What is the first treatment tried for scoliosis?

Scoliosis is a sideways spinal curve with rotation of the vertebrae. Treatment depends on the person’s age, growth, curve pattern, symptoms, balance and whether the curve changes over time. An assessment may include posture, movement, leg length, neurological function and imaging. Physiotherapy can address trunk control, breathing mechanics, flexibility, strength and confidence with movement, but it is selected for the individual curve.

Some people need monitoring alone at first. If a growing child or teenager has a curve that needs extra support, a brace may be discussed. Surgery is reserved for selected situations after specialist assessment.

Keep scheduled reviews and bring details about pain, fatigue, activity limits and changes in posture. Continue normal movement unless a clinician has advised a restriction, and follow a prescribed home programme consistently. Ask how the curve will be monitored and whether sport, school or work needs modification. Learn more about [Physiotherapy](/treatments/physiotherapy-and-rehabilitation/physiotherapy/) and [Scoliosis Bracing](/treatments/spine-care/scoliosis-bracing/).

Arrange prompt medical review for new weakness, numbness, trouble walking, loss of bladder or bowel control, breathing difficulty, or severe rapidly worsening pain. A child or teenager with a noticeable change in posture, increasing asymmetry or persistent pain should be assessed rather than relying on appearance alone.

Ask what type of curve is present, how it will be monitored, whether physiotherapy is suitable, when bracing is considered, and which symptoms should prompt earlier review.