Back pain is one of the most serious problems for an adult with scoliosis, especially if it is a low back scoliosis.
There are caused from the disc's stress in the concave side of the curve and the wedge deformation of them .
Consequently degenerative spondylarthritis is established, with the creation of osteophytes (spurs) and affecting the
posterior vertebral joints, which mostly are responsible for the chronic pain.
The problem is clearly mechanical. On the side of the curve, discs are subjected to larger loads than the curved side; this results in their plastic deformation and consequently an increase in the scoliotic angle.
If this continued beyond a point usually occurs a lateral sliding on top vertebra of the curve.
Muscles such as the iliopsoas muscle in a main support of the lumbar spine, from the side of the concave curve increases and from the side of the convex atrophies.
The result of the compression of the intervertebral disc is to reduce the foramens, i.e. of the apertures from which nerves pass through, resulting in their pressure causing back pain.
Treatment is usually symptomatic in the acute stage with rest, warm, pain relievers and anti-inflammatory. However, the pain after a while it will come back, as long as the cause remains.
The solution to this issue is to reduce the pressure in the hollow of the curve.
This is accomplished with daily exercise in asymmetrical exercises of the Schroth system
and the direct application for a few hours, of a specially made brace that will hold the result of the exercises.