Scoliosis is often thought of as a childhood or adolescent condition, typically diagnosed during a school screening or a pediatric visit. However, many adults are surprised to learn that scoliosis can develop—or become noticeable—later in life. Known as adult-onset scoliosis, this condition can lead to chronic pain, mobility issues, and reduced quality of life if left unaddressed. Understanding the causes, symptoms, and treatment options can empower individuals to seek appropriate care.
What Is Adult-Onset Scoliosis?
Adult-onset scoliosis refers to any abnormal curvature of the spine diagnosed in individuals over the age of 18. There are two primary types:
1. Degenerative Scoliosis (De Novo Scoliosis)
This form occurs as a result of wear and tear on the spine over time. As the intervertebral discs and facet joints degenerate, the spinal alignment may shift, leading to a sideways curvature. It typically affects individuals over the age of 40.
2. Progression of Undiagnosed or Mild Childhood Scoliosis
In some cases, scoliosis may have existed during adolescence but went unnoticed or untreated. As the individual ages, hormonal changes, spinal degeneration, and muscle imbalances can cause the curve to progress and become symptomatic in adulthood.
Causes and Risk Factors
Adult scoliosis can develop for a variety of reasons, including:
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Age-related disc degeneration
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Osteoporosis or weakened bones
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Spinal injuries or surgeries
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Arthritis in the facet joints
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Muscle imbalances or postural habits
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Previous undiagnosed adolescent scoliosis
Women, particularly postmenopausal, are at greater risk due to hormonal changes affecting bone density and spinal stability.
Common Symptoms in Adults
Unlike in children, where scoliosis often goes unnoticed, adults typically experience symptoms that impact daily life. These may include:
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Chronic lower back pain
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Muscle fatigue and stiffness
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Visible curvature or uneven shoulders/hips
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Height loss
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Numbness, tingling, or weakness in the legs
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Difficulty standing upright or walking for extended periods
Diagnosis and Imaging
Diagnosing adult scoliosis involves a thorough physical exam, patient history, and imaging tests such as:
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X-rays to measure the degree of curvature (Cobb angle)
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MRI or CT scans to assess nerve involvement or disc degeneration
Early diagnosis is crucial to prevent worsening symptoms and develop a targeted treatment plan.
Holistic Treatment Options for Adults with Scoliosis
For many adults with scoliosis, gentle and natural approaches can provide lasting relief without the need for surgery or heavy medications. Here are five holistic treatments that can support spinal alignment, reduce discomfort, and enhance overall well-being:
1. Upper Cervical Chiropractic Care
This precise and gentle approach focuses on realigning the top two vertebrae in the neck—the atlas (C1) and axis (C2). Misalignments here can cause compensatory changes throughout the spine, worsening scoliosis symptoms. By restoring balance to the upper cervical spine, many patients experience improved posture, reduced pain, and better overall spinal function.
2. Therapeutic Exercise and Postural Rehabilitation
Targeted exercises can strengthen the muscles that support the spine, helping to stabilize the curvature and improve posture. A customized program led by a physical therapist or movement specialist can also reduce stiffness and improve flexibility without putting additional strain on the spine.
3. Massage Therapy and Myofascial Release
Massage techniques help release tight muscles and fascia that may be contributing to spinal imbalances. Regular sessions can ease chronic tension, improve circulation, and support the body’s natural alignment over time.
4. Acupuncture
By stimulating specific points along the body’s energy pathways, acupuncture can reduce inflammation, relieve pain, and support nervous system regulation. Many people with scoliosis find it helpful for managing discomfort and enhancing overall wellness.
5. Anti-Inflammatory Nutrition and Supplements
An anti-inflammatory diet rich in leafy greens, omega-3s, and antioxidants can support joint and muscle health. Supplements such as magnesium, vitamin D, and turmeric may also help reduce inflammation and muscle tension associated with scoliosis.
Why Upper Cervical Chiropractic Care Matters
Among the holistic options available, upper cervical chiropractic care stands out for its precision and whole-body impact. This gentle technique focuses on aligning the top two vertebrae in the neck—the atlas (C1) and axis (C2). These vertebrae play a critical role in head balance, spinal alignment, and nervous system function.
When these upper cervical bones are misaligned, the rest of the spine often compensates, which can worsen scoliosis curves or contribute to discomfort and poor posture. By restoring alignment at the top of the spine, this approach encourages the body to rebalance itself naturally.
Patients often report:
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Improved posture and spinal balance
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Reduced muscle tension and nerve irritation
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Enhanced mobility and energy
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Decreased pain without invasive procedures
Upper cervical care is gentle, specific, and designed to support the body’s natural healing ability—making it a powerful foundation for adults managing scoliosis through holistic methods.
Whole-Body Wellness for Scoliosis
Yes, adults can develop scoliosis later in life—often as a result of aging, spinal degeneration, or the progression of undiagnosed scoliosis from youth. Recognizing the signs and seeking early intervention can prevent complications and improve quality of life.
For those looking for a natural, non-invasive way to support spinal health, upper cervical chiropractic care is a promising option that addresses alignment and nervous system function from the top down. Combined with other therapies, it can be an essential component of holistic scoliosis management.