Is Scoliosis Hereditary? What Genetics Can — and Can’t — Explain

If you or someone in your family has scoliosis, it’s natural to ask:

Is scoliosis hereditary?

The short answer is: genetics can play a role, but they are not the full story. Scoliosis is influenced by a mix of genetic predisposition, movement patterns, posture, and how the body adapts to gravity over time.

Understanding this distinction is important — because it changes how scoliosis should be approached, managed, and trained.

What Is Scoliosis?

Scoliosis is a three-dimensional curvature of the spine, often involving rotation and asymmetrical muscle tension — not just a simple sideways bend.

It can show up as:

  • Uneven shoulders or hips

  • A rib flare or rib hump

  • One side of the body feeling tighter or weaker

  • A sense of imbalance when standing or walking

While scoliosis is commonly identified in adolescence, many people only experience symptoms later in adulthood.

Is Scoliosis Genetic?

Yes — genetics can increase risk

Research shows that scoliosis can run in families, especially idiopathic scoliosis, the most common form. This suggests a genetic predisposition, not a genetic guarantee.

If a parent or sibling has scoliosis:

  • You may be more likely to develop spinal asymmetry

  • You may be more sensitive to postural or movement stress

  • You may experience earlier or more noticeable imbalance

However…

Genetics do NOT determine severity or progression

There is no single “scoliosis gene” that dictates how curved a spine becomes or whether symptoms will worsen.

Two people with similar genetic backgrounds can have very different outcomes depending on:

  • How they move

  • How they load their body

  • Their coordination and postural habits

  • How they respond to gravity and repetitive stress

What Actually Influences Scoliosis Progression?

This is where many explanations fall short.

Scoliosis progression is strongly influenced by how the body organises movement over time.

Key contributors include:

  • Repetitive asymmetrical movement patterns

  • Poor gait mechanics

  • Uneven load distribution through the hips and feet

  • Compensatory breathing and core strategies

  • Training that reinforces strength without addressing coordination

In other words, scoliosis is often maintained and reinforced, not simply inherited.

Can Scoliosis Be Corrected or Improved?

This depends on how we define “corrected”.

While structural curves may not fully disappear, function, alignment, and balance can absolutely improve.

Targeted corrective training can help:

  • Reduce asymmetrical tension

  • Improve postural organisation

  • Increase coordination between the hips, spine, and shoulders

  • Improve confidence and control in everyday movement

The goal is not to “force symmetry”, but to teach the body to organise itself more efficiently.

Why General Exercise Often Isn’t Enough

Many people with scoliosis already exercise regularly — yet still feel uneven, tight, or unstable.

That’s because:

  • Strength alone doesn’t correct coordination

  • Stretching alone doesn’t retrain control

  • Generic programs don’t address individual asymmetries

Without targeted corrective work, the body simply gets stronger in its existing compensations.

How Balance & Symmetry Training Fits In

The Balance & Symmetry 6-Week Program is designed specifically for people dealing with postural imbalance, scoliosis, and long-standing asymmetries.

Rather than treating scoliosis as a diagnosis to fear, the program focuses on:

  • Re-balancing tension across the body

  • Improving coordination and postural control

  • Teaching the body to manage load more evenly

  • Building strength that supports alignment — not fights it

This approach is especially valuable for adults who want real, functional change, not just symptom management.

Final Takeaway

So — is scoliosis hereditary?

Genetics may influence risk, but they don’t determine your outcome.

How your body moves, loads, and organises itself over time matters far more than family history alone. With the right approach, many people experience meaningful improvements in balance, posture, and confidence in their movement.

If scoliosis or asymmetry has been holding you back, structured corrective training can be a powerful next step.

👉 Learn more about the Balance & Symmetry 6-Week Program and how it supports long-term postural change.

Louis Ellery

Just a man trying to make the world more functional and less painful.

https://www.functionalpatternsbrisbane.com
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