What Is Scoliosis?
Scoliosis is a spinal condition in which the spine curves sideways and may also rotate or twist. When viewed from behind, the spine may appear in the shape of the letter “C” or “S” instead of looking straight. This change can make one shoulder or hip appear higher than the other, cause the body to lean to one side or make clothes fit unevenly.
Scoliosis can affect children, teenagers and adults, although it is commonly noticed during the rapid growth years of adolescence. In many cases, the exact cause is unknown. Some people may have only a mild curve that needs regular monitoring, while others may experience back pain, stiffness, posture changes or difficulty with daily movement.
Dr. Tushar Pisal understands that noticing a spinal curve in yourself or your child can feel concerning. He carefully evaluates the posture, curve severity, symptoms and growth stage before recommending a personalised plan for scoliosis treatment in PCMC, Pune. Depending on the condition, treatment may include observation, physiotherapy, bracing or corrective surgery when clinically required.
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Dr. Tushar Pisal
Consultant Endoscopic Spine Surgeon
Types of Scoliosis Treated by Dr. Tushar Pisal
Congenital Scoliosis
Congenital scoliosis develops when one or more spinal bones do not form normally before birth.
Early-Onset Scoliosis
This type appears in children below ten years of age. Because the child still has significant growth remaining,
Adolescent Idiopathic Scoliosis
Adolescent idiopathic scoliosis usually becomes noticeable between the ages of 10 and 18,
Neuromuscular Scoliosis
Neuromuscular scoliosis may develop in children with conditions that affect muscle control and spinal support
Diagnostic Approach for Scoliosis Treatment in PCMC, Pune
A scoliosis diagnosis is not based only on how the back looks. Dr. Tushar Pisal takes time to understand the patient’s posture, physical discomfort, growth stage and daily challenges before recommending treatment. This careful approach helps determine the type and severity of the curve and whether it is stable or progressing.
Understanding the Patient’s Concerns
The consultation begins with a discussion about posture changes, back pain, fatigue and difficulty performing everyday activities
Reviewing Medical and Family History
Dr. Tushar Pisal reviews the patient’s growth history, previous injuries, neurological conditions and family history of scoliosis.
Posture and Body Alignment Assessment
The patient is examined while standing naturally. The position of the shoulders, shoulder blades, waist, hips and head is checked to identify visible imbalance or leaning to one side.
Forward-Bending Test
The patient may be asked to bend forward with the arms relaxed. This simple test helps identify spinal rotation, uneven ribs or a raised area on one side of the back.
Spinal Movement and Flexibility Check
The doctor assesses how comfortably the patient can bend, turn and straighten the spine. This helps determine whether the curve is flexible or rigid and whether movement causes discomfort.
Leg-Length and Balance Evaluation
Unequal leg length can sometimes create the appearance of a spinal curve. Walking pattern, pelvic alignment and balance are checked to understand
Neurological Examination
Muscle strength, sensation and reflexes may be evaluated to check whether the nerves or spinal cord are affected
Standing Spine X-Rays
Standing X-rays provide a clear view of the entire spine while it supports the body’s weight. They help measure the curve, assess spinal rotation and determine the severity of scoliosis.
Scoliosis Surgery Procedure: Advanced Scoliosis Treatment in PCMC, Pune
Scoliosis surgery is recommended when the spinal curve continues to progress, causes severe imbalance, or begins to affect daily movement, breathing, or nerve function. As part of advanced Scoliosis Treatment in PCMC, Pune, the surgeon carefully evaluates the patient through X-rays, MRI scans, physical examination, and Cobb angle measurement. Based on the severity and location of the curve, a personalised surgical plan is prepared to straighten the spine, restore better alignment, and prevent further progression.
During the procedure, the spine is gently corrected and stabilised using medical-grade rods, screws, and bone grafts. Advanced neuromonitoring may be used throughout the surgery to protect the spinal cord and nerves. After the operation, the patient receives pain management, physiotherapy, posture training, and regular follow-up care. Recovery time varies depending on age, curve severity, and overall health, but proper rehabilitation can help patients return to daily activities with improved posture, balance, and spinal stability.
