• Skip to primary navigation
  • Skip to main content
Advance Physical Therapy
  • Our Practice
    • About Our Practice
      • Postural Restoration
      • Our Staff
      • Testimonials
    • Scoliosis
      • FAQ: Scoliosis Program
      • Scoliosis Resources
  • Programs
    • Postural Restoration
    • Scoliosis
    • Pediatrics
    • Orthopedics
    • Orthotics
    • Manual Therapies
    • Head, Neck, Jaw and Voice
    • Fitness Training & Classes
    • Yoga
  • Calendar
  • For Patients & Providers
    • Forms
      • Patient Forms
      • Provider Forms
    • Info
      • Insurance FAQ’s
      • X-Ray the Smart Way
      • Locations for EOS Imaging
    • Legal
      • Privacy Practices Notice
      • No Surprises Act
  • Blog
  • Find Us

Scoliosis and the Importance of Early Intervention

February 19, 2017 by Lisa Mangino

If you are reading this, there’s a good chance you or your child has scoliosis. I’m going to guess you have a pretty good sense of what scoliosis is. The most frustrating part for you might be trying to figure out what to do about it. Your MD may have said, “Come back in 4-6 months and we will take more x-rays. We will wait and see if it gets bad enough to do surgery”. Maybe they suggested a brace (see previous blog: Not All Braces are Created Equally), but chances are they didn’t recommend specifically designed, asymmetric Physical Therapy (PT) exercises. These exercises focus on muscle balance while helping you or your child learn to stand, sit and move more symmetrically.

Despite extensive study, the medical community has yet to determine the exact cause(s) of scoliosis or the exact factors that contribute to curve progression, cessation, and regression. Because of this, we cannot easily predict your (or your child’s) outcome. In some cases, scoliotic curves can be slowed, reduced or in a few cases eliminated as demonstrated in a few of our cases below. Unfortunately, some curves progress in size despite our efforts. In our clinic, we have seen scoliotic curves improve with programs focusing on corrective exercise and attention to everyday positioning.

Here are some images of young girls who came to me with small curves. These girls were given a specially designed exercise program based on their specific curve patterns, on the science of the Postural Restoration Institute®, and the teachings of the Schroth Methodology. It is encouraging to see that in these cases curves regressed enough to have “the diagnosis of scoliosis removed from their chart!” as one happy parent reported. A measurement of <10 degrees of a curve is not considered to be scoliosis.

[envira-gallery id=”3759″]

 

 

 

These few cases do not offer a guarantee of curve pattern resolution for everyone. But they do offer hope that early, specialized therapeutic intervention offers a chance for improvement. The program can also be empowering to the individual as something to actively do and control, rather than the “wait and see” approach. From my experience intervening early is best, especially with young people. Further, if a curve does progress to the need for surgery, it seems likely that improved muscle balance and symmetrical movement ability would enhance a surgical correction and post surgery rehabilitation.

 

Filed Under: announcements, articles, balance, blog, chronic pain, classes, community events, Education, General, orthopaedic physical therapy, outreach, pediatric physical therapy, people, performance, Personal Training, Postural Restoration, posture, Running, Schroth Based Therapy, Scoliosis, scoliosis intensive program, screens, SEAS, Uncategorized, Vestibular, workshops Tagged With: Adolescent Idiopathic Scoliosis, conservative management scoliosis, exercises for scoliosis, postural restoration, Schroth Method, scoliosis, scoliosis cases

About Lisa Mangino

Lisa is one of a few clinicians in the country with the unique combination of certifications in pediatrics and postural restoration as well as training in NDT and the Schroth Method for scoliosis. Lisa's interest include, but are not limited to: the prevention of surgery in children with scoliosis (combining both Schroth and PRI principles), performance improvement in young athletes, children with undiagnosed pain that has proven to be difficult to manage with traditional forms of physical therapy and gross motor incoordination/ gross motor delay.

1709 Legion Road
Suite 100
Chapel Hill, NC 27517-2373
(919) 932-7266

Leave a Review Find Us Fitness Programs

Advance Physical Therapy, Advanced Physical Fitness, and Scoliosis and Postural Restoration Center are proudly owned and operated by KJC Corp. We are a local, physical therapist owned, female owned small business. We have been serving Chapel Hill, the surrounding, and now international communities! proudly since 1999. We are so grateful for your patronage and health partnership.

Our therapists are highly experienced in traditional physical therapy techniques and have specialized expertise in a variety of areas, including: Postural Restoration, Scoliosis Rehabilitation, Pediatrics, Orthopedics and Sports Medicine, Manual Therapy, Dry Needling, Counterstrain, Custom Foot Orthotics, Yoga, Personal training and Small Group Fitness.

© 2025 Advance Physical Therapy · All rights reserved · Website by Tomatillo Design
Search Advance Physical Therapy
Send Us a Message
Name(Required)
Preferred method of communication
What are you interested in?