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Kyphosis

When a forward spinal curve affects posture, comfort, or balance.

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Overview

Understanding kyphosis

The upper back naturally curves forward. Kyphosis is commonly used to describe an excessive forward curve, also called hyperkyphosis. Some curves are flexible and related to posture; others reflect structural changes in the vertebrae.

Common symptoms

  • A visibly rounded upper back or increasing forward stoop.
  • Back discomfort, stiffness, or fatigue when standing.
  • Difficulty maintaining comfortable upright posture.

What can cause it?

Causes include postural changes, differences in vertebral development, and compression fractures from osteoporosis. Injury or previous surgery can also affect alignment. The cause and flexibility of the curve help guide the discussion.

How it is evaluated

An examination assesses posture, flexibility, balance, and nerve function. Standing X-rays show the curve and overall alignment. Additional imaging or bone-health testing may be needed when a fracture, nerve problem, or another cause is suspected.

Treatment considerations

These are general educational options. A consultation helps determine what is appropriate for your diagnosis and health.

Movement and symptom management

Selected cases may benefit from physical therapy focused on posture, strength, and function. A flexible postural curve and a fixed structural curve should not be expected to respond in the same way.

Explore nonsurgical care →

Address an underlying fracture

If vertebral compression contributes to the curve, care includes evaluating the fracture and bone strength.

Understand vertebral fractures →

Evaluate significant deformity

Progressive deformity or substantial symptoms may warrant a surgical discussion. Correction is individualized, with attention to the extent of surgery, risks, and realistic functional goals.

Explore adult spinal deformity surgery →
Explore spine injuries and deformity →

Questions for your visit

  • Is my curve flexible or structural, and what caused it?
  • Is the goal pain relief, improved balance, prevention of progression, or a combination?

Sources and further reading

This guide is educational and does not replace an individual medical evaluation.

Bring your questions. Understand your options.

Talk with a member of our team about your symptoms and next steps.

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