Corrective Procedures: In pelvic asymmetry and/or a short leg, there is no possibility of improving spinal alignment without treating the feet. The use of custom orthotics to reduce pronation can provide substantial correction, without the need for a heel lift.  It is very important to recognize the cause of a short leg, since providing a lift instead of an orthotic is likely to perpetuate the associated sacroiliac subluxations.  In some patients, a permanent heel lift is needed, due to anatomical difference in the growth of the legs.

Spinal Adjustments: It is very important to assess and adjust the pelvis and spine as each patient adapts to wearing the corrective orthotics.  The upper cervical region is often quite slow in adapting to the change in spinal and pelvic posture, and needs to be carefully adjusted.

The combination of custom orthotic support and Chiropractic adjustments is often very effective in treating functional scoliosis, much to the relief of the patient and concerned family members.