What to expect from postural correction therapy for kyphosis

Kyphosis is an increased rounding of the upper spine. A therapist may observe how your head, shoulders, rib cage, pelvis, and hips align while you stand, sit, bend, and walk. Treatment can include chest and upper-back mobility work, strengthening for the back and shoulder muscles, breathing practice, and training to find a more comfortable upright position. The aim is better movement awareness and control; the plan depends on whether the curve is mainly posture-related, linked with spinal changes, or accompanied by pain or stiffness.

Wear clothing that allows your back and shoulders to move. Practise the home exercises at the agreed frequency, using smooth movements rather than forcing your spine straight. Change positions during desk work, support your feet when sitting, and bring questions about sleep, lifting, or sports to the therapist. Mild muscle effort can be expected, but stop an exercise that causes sharp pain, new tingling, or worsening symptoms and report it.

Arrange prompt medical assessment for new weakness, loss of balance, numbness spreading into the limbs, trouble controlling your bladder or bowel, or severe pain after an injury. Seek urgent help for breathing difficulty, chest pain, or rapidly worsening neurological symptoms. These signs need assessment beyond posture coaching.

Ask which type of kyphosis you have, which movements should be limited, how to monitor progress, and whether imaging or review by a spine specialist is appropriate.