Early Signs and Care for Pediatric Scoliosis
Scoliosis—a sideways curvature of the spine—is often subtle in its early stages, but early detection is key to preventing long-term complications. When identified and managed in childhood, scoliosis can be treated effectively, often without surgery.
Understanding the early signs and available care options can empower parents to take timely action and support their child’s healthy growth.
What Is Pediatric Scoliosis?
Pediatric scoliosis is a spinal deformity where the spine curves abnormally to the side, often forming an “S” or “C” shape. It commonly develops during the growth spurts of adolescence, especially between the ages of 10 and 15, though it can also occur in younger children.
There are different types:
- Idiopathic scoliosis – Most common; no known cause
- Congenital scoliosis – Present at birth due to spinal malformation
- Neuromuscular scoliosis – Linked to conditions like cerebral palsy or muscular dystrophy
Early Signs of Scoliosis in Children
In the beginning, scoliosis often doesn’t cause pain, making it easy to overlook. Watch out for these signs:
- Uneven shoulders or shoulder blades
- One hip appearing higher than the other
- Rib cage prominence on one side when bending forward
- Uneven waistline
- Clothes not fitting properly due to asymmetry
- Leaning to one side while standing
If you notice any of these, a clinical evaluation is recommended—even if your child isn’t complaining of discomfort.
How Is Scoliosis Diagnosed?
Diagnosis typically includes:
- Physical examination – Including the “forward bend test”
- X-rays – To assess the degree of curvature (Cobb angle)
- Monitoring – For mild curves, especially during growth spurts
- MRI or other imaging – If the scoliosis is atypical or linked to other neurological symptoms
Treatment Options Based on Severity
Treatment depends on the type, cause, and degree of spinal curvature:
Mild Curvature (10–20 degrees):
- Regular monitoring
- Physical therapy to improve posture and muscle balance
Moderate Curvature (20–40 degrees):
- Bracing to prevent further progression during growth
- Continued observation with regular follow-ups
Severe Curvature (above 40–50 degrees):
- Surgical correction may be considered if the curve is progressive or affecting lung function
Early intervention with bracing is especially effective if started before the curve progresses.
Supporting Your Child with Scoliosis
- Encourage good posture and core-strengthening exercises
- Make follow-up appointments a priority
- Offer emotional support—especially for teens concerned about appearance
- Choose a pediatric orthopedic specialist experienced in spinal care
Early Action Prevents Long-Term Impact
If you notice any signs of uneven posture or spine curvature in your child, consult Dr. Nargesh Agrawal at Child OrthoCare. Early diagnosis leads to better outcomes, less invasive treatment, and stronger spine health.
Contact Information
Clinic Name: Child OrthoCare
Consulting Pediatric Orthopedic Surgeon: Dr. Nargesh Agrawal
Address: C-7, Ground Floor, D- Park, Model Town -3, New Delhi 110009
Phone: +91 88517 77145
Website: www.childorthocare.online

