Official Diagnosis Process—Screening & Diagnosis

Once scoliosis is suspected, most families want to know exactly what happens next. The formal diagnosis process at Dorsi Spinal Institute is designed to be thorough, reassuring, and easy to understand.

Step 1: History and Concerns

We start by listening. Our clinicians ask about:

• When changes in posture were first noticed.
• Any pain, fatigue, or breathing issues.
• Family history of scoliosis or back problems.
• Growth spurts, puberty stage, and general health.

Step 2: Physical Examination

A hands-on assessment follows, which may include:

• Observation of the spine from front, side, and back.
• The forward bend (Adams) test for rib or lumbar humps.
• Leg length, pelvic balance, and shoulder symmetry checks.
• Basic neurological tests (reflexes, strength, sensation).

Step 3: Imaging

If scoliosis is likely, we arrange appropriate imaging. This can include:

• Standing spinal x-rays to measure Cobb angles.
• 3D surface or LiDAR scans to capture external body shape.
• MRI if there are neurological symptoms or unusual findings.

Step 4: Explanation and Education

Results are explained clearly, using images on screen:

• Where the curve is and how big it is.
• How much growth is left.
• What the numbers mean for risk and treatment options.

You leave with a solid understanding of the diagnosis—not just a report full of jargon.

Step 5: Building a Plan

Depending on severity and risk, we may recommend:

• Observation and periodic check-ups.
• Custom bracing and scoliosis-specific exercises.
• Discussion with spinal surgeons in very severe or rapidly progressing cases.

Next Steps

If you’ve been told “there might be a curve,” but haven’t had a clear, structured assessment, Dorsi Spinal Institute can provide a complete, official diagnosis and roadmap for care.

Related reading: see our pieces on Cobb angle, home screening, and adolescent idiopathic scoliosis.

 

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Long-Term Health Implications—Adult Scoliosis

Parents of children with scoliosis—and adults with their own curves—often ask: “What does this mean for me in 10, 20, or 40 years?” The answer depends heavily on curve size, progression control, and lifestyle, but the outlook is usually far better than most people fear.

Potential Long-Term Challenges

Possible issues in adulthood may include:

• Back ache linked to disc wear and arthritic joints.
• Postural changes that affect balance or appearance.
• Occasional leg symptoms due to nerve compression.

However, these are far from inevitable, especially for well-managed curves.

Why Good Early Care Pays Off

Children whose curves are detected and treated early often reach adulthood with:

• Smaller, stable curves.
• Stronger core and postural muscles.
• Better habits around ergonomics and activity.

This dramatically reduces the risk of serious problems later in life.

Ongoing Monitoring in Adults

Dorsi Spinal Institute supports adults with:

• Periodic clinical reviews and imaging when needed.
• Bone density checks and bone health optimisation.
• Advice on maintaining spine-friendly work and exercise routines.

Conditions That May Interact with Scoliosis

As people age, issues like osteoporosis, disc disease, and arthritis may occur regardless of scoliosis. In those with curves, these can influence posture and pain. We treat these factors together, not in isolation.

Quality of Life

Most adults with scoliosis maintained under specialist care:

• Remain mobile and independent.
• Work, travel, and exercise freely.
• Have family and social lives unaffected by their curve.

Next Steps

If you want a realistic, personalised picture of your long-term outlook with scoliosis, Dorsi Spinal Institute can review your history, current status, and risk factors—then help you plan for a strong, active future.

Related reading: see our blogs on adult degenerative scoliosis, bone health, and driving and travel with scoliosis.

 

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Scoliosis Back Pain—Relief, Causes & When to Get Help

Back pain and scoliosis often get mentioned in the same breath, but the relationship is not always straightforward. Some people with significant curves have little pain; others with modest curves can be in real distress. Understanding the causes allows for better, more targeted relief.

Why Scoliosis Can Cause Pain

Possible pain drivers include:

• Uneven loading on discs and facet joints leading to wear.
• Muscle fatigue from constantly working to keep the body balanced.
• Nerve compression where the curve narrows nerve passageways.

