Kyphosis
Kyphosis is an excessive forward rounding of the upper back that can affect posture, mobility, and confidence. It may be postural kyphosis, caused by poor posture and muscle imbalance, or structural kyphosis, which develops from vertebral shape changes such as Scheuermann’s disease, fractures, or osteoporosis. Over time, kyphosis can make it harder to sit or stand upright, contribute to back and neck pain, and even affect breathing in more severe cases. At KIRO, we focus on restoring spinal motion, improving posture tolerance, and building strength so you feel less “pulled forward” and more balanced in daily life.
Why does kyphosis occur?
Kyphosis occurs when the upper back curves forward more than normal. Postural kyphosis often develops from slouching, weak back muscles, or long hours sitting at a desk. Structural kyphosis can result from conditions like Scheuermann’s disease, spinal fractures, or osteoporosis, which change the shape of the vertebrae. Both types limit thoracic motion and place extra strain on the neck and shoulders.
What are the common symptoms with kyphosis?
Common symptoms of kyphosis include upper back ache, stiffness, and fatigue when sitting or standing for long periods. Many people struggle to maintain an upright posture and may also feel neck or shoulder pain from compensation. In more severe cases, kyphosis can reduce breathing capacity due to rib cage restriction.
Who is most at risk for kyphosis?
People most at risk for kyphosis include teenagers during rapid growth spurts, adults who spend long hours hunched over desks or devices, and older adults with osteoporosis or spinal fractures. Occupations that involve forward-leaning postures, such as dental work, hairstyling, or lab work, also increase the risk of developing excessive rounding in the upper back.
How do KIRO doctors treat kyphosis?
At KIRO, treatment for kyphosis begins with a detailed exam to determine whether the curve is postural (flexible) or structural. In the early phase (typically 1–2 visits per week), our chiropractors use precise adjustments and mobilizations to improve thoracic extension and rib motion, making it easier to sit and stand upright.
Your care plan also includes targeted drills such as thoracic extensions over a foam roll, scapular strengthening (prone Y/T/W exercises), chin tucks for deep neck flexor activation, and posterior chain work like hip hinge patterns. We also guide you on workstation setup, posture strategies, and breathing techniques to expand the rib cage without overusing the neck and shoulders.
To track your progress, we perform monthly Nervous System Scans and adjust your plan as needed. Our doctors rotate throughout your care so you benefit from multiple expert perspectives and the highest level of clinical insight.
How long does it take to treat kyphosis?
Most patients with postural kyphosis notice improvement in 4–6 weeks as mobility and posture tolerance increase. The corrective phase, usually another 6–8 weeks, focuses on building endurance and strength for long-term stability, about 12 weeks total. For structural kyphosis, chiropractic care may not change the curve itself, but similar timelines often improve comfort, function, and quality of life.
What are the benefits of chiropractic care for kyphosis?
Benefits of chiropractic care for kyphosis:
Reduces upper back stiffness and pain
Improves upright posture and posture tolerance
Lessens neck and shoulder strain from compensation
Enhances thoracic mobility and breathing mechanics
Builds strength in supporting muscles for long-term stability
Provides conservative, drug-free management tailored to your curve
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