Common Causes
The most common cause of scoliosis is classified as idiopathic, meaning the exact origin remains unknown despite extensive clinical research. This form accounts for approximately 80% of all cases and typically emerges during the rapid growth spurts of adolescence, though it can also appear in infants and young children. While the specific trigger remains elusive, clinical evidence suggests a strong genetic component, as the condition frequently runs in families. Dr. Owens recognizes that these developmental shifts are critical milestones in a patient’s spinal history, often requiring a thorough evaluation to monitor how the spine adapts during these formative years.
In other instances, scoliosis is rooted in structural or congenital issues that begin as early as fetal development. Congenital scoliosis occurs when the vertebrae do not form properly in the womb; for example, a "hemivertebra" may develop where a bone is only partially formed, preventing the spine from growing in a straight vertical line. Furthermore, neuromuscular conditions such as cerebral palsy, muscular dystrophy, or spina bifida can lead to significant spinal curvature because the nerves and muscles are unable to provide the necessary support to maintain proper alignment. Rare genetic syndromes that affect connective tissues, such as Marfan syndrome or Ehlers-Danlos, can also compromise the structural integrity of the spine, leading to syndromic scoliosis.
For many adults in the Bellevue area, scoliosis is not a condition carried from childhood but rather one that develops later in life due to degenerative changes. This "de novo" or degenerative scoliosis is primarily caused by the progressive wear and tear of spinal discs and joints over several decades. As these supportive structures naturally shift or degrade, the spine may begin to lose its vertical alignment and lean to one side. This process is often accelerated by conditions such as osteoporosis, which weakens bone density, or spinal stenosis. With nearly 30 years of experience, Dr. Owens has observed that these mechanical causes of adult-onset scoliosis are frequently linked to long-term postural stress and accumulated minor injuries that eventually compromise spinal stability.
Symptoms
Uneven shoulder height - one shoulder blade may appear higher or protrude more than the other.
Asymmetrical waistline - the waist may look uneven or tilt noticeably to one side.
Uneven hip alignment - one hip often appears higher or more prominent than the other.
Visible rib hump - a protrusion in the ribs typically appears when bending forward.
Chronic back pain - persistent aching or discomfort often develops as spinal alignment shifts.
Spinal stiffness - reduced flexibility in the back can make bending or twisting difficult.
Leg numbness or weakness - pressure on spinal nerves may cause tingling or loss of strength.
Postural leaning - the entire torso may appear to tilt toward one side.
Muscle fatigue - uneven strain on the back muscles causes them to tire easily.
Breathing difficulties - severe curvatures can compress the chest cavity and restrict lung expansion.
Height loss - significant spinal compression and curvature may result in a shorter stature.
Scoliosis is a complex spinal condition defined by an abnormal lateral, or sideways, curvature of the spine that often creates a visible "S" or "C" shape when viewed from behind. While frequently diagnosed during adolescence, this condition affects individuals of all ages and is often recognized by prominent symptoms such as uneven shoulder heights, an asymmetrical waistline, or chronic lower back pain. At Chiropractic of Bellevue, we focus on identifying these structural shifts to help manage discomfort and support the long-term spinal health of our patients.
Dr. Edward Owens provides relief for scoliosis through personalized chiropractic adjustments, using manual manipulation and specialized instruments to help restore proper movement and improve spinal alignment. To provide comprehensive care, our clinic may also incorporate myofascial release to alleviate muscle tension or recommend a back brace to stabilize the spine and reduce pressure, focusing on both immediate pain relief and your ongoing wellness.
Scoliosis
How Scoliosis can affect you
If scoliosis is left unmonitored or untreated, the primary risk is the continued, gradual progression of the spinal curvature. In adults, untreated curves can worsen by an average of one degree per year, while curves that exceed 50 degrees are highly likely to continue progressing even after a patient has reached skeletal maturity. This persistent shifting can lead to permanent physical deformities, such as a more pronounced visible rib hump or a significant loss of height due to spinal compression. As the spine moves further out of alignment, patients often experience an asymmetrical waistline and uneven hip alignment, which creates chronic spinal stiffness and severe muscle fatigue as the back muscles work overtime to compensate for the imbalance.
Beyond outward appearance, advanced scoliosis poses significant risks to internal health and neurological function. In severe cases where the curvature exceeds 80 degrees, the structural shift of the rib cage can exert direct pressure on the lungs. This reduction in lung capacity leads to "air hunger," chronic fatigue, and difficulty breathing during even light physical exertion. Furthermore, as the spinal alignment shifts, it can lead to nerve impingement, resulting in leg numbness, weakness, or sciatica. For many adults, this progression is associated with degenerative changes like spinal stenosis, a narrowing of the spinal canal that can cause significant walking difficulties and persistent, debilitating pain.
The long-term effects of untreated scoliosis also extend to psychological well-being and overall quality of life. The visible nature of postural leaning and shoulder protrusion can lead to body dysmorphia, social anxiety, and depression, particularly in adolescents who are sensitive to changes in their gait and posture. Left unmanaged, the combination of chronic pain and limited mobility can prevent individuals from participating in sports or daily activities they once enjoyed. Addressing these issues before the curve reaches critical thresholds is essential to prevent these cumulative physical and emotional complications from becoming permanent.
How we treat Scoliosis
At Chiropractic of Bellevue, Dr. Edward Owens leverages nearly 30 years of clinical experience to provide personalized care for scoliosis. Central to our approach are chiropractic adjustments utilizing manual spinal manipulation and specialized instruments such as the Impulse IQ, ArthroStim, and flexion/distraction tables. These techniques are specifically chosen to restore proper movement and improve spinal alignment, addressing the mechanical challenges discussed in the previous sections of this article. For most new patients, we offer same-day treatments to provide immediate relief from chronic back pain or stiffness. We believe in a patient-centered philosophy where the length of your care is entirely up to you; whether you require acute relief or prefer a monthly maintenance schedule to prevent a relapse of symptoms, our Bellevue clinic is prepared to support your long-term wellness goals.
To mitigate the muscle fatigue and soft tissue tension often caused by spinal curvature, we integrate myofascial release therapy using VibraCussor-assisted massage and manual trigger point release. This helps break down painful scar tissue and promotes lasting comfort without invasive procedures. For patients dealing with significant inflammation or those seeking faster tissue healing, our infrared red light (laser) therapy can be added to your session to stimulate circulation and cellular metabolism. When additional stabilization is required for significant injuries or postural leaning, Dr. Owens may apply Kinesio Taping or recommend a custom back brace to restrict painful movements and reduce spinal pressure. Our clinic, located at 365 118th Ave SE Ste 110, is in-network with major providers like Premera, Regence, and United Healthcare. To schedule an appointment or discuss your case, call or text (425) 802-5432.