Scoliosis Treatment in Manhatten

Scoliosis treatment at our Manhattan, NY location addresses spinal curvature at every stage of life, with individualized care plans ranging from physical therapy and pain management to advanced corrective surgery.

Scoliosis in Adults Is More Treatable Than You May Realize

Adult scoliosis is frequently underdiagnosed, misattributed to other causes of back pain, and undertreated. Millions of adults live with spinal curvature that is either undetected or inadequately managed, accepting limitations in function and quality of life that do not have to be permanent. At Gerling Spine Care and Research Institute, Manhattan patients with scoliosis receive the thorough diagnostic evaluation and individualized care that this condition genuinely requires, from a team experienced in managing its full spectrum of presentations. Contact our Manhattan office today to schedule a scoliosis evaluation and find the right path forward.

Dr. Michael Gerling examining a patient's back

What Is Scoliosis?

Scoliosis is an abnormal lateral curvature of the spine measuring 10 degrees or more on imaging. Rather than a straight vertical line when viewed from the front or back, the spine curves to one side, often forming a C or S shape. In many cases, the spine also rotates, producing visible postural changes including uneven shoulders or hips and a rib or flank prominence on one side.

Types of Scoliosis in Adults

Understanding which type of scoliosis a patient has is essential to planning appropriate treatment, as different types have distinct causes, progression patterns, and responses to intervention.

Adolescent Idiopathic Scoliosis

Adolescent idiopathic scoliosis develops during the growth years without a clearly identified cause. Adults with this form may have had a diagnosed or undetected curve since childhood that has progressed over time, particularly after age 50 or following pregnancy. The curve can continue to progress in adulthood, especially when it exceeds 30 degrees.

Degenerative Scoliosis

Degenerative scoliosis, also called de novo scoliosis, develops in adulthood from asymmetric degeneration of the lumbar discs and facet joints. It is the predominant form seen in adults over 50 and is closely associated with lumbar spinal stenosis, which frequently develops alongside the curvature and contributes significantly to back and leg pain.

Neuromuscular Scoliosis

Neuromuscular scoliosis results from conditions affecting the nerves or muscles, such as cerebral palsy or muscular dystrophy, and typically requires a management approach tailored to the underlying neurological condition alongside the spinal deformity.

Symptoms of Scoliosis in Adults

In adults, scoliosis most commonly presents as pain rather than the postural changes more visible in younger patients. Common symptoms include:

Chronic lower back or flank pain that worsens with prolonged standing or walking
Leg pain, numbness, or weakness from associated spinal stenosis
Visible postural asymmetry, including uneven shoulders, hips, or trunk shift
Difficulty standing fully upright or a tendency to lean to one side
Fatigue from the muscular effort required to maintain posture against the curve
In severe thoracic curves, reduced respiratory capacity

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When to Seek Evaluation for Scoliosis

Many adults with scoliosis have never received a formal evaluation or have not been assessed in years. Evaluation is appropriate for any adult with known or suspected spinal curvature, particularly if back or leg pain is present, if postural changes have been noticed, or if functional limitations are developing.

A current set of standing full-length spinal X-rays is the essential foundation of any scoliosis evaluation. These images provide the information needed to measure the curve accurately, assess spinal alignment, and determine whether the curve has changed over time.

How Scoliosis Is Treated at Gerling Spine Care and Research Institute

Treatment goals for adult scoliosis differ from those in children. Because the skeleton is fully mature, the focus is on managing pain, preserving function, and preventing further progression rather than achieving full curvature correction. Surgery is reserved for patients with severe symptoms, significant neurological deficits, or curves that are progressing meaningfully over time.

Conservative Care

Physical therapy is the cornerstone of conservative scoliosis management in adults. A program focused on core strengthening, postural correction, and spinal flexibility helps reduce pain and improve the muscular support around the curved spine. Anti-inflammatory medications and activity modification are also standard components of conservative care. Bracing plays a limited role in adults, as it does not correct or prevent the progression of a mature curve. It may be used selectively to provide postural support and reduce pain in specific situations.

