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Posture guide

Hunchback and hyperkyphosis: causes, signs and treatment options

'Hunchback' is the everyday word. The clinical term for an exaggerated upper-back curve is kyphosis or hyperkyphosis. It can be a flexible posture pattern or a change in the spine itself, and the right care depends on which.

What is kyphosis?

Your upper back has a natural curve. Kyphosis is a curve that has become more pronounced than it should be. Some people only notice the shape. Others feel stiff, achy or short of a full breath.

Not all kyphosis is the same

Kyphosis comes in several forms, including postural kyphosis and structural types such as Scheuermann's or congenital kyphosis. Arthritis, osteoporosis and old injuries can also play a part. That is why we examine you properly first.

What helps a postural curve?

  • Regular movement rather than long stretches in one position
  • Strength work through the upper back, shoulders and trunk
  • A screen set up so you are not collapsed forwards all day
  • Correcting the bones that have shifted forward, so the body can stop compensating
  • An initial consultation if the curve is persistent, painful or will not shift

When to see a GP

See a GP if you think you may have kyphosis, especially if the curve is getting worse, if you have significant pain or stiffness, or if you are worried about a structural condition. We are happy to work alongside your doctor.

Can exercise straighten the curve?

Exercise builds strength and mobility and can improve a flexible postural curve, and physiotherapy may improve posture and symptoms without necessarily changing a structural curve. ABC™ sees a rounded upper back as the body compensating for bones that have shifted forwards, so we correct the structure first.

How we help with a rounded upper back

At Posture & Wellness we look at the curve alongside your head, shoulders, pelvis and the way you move, because the whole spine is involved. If you need imaging or a specialist opinion, we will refer you.

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Frequently asked questions

Is a rounded upper back always caused by bad posture?

No. Posture habits contribute, but so do old injuries, and there are structural and medical causes too.

Can hyperkyphosis be painless?

Yes. Some people mainly notice the shape. Others have pain or stiffness.

Is it too late to do anything about it?

Age alone does not decide that. What matters is what is driving the curve.

Want to know what is going on with your posture?

Not sure where to start? Book a free discovery call and tell us what you have noticed.