What did you try? Usually, it's a very simple thing to do.
For example, if you added a column then do:
IF NOT EXISTS(SELECT 1 FROM sys.columns WHERE Name = N'some_column' AND Object_ID = Object_ID(N'dbo.[some_table]'))
BEGIN
ALTER TABLE [some_table] ADD some_column VARBINARY(MAX) NULL
END
GO
or if you are altering a column that will not lose data with the new data type do
ALTER TABLE someTable ALTER COLUMN someColumn NVARCHAR (MAX) NULL