Because scoliosis is usually painless and asymptomatic, it is often difficult to detect early if parents are not paying attention. If there is any doubt, have the child bend forward, keep the knees straight, and stand on the opposite side of the child; if there is any asymmetry, go to the hospital for a radiograph. 2. Check the skin for abnormal hair, spot or tumor-like protrusions. Abnormal hair often indicates the presence of spina bifida and other deformities, while echinacea or multiple subcutaneous masses suggest the possibility of neurofibromatosis. 3. Check for gait abnormalities, if any, to see if the pelvis is horizontal and if the lower extremities are equal in length. Since the age of onset of different types of scoliosis varies, children should be examined regularly to avoid delays in diagnosis and treatment.