What Parents Should Know About Scoliosis in Children
When you first hear the word “scoliosis” applied to your child, it’s natural to feel a flood of emotions—confusion, worry, even fear. You may be wondering: What does this mean for my child’s health? Will it affect their future? Is it serious? At POBAR in Riverview, we understand that no parent wants to hear that their child has a spine condition. But we’re here to gently guide you through this journey—answering your questions, offering compassionate support, and providing the expert care your child deserves. Scoliosis is more common than many parents realize, and in most cases, children live full, active lives with the right monitoring and care. You are not alone, and with the right team by your side, your child can grow strong and confident. What Is Scoliosis? Scoliosis is a condition in which the spine curves sideways in an “S” or “C” shape. While the spine has natural curves when viewed from the side, scoliosis involves a lateral (side-to-side) curve when viewed from the back. This curve may be mild or more noticeable, and it can affect posture, balance, and—if left untreated—spinal health. Scoliosis often develops during periods of rapid growth, such as the preteen and early teen years. It can be discovered during a routine physical exam, a school screening, or after a parent notices a change in their child’s posture or how their clothing fits. It’s important to know that scoliosis in children is not caused by anything you or your child did. And while hearing the diagnosis can feel overwhelming, most cases are manageable with early detection and supportive care. Signs of Scoliosis in Children Some children don’t have any symptoms, especially in the early stages. However, parents may notice small changes that gradually become more visible as the curve progresses. These signs can include: One shoulder higher than the other Uneven hips or waist One shoulder blade that sticks out more prominently A tilt in the body or head not centered over the pelvis Clothes that hang unevenly Ribs more prominent on one side when bending forward If you’ve noticed any of these changes, even if they seem minor, it’s a good idea to have your child evaluated by a pediatric orthopedic specialist. What Causes Scoliosis? In many cases, the cause of scoliosis is unknown. This is called idiopathic scoliosis, and it’s the most common type seen in children and teens. Other, less common causes include: Congenital scoliosis: Present at birth due to abnormal spinal development Neuromuscular scoliosis: Associated with conditions like cerebral palsy or muscular dystrophy Syndromic scoliosis: Related to genetic syndromes or connective tissue disorders Injury or infection: Rarely, scoliosis can develop after spinal trauma or infection Whatever the cause, our team takes a comprehensive, individualized approach to diagnosis and care—always considering your child’s full health and development. When Should You Seek an Evaluation? Trust your instincts. If something doesn’t look or feel right about your child’s posture or movement, or if a school screening has raised a concern, we encourage you to reach out. Scoliosis often develops silently, so early detection is key. An evaluation typically includes: A physical exam A posture assessment Imaging, such as X-rays, to determine the curve’s size and location We ensure that these evaluations are as gentle and reassuring as possible. We take the time to explain each step in terms that both you and your child can understand—without fear or confusion. Treatment Options for Scoliosis in Children Treatment for scoliosis depends on several factors, including the curve’s size, the child’s age and stage of growth, and whether the curve is likely to progress. Here are common care pathways: Observation and Monitoring For mild curves (typically under 20 degrees), regular monitoring is often all that’s needed. We’ll keep an eye on how your child grows and how the curve changes over time. Bracing For moderate curves (around 20–40 degrees) in growing children, a brace may help prevent the curve from worsening. Braces are custom-fitted and worn under clothing. They don’t “fix” the curve, but they are very effective in halting progression during growth. Physical Therapy While therapy doesn’t correct the curve, it can improve posture, balance, and core strength, making movement more comfortable and confident. Surgery In severe cases (usually curves over 45–50 degrees), surgery may be recommended to correct the curve and stabilize the spine. We understand that the idea of surgery can be frightening, and we’re here to walk you through every step—compassionately and clearly. We work closely with families to create personalized plans that fit your child’s needs, lifestyle, and goals. Your input matters every step of the way. Our Commitment to Compassionate, Child-Centered Care Scoliosis is not just a physical condition—it affects how a child feels about themselves and how parents cope with uncertainty. That’s why our care extends beyond the exam room. We offer: Gentle, non-intimidating exams designed for children Clear, age-appropriate communication to help your child understand their body Family-focused care with time to ask every question Emotional support to help children and parents feel empowered, not afraid We believe that how we care is just as important as what we do. What You Can Do at Home Supporting your child with scoliosis doesn’t stop at the clinic. Here are some things you can do: Reassure your child: Let them know that scoliosis doesn’t define them. Encourage open conversations and validate their feelings. Support brace use (if recommended): Help your child understand the purpose of their brace and celebrate their responsibility. Encourage movement: Stay active as advised by your care team. Swimming, yoga, and core exercises can be beneficial. Attend follow-up visits: These are essential for tracking progress and adjusting care as needed. Celebrate their strength: Every child on this journey deserves recognition for their courage and resilience. You’re Not Alone—POBAR Is Here for You If your child has been diagnosed with scoliosis or you’re concerned about their spinal development, we are here to listen, evaluate, and guide. At POBAR, we offer more than expert care—we offer compassionate partnership,