Scoliosis symptoms may lead to mild discomfort, but it does not usually cause severe pain. Those who do experience severe pain usually have an additional underlying factor, such as a herniated disc. Adults who have pain and have degenerative scoliosis find that activity makes it worse. Physicians recommend surgery only when other methods — activity avoidance, bracing, over-the-counter pain medications, massage, physical therapy — are not effective. Research shows that smoking speeds up the degenerative process.

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