-rays are usually sufficient for checking scoliosis, in specific cases, doctors may also recommend MRI (Magnetic Resonance Imaging) or CT (Computed Tomography) scans to further examine issues related to intervertebral discs or nerves.

Why Choose OneEssential's Scoliosis Physical Therapy?

One-on-One Treatment for Scoliosis

We design a personalized physical therapy and rehabilitation training program based on the specific degree and direction of your spinal curvature. The treatment is led one-on-one by professional physical therapists, systematically addressing the inconveniences caused by scoliosis and helping you restore normal mobility.

One-Stop Prevention of Scoliosis Worsening

With years of profound experience in treating scoliosis, OneEssential provides a one-stop solution, including pain treatment, home exercises, rehabilitation training, and posture recommendations to prevent condition worsening. We guide patients in long-term management of scoliosis issues at different stages.

Professional and Reliable

Through comprehensive and detailed clinical evaluations, we can accurately analyze the type of scoliosis you have and design reliable treatment plans based on scientific evidence. You can fully trust our professional team without worrying or guessing about other potential issues.

How Does OneEssential Treat Your Scoliosis?

Schroth Exercises

Schroth exercises are a type of exercise therapy specifically for scoliosis, using specific breathing techniques and posture adjustments to retrain the body to restore better spinal symmetry. Schroth exercises emphasize the patient’s self-correction ability and are suitable for all age groups, especially for adolescents with mild to moderate scoliosis who are still in their growth phase.

Rehabilitation Exercises

Physical therapists design different rehabilitation exercises based on the patient’s condition, aiming to improve the mobility of scoliosis patients. These exercises target overly tight and weak muscles, providing corresponding intensity training plans. Proper muscle strength training can strengthen the muscles surrounding the spine and prevent scoliosis from worsening.

Manual Therapy

If your joints and muscles are restricted by scoliosis, manual therapy can alleviate muscle tightness, improve spinal flexibility and stability, and increase body mobility. Although manual therapy cannot directly correct spinal curvature, it can reduce pain and discomfort caused by scoliosis.

Acupuncture Therapy

Dry needling, also known as modern acupuncture, is a professional technique used by physical therapists to address musculoskeletal pain. Fine needles are precisely inserted into the deep back and gluteal muscles to relax the tight muscles caused by scoliosis and alleviate discomfort.

物理治療師:Alan Hui

Cure Scoliosis with the Best Physical Therapy

Physical therapy is the most common method for treating scoliosis, especially for patients with mild to moderate spinal curvature. The goal of physical therapy is to improve spinal stability, increase muscle strength, and enhance the patient’s range of motion. Regardless of the stage of scoliosis, OneEssential can provide corresponding physical therapy programs.

If you wish to have a preliminary consultation, please fill out the form below. Our physical therapists will assess your current condition and provide you with the most professional advice.

Frequently Asked Questions about Scoliosis

Mild scoliosis (less than 20 degrees) generally does not continue to worsen after growth stops but does not heal naturally. The rapid growth phase during adolescence is a high-risk period for scoliosis progression. Therefore, even mild curvature is recommended to undergo regular check-ups and receive appropriate treatment.

Other types and severe adolescent primary scoliosis have a higher chance of worsening over time, age, and habitual postures. It is advisable to consult a professional physical therapist to learn long-term management methods.

Thoracic scoliosis is a type of scoliosis that occurs in the thoracic spine, which is the spine in the chest area. Scoliosis can affect different parts of the spine, including the thoracic and lumbar spine. When the curvature occurs in the thoracic spine, it is referred to as thoracic scoliosis.

 

Yoga encompasses a variety of movements, and some yoga poses can effectively stretch and help maintain the health of the spine and surrounding muscles. However, not all poses are suitable. If your scoliosis is severe, it is recommended to consult a physical therapist to find the correct exercise methods. Start by improving your body's awareness and control of neutral posture before enjoying various exercises.

Due to the protection of the pelvic cavity, scoliosis does not affect fetal growth. However, scoliosis symptoms may worsen during pregnancy, causing pain and changes in posture. If needed, seek assistance from a physical therapist to analyze the causes of pain and treatment methods.

No, studies have shown that external forces do not help improve scoliosis. The only temporarily effective methods are corrective exercises, braces, and surgery. Adolescents still growing during puberty have more room for improvement in curvature degrees, and post-growth treatment effects mostly manifest in scoliosis symptoms, including posture, confidence, pain, and athletic ability.

Frequently Asked Questions about Scoliosis Physical Therapy

Physical therapy cannot completely cure scoliosis. The purpose of physical therapy is to prevent scoliosis from worsening, help patients improve posture, and alleviate pain. It also involves learning correct management methods for long-term benefits.

However, immediate curvature correction after puberty is not possible. After undergoing rehabilitation training and corrective exercises, patients can significantly improve symptoms. It is recommended that patients with scoliosis curvatures greater than twenty degrees seek assistance promptly to reduce the impact on their lives.

During pregnancy, hormonal changes can cause ligaments to loosen, potentially worsening scoliosis symptoms such as lower back pain. Therefore, pregnant women should undergo physical therapy to alleviate pain and learn appropriate care, posture adjustments, and exercise methods.

Yes, physical therapy is still necessary after surgery. Surgery can only correct part of the spinal curvature, and severe scoliosis cannot be completely cured through surgery alone. Additionally, adolescents whose spines are still developing are at risk of further curvature changes. Therefore, after surgery, patients need to learn relevant knowledge and exercise training to correct and strengthen surrounding muscles to prevent scoliosis from worsening.

Moreover, scoliosis not only affects posture and curvature but also often leads to muscle development issues due to long-term body imbalance. Problems such as muscle tightness and insufficient muscle strength can also be gradually improved through physical therapy.

OneEssential's scoliosis physical therapy consultation fee is $1,400 for a 60-minute session, which includes all examinations, treatments, and exercise training. The service is entirely handled by registered physical therapists.

Scoliosis is a chronic condition, and patients may not always exhibit symptoms but may experience intermittent discomfort. Therefore, we recommend patients seek reliable physical therapists to learn how to manage their specific spinal curvature and correct exercise postures. This approach can prevent symptom worsening and ultimately save money spent on pain relief.

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