How is scoliosis typically approached in OMM?

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In OMM, scoliosis is approached by first identifying regional somatic dysfunctions that contribute to abnormal spinal mechanics and then using a multimodal plan to restore motion and balance. This means evaluating not just the spine but the pelvis, sacrum, ribs, and surrounding soft tissues to find restrictions that drive or perpetuate the curve. Treatment focuses on reducing asymmetric forces with techniques such as muscle energy to normalize muscle length and joint function, myofascial release and other fascial techniques to loosen restrictive tissues, and counterstrain for tender points, often addressing the rib cage and pelvic girdle to rebalance the thorax and pelvis. High-velocity, low-amplitude adjustments may be used when appropriate, but they are not the sole method and are not applied in isolation. The goal is to support the body’s mechanics and function, not to pursue surgical correction as the primary approach. Ignoring these regional dysfunctions would miss modifiable contributors, and for functional scoliosis, improving regional mechanics can lessen or reverse the curve, while structural curves require broader management with OMM as supportive therapy.