Spinal scoliosis

As an osteopath, Richard’s spinal condition is of considerable interest to me. I have several patients who have different types and degrees of scolioses, but none who has one anything quite like Richard’s! His scoliosis was severe enough that, had he been alive today, he would probably have had an operation to correct it. Dominic Smee, who is Richard’s ‘body double’, is unusual in that he hasn’t had this operation, which is why it was so interesting to see the documentary he starred in where he trained to perform the feats of battle and fighting that Richard would have done.

But you might be wondering what an operation to correct such a scoliosis would involve. So here are some photos showing (1) a spine where I have attempted to recreate Richard’s condition (not very well, but you get the idea!), (2) another spine showing the metal work involved in the correction of a spinal scoliosis and (3) a close up of said metal work.

1.Spinal scoliosis

2.Corrected Scoliosis3. Close up of metalwork

As you can see, it is quite an invasive and extensive operation. It leaves extensive scarring and can fail or break inside the body, and nothing can be done if this happens. I wonder whether Richard would have opted to have it had he been born in modern times. There is one Royal example of a scoliosis sufferer who DID have the operation , very successfully, Princess Eugenie, daughter of the current Duke of York.  Here is a link where she describes her experience of spinal surgery: Princess Eugenie’s Story

Other alternatives include a brace which must be worn almost constantly, and this doesn’t correct the scoliosis, it just tries to prevent it worsening.

There are non-invasive treatments which can help to control the progression of scoliosis and which are most effective if started before the condition worsens. These include exercises and manual therapy (e.g. osteopathy, physio).


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  1. […] Furthermore, as this picture shows, Princess Eugenie wore a backless dress to show her scoliosis scar. […]

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  2. […] was interesting, but even more intriguing was the way it was treated. Scoliosis is usually treated by inserting metal rods each side of the spine. The operation is very invasive, […]

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  3. […] III is probably the most famous person affected by idiopathic scoliosis, along with Princess Eugenie of York, the runner Usain Bolt, the actress Liz Taylor, the singers Kurt Cobain and Liza Minnelli, the […]

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  4. I think Richard had opted for the surgery. He was brave and didn’t hesitate in front of anything. At that time, a deformity or a condition like his scoliosis was seen as evil so he would have tried to correct it.

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  5. […] are expecting their first baby. Eugenie of course quite famously showed off the scar from her scoliosis surgery when she got married in a backless wedding dress in 2018. She had idiopathic adolescent onset […]

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