Scoliosis Physiotherapy

Envision Physiotherapy offers scoliosis-specific physiotherapy using the Schroth Method — an evidence-based, exercise-led approach that addresses the three-dimensional nature of a spinal curve. Your physiotherapist assesses the specific shape and rotation of your curve, then prescribes exercises designed for that pattern to help reduce progression, improve posture, and relieve associated pain.

The Schroth Method works for adolescents in a period of growth as well as adults managing an established curve. No referral is required to book.

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Scoliosis is a lateral curvature of the spine — rather than running straight, the spine curves sideways and, in most cases, also rotates. It affects roughly two to three per cent of the population and is most commonly identified during adolescence, though it can develop or progress in adulthood as well.

Curve severity is measured in degrees using the Cobb angle. Mild curves (under 25°) are monitored; moderate curves (25–45°) are candidates for active physiotherapy management; severe curves (above 45–50°) may require surgical consultation. Physiotherapy is most effective in the mild-to-moderate range, and earlier intervention during growth typically produces better outcomes.

Common concerns include visible asymmetry in the shoulders, shoulder blades, or hips; one-sided back pain or muscle fatigue; rib prominence on one side; and, less commonly, reduced lung capacity in larger thoracic curves.

The Schroth Method was developed in Germany in the 1920s by Katharina Schroth, who had scoliosis herself, and has since been extensively studied. It is now recognised as the most established physiotherapy-based approach for scoliosis management, endorsed by the Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT).

The method treats the spine as a three-dimensional structure. Where conventional exercise tends to move the spine symmetrically, Schroth exercises are curve-specific: they use rotational angular breathing, postural correction, and active muscle engagement to work against the curvature rather than reinforce it.

The goals are to:

• Slow or halt progression of the curve, particularly during growth
• Reduce pain and muscle imbalance on the convex side
• Improve posture, trunk strength, and body awareness
• Support better breathing mechanics where the thoracic cage is involved
• Equip you with a self-management programme you can continue independently

Your first appointment is a full physiotherapy assessment. Frances will review any existing imaging (X-rays, MRI) and take a detailed history, then conduct a hands-on postural and movement assessment to understand the shape, location, and behaviour of your curve.

From that assessment she identifies your Schroth curve pattern — the classification that determines which specific exercises are indicated. By the end of the first session you will have a clear picture of what is happening in your spine, and a starting set of exercises tailored to your pattern.

Follow-up sessions build on that foundation: refining technique, progressing the exercise load, and transitioning toward an independent home programme. The number of sessions needed varies — a person with a mild, stable curve may need fewer visits than an adolescent whose curve is progressing — but the goal in every case is to give you tools you can use on your own.

Physiotherapy sessions are covered by most extended health insurance plans. Check with your provider regarding annual physiotherapy limits.

Schroth physiotherapy is appropriate at any age, though the approach differs somewhat depending on where you are in life.

Adolescents (roughly ages 10–18): The highest-risk window for curve progression is the adolescent growth spurt. Scoliosis-specific exercise during this period has the strongest evidence base and can meaningfully reduce the rate of curve progression. If your child has been diagnosed — whether incidentally or through a school screening — early physiotherapy gives them the best opportunity to manage the curve conservatively.

Adults: Curves can progress slowly in adulthood, particularly after menopause. Adults more commonly present with pain, fatigue, and muscle asymmetry rather than rapid progression. Schroth exercises can reduce pain, improve strength and posture, and slow the gradual worsening that would otherwise occur without active management.

If you are currently wearing a brace, Schroth physiotherapy complements brace treatment — the exercises reinforce the corrective position the brace is working toward.