Doctor Bella Zimilevich, MD of Mill Basin, Brooklyn (NY)

Scoliosis & Kyphosis

Scoliosis & Kyphosis Treatment

“Scoliosis and kyphosis are spinal curvature conditions that can affect posture, alignment, and overall comfort. While some cases are mild, others may lead to pain, stiffness, or functional limitations. With proper evaluation and individualized care, many patients can manage symptoms effectively without surgery. I can help guide you toward improved posture, reduced discomfort, and better spinal health.”

-Dr. Anatoly Pisman, MD

What are Scoliosis and Kyphosis?

Scoliosis is a sideways curvature of the spine, while kyphosis refers to an exaggerated forward rounding of the upper back. These conditions can develop during adolescence or later in life due to degenerative changes in the spine. In adults, they are often associated with posture-related issues or underlying conditions such as degenerative disc disease.

Common Causes

Scoliosis and kyphosis can result from a variety of structural and lifestyle factors:

Key contributors:

  • Poor posture and prolonged sitting habits
  • Age-related degeneration of spinal discs and joints
  • Congenital spinal abnormalities
  • Osteoporosis leading to compression fractures

Symptoms of Scoliosis & Kyphosis

Symptoms can vary depending on the severity of the spinal curvature and its impact on surrounding muscles and nerves. Early recognition can help prevent progression and improve outcomes.

Typical signs:

  • Visible curvature or uneven shoulders
  • Upper back pain, stiffness, or fatigue
  • Muscle tightness or imbalance
  • Reduced flexibility or limited range of motion

When to See a Doctor

Medical evaluation is recommended if you notice changes in posture, persistent upper back pain, or visible spinal curvature. Pain that worsens over time or affects daily activities should be assessed. Early diagnosis allows for better management and helps prevent progression.

Diagnosis & Testing

Diagnosis includes a physical examination to evaluate posture, spinal alignment, and range of motion. Imaging such as X-rays may be used to measure the degree of curvature and monitor progression. In cases involving nerve symptoms, EMG/NCV testing may be recommended to assess nerve function.

Non-Surgical Treatment Options

Most cases can be managed without surgery, especially when identified early. Treatment focuses on improving posture, strengthening muscles, and reducing strain on the spine. Physical therapy, targeted exercises, and activity modification are commonly used to improve alignment and mobility.

In some cases, supportive treatments such as custom medical bracing or injection-based therapies may be recommended to reduce discomfort and support spinal stability. A personalized treatment plan helps improve function and long-term spinal health.

What to Expect at Your Visit

During your visit, your posture, spinal alignment, and symptoms will be carefully evaluated. A physical exam will assess muscle balance, flexibility, and any signs of nerve involvement. Based on your findings, a customized treatment plan will be created to improve posture, reduce pain, and support long-term spine health.