If steaming doesn't work and the quilt can be washed, wash it, spin out the water, and lay it out on the floor, maybe on top of a plastic checkered table cloth and pin it to the carpet to square it up. Let it dry & if it starts to curl, pin it down some more and let it dry.
If you've got spots that are loosely quilted that are puffing up, you can always go back and add more quilting.