Adolescent Idiopathic Scoliosis (AIS) often progresses during periods of rapid growth, particularly between the ages of 9 and 13. However, the most critical time for progression occurs during peak growth velocity:
- For girls: Around 6–12 months before and after the onset of menstruation (menarche).
- For boys: Typically around age 12, during the 9-month period surrounding the onset of puberty (spermarche).
This short but significant window highlights the importance of early scoliosis detection and proactive treatment to prevent severe progression.
The “Watch and Wait” Approach: Why It Can Be Risky
Many orthopaedic clinicians recommend monitoring curves under 25° with follow-up X-rays every six months. However, given that the most rapid growth happens within a 6–12 month period, this approach can allow scoliosis to worsen significantly before intervention.
Instead of waiting for a follow-up X-ray, additional monitoring tools—such as a scoliometer—can help assess curve progression more frequently and determine whether an earlier X-ray is needed.
Take Action: Contact ScoliCare Louisville for a free scoliosis screening and establish a baseline assessment.
Monitoring scoliosis can help determine if a curve requires surgical intervention. However, early detection should always lead to early treatment—not just observation.
For example, allowing a curve to progress from 12° to 20° before intervening limits treatment options and may lead to more invasive procedures in the future.
Healthcare professionals—including chiropractors, physical therapists, pediatricians, and general practitioners—can identify the need for further evaluation. However, a full scoliosis assessment
should include:
✅ Functional assessments
✅ X-rays
✅ A comprehensive treatment plan
At ScoliCare Louisville, we develop personalized, whole-body treatment approaches tailored to each patient’s needs.
Curve Flexibility and Scoliosis Treatment
When diagnosing scoliosis early, one of the key factors to consider is curve flexibility. A more flexible curve means the patient has a better chance of improving their spinal alignment through bracing and rehabilitation. This concept also applies to cases of hyperkyphosis.
Orthopedic surgeons often assess curve flexibility to determine the best treatment approach, including whether surgical intervention may be necessary. To measure flexibility, a lateral flexion X-ray is performed, which helps specialists understand how much the spine can straighten with movement. At ScoliCare Louisville, we use this method to ensure the most effective in-brace correction, leading to the best possible clinical outcomes.
Early intervention is crucial. The case review below highlights the importance of starting treatment early, accurately assessing curve flexibility, and implementing the right care plan. With timely and appropriate intervention, many patients may avoid surgery altogether.
Non-Surgical Scoliosis and Hyperkyphosis Treatment at ScoliCare Louisville
At ScoliCare Louisville, we specialize in non-surgical, evidence-based scoliosis and hyperkyphosis treatment, helping patients and their families navigate these complex spinal conditions. Our mission is to provide comprehensive education, expert guidance, and personalized treatment plans to improve our patients’ quality of life—without surgery whenever possible.
As a leader in scoliosis and hyperkyphosis care, we offer advanced bracing solutions and tailored rehabilitation programs. We are the proud manufacturer of ScoliBrace®, the world’s leading scoliosis brace, and KyphoBrace™, designed specifically for hyperkyphosis. Our custom 3D body scanning technology ensures a precise fit, leading to the most effective treatment outcomes.
In addition to bracing, we provide ScoliBalance®, a physiotherapeutic scoliosis-specific exercise (PSSE) program. This targeted rehabilitation approach helps patients strengthen their posture, improve spinal alignment, and enhance overall well-being.
At ScoliCare Louisville, we are dedicated to delivering world-class scoliosis care through cutting-edge technology, expert assessments, and compassionate support.
Case Review
Taking the First Step Towards Scoliosis Relief
Living with scoliosis or hyperkyphosis can be challenging, but you don’t have to face it alone. Our compassionate and experienced team is here to guide you every step of the way—from your initial assessment to a personalised, non-surgical treatment plan. We prioritise your comfort, well-being, and long-term spinal health, ensuring you feel confident in your care.
Whether you’re seeking expert advice for yourself or a loved one, we are committed to providing the highest quality scoliosis and hyperkyphosis care.
Call us during business hours to speak with our team, or take the first step today:
- Schedule a free discovery call with our scoliosis specialists
- Download our free eBook on non-surgical scoliosis treatment
Click the buttons below to get started!
