Scoliosis · Schroth method · Tseri

Scoliosis in Children and the Schroth Method

An honest guide for parents: what scoliosis really is, why 6 to 12 sessions are not enough, how the Schroth method works and what to realistically expect until your child stops growing.

  • Schroth certified (ISST)
  • GESY-registered clinic
  • Strovolou 51, Tseri
01 · What it is

What scoliosis really is

When a doctor tells you your child has scoliosis, it is natural to feel worried, confused, maybe even guilty. It is also natural to think: “We will do a bit of physiotherapy and it will be fine.” Here we tell you honestly what you need to know to make the right decisions.

Scoliosis is not “bad posture”, weak muscles or the result of a heavy school bag. It is a three-dimensional deformity of the spine: the back curves sideways, rotates and changes shape in three planes at once.

In most cases, idiopathic scoliosis, we do not know why it happens. It often appears in adolescence and can progress as the child grows.

How it is measured: the Cobb angle

Scoliosis is measured on an X-ray, using the Cobb angle in degrees. That angle, together with how much growing your child still has to do, decides whether physiotherapy is enough, whether a brace is needed or, rarely, surgery.

02 · The big myth

“6 to 12 sessions and we are done”

GESY covers a set number of physiotherapy sessions, and it is reasonable to assume that is enough to “fix” the problem. It is not. And it is not the system’s fault: it is the nature of the condition.

50/50
Us and you

Success depends half on us and half on you and your child. It is not decided in the 45 minutes of a session.

7days a week
Home exercises

Your child exercises every day. It is not optional: it is the core of the treatment.

16–18years
End of growth

The age the spine usually matures in girls, a little later in boys. Until then, scoliosis needs systematic monitoring.

Think of short-sightedness

If your child were short-sighted, you would not expect 6 visits to the eye doctor to “fix” their eyes. They would wear glasses, you would have them checked regularly and adjust as they grow. Exactly the same applies here.

Beware of promises

Scoliosis is not “cured” like a sprain: it is managed, stabilised and, in good cases, improved. Anyone promising a quick “cure” in a few weeks is telling you what you want to hear, not what is true.

03 · The right method

The Schroth method and why it matters

The Schroth method is a specialised physiotherapy approach developed specifically for scoliosis. It is not “back exercises”: it is a complete system of three-dimensional correction that teaches your child’s own body to resist the deformity.

Specific breathing

Breathing directed into the “collapsed” areas of the ribcage, opening them from the inside.

Element 1

Targeted muscle activation

Activating the muscles that support the spine in a better position.

Element 2

Corrective postures

Postures your child learns to bring into everyday life, so the correction does not stay in the clinic.

Element 3

International recognition

The guidelines of SOSORT, the international scientific society for the conservative treatment of scoliosis, recommend scoliosis-specific physiotherapy exercises. Schroth is among the best documented.

SOSORT

ISST certification

At our clinic the method is delivered by a therapist certified by ISST (International Schroth 3-dimensional Scoliosis Therapy). Schroth requires specific certification: correct execution is everything.

ISST

Full assessment first

We start with a full assessment, not a standard physiotherapy session, and build a programme for your child’s specific curve.

First step
04 · Timeline

What to realistically expect

Scoliosis treatment is not a straight line. It is a journey in phases, each with its own role.

01
First 2–3 months

Learning phase

Your child learns the method: the basic corrective postures, correct breathing and body awareness. An intensive phase, typically 1 to 2 sessions a week. This is where the foundations of the whole treatment are built.

02
Months 3–12

Integration phase

The exercises become part of the daily routine. Your child exercises every day at home. Clinic sessions become less frequent but continue for checks, adjustments and progressive difficulty.

03
Until growth ends

Monitoring phase

The spine usually matures around 16–18 in girls and a little later in boys. Until then, scoliosis is “active” and needs systematic monitoring. After that, the picture stabilises considerably.

Realistic expectations

In scoliosis, success means a curve that does not increase and a child who lives and moves normally. In good cases, the curve improves.

We adjust session frequency to each child, depending on the angle, age and response to treatment.

05 · Your role

It does not work without you

Treatment does not happen in the 45 minutes of a session. It happens every day, at home, in your normal life.

✓ What we need from you

  • Make sure your child does the home exercises every day, not just when they remember.
  • Come to appointments consistently, even when your child “looks fine”.
  • Keep up regular orthopaedic check-ups, usually with an X-ray every 6 months during growth.
  • Stay calm: your child picks up on your anxiety and absorbs it.

