When people hear the word “scoliosis,” they often think of a curved spine—but there’s a lot more to it than that. Scoliosis is a condition where the spine curves sideways and can show up in different ways depending on what’s causing it. The two main types are structural scoliosis and functional scoliosis, and understanding the key difference between them can make a big difference in how it’s managed and even prevented.
Let’s break down the key differences between the two, how they’re diagnosed, and what you can do to take care of your spine.
What Is Structural Scoliosis?
Structural scoliosis, also known as congenital scoliosis, is a condition you are born with due to malformations in the spine itself. These abnormalities can include vertebrae that are incompletely formed (butterfly vertebra or hemivertebra). Since the structure of the spine is altered, the curvature is fixed and does not change with different positions or movements.
Key Features of Structural Scoliosis
Cause: Often hereditary, but it can also result from conditions such as cerebral palsy or muscular dystrophy.
Treatment: Structural scoliosis can be corrected only to the extent that the malformed section of the spine allows. Severe cases may require braces or surgical intervention.
Advanced Diagnosis: A scoliosis X-ray can confirm structural scoliosis and measure its severity, as the curvature must exceed 10 degrees to be classified as scoliosis.
What Is Functional Scoliosis?
Unlike its structural counterpart, functional scoliosis or idiopathic scoliosis develops over time and is often caused by external factors, such as trauma or poor posture, or internal factors like muscle imbalances, scar tissue, adhesions, or connective tissue imbalances. Unlike structural scoliosis, the spine itself is not malformed initially; rather, the curve is a result of compensatory mechanisms in the muscles and ligaments. Uncorrected, the spinal malformation occurs.
Key Features of Functional Scoliosis:
Cause: Commonly caused by habitual poor posture, repetitive movements, injury, or connective tissue imbalances.
Treatment: Functional scoliosis is often improved through chiropractic care, targeted exercises, dynamic bracing, and posture correction. Strengthening the supporting muscles can significantly reduce the curvature.
Advanced Diagnosis: Functional scoliosis may present as a single “C” curve or in advanced cases, an “S” or even “triple” curve. X-rays are crucial for distinguishing functional from structural scoliosis and the complexity of the compensations involved.
Why Accurate Diagnosis Matters
When it comes to diagnosing scoliosis, identifying whether the condition is structural or functional is essential. This distinction may not only reveal the root cause but also shapes the treatment approach. At Cameron Family Chiropractic, we rely on precise diagnostic tools and X-rays to ensure you get the right care for your unique needs.
The Importance of Diagnosis
Without an accurate diagnosis, you risk:
Overlooking the root cause: Misdiagnosis can lead to ineffective treatments.
Focusing on the wrong approach: Structural and functional scoliosis require different care strategies.
Delaying meaningful progress: The right diagnosis ensures faster, more targeted treatment.
Advanced Diagnostic Tools We Use
To determine the type and severity of scoliosis, we use a 72-inch thoracolumbar X-ray, a specialized imaging technique that provides a comprehensive view of the entire spine. This allows us to:
Measure spinal curvature: We can identify single "C" curves, double "S" curves, or even triple scoliosis.
Assess spinal rotation: Understanding rotational issues is as important as measuring the curvature itself.
Confirm scoliosis: A curve must measure over 10 degrees to officially qualify as scoliosis.
How Accurate Diagnosis Shapes Treatment
With precise diagnostic insights, we can:
Tailor care plans: Structural scoliosis may involve long-term management aimed at minimizing progression, while functional scoliosis often improves with adjustments, posture correction, and exercises.
Track progress effectively: Detailed imaging allows us to measure improvements over time.
Address individual needs: Every spine is different, and so is every treatment plan.
At Cameron Family Chiropractic, we combine cutting-edge technology with personalized care to ensure your spinal health is in the best hands.
What Happens If Scoliosis Is Left Untreated?
If scoliosis is left untreated, it can cause a number of problems over time. The extra strain on your spine and surrounding muscles can lead to ongoing pain and stiffness that only gets worse as the curve progresses. Everyday movements, like bending down or reaching for something, can become harder, and you might notice changes in your posture, like uneven shoulders or hips. In severe cases, the curve can even put pressure on your chest, making it harder to breathe or for your heart to function properly.
Some of the common effects of untreated scoliosis include:
Chronic pain: Ongoing discomfort in the back, neck, or even other areas due to muscle strain and nerve pressure.
Limited mobility: Activities that used to feel effortless, like stretching, bending, or walking, may become more difficult.
Posture issues: Uneven shoulders, hips, or a visible rib hump can develop, affecting your confidence and self-esteem.
Health complications: In rare, severe cases, scoliosis can impact lung capacity and heart function.
The good news is that scoliosis doesn’t have to get to this point. With early treatment, you can improve spinal alignment, reduce pain, and prevent long-term issues, giving you the freedom to enjoy life without limits.
How Cameron Chiropractic Can Help
No matter what type of scoliosis you’re dealing with—structural or functional—chiropractic care can make a real difference. At Cameron Family Chiropractic, we provide non-invasive, personalized treatments that are designed to address your unique needs. Our goal is to help improve your spinal alignment, restore mobility, and reduce discomfort so you can get back to doing the things you love without pain holding you back.
Whether it’s through adjustments, corrective exercises, or guidance on maintaining good posture, we’re here to help you achieve and maintain optimal spinal health.
Don’t let scoliosis control your life. Contact us at Cameron Family Chiropractic in Signal Hill today to schedule your consultation or learn more about our scoliosis care services.