Interventional Pain Management

When scoliosis is accompanied by spinal stenosis or nerve root irritation, targeted injections can provide meaningful symptomatic relief. Options include:

Epidural steroid injections for nerve-related leg pain and stenosis symptoms
Facet joint injections for facet-mediated axial pain common in degenerative scoliosis
Medial branch block injections and rhizotomy for longer-lasting facet pain relief
SI joint injections for pelvic pain associated with spinal imbalance from the curve

Minimally Invasive and Surgical Treatment

Surgical intervention is considered for adults with scoliosis when conservative treatments have not provided adequate relief, when neurological deficits are present or progressing, or when the curve is severe or continuing to progress. Only a minority of adult scoliosis patients ultimately require surgery, but for those who do, the potential benefit to function and quality of life is significant. Surgical options depend on the characteristics of the curve, the presence of associated stenosis, the number of levels involved, bone density, and the patient's overall health and goals. Spinal fusion using screws, rods, and bone graft is the most commonly performed procedure, stabilizing the spine and partially correcting the deformity while addressing concurrent nerve compression. Minimally invasive techniques are employed where anatomy permits.

Are You a Candidate for Scoliosis Treatment in Manhattan?

Any adult with known scoliosis, suspected spinal curvature, or back and leg pain that has not been adequately evaluated is a candidate for assessment. A formal scoliosis evaluation requires standing full-length spinal imaging, which provides the complete picture of the curve, spinal alignment, and pelvic balance that outpatient clinical examination alone cannot offer.

Surgical candidacy is determined by a careful review of imaging, symptoms, prior treatments, bone density, and the patient's functional goals and overall health. Our Manhattan team will provide a thorough, honest assessment and involve every patient fully in the decision-making process.

Why Choose Gerling Spine Care and Research Institute?

Adult scoliosis sits at the complex intersection of degenerative spine disease, spinal deformity, and surgical planning, and managing it well requires all three areas of expertise working together. Our Manhattan team brings that combination, alongside the research engagement and clinical rigor of an institute with more than 300 peer-reviewed publications and active leadership in NASS, CSRS, and LSRS. Patients with scoliosis come to us not just for treatment but for a clear, evidence-based understanding of their condition and what can realistically be done about it.

Scoliosis Treatment Frequently Asked Questions

Does scoliosis get worse with age?

Adult scoliosis can progress over time, particularly lumbar curves associated with degenerative disc disease. Curves exceeding 30 degrees are more likely to progress than smaller ones. Regular monitoring with standing spinal X-rays allows our team to track changes and adjust the treatment plan accordingly.

Can physical therapy correct scoliosis in adults

Physical therapy cannot straighten an existing curve in adults, as the spine is fully mature. It can, however, significantly reduce pain, improve core strength and postural support, and help patients maintain function and quality of life. It remains a cornerstone of conservative management of adult scoliosis.

What is the difference between degenerative and idiopathic scoliosis?

Degenerative scoliosis develops in adulthood from asymmetric wear on the spinal discs and joints and is closely associated with lumbar stenosis. Idiopathic scoliosis typically develops during adolescence without a clearly identified cause and may continue to progress in adulthood. Both can be symptomatic in adult patients, but they differ in their causes, locations, and patterns of progression.

Is scoliosis surgery safe for older adults?

Age alone does not disqualify a patient from scoliosis surgery. Overall health, bone density, cardiovascular fitness, and the balance between expected benefit and surgical risk are the relevant factors. Our team evaluates each surgical candidate carefully and is transparent about realistic expectations for older patients considering spinal deformity correction.

How do I know if my back pain is related to scoliosis?

Back pain from scoliosis is often chronic, aching, and worsens with prolonged standing or walking. It may be accompanied by leg symptoms from associated stenosis or postural fatigue from the muscular effort of compensating for the curve. Standing spinal X-rays are the essential first step in determining whether scoliosis is contributing to your symptoms, and our Manhattan team will correlate the imaging carefully with your clinical picture.