✗ What to avoid

  • Don’t expect a “correction” in 6 to 12 sessions.
  • Don’t look for “quick fixes” or “miracle methods”. They don’t exist.
  • Don’t stop the exercises because your child “looks fine”.
  • Don’t let the exercises depend on the mood of the day.

The most important thing you can do for your child does not happen in the clinic. It happens in your kitchen at 7 in the evening, when you make sure the exercises get done, even when nobody feels like it.

06 · Bracing and surgery

Bracing, surgery and when to worry

Physiotherapy does not work alone. These are the limits set by the Cobb angle, and the signs that need a prompt call to your doctor.

Brace

With Cobb angles usually above 20–25 degrees in a child who is still growing, the orthopaedic surgeon may recommend a brace. It does not replace physiotherapy: the two work in parallel.

Usually from 20–25°

Surgery

Reserved for severe cases, usually angles above 45–50 degrees. Rare but real, and one of the main reasons early action matters so much.

Usually above 45–50°

Orthopaedic monitoring

During growth, usually with an X-ray every 6 months, to check the curve is staying stable.

Every 6 months

Early action

The sooner the right treatment starts, the better the chances of a good result.

The sooner, the better

When progress seems slow

If the angle is not increasing and your child keeps good function, treatment is doing its job. In scoliosis, stability is already success.

No need to worry

A normal life

Children with scoliosis who received the right treatment become athletes, dancers, soldiers, parents. The condition does not define them.

A journey, not a disaster

Contact your doctor promptly if:

  • Your child complains of severe, persistent pain.
  • You notice a visible increase in the deformity over a short time.
  • Breathing problems appear.
07 · FAQ

What parents ask us

What is idiopathic scoliosis?

It is the most common form of scoliosis: a three-dimensional deformity of the spine with no known cause. It usually appears in adolescence and can progress as the child grows.

Is it caused by bad posture or a heavy school bag?

No. Scoliosis is not caused by bad posture, weak muscles or a heavy bag. It is not your fault, and it is not your child’s.

What is the Schroth method?

A specialised physiotherapy method for scoliosis that combines specific breathing, targeted muscle activation and corrective postures in daily life. SOSORT guidelines recommend scoliosis-specific physiotherapy exercises, and Schroth is among the best documented.

Is Schroth therapy at AlexPhysio certified?

Yes. The method is delivered by a therapist certified by ISST (International Schroth 3-dimensional Scoliosis Therapy).

Are 6 to 12 physiotherapy sessions enough?

No. Scoliosis is not corrected in a few sessions: it is managed and stabilised with time, consistency and daily home exercises until growth ends.

How often are Schroth sessions?

For the first 2–3 months, typically 1–2 sessions a week while your child learns the method. After that they become less frequent but continue for checks and progression, while your child exercises every day at home.

When is a brace needed?

Usually when the Cobb angle is above 20–25 degrees in a child who is still growing. The decision is made by the orthopaedic surgeon. A brace does not replace physiotherapy: the two work in parallel.

When is surgery needed?

Rarely, in severe cases, usually with angles above 45–50 degrees. That is why early monitoring and treatment matter so much.

What should I bring to the first assessment?

All previous X-rays and medical reports. If you do not have an X-ray from the last 6 months, arrange one before you come.

Is it covered by GESY?

Physiotherapy is covered by GESY with a referral, for a set number of sessions. For scoliosis these are rarely enough, so at the first assessment we explain what is covered and how we continue.

Book an assessment

Your child deserves the right guidance

Early, correct intervention makes the biggest difference. Book a full assessment, not a standard physiotherapy session.

Schroth certified (ISST)

The Schroth method is delivered by a therapist certified by ISST, which trains therapists according to the Asklepios Katharina Schroth school.

Honesty first

We will not tell you what you want to hear. We will tell you what you need to know to make the right decisions.

Alongside your orthopaedic surgeon

Physiotherapy works alongside orthopaedic monitoring and, when needed, the brace.

Team of 8 physiotherapists in Tseri

Strovolou 51, close to Lakatamia, Strovolos, Dali and Latsia.

AlexPhysio

HoursMon, Thu: 09:15–19:15
Tue: 09:15–18:30
Wed: 09:00–18:30
Fri: 09:15–17:00

Bring to the first assessment

  • All previous X-rays and medical reports
  • An X-ray from the last 6 months, if you have one
  • Your questions: the more, the better
96 666 081