Spinal deformities- Read about thoracic hyper kyphosis-


Thoracic hyper kyphosis is one of the spinal deformities which is described as an excessive curvature of the thoracic spine.

Categories of thoracic hyper kyphosis-

Scheuermann’s Disease- it is the Juvenile form of hyperkyphosis. this includes a Defect of the vertebral body growth plate at the cortical level.

Postural Kyphosis-  Most frequent form which occurs as a Result of poor posture and weakened muscles

Congenital Kyphosis-  Bone defect detected at birth.

Age-related Hyperkyphosis-  Kyphosis angle increases with age, resulting in age-related hyperkyphosis.

Spinal Anatomy

The thoracic spine has a natural kyphosis, which is 20-40 degrees  in the sagittal plane.


  •  increases with age
  • more in  women
  • common in individuals aged ≥60 years.

Biomechanical Factors –

  • Higher spinal loads  accelerate the degenerative process.
  • Daily activities with poor posture

Characteristics/Clinical Presentation-

  • Postural impairments
  • Structural alignment impairments
  • Appearance of a rounded back
  • Thoracic back pain
  • Respiratory compromise
  • Restricted spinal range of motion
  • Osteoporotic fractures may occur at a later stage in elderly
  • Having difficulty with daily activities

Medical Management of Thoracic kyphosis-

Pharmacology- antiresorptive or bone-building medications

There are multiple surgical procedures -osteotomy, vertebroplasty, kyphopasty, etc

Osteoporosis: – kyphoplasty- this is a surgical procedure in which a balloon is inserted into the affected vertebra to restore its height

Physiotherapy Management of kyphosis-

Early stage Physiotherapy for thoracic hyperkyphosis, includes manual therapy, taping and brace.

Other treatment options are as follows-

  • Thoracic spine mobilisation
  • Self mobilisation
  • Postural correction exercise
  • Stretching exercises to maintain flexibility of tight muscles
  • Strengthening exercises of weak muscles
  • Spinal extension exercises
  • Balance exercises
  • Strengthening of the core musculature
  • Spinal bracing and use of orthosis
  • Pain management modalities
  • Respiratory physiotherapy- breathing exercises and improving quality of life
  • Preventing falls and fractures

Also read- https://vcurehealthcare.com/understanding-spinal-deformities-scoliosis/

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