Let’s talk about scoliosis, the spinal condition you think you know.
You’ve probably heard that scoliosis means “a curved spine.” Technically, that’s true, but there’s a lot more to it. As a neurosurgeon who treats scoliosis in both teens and adults, I want to break it down in plain English.
So… What Is Scoliosis?
Scoliosis is a three-dimensional curve of the spine. It usually shows up as an S- or C-shaped curve when looking at someone’s back. But it can also involve rotation, where the spine twists. It isn’t always visible to the naked eye, especially early on.
There are different types of scoliosis, but the two most common are:
Adolescent Idiopathic Scoliosis (AIS):
This usually shows up around age 10–18 and has no known cause (hence idiopathic). It’s the most common form of scoliosis in teens, especially girls. You can learn more in this YouTube video where I explain it in detail.Adult Degenerative Scoliosis:
This type develops later in life, often due to arthritis or wear and tear on the spine. It can cause pain, imbalance, and other quality-of-life issues. I cover a real patient case in this video if you want to go deeper.
How Do You Know If You (or Your Kid) Has Scoliosis?
Some early symptoms of scoliosis include:
- One shoulder sits higher than the other
- Ribs stick out more on one side
- Uneven waist or hips
- Clothes are not hanging evenly
- Back pain (more common in adults)
If you see any of these signs, don’t panic. But do follow up with your doctor, who can do a physical exam and likely order an X-ray to measure the curve (called a Cobb angle).
Can Scoliosis Be Treated?
Yes, and no. Note that it doesn’t always mean surgery.
Here’s a general breakdown of typical scoliosis treatments based on different diagnoses:
- Mild curves (less than 20°): usually monitored with regular checkups.
- Moderate curves (20°–40°): might require bracing, especially for growing teens.
- Severe curves (40°+): surgery may be recommended, particularly if the curve is progressing or causing pain.
Every case is different, which is why personalized care matters so much. If surgery is needed, it’s often a spinal fusion, and yes, I explain how I do that in this Instagram video.
Final Thoughts
Scoliosis doesn’t define you. With the right care, you can live a strong, healthy life. My job is to treat the curve and the person behind it.
About Dr. Betsy Grunch
Dr. Betsy Grunch is a board-certified neurosurgeon based in Gainesville, Georgia, known for her expertise in minimally invasive spine surgery and her commitment to delivering thoughtful, patient-centered care. A consistent recipient of peer-nominated Top Doctor honors from Georgia Trend and Atlanta Magazine through Castle Connolly, she recently founded her own practice, Southern Neurosurgery, dedicated to what she does best – putting patients first.
Beyond the operating room, Dr. Grunch is a leading digital voice in medicine, recognized by millions as @Ladyspinedoc. She has built a powerful personal brand rooted in clarity, connection, and trust – translating complex neurosurgical concepts into language patients and the public can truly understand.
Through her work, she emphasizes that being a great physician is not just about technical skill – but about listening, communicating, and showing up for patients in meaningful ways. Her platform educates, inspires, and empowers both patients and the next generation of healthcare professionals to rethink what it means to lead in modern medicine.
She is deeply passionate about inspiring future healthcare professionals to pursue medicine, while also mentoring healthcare professionals on how to build authentic, impactful brands that extend their voice beyond the bedside.