Schroth based rehabilitation is recommended for people with scoliosis with a Cobb angle of 10 degrees or more. It is also effective for those with excessive thoracic kyphosis including Sheuremann’s Kyphosis as well as structural flatback. It is highly recommended that girls begin after the age of 10 years and boys after 12 years of age. Adults can begin to learn the program at any time. People with curvatures over 35 degrees may experience up to a degree of progression per year. Adult women with curvatures over 35 degrees may experience degenerative changes and curve progression as they approach menopause. Adult men with scoliosis may also begin to experience degenerative changes and curve progression as they age. While there are fewer men with scoliosis, their curvatures tend to be more rigid and aggressive with regards to progression. If you notice any changes in your height, any increase in the thoracic or lumbar prominences associated with your scoliosis, or an increase in pain, you may be experiencing progression of scoliosis and should begin Schroth based rehabilitation.