Scoliosis & Kyphosis

Spinal curvature affects far more than posture.

Scoliosis refers to a lateral curvature of the spine; kyphosis to an excessive forward curve of the thoracic region. Both are common, both are frequently under-managed, and both have implications for the way the whole body loads — affecting the ribs, the diaphragm, the organs, the pelvis and the nervous system, not just the spine itself.

Most people with scoliosis or kyphosis are told there's nothing to be done short of bracing or surgery. Conservative osteopathic management won't straighten a structural curve — but it can meaningfully improve how the body functions within that curve, reduce pain, improve breathing mechanics, and slow the progression of compensatory patterns.

What conservative treatment can address

The spine adapts to its environment. In scoliosis, the muscles, fascia and joints on the concave and convex sides of the curve develop asymmetrical tension and restriction over time. These secondary restrictions — not the curve itself — are often the primary source of pain and dysfunction. They're also the most directly addressable with manual therapy.

Breathing is also significantly affected in thoracic curvature. The ribcage on the concave side becomes compressed, diaphragm mechanics are altered, and respiratory capacity is reduced. Restoring rib and thoracic mobility can have a meaningful impact on both comfort and function.

How Dr Chase approaches it

Assessment maps the curve pattern, the secondary restrictions in the surrounding musculature and ribs, the breathing mechanics, and how the pelvis and hips are adapting to the spinal position. Understanding the functional impact of the curve — not just the curve itself — guides what's most useful to address.

Treatment draws from thoracic and rib mobilisation, myofascial release addressing the asymmetrical tension patterns, diaphragm and breathing work, and where relevant, cranio-sacral techniques supporting the dural and membranous system. The goal is improved function, reduced pain and a body that manages its structure more efficiently — not a cure for the curve.

Living with scoliosis or kyphosis doesn't mean accepting pain and limitation as inevitable. There is usually meaningful room for improvement in how the body functions within its structure.