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Postural Hyper-Kyphosis-Lordosis

When looking at you from the side, your back bones form a series of curves which are a bit like a stretched spring.

Common Signs & Symptoms

A kyphosis is the rounded part of your upper back and a lordosis is the rounded part of your lower back. With Hyper-Kyphosis-Lordosis these curves are much more prominent than normal, especially when looking at your back from the side.

Other things you will see are:
Your chin is poking forward
Neck has an increased curve forward
Your shoulders are rounded
Chest and Rib Cage are dropped forward
Upper Back is rounding (Kyphosis)
Lower Back has an increased (deep) curve (Lordosis)
Pelvis tilts forward (anterior tilt)
Knees are locked back

Description

When looking at you from the side, your back bones form a series of curves which are a bit like a stretched spring. Your neck and lower back curve forwards towards the front of your body- this is known as lordosis. Your middle spine curves backwards towards the back of your body – this is called a kyphosis.

Hyper-kyphosis describes a more prominent curve in the middle of your spine at the area of your ribcage. This bulge may be because of the way your bones fit together (a structural kyphosis) or due to posture and lifestyle. If your middle back is more curved than normal, the other curves in your back become deeper so you can keep your head looking forward. The increase in the curve of these regions is known as secondary hyper-lordosis or postural hyper-lordosis.

Conditions such as Scheuermann's disease or compression fractures following trauma or osteoporosis, amongst others, can also lead to an increase in your kyphosis curve.

Advice & Treatment

Postural hyper-kyphosis can usually be treated with physiotherapy. Treatments include:

  • Exercises to strengthen your core (stomach and back) muscles and correct your posture.
  • Myofascial/soft tissue manual therapy (using hands-on techniques) to keep your soft tissues in good condition
  • Stretching and flexibility exercises
  • Postural correction exercises
  • Taping to help improve your postural awareness to help reduce the angle of your curve.
  • Physiotherapy treatment to improve the glide and mobility of your joints
  • Balance exercises and walking (gait) training to increase your tolerance of activity and improve your safety by reducing your risk of falls.
  • Training to help improve you safety with daily activities such as getting in and out of bed, in and out of the bathtub, or out of a chair, and how to bend and walk with more ease
  • Mild pain relievers and anti-inflammatory medications can also help with your symptoms. Surgery is not needed for postural kyphosis
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