Children vs Adults

Children and teenagers with scoliosis are often pain-free or experience only mild, activity-related aches. Adults, especially with degenerative changes, are more likely to experience ongoing pain that needs active management.

Assessment at Dorsi Spinal Institute

We evaluate:

• Exact pain location and pattern.
• Curve type and severity.
• Muscle strength, flexibility, and posture.
• Signs of nerve involvement in legs or arms.

Imaging (x-ray, MRI) is used when necessary to pinpoint structural causes.

Treatment Options

Dorsi’s multidisciplinary pain plans may include:

• Scoliosis-specific physiotherapy.
• Adult bracing for support and load reduction.
• Manual therapy and massage.
• Activity modification and ergonomic advice.

We coordinate with NHS pain clinics for medication or injections when needed.

When to Seek Help Urgently

Immediate review is recommended if pain is accompanied by:

• Leg weakness, numbness, or loss of control.
• Changes in bladder or bowel function.
• Fever or unexplained weight loss.

Next Steps

If scoliosis and back pain are affecting your daily life, Dorsi Spinal Institute can identify what’s causing the pain and build a clear, realistic plan for relief.

Related reading: see our blogs on adult scoliosis pain, neurological symptoms, and exercise approaches.

 

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Scoliosis Treatment Innovations—3D Scanning & Bespoke Bracing at Dorsi

For years, scoliosis care relied on plaster casts, generic braces, and two-dimensional x-rays. Modern technology has changed everything. Dorsi Spinal Institute is at the cutting edge of these advances in the UK.

3D Scanning for Precision

We use advanced 3D surface and LiDAR scanners to capture the exact shape of a patient’s torso and posture. This data creates a precise digital model, forming the foundation of truly customised braces.

Bespoke 3D Bracing

Unlike generic bracing that simply “holds” a curve, our custom-designed braces:

• Apply targeted forces to correct in three dimensions.
• Allow for growth adjustments and easy refinements.
• Are often slimmer, lighter, and more comfortable.

Digital Monitoring and Adjustments

Follow-up scans and x-rays let us objectively track changes, refining brace design as needed. This real-time feedback maximises correction potential and avoids “guesswork.”

Integration with Exercises and Tech

Dorsi integrates bracing with scoliosis-specific exercise, posture coaching, and digital tools (apps, online trackers) to support adherence and progress.

Why It Matters

These innovations reduce the need for surgery, shorten treatment time, and improve comfort and cosmetics for patients—major benefits for children, teens, and adults alike.

Next Steps

If you’re looking for modern scoliosis care that goes beyond old-fashioned bracing, Dorsi Spinal Institute can show you how 3D technology is changing the game.

Related reading: see our blogs on curve correction, bracing plus exercise, and digital monitoring tools.

 

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Bracing FAQs—What UK Families Need to Know

When a brace is recommended for a child or teenager, families understandably have a long list of questions. Dorsi Spinal Institute addresses the most common concerns to make the journey less daunting.

How Many Hours per Day?

Brace wear time varies, but full-time protocols are often 18–23 hours per day during growth. Part-time or night-time wear may be possible in specific cases. We tailor recommendations to each patient and their curve.

Can My Child Still Do Sports?

Yes. Many patients continue sport, sometimes with the brace on, sometimes off. Our clinicians provide individual guidance on which activities are suitable and how to manage brace breaks.

What About School?

Children usually attend school normally. We provide letters and information for teachers explaining:

• What a brace is and why it’s needed.
• Any PE adjustments.
• Permission to change position or remove brace for specific tasks where appropriate.

Is It Painful?

It can feel strange or mildly uncomfortable at first but should not cause ongoing pain. Early check-ups allow us to adjust padding, straps, and trim lines to maximise comfort.

What If My Child Won’t Wear It?

Brace adherence is a real challenge for some families. Dorsi supports this with:

• Education and counselling about benefits and risks.
• Regular encouragement and celebrating milestones.
• Peer support from other brace wearers.

