Scoliosis Screening: Why Early Detection Matters
Scoliosis is a condition where the spine develops an abnormal curvature, forming an “S” or “C” shape. It most commonly presents in children and adolescents, particularly during puberty or periods of rapid growth. Early detection is crucial, as it can help prevent the need for more invasive treatments, such as bracing or surgery.
How Do Chiropractors Screen for Scoliosis?
At Sims & Finn Chiropractic, we use four primary tests to assess whether a patient has scoliosis:
1. General Postural Inspection
The first step in scoliosis screening is a visual postural assessment. The patient stands in a relaxed position while we examine their posture from behind. Signs that may indicate scoliosis include:
- Uneven shoulders – one shoulder higher than the other.
- Prominent shoulder blade – one shoulder blade protruding more than the other.
- Visible curvature of the spine – noticeable deviation of the spine.
- Uneven hips – one hip appearing higher than the other.
- Asymmetry in the waist – differences in waist shape or contour.
2. Adam’s Forward Bend Test
Also known as the Adam’s test, this is a simple but effective screening method. The patient bends forward as if trying to touch their toes. During this movement, we closely examine the spine to check for any rib prominence or asymmetry.
A rib hump on one side suggests scoliosis, as the spinal curvature can rotate the ribs, causing them to protrude.
3. Scoliometer Measurement
A scoliometer is a specialized tool used to measure the angle of spinal curvature. It is placed against the patient’s spine, and an internal metal ball moves to indicate the degree of scoliosis.
If the reading exceeds a certain threshold, further evaluation, including X-rays, is recommended to determine the severity and appropriate treatment plan.
4. Radiographs (if necessary) to Visualize the Cobb Angle
If scoliosis is suspected, radiographs (X-rays) may be taken to measure the severity of the curvature using the Cobb angle. This is the standard measurement used to determine the degree of spinal deviation. The Cobb angle helps guide treatment decisions, from conservative care to referrals for specialist evaluation if needed.
What Happens After a Screening?
If scoliosis is detected, we strongly recommend spinal X-rays to accurately measure the degree of curvature. This information helps determine the most appropriate course of treatment, which may include:
- Chiropractic care – to improve spinal function and mobility.
- Exercise and rehabilitation – targeted stretches and strengthening exercises.
- Collaborative care – referrals to other health professionals if needed.