Scoliosis Treatment with Dr. Tony Nalda

Episode 159: Why is 10 Degrees Diagnosed as a Scoliosis?


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Podcast Show Notes: Scoliosis Treatment with Dr. Tony Nalda

Episode Title: Why 10 Degrees Is the Diagnostic Threshold for Scoliosis

šŸŽ™ļø Episode Overview:

Why is scoliosis officially diagnosed at 10 degrees? In this episode, Dr. Tony Nalda explores the origin of the 10-degree cutoff, what it means for patients, and why the numbers don’t always reflect the impact scoliosis can have on daily life.

šŸ“Œ Key Topics Covered:

āœ… What Is Scoliosis?

  • A lateral curvature of the spine of 10 degrees or more, with spinal rotation

  • Must be measured via Cobb angle on a standing spinal X-ray

  • Three-dimensional deformity—not just a sideways curve

    āœ… Cobb Angle & Severity Categories:

    • Mild: 10–25 degrees

    • Moderate: 25–40 degrees

    • Severe: 40+ degrees

    • Very Severe (Dr. Nalda’s category): 80+ degrees

      These classifications were originally designed by orthopedic surgeons for surgical decision-making, not necessarily for predicting symptoms or patient outcomes.

      āœ… Why 10 Degrees?

      • In 1977, Dr. William Kane proposed 10° as the cutoff to create diagnostic consistency

      • Prior to this, some doctors diagnosed scoliosis at 5°, 15°, or even 20°

      • The 10-degree benchmark became the accepted clinical standard—but not because it signified a dramatic physiological shift

        āœ… Why "Mild" Scoliosis Can Still Be Serious:

        • Even small curves (10–20 degrees) can cause pain, dysfunction, and postural changes

        • Many patients with 15–20 degree curves experience symptoms despite being labeled ā€œmildā€

        • Early misalignments are like car tires out of alignment—they wear things down over time

          āœ… The Problem With Chasing Numbers:

          • Curves less than 10° are still spinal misalignments

          • Scoliosis isn’t always visible until 20–25°, meaning millions go undiagnosed

          • Many people don’t realize they have scoliosis until adulthood, especially if pain is minimal in youth

            āœ… What Matters Most:

            • Not just the degree of curvature, but the impact on your health and function

            • Early detection and proactive, conservative treatment can prevent small curves from becoming severe

            • Look beyond the labels—what matters is how your spine is affecting your quality of life

              šŸ’” Clinical Insight:

              Every severe scoliosis case started out as a smaller curve. The earlier you intervene—regardless of whether it's ā€œmildā€ or not—the better your chances are to prevent long-term progression.

              šŸ“˜ Free Resource:

              Download the Free Guide: How to Effectively Treat Scoliosis
              šŸ‘‰ scoliosisreductioncenter.com/free

              šŸ”— Stay Connected:

              🌐 Website: scoliosisreductioncenter.com
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              It’s not just about the number—it’s about the impact. Treat the cause, not just the curve.

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              Scoliosis Treatment with Dr. Tony NaldaBy Dr. Tony Nalda

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