How Long Will Bracing Last?

Bracing typically continues until skeletal maturity—often several years. We regularly reassess the need and adjust wear schedules as growth slows.

Next Steps

If bracing has been recommended and you feel overwhelmed, bring your questions to Dorsi Spinal Institute. We’ll walk you through each concern and build a bracing plan that works for your whole family.

Related reading: see our blogs on ScoliBrace specifics, bracing plus exercise, and curve correction results.

 

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Is Scoliosis a Disability? Your UK Rights, Benefits & Legal Protections

Many people with scoliosis wonder whether their condition counts as a disability in the UK—and what support that might unlock. The answer depends on severity, symptoms, and impact on daily life, rather than just curve size on an x-ray.

How Disability Is Defined

Under the Equality Act 2010, a disability is any physical or mental impairment that has a substantial, long-term negative effect on your ability to do normal daily activities. Some people with scoliosis meet this definition; many do not.

When Scoliosis May Be Considered a Disability

Scoliosis could be recognised as a disability when it causes:

• Significant, persistent pain limiting walking or standing.
• Restricted mobility requiring aids or help.
• Substantial difficulty with work tasks or self-care.

What This Means in Practice

If scoliosis is disabling, you may be entitled to:

• Workplace adjustments (e.g. flexible hours, equipment).
• Educational support (e.g. seating, timetable changes).
• Benefits such as Personal Independence Payment (PIP).

How Dorsi Spinal Institute Helps

We support patients by:

• Providing detailed medical reports and functional assessments.
• Advising on reasonable adjustments at work or school.
• Collaborating with GPs and occupational health teams.

Not All Scoliosis Is Disabling

It’s important to note that many people with scoliosis, especially those treated early, live full lives without needing disability status or benefits. The key is accurate assessment of function, not labels.

Next Steps

If you suspect your scoliosis is impacting daily life enough to qualify as a disability, Dorsi Spinal Institute can help you understand your rights and gather evidence for any applications or discussions with employers and schools.

Related reading: see our posts on disability benefits, work and scoliosis, and long-term adult outcomes.

 

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Scoliosis-Specific Exercises—Evidence-Based UK Approaches

Not all exercise is equal when it comes to managing scoliosis. General fitness is helpful, but scoliosis-specific exercises are designed to counteract curve mechanics, improve posture, and reinforce brace correction.

What Makes an Exercise “Scoliosis-Specific”?

These exercises:

• Target muscles that support and de-rotate the spine.
• Focus on asymmetrical strengthening and stretching.
• Teach three-dimensional postural correction and awareness.

Examples of Evidence-Based Methods

At Dorsi Spinal Institute, we use approaches such as:

• Schroth method: combining breathing, postural, and rotational exercises.
• SEAS (Scientific Exercise Approach to Scoliosis): emphasising active self-correction and functional tasks.

Benefits of Scoliosis-Specific Exercise

Research suggests that, particularly when combined with bracing, these exercises can:

• Reduce pain and fatigue.
• Improve posture and cosmetic appearance.
• Contribute to stabilising or improving curves.

Personalised Programmes

Exercises are tailored to:

• Curve type and location.
• Age and growth stage.
• Brace wear schedule.

Dorsi physios teach patients in-clinic and then provide home plans and digital support.

Next Steps

If you want targeted exercise that truly supports your curve, rather than just general fitness, Dorsi Spinal Institute can design a scoliosis-specific programme that fits your needs and schedule.

Related reading: see our blogs on Schroth and SEAS, bracing plus exercise, and spine-friendly sports.

 

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Schroth Therapy in the UK—Can It Transform Scoliosis Treatment?

The Schroth method is one of the most recognised scoliosis-specific exercise approaches worldwide. Patients often ask whether it’s available in the UK and whether it really works. At Dorsi Spinal Institute, Schroth is a core part of our active treatment toolkit.

What Is Schroth?

