Dr. Murali Gopal
Senior Paediatrician & Paediatric Pulmonologist
MCR: 57489
MBBS, DCH(UK), MRCPCH(UK), FRCPCH(UK), CCT Paediatrics (UK), Fellow in Paediatric Pulmonology (Aus), Allergology (Ind)
Many curves are mild, but assessment matters.
This guide avoids angle thresholds and cannot decide whether observation, bracing, or specialist review is needed for an individual child.
What parents should know
Scoliosis means the spine curves sideways and may rotate. Some cases are mild, but curves can progress during growth spurts and should be assessed.
This guide cannot diagnose scoliosis, measure curve severity, or exclude neurological, congenital, infection-related, inflammatory, or other causes of back problems.
What parents may notice
- Uneven shoulders or shoulder blades.
- One hip or waist crease higher than the other.
- Rib or back prominence when bending forward.
- Clothes hanging unevenly.
- Mild scoliosis may be painless.
Practical home support
- Arrange clinical assessment for a visible or suspected spinal curve.
- Do not blame posture alone for a true spinal curve.
- Encourage normal safe activity unless restricted by a clinician.
- Attend follow-up if monitoring is advised.
- Support body confidence and emotional wellbeing.
Red flags / when to seek medical review
Seek medical review promptly if any concerning features occur:
- Visible asymmetry, progressive spinal curvature, or concerns during rapid growth.
- Back pain that is severe, persistent, or wakes the child.
- Weakness, numbness, abnormal walking, or bladder or bowel symptoms.
- Fever, weight loss, trauma, or child looking unwell.
- Very young child with a visible spinal curve or neurological signs.
Important facts for parents
- School bag posture alone does not explain true scoliosis.
- Many children need observation only, while selected children need specialist treatment.
- Early detection during growth helps ensure timely monitoring.
Medical disclaimer
General education only. This guide does not replace medical consultation, diagnosis, examination, or individualized treatment by a qualified healthcare professional. Seek urgent care for red-flag symptoms. Final clinical use requires clinician review.
References
- Royal Children's Hospital Melbourne. Orthopaedics: scoliosis.
- NHS. Scoliosis health information.
- KidsHealth New Zealand. Scoliosis in children.
Last reviewed: 15 May 2026. Status: draft, pending clinician review.