Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for evaluation of idiopathic scoliosis. Reports [asymptomatic / localized back pain / fatigue]. No history of trauma, neurological deficits, bowel/bladder dysfunction, or radicular symptoms. Family history [positive/negative] for spinal deformity. Progression monitored via serial radiographs.
Clinical Examination Findings
Physical exam reveals [right/left] thoracic/lumbar prominence on forward bend test (Adams test). Shoulder asymmetry noted. Pelvic tilt [present/absent]. Gait is normal. Neurological exam: intact motor strength (5/5), symmetric deep tendon reflexes, no pathologic reflexes (Babinski/Clonus). Skin exam: no café-au-lait spots or hairy patches.
Treatment Protocol
Treatment plan: [Observation / Bracing / Surgical Consultation]. Serial standing AP/lateral spine radiographs scheduled every [3/6] months to monitor Cobb angle progression. Physical therapy initiated for core stabilization and postural awareness. Referral to orthotics for bracing if Cobb angle >25 degrees.