• the spine curving abnormally to the side (laterally)
• shoulders and/or hips appearing uneven
• backache or low-back pain
• fatigue

Note: Kyphoscoliosis also involves abnormal front-to-back curvature, with a "rounded back" appearance. See kyphosis.

The physical examination will include a forward bending test that will help the practitioner define the curve. There will also be a thorough neurologic exam to look for any changes in strength, sensation, or reflexes.

Tests may include:

• spine X-rays (taken from the front and the side)
• scoliometer measurements (a device for measuring the curvature of the spine)
• MRI (if there are any neurologic changes noted on the exam or if there is something unusual in the X-ray )