Episode 83: Is Swimming Good for Scoliosis?

Patients with scoliosis often seek safe and effective forms of exercise, with swimming being a common choice. In today’s episode, Dr. Tony Nalda explores the relationship between swimming and scoliosis, shedding light on its historical use as a treatment option and addressing the confusion surrounding its effectiveness.

Swimming was once considered a treatment option for scoliosis, based on the idea that removing patients from gravity could halt the progression of the condition.

There are 2 main progression factors of scoliosis:

1. Rapid progression during growth stages - as patients undergo growth spurts, the curves can progress swiftly, and this progression is directly linked to the speed of their growth. The faster the growth and the shorter the period, the more likely the scoliotic curve is to progress.
2. Slow progression in the adult stage due to gravity - over time, gravity exerts a gradual, constant force on the spine, leading to a slow progression of the curvature.

Swimming on scoliosis patients can have both negative and positive impacts. Swimming can be beneficial in terms of symmetrical motion and reducing compression on the spine. Additionally, swimming allows for exercise outside of compression, meaning individuals can enhance their overall health and well-being without subjecting their bodies to increased compression, which can lead to more pain.

However, being in the water is not a natural environment for the human body, leading to a neurological reaction. Prolonged periods in water may cause the body to adapt to positions that are not typical, posing challenges when individuals return to a normal, non-aquatic environment. Furthermore, the common tendency for people to arch or flatten their mid-back while swimming could be a cause for concern. This flattening of the thoracic spine can contribute to increased scoliosis progression, particularly if it becomes a habitual posture during swimming activities.

While swimming could be beneficial, it does have its negative effects if not done properly. Patients are advised to adopt a personalized approach, consulting with healthcare professionals to determine the suitability of swimming based on their specific scoliosis type, goals, and overall management plan.

Check out Dr. Tony Nalda's podcast for more info on alternative treatments for scoliosis.

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