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SpineIllustrated guide

Scoliosis: noticing asymmetry and seeking assessment

Three illustrated steps on back asymmetry, assessment and the limits of observation at home. This is not an Adams test tutorial.

A clothed teenager viewed from behind, with the shoulders at slightly different heights.
A clothed teenager viewed from behind, with the shoulders at slightly different heights.

Notice asymmetry

An uneven shoulder or waist may deserve attention. Appearance alone cannot confirm scoliosis.

A doctor observing a clothed teenager's back during an appointment with a parent.
A doctor observing a clothed teenager's back during an appointment with a parent.

Assessment provides context

The clinician examines the back and growth, then decides whether X-rays and further checks are needed.

A mother showing the doctor a photograph of her child's back, with the child present at the appointment.
A mother showing the doctor a photograph of her child's back, with the child present at the appointment.

Not a home diagnostic test

A drawing or photograph cannot measure the curve or establish whether a brace is needed.

General information; this guide does not replace an individual medical assessment.

Dr Daniele Priano — Paediatric orthopaedics

Condition information →

Sources