Health Corner

What is scoliosis? Can people with scoliosis exercise? Will having scoliosis affect fertility? Is carrying a heavy school bag the cause of scoliosis?

Parents face many questions and often feel anxious and worried. Generally, scoliosis is not life-threatening, but daily care is important. It is a misconception that people with scoliosis should avoid exercise; in fact, they should exercise more.

How is scoliosis defined?
Scoliosis is defined as a spinal curvature of 10 degrees or more. Normally, the spine forms a straight vertical line, but signs such as uneven shoulders, asymmetrical ribs, uneven pelvis, or frequent neck and back pain indicate a high likelihood of scoliosis.

Will scoliosis affect future fertility?
Data shows females are more affected by scoliosis, about 80%, so parents often worry if it will affect fertility. The answer is no, provided the individual does targeted stretching and muscle strengthening exercises to prevent worsening of curvature angles.

Scoliosis can cause fatigue and affect cardiopulmonary function. Its appearance may draw attention. After diagnosis, regular monitoring and strengthening of back and abdominal muscles to relax tight muscles are important, along with attention to posture. Wearing an orthotic brace may be necessary as corrective treatment.

Should one see a chiropractor or physiotherapist?
Both can treat scoliosis. Chiropractors focus on manual therapy, while physiotherapists emphasize exercise-based correction. They are not mutually exclusive; parents should choose trusted professionals.

When is surgery needed?

• Mild: 10–25 degrees

• Moderate: 26–40 degrees

• Severe: over 40 degrees (surgery required)

Advice:
Scoliosis causes fatigue, cardiopulmonary impact, and visible deformity. Regular monitoring, back and abdominal muscle strengthening, posture awareness, and orthotic braces if required are crucial.

Hong Kong Registered Physiotherapist
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