> Chiropractic treatment for scoliosis

Chiropractic treatment for scoliosis

Chiropractic treatment for scoliosis, any care actually, can be a nightmare.

In this world of crooked and crumbling spines, of one thing you can be sure; you are not alone. In fact there are more crooked spines out there than straight ones. Hence this page on the Chiropractic treatment for scoliosis. The good news is that only some scolioses give pain.

But when an 82-year old female patient with severe lower back and leg pain consults you, you know it's going to be a challenge. When she's been to three other chiropractors, a physiotherapist, her own doctor and an orthopaedic surgeon, and the duration of the pain is two years and it's getting worse...

The Ludlow chimneys look like they need chiropractic treatment for scoliosis.

"Some problems are so complex that you have to be highly intelligent and well-informed just to be undecided about them."

Laurence J. Peter

Cobb's angle is used to measure scoliosis.

Chiropractic treatment for scoliosis

Chiropractic treatment for scoliosis is sometimes absurdly simple; could just a lift in your shoe make a huge difference? Scoliosis is often caused by a short leg.

The anatomical view of a woman with a scoliosis.

It's really quite rare for the vertebra to be so rotated that the tip of the transverse process (TP) protrudes through all the muscles layers, and is visible just under the skin.

Scoliosis of the lumbar spine.

What is a transverse process? TP

Each vertebra has three appendages for muscle attachment, giving the fine control of back movements. Two of them are called transverse processes, the third a spinous process.The SP below is unlabelled.

The transverse process of a vertebra seen in a scoliosis.

Miss M's scoliosis was "discovered" when she turned 19. Before that obviously nobody (with any clinical judgement) looked at her back. Mind you, I suspect her gardener, given the opportunity, could have seen that something was awry.

Since then she has been kept functional by a variety of chiropractors, old generation chiropractors who actually adjusted her back. She swears by them, but they alas are no longer.

A much respected orthopaedic surgeon made a crucial mistake. He prescribed a built up RIGHT shoe to be made by the hospital orthotist. But Miss M has a short LEFT leg. She reports that she could not wear it for more than two hours before she HAD to take it off. She's a gutsy woman and ignored threats that her body would take time to get used to the new built up shoe, and that she would soon be in a wheelchair if she didn't wear the prescribed shoe. Wise woman, she KNEW that that damned shoe was no good for her. Of course it wasn't! Sometimes that INNER WISDOM is far smarter than all the doctors, chiropractors too.

Had the correct lift been prescribed when she was 8 or 10, Miss M's life would have taken a very different course. She never married because of that back...

Kids need chiropractic poster.

Chiropractic treatment for scoliosis

ASIDE: Have you taken your child to the chiropractor for a screening? You should you know.

"In health care, every doctor tends to rise to his level of incompetence."

adapted from "The Peter Principle".


There are many causes of scoliosis. Frequently the cause is "idiopathic" - meaning arising spontaneously or from an obscure or unknown cause.

However, in Miss M's case this is clearly not so. She has no family history of scoliosis and there are two very recognisable causes.

PS: apologies for the mirror image of this X-ray. Just note where the L for left is. Chiropractors tend to read X-rays with the L on the left, as in this X-ray, and radiologists with the L on the right. It can be confusing.

X-ray showing the tilted pelvis in a scoliosis.
    Firstly a caution. An X-rays should state ERECT / SUPINE. This one doesn't and it's an old X-ray. Making measurements of leg length on supine X-rays (lying down) can be very misleading. However, in this case, it is consistent with the erect lumbar X-ray, and the clinical examination.
  1. A leg length inequality. A short left leg.
  2. A low sacrum on the same side. On the left.

Normally the sacral base line is parallel to a line through the hips joints, and normally both are very nearly parallel to the ground. She remembers someone pulling a chair out from under her a child.

If there has been an injury, such as a fall on the sacrum, causing it to shift, there is a 50/50 chance that it will compensate for the short leg. In Miss M's case it didn't. She has a double wammy of a short left leg, and a low left sacrum: SCOLIOSIS.

Lower back and leg pain

Lower back and leg pain is legion in today's world where we sit too much; add to that a significant curvature, a short leg, a hemivertebra or a lumbarisation and you have all the makings of a very difficult back and lumbar spinal stenosis; any program of chiropractic treatment for scoliosis has to consider such problems.

Sometimes it's simple and all that's needed is a lift in the shoe and an exercise program; that's should be the first consideration in any case in every chiropractic help schedule.

Cobb's angle

Cobb's angle is used to measure scoliosis.

Mild scolioses are common, perhaps almost the norm. So to be termed a scoliosis, a Cobbs angle of 10 degrees is the cut off. At 60 degrees Miss M has the worst scoliosis I have seen in thirty years.

A sentient moment...

