Some patients develop scoliosis symptoms during their teenage years. They suffer from discomfort in their back, and in some severe cases, the asymmetrical curvature of the spine can be immediately noticeable. Also, students with scoliosis may notice their backpacks sliding off their shoulders to one particular side. When these students wear pants, the waist area may rotate to either the left or right consistently. Furthermore, patients with scoliosis may have legs that are different in length, which can lead to knee or ankle pain. Meanwhile, degenerative scoliosis causes lumbar scoliosis accompanied by chronic lower back pain.