I have scoliosis that does not require surgery. constant muscular pain with pinched nerves and spasms at times. will phy. therapy help or medications?

Yes to both: Mild scoliosis by itself usually does not cause muscle pain or pinching of the nerve. It is likely you have sciatica like most people. Common effective treatments include use of nsaids, local cortizone (hydrocortisone) injections, and gentle stretches and strength training. Physical therapy can help you begin the process, and guide you on the proper stretches.

At your age with a : Scoliosis that does not need surgery, then you need to be evaluated as to why you have these symptoms as classic idiopathic scoliosis of a non surgical degree is without symptoms. So a correct diagnosis and then treatment plan that may include pt and/or medication or even just lifestyle changes like regular exercise, weight control and avoiding smoking. See a physician who specializes in spine.