Scoliosis is often described as a “spinal curve”—something visible on an X-ray or noticed in a mirror. But what’s harder to see (and often harder to explain) is the pain that can come with it.

At MyBackHub, we specialize in nonoperative spine care, and we’re often asked: When is scoliosis surgery actually necessary? Understanding the right timing and reasons for surgery can empower you to make the best decisions for your spine health.

At MyBackHub, we often hear the same questions: Why is my spine curved? What caused it? Do I need surgery? The truth is that scoliosis comes in different forms—adolescent, congenital, neuromuscular, and degenerative—and each type has its own story. Some curves cause little to no discomfort, while others can lead to pain, muscle fatigue, or mobility changes later in life.

For too long, myths about scoliosis have caused unnecessary fear and confusion—especially the idea that scoliosis always gets worse, always causes pain, or can only be managed with surgery. The truth? Scoliosis is one of the most common spine conditions in the world, yet most people can live active, fulfilling lives with it—without major curve changes or endless discomfort.

Back pain is one of the most common health challenges worldwide—and one of the most misunderstood. While it’s often grouped into a single category, “back pain” can have many different root causes. From simple muscle strains to scoliosis and spinal stenosis, each condition affects the body differently and requires a tailored approach.