Common Symptoms That May Require Scoliosis Treatment in PCMC, Pune
Scoliosis can develop gradually, so its early signs may be easy to overlook. Parents may first notice that their child’s clothes fit unevenly, while adults may experience changes in posture, back discomfort or difficulty remaining active. Recognising these signs early allows Dr. Tushar Pisal to evaluate the spinal curve and recommend appropriate scoliosis treatment in PCMC, Pune.
Uneven Shoulders
One shoulder may appear higher than the other, or one shoulder blade may be more prominent. This difference can become easier to notice while standing naturally or wearing fitted clothing.
One Hip Appearing Higher
Scoliosis may cause one hip to sit higher or appear more prominent than the other. The waistband of trousers or skirts may also look uneven.
Leaning to One Side
The head or upper body may appear slightly off-centre instead of being aligned over the pelvis. The person may lean to one side without consciously realising it.
A Visible Sideways Curve
When viewed from behind, the spine may appear curved rather than straight. Depending on the condition, the curve may resemble the shape of the letter “C” or “S.”
Uneven Waistline
One side of the waist may appear more curved, deeper or flatter than the other. This body asymmetry can sometimes be noticed before the spinal curve itself becomes obvious.
Rib Prominence on One Side
When the patient bends forward, the ribs on one side of the back may appear higher or more prominent. This happens because scoliosis can cause the spine and rib cage to rotate.
Clothes Fitting Unevenly
Shirts may hang more towards one side, trouser legs may appear unequal or straps may repeatedly slip from one shoulder. These small changes are sometimes the first signs noticed by families.
Back Pain or Muscle Tiredness
Back pain is more commonly reported by adults with scoliosis, although some teenagers may experience discomfort after prolonged activity. The muscles may also feel tired from working harder to support an uneven spine.
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Frequently Asked Questions About Scoliosis Treatment in PCMC, Pune
Scoliosis is a condition in which the spine curves sideways and may also rotate. The curve can be mild or more noticeable, sometimes making the shoulders, waist or hips appear uneven.
Common signs include uneven shoulders, one hip appearing higher, a prominent shoulder blade, an uneven waist or the body leaning to one side. Parents may also notice that their child’s clothes do not hang evenly.
No. Many children and teenagers with mild scoliosis do not experience pain. Adults are more likely to develop discomfort, stiffness or leg symptoms due to age-related changes and pressure on nearby nerves.
Diagnosis usually includes checking posture, spinal movement, shoulder and hip alignment, balance and nerve function. Standing spine X-rays help measure the curve and determine whether it is stable or progressing.
Not every spinal curve needs active treatment. Mild scoliosis may only require regular monitoring, while a progressing curve may need physiotherapy, bracing or surgery depending on the patient’s age and condition.
Physiotherapy may improve posture, flexibility, muscle strength and everyday comfort. However, it may not completely straighten a structural spinal curve, so exercises should be planned according to the individual diagnosis.
A brace may be recommended for a growing child or teenager with a moderate curve that has a risk of worsening. Its main purpose is to limit further progression while the spine continues to grow.
Many people with scoliosis can remain active and participate in suitable sports. Dr. Tushar Pisal may recommend activities according to the curve’s severity, symptoms and overall physical condition.
Surgery may be considered when the curve is severe, continues to progress or causes significant imbalance, pain, nerve pressure or breathing difficulty. The decision is made only after a detailed examination and review of imaging reports.
Some curves remain stable, while others may gradually progress as the spine ages. Adults may also develop increasing pain, stiffness or nerve-related symptoms due to disc wear, arthritis or reduced bone strength.
The duration depends on the patient’s age, curve severity, remaining growth and selected treatment. Monitoring or bracing may continue throughout the growing years, while surgical recovery requires gradual rehabilitation and follow-up.
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Dr. Tushar Pisal follows a patient-focused approach that considers the spinal curve as well as its effect on comfort, movement and confidence. Patients seeking scoliosis treatment in PCMC, Pune, receive a detailed evaluation, clear guidance and a personalised treatment plan based on their individual needs.