The more severe the scoliosis, the more pronounced the symptoms of high and low shoulders will be. However, you cannot conversely assume that with high and low shoulders, scoliosis is very serious, because high and low shoulders themselves are also affected by one’s posture. The severity of scoliosis needs to be determined by taking a full-length spinal radiograph and measuring the size of the scoliosis angle, as well as the age of the patient. Therefore, when there is a high and low shoulder in clinical practice, the first step is to rule out whether there is a scoliosis lesion. If there is scoliosis resulting in a more pronounced high and low shoulder, one should also go to the hospital for a radiograph to clarify the severity of the scoliosis at this time. If specific disease information is available, further treatment options for scoliosis can be deduced to correct the high and low shoulder deformity caused by scoliosis.