We must observe that the form of the spine diagnosed as scoliosis obviously arises from fundamentally different causes. In many cases, a genetic disposition is obviously present. In other cases, however, these genetic factors do not have a role and in other cases it was an unusual position of the fetus during development which apparently caused a change in the membrane structure in the interior of the visceral cavities, especially in the area of the chest cavity and within the craniosacral system. Finally, we encounter the cases that are relevant to the treatment technique we describe, namely the cases that display a drastic displacement of the axes of mobility of the organs located below the diaphragm.
In most of such cases that we have investigated, the stomach plays an important role. In the section that examined the significance of the breathing pattern, we have seen that the dynamics of the breathing process will fashion and stabilize the chest cavity. All pronounced changes in the mobility of an organ on one side of the diaphragm will influence the chest cavity. As we can see, this sort of altered spatial excursion of the diaphragm and lung occurs on the same side. Here, altered rotational forces are acting from the anterior direction on entire groups of thoracic vertabrae; as soon as one cupula of the diaphragm has the tendency to be in permanent descent, the joints within the back must compensate for this descent with a corresponding lateral bend. To a lesser extent, similar influences are conceivable if an infection within the chest cavity has caused onesided adhesions on the connective layers of the thoracic wall. A displacement of the axis in the lung area occurs that follows the reshaped thoracic wall. In this manner, the shape of both halves of the chest can change drastically.
However, in relation to this, the subdiaphragmatic organs appear to be of greater significance in influening the curvatures of the spine. So it is important to examine both cupulas of the diaphragm carefully for their spatial relationships and mobility relative to the organs. In so doing, we should focus our attention on the elastic capacity of the intercostal membranes and the subcostal myofacial layers as well.
During embryonic development, all of the organs undergo a characteristic shift in position, a type of "voyage through space", until they arrive at their destination within the interior of the visceral cavities. In practice, we can see that there is at least one common type of scoliosis that can be attributed to an incomplete spatial curve of the stomach. In this case, the back appears to be sunken in the upper left lumbar region and the vertabrae above it display the typical scoliotic curvature such that the entire upper body appears to have been displaced to the right in relation to the pelvis.
At first glance, there appears to be an imbalance in tone of the erector muscles, and the latissimus dorsi muscle is indeed usually very weakly developed on the left side. The muscular support of the quadratus lumborum muscle that spans the upper crest of the pelvis and the lower edge of the twelth rib appears hardly present at all.
If we direct our attention to the examination of the prevertebral region, we also find a drastically altered spatial position of the stomach in relation to the midline of the body. Apparently, in these cases, the stomach did not completely follow the spatial curve intended for it during embryonic development. For this reason, it is located more medially compared with its normal position and therefore can provide only minimal support for the left cupula of the diaphragm. Its relationship to the spleen is altered in the cranial direction and its relationship to the left kidney in the inferior direction. Therefore, on the right side of the thorax, a stable support is present from the liver, which is "denser" than the stomach. The left cupula of the diaphragm drops and the formation of the typical scoliotic curvature occurs in the sections of the spine located over it.
Unfortunately, in this sort of situation, I was able to achieve very few results with treatment techniques applied to the back. There is even the danger that manual influnce on the myofascial layers of the scoliotically curved back could cause a destabilization of the individual joint sections. In contrast, a subdiaphragmatic, i.e. visceral, procedure is consistently able to provide satisfactory results, in particular when we select the tretment strategy that accompanies the child's growth process over a longer period of time with minimal interventions.