The initial step often includes conservative management strategies. Physical Therapy is crucial, providing tailored exercises and stretches aimed at strengthening the muscles supporting the spine, enhancing overall flexibility, and improving posture. This can help in stabilizing and slowing the progression of the scoliotic curve. The application of heat and ice may also aid in managing discomfort.

Ongoing physical therapy is essential for scoliosis management. It involves specific exercises designed to address the unique aspects of the individual's scoliosis, focusing on spinal alignment, core strength, and balance.

Chiropractic interventions can be beneficial for some individuals with scoliosis, focusing on spinal adjustments and alignment techniques. While chiropractic care may not correct scoliosis, it can help in managing symptoms and maintaining spinal health.

In cases of moderate scoliosis, especially in children and adolescents, bracing can be an effective treatment to prevent further progression of the curve. The type and duration of bracing depend on the severity and location of the curve.

For pain associated with scoliosis, medications like anti-inflammatory drugs or muscle relaxants can be recommended to enhance comfort and manage symptoms.

Adopting a lifestyle that supports spinal health is important. This includes maintaining a healthy weight, engaging in regular physical activity, and practicing good posture.

In cases where pain is significant, interventional procedures like epidural steroid injections can be considered for pain relief.

Surgery, such as spinal fusion, may be a consideration in severe cases of scoliosis where the curve is progressing rapidly or causing serious health problems.

Complementary therapies like yoga and Pilates can play a supportive role in managing scoliosis. These practices focus on flexibility, core strength, and spinal alignment.

Providing education about scoliosis and its management, as well as emotional support, is crucial for patients and their families.