Closeup of a woman's back, she's leaning to the left.

Scoliosis

Scoliosis Exercises


Body Part:
Back

Equipment:
Midi Foam Roller

Level:
Beginner

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Roland Liebscher-Bracht

Germany’s trusted pain specialist

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Adult Scoliosis Exercises for Back Pain

The most common symptoms of adult scoliosis are lower back pain, stiffness, and pain that shoots down the legs. We’ve developed a home exercise program that may help relieve these symptoms. All you need for our routine is our Midi Foam Roller. If you don’t have our tool, you can use something similar. Jump to our routine if you’d like to start exercising, or keep reading to learn more about your spine and adult scoliosis. 

Before discussing adult scoliosis, let’s take a look at your spine. Knowing the anatomy of your spine will give you a clearer picture of adult scoliosis.

Your Spine in a Nutshell

The spine is your body’s central support system. This curvy structure allows you to walk, run, sit, stand, bend, and twist. Your spine consists of 33 vertebrae, which are divided into 5 regions:

The cervical spine is the first 7 vertebrae in your neck. This area of your spine is shaped like a C; the natural curve is called lordosis.

The thoracic spine is the next 12 vertebrae. This area of your spine runs through your upper and mid-back; it’s where your ribcage is attached.

The lumbar spine consists of the 5 vertebrae in your lower back. This area of your spine is connected to the pelvis and shaped like a C.

Under the lumbar spine is the sacrum,  a triangular-shaped bone made up of the 5 sacral vertebrae. The sacrum is attached to your hips. The coccyx (or tailbone) is at the bottom of your spine; it’s 4 vertebrae that are fused together. 

The vertebrae in the cervical, thoracic, and lumbar spine are moveable thanks to cartilaginous joints called facet joints. Between the vertebrae are intervertebral discs, gel-like pads that absorb the shock of movement. Running from the skull base to the lumbar region is a structure of nerves called the spinal cord. Ligaments stabilize your spine; the surrounding muscles and tendons facilitate movement. 

If you look at a healthy spine from the front, it forms a straight line. From the side, the spine is shaped like an S. The natural curve helps the spine absorb shock and protects it against injury. An adult spine with scoliosis viewed from the front is twisted, curving to the side.

There are two forms of adult scoliosis: degenerative and idiopathic.

Degenerative scoliosis, also referred to as de nova scoliosis or adult spine deformity (ASD),  is the most common form of adult scoliosis. Degenerative scoliosis occurs when the intervertebral discs and facet joints wear down because of ageing. Degenerative scoliosis commonly develops in the lumbar spine (lower back).

Symptoms of degenerative scoliosis are:

  • back pain,
  • numbness,
  • pain that shoots down one or both legs,
  • difficulty walking or standing up straight,
  • your ribcage protrudes at the back,
  • your hips stick out.

The curvature of the spine isn’t usually what causes the pain; it’s the worn-out intervertebral discs or joints compressing the nerves.

Adult idiopathic scoliosis begins developing in adolescence (adolescent idiopathic scoliosis) and continues in adulthood or is discovered after the skeleton has finished growing. “Idiopathic” means unknown. Scoliosis is called idiopathic if the cause can’t be found. 1) Idiopathic scoliosis occurs in the thoracic spine (mid and upper back) and lumbar spine (lower back). The condition causes the intervertebral discs and joints to deteriorate.

Symptoms of adult idiopathic scoliosis are:

  • pain and stiffness in your lower back,
  • cramps, numbness, or shooting pain in your legs,
  • muscle fatigue,
  • uneven shoulders,
  • a protruding rib,
  • a protrusion in the lower back,
  • difficulty maintaining an upright posture.

Stretching Exercises

A woman is bending forward from the waist.

Lower Back Stretch Part 1

  • Stand up straight.
  • Drop forward and let your upper body hang loosely.
  • Slowly turn your upper body to the left. When you feel a tense area, stop turning and stretch the area for about 2 minutes.
  • Turn your body to the right and repeat.
  • Imagine you are pulling the left side of your ribcage open. As soon as you feel a powerful stretch, hold for 2 minutes.
  • Repeat on the right side of your ribcage.
  • Slowly come back up to a neutral position.
A woman is arching her back, she has her hands on her buttocks.

Lower Back Stretch Part 2

  • Place your hands on your buttocks.
  • Lean backwards as far as you can.
  • Turn your trunk to the left. When you hit a tense or painful area, stretch the area for about 2 minutes. 

Important: make sure you’re turning your trunk and not turning from your pelvis.

  • Turn your trunk to the right and repeat.
  • Bend to the right and hold for about 1 minute.
  • Bend to the left and hold for about 1 minute.
  • Come back up to a neutral position and finish.
A woman is reaching to the left to stretch her ribcage while Roland Liebscher-Bracht looks on.

Ribcage Stretch

  • Reach your right hand over your head and bend to the left side.
  • Look for tight areas by turning your trunk to the left and right, bending slightly back and forth.
  • When you discover a tense area, stretch for about 2 minutes.
  • Slowly come back to a neutral position and repeat on the left side.
A woman is stretching her arms straight out, she's twisting her upper body to the right while Roland Liebscher-Bracht looks on.

Trunk Twist

  • Stand with your arms straight out to the sides so your body is shaped like a T.
  • Rotate to the left as far as you can and hold for 2 minutes.
  • Rotate to the right and repeat.
  • Come back centre and finish.

Foam Rolling massages

 

A woman is laying on the floor massaging her back with the Midi Foam Roller while Roland Liebscher-Bracht looks on.

Massage 1

You’ll need our Midi Foam Roller for the following exercises. If you have severe scoliosis, we recommend an exercise mat.

  • Sit on the floor with your legs straight in front of you.
  • Place the Midi Foam Roller against the small of your back so your spine is in the groove.
  • Slowly lean backwards and move down so the Midi Foam Roller rolls up your spine.
  • When you hit a sensitive spot, roll over it slowly, increasing the pressure on the Midi Foam Roller.
  • Stop when you reach your shoulders.
A woman is laying on the floor massaging her upper back with the Midi Foam Roller.

Massages 2 & 3

  • Return to the starting position of the previous exercise.
  • Turn your trunk slightly to the left.
  • Slowly lean backwards so that the Midi Foam Roller is rolling up the left side of your spine.
  • When you hit a sensitive spot, roll over it slowly, increasing the pressure on the Midi Foam Roller.
  • Stop when you reach your shoulders.
  • Finish, and repeat on the right side of your spine.

Practice Makes Pain-Free

Practice our exercises for adult scoliosis 6 days a week for 3 weeks. You can adjust how often you exercise when your back feels better.

Sources & Studies

  • ↑1 Trobisch, P., Suess, O., & Schwab, F. (2010). Idiopathic scoliosis. Deutsches Arzteblatt international, 107(49), 875–884. https://doi.org/10.3238/arztebl.2010.0875.

Get More Exercises For Scoliosis Pain

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Liebscher & Bracht PDF Guide and Exercises about Scoliosis.

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