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Seacoast Spine & Sports Injuries Clinic

Scoliosis

Low back, pelvis & core · Before your visit

Scoliosis is a three-dimensional spinal curve that may be identified during growth or adulthood.

When to seek urgent medical care

Get urgent medical help for new loss of bladder or bowel control, numbness around the groin or saddle area, rapidly worsening leg weakness, fever with severe back pain, or pain after major trauma.

This is not an exhaustive emergency list. If something feels severe, rapidly worsening, or unsafe, call 911 or seek urgent medical evaluation.

Start here

What is scoliosis?

Scoliosis is a three-dimensional spinal curve that may be identified during growth or adulthood. Rehabilitation does not erase a structural curve, but it can address pain, strength, breathing, balance, and activity goals.

The same label can behave differently from one person to the next. The timing, location, type of symptoms, injury mechanism, and response to movement help distinguish a local tissue problem from referred pain, nerve involvement, or a pattern that should be evaluated elsewhere first.

What scoliosis can feel like

People do not need every sign below to fit this pattern. They are useful clues to discuss during an evaluation, especially when paired with what changes the symptom and what activity has become difficult.

  • visible trunk or shoulder asymmetry
  • uneven waist or rib prominence
  • back fatigue
  • pain that may or may not relate to the curve

Common contributors and aggravators

A contributor is not always a single cause. Tissue capacity, recovery, the size of a recent load change, and the mechanics of the task can overlap. For scoliosis, the history commonly examines:

  1. 1idiopathic growth-related curve
  2. 2degenerative adult change
  3. 3less common neuromuscular causes

What we look at before planning care

An assessment begins with the story, then tests the findings that can change a decision. For this presentation, that usually means looking at the items below and comparing them with the demands of work, daily life, or sport.

Clinical focuscurve history and medical monitoring
Clinical focusbreathing, balance, and strength
Clinical focuspain source beyond the curve itself

Imaging can be useful when the history or examination indicates it, but a scan is not a substitute for matching the finding to symptoms, function, and the clinical screen.

Clinically reviewed

Reviewed by Dr. Tamara Lovelace, DC, DACBSP, ICCSP, Chiropractic Sports Doctor and clinic director, on August 25, 2026.

This page explains what we look at and what care can involve. It is not a diagnosis, and it cannot replace an examination. Bring the problem in and a provider will tell you what is going on.

What your provider will discuss with you

Care for scoliosis is built around the findings, not a preset protocol. The early goal may be symptom control or protection; the later goal is enough motion, strength, and tolerance for the exact activity you need.

01

improve strength and function

Progress is checked against symptom response and function so the plan can change when capacity changes.

02

manage symptoms without fear-based messaging

Progress is checked against symptom response and function so the plan can change when capacity changes.

03

coordinate orthopedic monitoring when needed

Progress is checked against symptom response and function so the plan can change when capacity changes.

Common questions about scoliosis

Short answers to the decisions people usually face before an evaluation.

What is scoliosis?

Scoliosis is a three-dimensional spinal curve that may be identified during growth or adulthood. Rehabilitation does not erase a structural curve, but it can address pain, strength, breathing, balance, and activity goals.

How is scoliosis assessed?

The examination is shaped by your history and the task that brings symptoms on. For this pattern, useful checkpoints include curve history and medical monitoring, breathing, balance, and strength, pain source beyond the curve itself. The provider also screens for findings that should be evaluated medically before musculoskeletal care continues.

What can care for scoliosis include?

A plan may draw from Physical Therapy, Chiropractic, and Cupping, but the service is not the diagnosis. Care is selected around the examination and may focus on improve strength and function, manage symptoms without fear-based messaging, coordinate orthopedic monitoring when needed. The dose and sequence change with irritability, healing stage, and the activity you need to regain.

Can I stay active with scoliosis?

Often, some activity can continue after the provoking dose is adjusted, but that decision depends on the tissue, severity, and warning signs. The goal is to protect what needs healing while preserving safe strength and conditioning, then rebuild the specific work, daily-life, or sport demand.

When does scoliosis need urgent medical care?

Get urgent medical help for new loss of bladder or bowel control, numbness around the groin or saddle area, rapidly worsening leg weakness, fever with severe back pain, or pain after major trauma.

Related low back & pelvis guides

Symptoms often overlap. These pages can help you compare nearby tissues, referred pain, and different loading patterns.

Browse low back, pelvis & core

Get clarity on scoliosis.

Book at the Portsmouth or Alton clinic. The first step is a focused assessment that separates what hurts from what is driving it.

Portsmouth Clinic

Portsmouth, NH · Seacoast

Mon to Thu: 9:00 AM to 6:00 PMFriday: 9:00 AM to 5:00 PM
(603) 431-4200
Lakes Region Clinic

Alton, NH · Lakes Region

Mon, Wed, Fri: 9:00 AM to 7:00 PMTue & Thu: 9:00 AM to 6:30 PMSaturday: 8:00 AM to 12:00 PM
(603) 875-4000
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