Common Myths About Scoliosis

There are many misconceptions about scoliosis that can cause unnecessary worry or confusion. Here are some of the most common myths and what current evidence tells us.

Myth: Poor posture causes scoliosis.

Fact: Scoliosis is a structural condition of the spine, and poor posture does not cause scoliosis. However, posture is still important. Scoliosis-specific physiotherapy often includes postural correction and movement training aimed at improving spinal alignment and body awareness. In growing children, these strategies may form part of a comprehensive approach to reducing the risk of curve progression.

Myth: Heavy backpacks cause scoliosis.

Fact: Current evidence does not suggest that carrying a backpack causes scoliosis or contributes to curve progression. However, a backpack that is excessively heavy may increase fatigue or discomfort and can make it more difficult to maintain good posture. When possible, children should use both shoulder straps and avoid carrying more weight than necessary.

Myth: Everyone with scoliosis will need surgery.

Fact: Many people with scoliosis never require surgery. Treatment recommendations depend on age, growth remaining, curve size, symptoms, and progression risk.

Myth: People with scoliosis should avoid exercise.

Fact: Physical activity is encouraged for children and adolescents with scoliosis. Some studies have found that children who are more physically active may experience less curve progression than those who are less active. However, the effect appears to be smaller than that reported for treatments such as bracing or physiotherapeutic scoliosis-specific exercises (PSSE).

Regular physical activity provides many benefits beyond scoliosis management, including improved strength, fitness, confidence, and overall well-being. Children with scoliosis should generally be encouraged to participate in sports and activities they enjoy unless otherwise advised by their healthcare team.

Myth: Nothing can be done until the curve becomes severe.

Fact: Early detection is important because it provides more opportunities for conservative treatment during growth. Depending on the child’s age, growth remaining, and curve size, treatment options may include observation, bracing, and physiotherapeutic scoliosis-specific exercises (PSSE).

The goal of early intervention is not simply to monitor the curve, but to reduce the risk of progression.