A child scoliosis examination incorporates a postural analysis.
In this video below, Dr. Papia analyzes posture by checking the patient for the seven signs of scoliosis during a postural exam.
Dr. Papia looks for rotation in the head, upper back and hips because rotation is caused by lateral bending in the spine from scoliosis.
In contrast to the medical scoliosis exam, the Chiropractic approach is able to identify scoliosis earlier. This allows the best chance for corrective treatment.
When any of the seven signs during the scoliosis exam is positive, an x-ray is justified to rule in or rule out scoliosis.
X-rays for scoliosis are taken from the front-to-back view of the middle and low back. In a normal x-ray, the spine should be straight and look symmetrical from both sides. If scoliosis is detected, there is an “S” shaped curve in the spine.
In evaluating an x-ray for scoliosis, the Cobb Method is the standard measurement performed (See image above). The result of the Cobb method is a degree of angulation; the higher the angle, the more severe the scoliosis (Dr. Foti demonstrates measuring Cobb’s angle).
As patients are treated for scoliosis, new x-rays are taken to show improvement.