What is the appropriate first step for a 7th-grade female with signs of scoliosis?

The appropriate first step for a 7th-grade female with signs of scoliosis is to order an X-ray to determine the degree of severity. This is crucial because an X-ray provides a clear image of the curvature of the spine, which helps in assessing the condition accurately.

Understanding the severity of the scoliosis is important to formulating an effective management plan. The degree of curvature can dictate whether observation, bracing, or surgical intervention may be necessary. Without this initial assessment through imaging, it would be premature to make decisions about treatment options such as bracing or referrals to specialists. Additionally, making assumptions about activity restrictions, like prohibiting contact sports, should be based on a comprehensive evaluation of the severity and potential risks associated with the condition.