Scoliosis is often thought of as a teen condition, but many adults live with a spinal curve. Some curves began in adolescence; others develop later in life. Here is how adult scoliosis is usually described and evaluated.
Two common paths to adult scoliosis
A curve that began earlier
- Adult idiopathic scoliosis is found in people older than 18.
- Many of these curves began during adolescence.
A curve that starts in adulthood
- Called degenerative or de novo scoliosis.
- Develops as spinal discs and facet joints wear with age.
- Defined as a sideways curve of 10 degrees or more.
Symptoms adults often report
Adults with degenerative scoliosis usually seek care because of pain. Back pain can spread to the buttocks, hips and thighs. Leg numbness, or tiredness and heaviness in the legs when walking that eases with sitting or leaning forward, can point to narrowing around the nerves, called spinal stenosis.
How adult scoliosis is evaluated
An evaluation usually includes a history, a physical exam and full-length X-rays of the spine taken from the front and the side. MRI may be used to look at the nerves and discs, especially when there are leg symptoms.
Options adults commonly discuss
Many adults with degenerative scoliosis are able to manage symptoms without surgery. Options often include adjusting activities that worsen symptoms and exercise-based care such as physical therapy. Surgery is generally considered when symptoms significantly affect quality of life or other measures have not helped.
Questions adults often ask at a consultation
- What type of curve is this, and how large is it?
- Could the curve be related to disc or joint wear?
- Could leg symptoms be related to the curve?
- Which non-surgical options fit this situation?
- What would make surgery worth discussing?
- How often should the curve be rechecked?
Adults and seniors with questions about forward rounding of the upper back can also read kyphosis and Scheuermann's kyphosis explained.
Questions about a curve?
Scoliosis Correction Centers offers consultations in Cheshire, Connecticut, and North Miami Beach, Florida, for children, teens and adults. A consultation helps determine whether non-surgical care may be appropriate. Individual results vary.
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This article is general education and is not medical advice. It does not replace an evaluation by a qualified clinician.