Ask Dr. James

But What About High-Impact Sports?

High-impact activities like horse riding, long jumping, and sprinting often raise red flags. This is due to the perceived strain on the spine. Many imagine that repetitive shocks will compress or twist an already curving spine, possibly accelerating progression. In truth, the spine is structurally equipped to absorb shocks. Its natural curves in the sagittal plane help it handle impact.

What Does Increase the Risk of Curve Progression?

The main driver of scoliosis progression, especially during growth spurts, is asymmetrical spinal loading. This phenomenon—described by Stokes’ vicious cycle—results in uneven vertebral growth in predisposed children and teens. This is why early intervention matters. Bracing and targeted exercises can counteract this asymmetry and redirect spinal development along a healthier path.

Can I Play Sports While Wearing a Brace?

A large prospective study on adolescents wearing a full-time TLSO brace found significant results. Regular sports activity significantly increased the odds of curve improvement. The odds were especially higher when the activity was done frequently. In fact, patients who played sports regularly were more likely to reduce their Cobb angle by ≥5° over 18 months.

Can Pregnancy Make Scoliosis Worse?

Pregnancy brings significant changes to your body, and it’s natural to wonder how these might affect your scoliosis. Here’s what we know: Back Pain: Women with scoliosis are more likely to experience back pain during pregnancy. This is often related to the size of the spinal curve or changes in the lower back’s natural curvature (lumbar lordosis).

Why Should You Care About Adult Scoliosis?

You might be thinking, “Okay, but does a curved spine really affect my life?” The answer is: it can. Some people with adult scoliosis experience no symptoms. Still, others deal with chronic pain and stiffness. They may also face nerve-related issues like numbness or tingling. In severe cases, the curvature can impact posture, balance, and even breathing.