S-Curve vs C-Curve Scoliosis

Scoliosis is a condition where the spine rotates and curves to an abnormal degree. A spine afflicted by scoliosis usually looks like a letter ‘C’ (or a reverse letter ‘C’ depending on the direction of the curve), but some patients have two curves, resulting in an S-shaped spine. Treatment methods sometimes differ slightly for S curves versus C curves.

What is C-Curve Scoliosis?

C-curve scoliosis is when the curvature bends in one direction, resulting in a C-shaped spinal curve. This type of scoliosis can manifest itself in a number of different ways:
  • Lumbar Curve This type of curvature occurs in the lower (lumbar) back.
  • Thoracolumbar Curve This type of C curve begins in the upper back and ends in the lower back.
  • Thoracic Curve This type of C-curve scoliosis bend occurs in the upper (thoracic) back.

Treating C-Curve Scoliosis

C-curve scoliosis, where the spine bends in just one direction, is more common than S-curve scoliosis. C-curve scoliosis can be treated through a variety of different methods, including:
  • Bracing Bracing is a commonly-used scoliosis treatment method in young patients who are still growing. This method can halt the progression of the curvature and stabilise it until further action can be taken once the patient reaches adulthood. Soft and hard braces can be used to treat C-curve scoliosis.
  • Physiotherapy Physiotherapy is a popular C-curve scoliosis treatment method, especially when offered as an alternative to surgery (see below). Using exercise-based techniques like the Schroth method, physical therapists can help to reduce spinal curvature while boosting the patient’s overall quality of life.
  • Surgery Spinal fusion surgery is often used to address severe curvatures. If the curvature is so severe that it risks causing respiratory and cardiovascular issues, surgery may be suggested by a medical professional.

What is S-Curve Scoliosis?

S-curve scoliosis is when the spine contains two curves, one in the upper and one in the lower back. When these curves go in opposite directions, they make the spine look similar to a letter ‘S’. This type of scoliosis is less common than C-curve scoliosis, but it isn’t necessarily accompanied by more severe symptoms. An S curve is also known as a double major curve as it involves both a thoracic (upper back) curve and a lumbar (lower back) curve. As the curves tend to balance one another out at times, this type of scoliosis can often be harder to spot at first.

Treating S-Curve Scoliosis

As with C-curve scoliosis, S-curve scoliosis can be treated in a variety of ways:
  • Bracing Bracing can also be used for S-curve scoliosis to help halt the progression of the curvature. However, different types of braces may be needed to treat a severe S-shaped curve. A specialist brace such as the Gensingen brace may be needed, as these are individually made for each patient.
  • SurgeryIn the most severe cases, surgery may be recommended to help halt and rectify the spinal curvature(s). However, this is typically only recommended when the patient’s scoliosis is threatening to cause other health issues.
  • Physiotherapy Physiotherapy can also be used to treat S-curve scoliosis through a variety of exercises, stretches, and massages. This method is preferred amongst many patients, especially those suffering from a mild to moderate spinal curvature. Physiotherapy is a great method for improving the patient’s curvature(s) without the need for an operation and long recovery times. 
Here at the Scoliosis SOS Clinic, we have been treating patients with C- and S-curve scoliosis for over 12 years. Our 4-week long ScolioGold course provides a tailored treatment regime to help improve the degree of your curvature. Through a series of exercises, stretches and massages, we are able to help improve the degree of C- and S-shaped scoliosis and improve your quality of life. Click here to see the fantastic results we’re capable of achieving. To book an initial consultation with Scoliosis SOS, please get in touch today.