How effective is physiotherapy for kyphosis?

Kyphosis is an increased forward curve of the upper or mid-back. Its cause may be flexible posture, age-related spinal change, a vertebral problem or another condition, and the treatment response differs accordingly. A physiotherapist may assess spinal movement, chest mobility, breathing pattern, hip position and endurance of the back and shoulder muscles. Exercises can include extension movements, strengthening and balance work, plus advice on desk, lifting and sleeping positions. Physiotherapy may improve function and comfort without fully changing a fixed curve.

Ask for an assessment if rounding is new, increasing or accompanied by pain. Practise the prescribed movements with steady breathing and good control rather than forcing the back into extension. Short movement breaks can reduce stiffness during desk work. Build endurance gradually for standing, walking and household tasks. Do not start forceful manipulation or intense back exercises before the cause of the curve and spinal safety have been considered.

Seek urgent medical help for new weakness, numbness spreading into the limbs, loss of bladder or bowel control, severe sudden back pain or difficulty breathing. Arrange prompt review for a rapidly changing curve, pain after a fall, unexplained weight loss or pain that persists at rest. These features need medical evaluation before routine exercise is increased.

What is causing my kyphosis, and is the curve flexible? Which movements are appropriate for my spine? How will we measure progress, and do I need imaging or review by a spine specialist?