Chiropractic treatment for scoliosis

At a lecture to the Chiropractic Association of South Africa, the chairman of the Scoliosis Society gave a passionate lecture, inter alia stating that the treatment of scoliosis had no place in the clinic of the general practitioner or even the orthopaedic surgeon. In his opinion, it was a specialty so complex that it should remain in the domain of the specialist.

He was generally complimentary of Chiropractic, and was wise enough to make no special mention of whether the chiropractor could be the primary care-giver to the adolescent scoliosis. Nevertheless, his point was taken: the care and management of scoliosis is a multi-disciplinary and very complex subject.

The use of heel lift, a full shoe insert, a spinal brace, the correct exercise programme, what are the correct manipulations, these are all subjects that need to be very carefully considered and managed. It's not a condition for the average doctor, physiotherapist, orthopaedic surgeon, chiropractor who might see a scoliosis with a Cobb's angle of greater than 30 degrees on a regular basis.

I don't treat the adolescent scoliosis - the severe progressive ones - with any regularity, so you won't find anything at this website on the subject. They can progress with frightening rapidity around the age of 12-15. Make your child bend forward at least once a year, say on their birthday. Take a digi photograph and make a folder on your computer for each of your children. This is what you are looking for ...

Scoliosis as seen with forward flexion.


Chiropractic treatment for scoliosis

One exciting and innovative Chiropractic approach is being developed at the Clear Institute. They are treating adolescent scoliosis on a daily basis, informed about the new research, developing new techniques. If I was 20 years younger...! Scoliosis, like the treatment of the infant has become a specialty within Chiropractic. And that's where in my humble opinion it belongs. CLEAR INSTITUTE ... adolescent scoliosis treatment.

The adult with scoliosis? Yes, of course, plenty.

Miss M was sorely neglected on all counts as a child, not least of which was the placing of the heel lift in the wrong shoe.

Lumbar spinal stenosis

Lumbar spinal stenosis is the result of a neglected back; prevention wasn't considered when it was first realised that a person had significant lower back issues; this is quite apart from chiropractic treatment for scoliosis. 

A disciplined, daily exercises program each morning and evening, lasting no more than two or three minutes, is a vital part of saving yourself from lumbar spinal stenosis.

Do think that five minutes a day too long to save yourself from this misery? I do them myself, having had a serious lower back injury. Read about it at femoral nerve damage.

PROGRESS @ Chiropractic treatment for scoliosis

  • CHIROPRACTIC HELP Lumbar stenosis ...

    It's been well researched now (I'll hunt for the reference) that Lumbar Spine Stenosis responds better than expected to Chiropractic. Happily Miss M responded immediately, and now after only 4-5 treatments can stand up straight again, has no pain in the leg, and declares that she has 85% less pain. There's no extension pain any longer, and the SLUMP TEST is now negative. We have started far earlier than expected into the rehab phase of care.

Update: That scoliosis extends of course right into the neck. Palapation of the cervical spine reveals ominous clicking and grinding sounds - osteoarthritic facet joints. Miss M has nasty left suboccipital pain too. With normal blood pressure and a negative Wallenberg test, I did a gentle adjustment of her axis on the left. At the following consult, her back much better, but the pain in her neck, now on the right had significantly increased. So we used a mobilising proceedure learnt from an Australian Physical Therapist. Magic. Miss M is almost painfree, neck and back and we are rapidly phasing out the treatment, the next consult in two weeks, all being well the following three weeks later. Sigh! I wish all spines respond as well as this! Perhaps her deep Christian faith, and enormously positive attitude to life, the prayers of her friends have contributed...

Update: Miss M continues to do well. Not that it's perfect, of course not, but she can walk normally, has no leg pain, and only mild neck and back discomfort. She's now coming once in three weeks for treatment.

Update: A very happy lady. There are many women in their eighties who would be glad to have as little pain as Miss M has. Extension and flexion are painfree, she can stand upright without pain. Of course, some niggling pain in the low back. No headaches either: we continue to adjust her neck very gently.

Update: M still works full time! She finds that after about two weeks the lower back pain increases again, and she has some pain down the side of her leg once more. The SLUMP TEST FOR SCIATICA fortunately is negative.

Chiropractic treatment for SCOLIOSIS

The first step, after proprioceptive testing, was to place a full insert, 3mm thick into her LEFT shoe. We may increase it later.

Secondly, we used the Thompson drop (Terminal Point) protocol to balance her pelvis.

Thirdly, some soft tissue work.

Fourthly, lying on her right side a Chiropractic adjustment of L5 using the Gonstead technique. With an audible release.

Fifthly, a supine adjustment, with drop, of the right ilium.

Sixthly, Active Release Therapy of the hamstring and sciatic nerve.

And of course, a set of exercises.


