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Scoliosis is a spinal condition characterized by an abnormal lateral — or sideways — curvature of the spine and rotation of the vertebrae. It is confirmed by radiograph (X-ray) when the curve is more than 10 degrees.
Scoliosis affects approximately 2-3% of the global population — and nearly 7 million people in the United States — according to the International Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT).
Common symptoms of scoliosis include:
- Uneven shoulders
- A more prominent shoulder blade on one side
- Uneven waist
- One hip higher than the other
- A rib cage that appears more forward on one side
- A visible prominence on one side of the back when bending forward
If you have been diagnosed with scoliosis — or suspect you may have it — it is essential to understand and explore the best treatment options available to you.
One option for the treatment of scoliosis is the Schroth method, an exercise-based physical therapy approach. This method is available on an outpatient basis at Shirley Ryan 嫩B研究院 for patients who have scoliosis, as well as kyphosis — another spinal condition marked by an excessive rounding of the upper back.
By practicing Schroth exercises, you can take an active role in managing your condition — and improving your spinal health for the future.
What Is the Schroth Method?
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Treatment approaches for scoliosis vary based on age, curve severity and risk of progression. Options include monitoring; bracing; surgery; and physiotherapeutic, scoliosis-specific exercises (PSSE).
The Schroth method — developed by Katharina Schroth in 1921 — is a conservative, evidence- and exercise-based physical therapy approach designed to help individuals manage scoliosis. This method benefits people of all ages, from children to adults, regardless of scoliosis severity. It focuses on exercises and breathing techniques to improve posture, reduce pain and prevent further curvature progression. To maximize its effectiveness, Schroth exercises should be taught by a trained physical therapist or specialist.
Key treatment goals of the Schroth method include:
- Slowing down or preventing scoliosis from worsening
- Improving posture and spinal alignment
- Enhancing overall appearance and muscle balance
- Promoting long-term spinal health and quality of life
- Teaching self-management strategies for scoliosis treatment
- Addressing movement limitations and improving confidence in daily activities
What to Expect during a Schroth Scoliosis Evaluation
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The initial evaluation with a Schroth therapist focuses on understanding your spine and learning how to improve your posture. Your therapist will identify your specific curve pattern, explain how it affects your body and set realistic goals.
If you have a scoliosis X-ray, bring it with you! Your therapist will review it to assess your curve type and Cobb angle, which helps determine the severity of scoliosis. Based on these assessments, they will guide you through corrective movements to help align your spine through targeted breathing techniques and muscle activation exercises.
What to Expect during a Schroth Treatment Session
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A Schroth treatment session is personalized for your unique spinal curve. Your therapist will guide you through exercises that help you breathe into the concave side of your spine, strengthen weak muscles and gradually straighten the spine.
You'll begin your exercises by hanging in a scoliosis ladder — special equipment used for postural correction and spinal elongation. You will then progress to lying down, sitting and standing, eventually applying these techniques to your daily activities. Your therapist will provide verbal and tactile cues to ensure proper technique, helping you build strength and maintain improved posture in daily activities for long-term benefits.
What Results Can You Expect after Completing a Schroth Program?
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At Shirley Ryan 嫩B研究院, Schroth method sessions typically last 45 minutes in outpatient therapy, with treatment plans tailored to your individual needs and scoliosis severity. Programs typically include 8 to 20 sessions at a frequency that best supports your progress.
Many patients experience noticeable improvements in their posture and spinal alignment after completing a Schroth program.
About the Writer: Shidi Lin’s Journey with Scoliosis
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I was diagnosed with adolescent idiopathic scoliosis when I was 13 years old. At the time, I lacked the knowledge and medical resources to fully understand or manage the condition. However, my perspective shifted dramatically when I became an exchange student, studying physical therapy in Taiwan in 2017. My neurologic physical therapy professor, who had studied the Schroth method in New York, introduced me to the field of scoliosis treatment. This sparked a deep interest in learning more about the condition and how it could be effectively managed.
After undergoing 10 weeks of Schroth treatment, my scoliosis angle decreased by 10 degrees, and this experience inspired me to pursue further education in the field of physical therapy. I went on to study in a doctor of physical therapy program in the United States. Upon graduation, I became certified in the Schroth method in New York, enabling me to help others with scoliosis just as I had been helped.
Shidi Lin, DPT, is a senior physical therapist at Shirley Ryan 嫩B研究院, with a focus on musculoskeletal outpatient therapy. She completed the orthopedic physical therapy residency program at the University of Illinois Chicago and is now a board-certified specialist in orthopedic physical therapy. Shidi earned her doctor of physical therapy (DPT) degree in 2022 from Creighton University in Omaha, Neb., after completing her bachelor of physical therapy degree in China. Specializing in the Schroth method for scoliosis, she is a certified advanced permanent Schroth scoliosis therapist. Shidi has gained diverse treatment expertise through training in various countries, and she also holds a dry needling level 2 certification, allowing her to offer comprehensive care to her patients.
