Does physiotherapy treat kyphosis?

Kyphosis is an increased forward curve of the upper spine. A physiotherapist may assess how your spine, hips, shoulders and breathing movement work together. Treatment can include gentle mobility exercises, back and abdominal strengthening, chest stretching, posture practice and advice about sitting, lifting and screen position. These measures may reduce strain and make movement easier. They do not necessarily straighten a fixed structural curve, especially when the shape is related to a vertebral problem or longstanding change. Children and adults may need different plans, so the cause should be clarified before exercises are progressed.

Arrange an assessment if a rounded upper back is new, worsening or affecting comfort and activity. Follow the exercise dosage you are given and build gradually; forcing the spine into a straight position can increase symptoms. Keep gently active within your limits, vary prolonged sitting and use the supports or brace recommended by your clinician rather than choosing one yourself. A medical review may be needed alongside physiotherapy when pain is persistent, the curve developed after an injury, or there are concerns about bone health.

Seek urgent medical help for new weakness, numbness spreading into the limbs, loss of bladder or bowel control, severe pain after an injury, or trouble breathing. Contact a clinician soon if the curve is changing quickly, pain wakes you repeatedly, you have unexplained weight loss, fever, or difficulty walking. These features need assessment rather than an exercise-only approach.

Ask what is causing the curve, whether imaging or bone assessment is appropriate, which movements to avoid, and how progress will be measured. You can also ask whether a physiotherapy referral should be combined with another treatment.