Chiropractic treatment for scoliosis

  1. Chiropractic Help
  2. Thoracic Spine Pain
  3. Chiropractic treatment for scoliosis

Have A Question about your lower back?

I receive many questions about Chiropractic. It might be help with a spinal condition, but it might also be from a person who can't walk after a hip operation, or some such thing.

I will do that by answering your questions personally, but it will be converted to a Web Page so others can benefit from your questions. Omit your name if you like.

However, do understand that, in the main, I'm going to be directing you, should it be pertinent, to a Chiropractor in your neck of the woods. I'll respond to all reasonable inquiries, but please be specific, and give as much detail as you can.

Do understand that lower back pain is extremely complex, so I can only give general guidelines. There's no substitute for a careful thorough chiropractic examination.

[ ? ]

Upload 1-4 X-rays of your spine (optional)[ ? ]


Click here to upload more images (optional)

Author Information (optional)

To receive credit as the author, enter your information below.

(first or full name)

(e.g., City, State, Country)

Submit Your Contribution

  •  submission guidelines.

(You can preview and edit on the next page)

What Other Visitors Have Said

Click below to see contributions from other visitors.

If you find my answer useful, please ask friends to grade it.

Can a chiropractor fix an apparent short leg? 
Can a chiropractor fix an apparent short leg? Hello Dr. B I have read in some of your answers to people with a short leg that you recommend a heel …

Fallen rib cage 
I always had a high rib cage which softly curved out under the breast line. In the last few years, it has fallen down (so to speak). Naturally, I now REALLY …

My 15 year old son has been diagnosed of scoliosis with a 60 degree angle. Orthopedic outrightly calls for surgery but I'd like to explore other alternatives. …

Heavy Legs at first, now also cramping in legs and very stiff (somewhat) painful neck 
A few months ago I had a severe sciatic episode. I am a massage therapist who, although I have worked for a few chiropractors, I had never let one treat …


I have a thoracolumbar scoliosis Not rated yet
I developed an idiopathic scoliosis when I was in my 10th grade and now I am 18 years of age. I never experienced any pain at first but now I kind of experience …

Idiopathic scoliosis Not rated yet
Hi, I'm a 14 year old girl living in Melbourne, Australia. I just recently discovered my scoliosis after discovering a muscle protrusion in my back when …

yes feel numb Not rated yet
I have had problems two surgeries need help with the scoliosis. I need a lot more detail if you want a serious comment from me, Lula. For starters, …

Pelvis asymmetry, short leg syndrome Not rated yet
hallo, I am 38 years old. I have a pain in my short leg, usually pain travel around my upper leg. had 3 visits with osteopath. he adjust my pelvis …

Right arm tingling, rt shoulder rotator cuff issues, hump at base of neck Not rated yet
Ten yr ago before our move, a chiropractor said I have two curvitures and my neck curves forward. We were in a bad car wreck when I was 10yr old, bad whiplash... …

Leg Pain Not rated yet
I am experiencing pain in my left leg. Mostly down the side of the leg, sometimes into the calf and foot. Wakes me up at night, walking is very painful …

Click here to write your own.

Did you find this page useful? Then perhaps forward it to a suffering friend. Better still, Tweet or Face Book it.

Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I have left alone. After seven treatments his pain and stiffness is 50 percent better, and he is happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti-inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He is doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost pain-free. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he is well pleased; sixty-five percent better after three treatments.

5. Mr T is a wise man; he has taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily stroll has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift; he has a short leg.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. X-rays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65-year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88-year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done. 

10. Mr X is a 71-year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a few months ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It is a non-complicated upper cervical facet syndrome, and she is doing well.

12. Mr D is a 38-year old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he could not sleep on that shoulder.

13. Mr D, a 71-year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors should not be treating the elderly most medical sites state but that is so much bunkum.

Do you have a problem that is not getting better?

Are you looking for a different slant on your pain?

Do you want to pose a question?

Interesting questions from visitors

CLS writes:

Greetings, Dr B.

You helped me quite some time back with a soothing and professional response which turned out to be exactly correct. I now consult a local chiropractor. You write a superb newsletter, too.

Your own unresolved problem. Pose a question

Knowing that up to 70 percent of the time the correct diagnosis is made with no examination, no special tests, no xrays, but just from the history, there is a fair chance I can add some insight to your unresolved problem. But at least 30% of the time, I may be quite wrong. Give plenty of detail if you want a sensible reply.

You visited this chiropractic help site no doubt because you have a problem that is not resolving and want to know more about what a DC does.

The quickest and most interesting way is to read one of my eBooks of anecdotes. Described by a reader as gems, both funny and healthful from the life and work of a chiropractor, you will love them. Priced right at $2.99, though Kindle fiddles the amount without telling me.

Interesting letters from readers