Schroth is a three-dimensional approach that uses:

• Specific postural corrections.
• Targeted strengthening and stretching.
• “Rotational breathing” to expand concave areas of the rib cage.

Who Is It For?

Schroth can benefit:

• Adolescents using braces.
• Adults with pain or postural issues.
• Post-surgical patients wanting to maintain strength and balance.

Evidence and Outcomes

Studies show that Schroth-based programmes, especially when added to bracing, can improve:

• Posture and cosmetic appearance.
• Pain and quality of life.
• Curve stability in many cases.

How Dorsi Delivers Schroth

Our Schroth-trained physiotherapists:

• Assess curve patterns and functional needs.
• Design bespoke exercise blocks for clinic and home.
• Provide ongoing feedback and progression.

Integration with Other Care

Schroth at Dorsi is not standalone; it is integrated with bracing, activity advice, and mental health support.

Next Steps

If you’re curious whether Schroth could help your curve or your child’s, Dorsi Spinal Institute can provide an assessment and show you how it fits into a wider treatment strategy.

Related reading: see our posts on scoliosis-specific exercise, bracing plus exercise, and long-term outcomes.

 

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Curve Progression Risk—Understanding the Numbers

The concept of “progression risk” underpins almost every major treatment decision in scoliosis care. Families want to know: will the curve get worse, and if so, how quickly?

Key Factors in Progression Risk

Important predictors include:

• Initial Cobb angle (larger curves have higher risk).
• Age and skeletal maturity (younger children with more growth ahead are higher risk).
• Curve pattern (certain thoracic or double curves progress more aggressively).
• Family history (relatives with significant scoliosis or surgery).

Risk Categories

Clinicians group patients into low, moderate, or high risk categories. This guides:

• How often to image and review.
• Whether to brace or just monitor.
• When to consider surgical opinions in very high-risk situations.

How Dorsi Calculates Risk

We use:

• Detailed growth and development assessments.
• Imaging trends over time.
• Current research and validated scoring systems.

Risk is communicated clearly so families can make informed decisions.

Changing Risk Over Time

Risk is not fixed. As a child grows, risk may:

• Increase during rapid growth spurts.
• Decrease as they reach skeletal maturity.

Our follow-up schedules adapt accordingly.

Next Steps

If you’ve been told a curve is “at risk” but don’t know what that really means, Dorsi Spinal Institute can provide a detailed progression risk assessment and plan.

Related reading: see our blogs on mild curve progression, high-risk curves, and early screening ages.

 

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Kyphosis vs Scoliosis—Key Clinical Differences

People often mix up kyphosis and scoliosis, or assume they are the same thing. In reality, they describe different deformities, and understanding the difference matters for treatment.

What Is Kyphosis?

Kyphosis is an exaggerated forward rounding of the spine, typically in the thoracic region. Mild kyphosis is normal, but excessive kyphosis can produce a hunchbacked appearance and may cause pain or fatigue.

What Is Scoliosis?

Scoliosis is a sideways curve with rotation, creating a three-dimensional deformity. It can occur in the thoracic, lumbar, or both regions. Structural scoliosis cannot be corrected simply by “standing up straight.”

Can They Occur Together?

Yes. Some patients have both abnormal kyphosis and scoliosis—this is often called kyphoscoliosis. It can present extra challenges for posture, breathing, and treatment planning.

How They Are Assessed

Dorsi Spinal Institute assesses both using:

• Clinical posture exams.
• Spinal x-rays to measure angles in different planes.
• 3D postural analysis.

Treatment Differences

While both conditions may respond to bracing and targeted exercises, brace design and exercise goals differ. For kyphosis, emphasis is often on extension and scapular strength; for scoliosis, on de-rotation and trunk symmetry.

Next Steps

If you have been told you have kyphosis, scoliosis, or both—and are unsure what that really means—Dorsi can clarify your diagnosis and outline precise treatment options.

Related reading: see our blogs on kyphoscoliosis, curve types, and adult spine health.

 

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