In general, a lack of alignment in the upper body may indicate that a child has scoliosis. Specifically, if one hip and/or one shoulder looks higher than the other, or one shoulder blade seems to be more easily discernible than the other, scoliosis may be a factor.
In more advanced cases, back pain, a pronounced curve in the spine, or ribs that are noticeably more prominent on one side, can be a scoliosis indicator. Difficulty in breathing may occur, as your ribs press against one or both lungs.
Children with moderate and severe cases of scoliosis will often need more intervention than physical therapy alone. Bracing is common for moderate scoliosis.
In mild cases, however, physical therapy may be enough. PT can additionally augment more aggressive treatment for moderate and severe cases.