When is treatment necessary for scoliosis, and what are my treatment options?

Back pain is a complex yet common problem that affects many people and there can be many causes from a disc prolapse with nerve root irritation, muscular spasm, facet joint pain or fascial pain. A Sports/MSK physician will take a detailed history, perform a thorough clinical examination and, depending on symptoms/signs, may organise investigations such as X-rays, MRIs or blood tests. For the majority of back pains, conservative (non-operative) management will suffice. This may include physiotherapy, guided injections or analgesia.

That’s a very astute observation by your yoga instructor. People with joint hypermobility have an unusually large range of movement in their joints, and are able to move their limbs into positions others find impossible. First things first, it’s still important to visit a doctor – it’s most likely nothing, but it’s important to see a doctor as hypermobile joints can be a sign of other types of syndromes, such as Ehler-Damlos or Marfan’s syndrome (both quite rare amongst Asians), or slightly more commonly, joint hypermobility syndrome (JHS).