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Dr. Antony Michael

Adult Scoliosis Treatment in Dubai

Back Pain Is Not Something That Has to Be Accepted

Many adults live for years with an undiagnosed spinal deformity – mistaking their discomfort for stress, age, or poor posture. At Michael Spine Surgeon, the true cause is identified and a personalised treatment plan is built around real life by Dr. Antony Michael.

Understanding Adult Scoliosis

In adults, scoliosis is either carried forward from adolescence – undetected or untreated – or it develops later as spinal discs and joints gradually deteriorate. Either way, spinal alignment is lost, placing uneven pressure on the surrounding muscles, nerves, and vertebrae.

Over time, this leads to chronic back pain, restricted movement, and in more advanced cases, nerve compression that radiates into the legs.

When Should You Seek Help?

Adult scoliosis builds slowly. These are the signs that a spinal specialist should be consulted:

Chronic Back Pain

Persistent mid-lower back pain that continues despite rest or physiotherapy - with no clear explanation from other causes.

Gradual Shift in Posture

The body leans to one side when standing, and maintaining spinal alignment requires deliberate effort.

Shrinking in Height Over Time

A measurable loss of height observed over the years, caused by vertebral compression from the curve.

Shooting Pain or Numbness

Paraesthesia or weakness in the limb travelling down one or both legs - a sign that neural elements in the spinal canal are being compressed.

Fatigue After Everyday Activities

Persistent tiredness or muscle weakness after routine tasks, as the body compensates for a structurally imbalanced spine.

Types of Adult Scoliosis

Degenerative Scoliosis

Caused by disc deterioration, arthritis, and wear and tear of the spinal joints. Most common in the lumbar region and strongly linked to the aging spine.

Adult Idiopathic Scoliosis

A curve from adolescence left unmanaged - now showing progressive worsening in adulthood, ranging from gradual to significantly accelerating.

Neuromuscular Scoliosis

A structural deformity secondary to neurological diseases such as cerebral palsy or muscular dystrophy, where muscles can no longer support the spine adequately.

Post-Surgical Scoliosis

A spinal deformity that develops following previous back surgery, driven by changes in spinal balance across adjacent segments over time.

Getting the Right Diagnosis

Step 1
In-Depth Consultation

A full picture is gathered - symptom onset, previous treatments, daily limitations, and medical history. The curve pattern and how it impacts daily life are both considered.

Step 2
Clinical & Neurological Assessment

A detailed physical examination is carried out - evaluating postural changes, spinal alignment, and neurological function. Signs of nerve involvement or weakness in the limbs are carefully assessed.

Step 3
Advanced Spinal Imaging

A full-length standing X-ray (scoliogram) measures the Cobb angle and coronal plane balance. Where disc degeneration or nerve compression is suspected, an MRI or CT scan - with 3D image acquisition where required - is arranged.

Adult Scoliosis Treatment in Dubai - What Is Right for You

The right treatment depends on the severity of the curve, the symptoms experienced, and the impact on daily function. A multidisciplinary approach is taken before any recommendation is made.

Observation & Monitoring

For mild curves with controlled symptoms, structured monitoring with scheduled follow-up appointments and imaging ensures any curve progression is detected and addressed early.

Physiotherapy & Rehabilitation

A tailored rehabilitation programme - incorporating the Schroth method, core strengthening, and posture improvement - reduces pain and builds lasting spinal support.

Adult Scoliosis Brace

A 3D-scanned, custom-fitted adult scoliosis brace is used to offload spinal pressure, ease nerve-related discomfort, and deliver reliable day-to-day postural support.

Surgical Correction

When non-surgical treatment is no longer sufficient, options including spinal fusion, minimally invasive surgery, and deformity correction are recommended - guided by the patient's health and goals.

What Sets Dr. Antony Michael Apart

01
Dedicated Spinal Expertise
Every patient is seen by a fellowship-trained consultant with focused expertise in spinal deformity - not a generalist.
02
Process Behind Every Decision
Physiotherapists, orthotists, pain management specialists, and radiologists work together - so no detail is missed.
03
Honest, Evidence-Based Guidance
Both non-surgical and surgical options are presented clearly. Personalised care is always the priority, never a protocol.
04
Support Beyond the Appointment
Progression is tracked over time and the tailored treatment plan is adjusted as the patient's condition evolves.

Your Spine Deserves Specialist Attention

Living with back pain, postural changes, or unexplained leg symptoms does not have to be the norm. A clear diagnosis and a personalised treatment plan are provided from the very first appointment.

Your Questions, Answered

Is adult scoliosis different from scoliosis in children?

Yes. In adults, the spine has stopped growing, making back pain and neurological symptoms far more prominent. Treatment focuses on managing functional disability rather than controlling growth-related progression.

How is an adult scoliosis brace different from one used in children?

An adult scoliosis brace is designed to provide spinal support, reduce nerve pressure, and relieve discomfort - not to correct the curve. It is custom-fabricated using 3D scanning and works best alongside physiotherapy.

At what point is surgery considered?

Surgical intervention is typically considered when the curve exceeds 45–50 degrees, when neurological symptoms such as paraesthesia are present, or when quality of life is significantly affected despite non-operative management.

Can the curve worsen without treatment?

Yes - particularly with degenerative scoliosis. Without monitoring, the Cobb angle can increase meaningfully over time. Regular reviews with an adult scoliosis doctor allow for early intervention before the condition becomes harder to manage.

What should be brought to the first consultation?

Previous imaging - X-rays, MRI, or CT scans - and a summary of treatments already tried. If unavailable, it can be arranged through the clinic.