Exercises For Severe Kyphosis

The thoracic part of the spine has a normal curve starting from the neck to the middle of the back. An abnormal increase in the forward curve is known as kyphosis. An individual with a mild case of kyphosis will have a slouched appearance due to lengthened spinal ligaments and muscular imbalances. This is often called postural kyphosis. More severe cases often have a rounded or "hunchback" appearance in the thoracic spine. Individuals with a kyphotic spine will feel an achiness or pain in the deformed area with increased pain at the apex of the curve. Someone with severe kyphosis will have tight chest muscles with weak and stretched upper-back muscles. The "hunchback" appearance is partially due to internally rotated shoulders and abducted scapulae. In severe kyphosis, the hip flexors are also tight, reducing the individual's ability to properly stand straight. The hip flexors are a group of muscles found on the front part of the pelvis.

Stretching Exercises

To stretch the chest muscles, begin by laying face-up on a therapy ball with the knees bent and feet flat on the floor. Interlace the fingers behind the skull with elbows out to the side. Slowly lower the back onto the ball, letting the elbows fall down. Hold this position for 30 seconds. Relax and breathe normally, then repeat two times. Focusing on the hip flexors, kneel on onto a mat. Step forward with the right knee keeping the left knee on the mat. Make sure the right knee is directly over the right heel. Place both hands onto the thigh or hips. Slowly slide the left leg back until a stretch is felt in the front of the left hip. Hold the position for 30 seconds, then repeat on the opposite side.

Strengthening Exercise

Strengthening weak muscles found in the upper back may help to correct the muscle imbalance and support the shoulder during normal activities. To perform a standing row, wrap a resistance band around a sturdy object such as a kitchen table leg. Holding the resistance band, begin with arms straight in front and palms facing each other. Bend the elbows and draw the shoulder blades together. Always keep the shoulders pressed down throughout the movement. End by straightening the arms into the beginning position. Perform this exercise with 15 repetitions. Rest for 30 seconds, then repeat two more times.

Physical Therapy

For a severe case of kyphosis, seek a professional opinion before engaging in any form of exercise. In rare occasions, kyphosis may cause serious health problems. Depending on the severity of the deformity, more aggressive treatments such as physical therapy to work the paravertebral muscles or surgery may be advised.