There are several different 'warning signs' that you might feel to suggest something is wrong and that you need to consult a Dr.
There are essentially three treatment options for adolescents with scoliosis: observation, bracing, and scoliosis surgery. There have been large trials of other forms of treatments, none of which have been shown to be effective. Electrical stimulation, physical therapy, chiropractic manipulation, osteopathic manipulation, or other manual treatments have not been shown to reduce the curvature or to prevent progression.
Because idiopathic scoliosis is considered a deformity, scoliosis treatment is largely centered on reducing or limiting the progression of the deformity and is not focused on treatment of pain.
However, having said all that there are many treatments available that are non surgical for Scoliosis.
When I had my surgery in 1989 there were no other options available as my curve had progressed too far, so I would be interested to hear from anyone that has been down the non surgical road.