When is physiotherapy recommended for kyphosis?

Kyphosis describes an increased forward curve of the upper spine. Some people have no symptoms, while others notice back discomfort, tight chest or shoulder muscles, reduced endurance, or difficulty standing upright. Assessment helps distinguish a flexible posture from a stiffer spinal curve and identifies how the hips, shoulders and breathing pattern are involved. Treatment may include extension and mobility exercises, back and shoulder strengthening, chest flexibility and instruction in safer lifting or sitting habits. The programme depends on age, cause, pain and spinal movement.

Seek an assessment if the curve is changing, posture is becoming harder to correct, or discomfort interferes with work, sleep or exercise. Follow the prescribed exercises gradually and avoid forcing the spine into painful positions. Frequent position changes and strengthening of the muscles that support upright posture may be included. Explore [Physiotherapy](/treatments/physiotherapy-and-rehabilitation/physiotherapy/) for an overview of rehabilitation care.

Get prompt medical advice for rapidly increasing back pain, a new spinal curve after injury, breathing difficulty, leg weakness, numbness, trouble walking, or changes in bladder or bowel control. These symptoms need medical assessment before relying on a routine exercise plan.

Ask what type of kyphosis you have, whether the curve is flexible, which exercises are appropriate, and whether spinal imaging or specialist follow-up is needed.