Nowadays, the frequency of lower back pain in the elderly population is increasing. This often occurs as a result of a lifestyle that involves a lot of sitting during the day. It has been shown that frequent non-specific lower back pain occurs even in teenagers, people who spend time in prolonged sitting postures and people with a family history of back pain. It is not uncommon for people with scoliosis to also experience back pain.
It is believed that the modern way of life leads to muscle atrophy due to prolonged inactivity, which results in reduced physiological curves, i.e. lumbar lordosis, which is associated with pain in the lower back. It has been proven that the size of the scoliotic curve is not related to back pain, but changes in the sagittal (lateral) profile of the spinal column are the cause of the pain. It is often the case that people with larger scoliosis do not have significant back pain compared to people with smaller scoliosis. However, there is evidence that lumbar and thoracolumbar curves are more likely to cause low back pain than thoracic spine curves.
In adults with scoliosis, the goal of treatment is different compared to treatment in children who are in the period of growth and development. The goal of treatment is based on increasing functionality, mobility and reducing back pain.