Inflammation and Back Pain
Welcome back!
Thoracic Kyphosis: The “Hunch-back” Posture
What Is Thoracic Kyphosis?
Kyphosis refers to a natural curvature of the portion of the spine called the thoracic spine. The opposite curvature, called the lordosis typically occurs in the cervical and lumbar spine.
Since kyphosis is natural in the spine, we have to identify what excessive kyphosis is, which is generally the problem. Generally speaking, a normal for a thoracic kyphotic curve measures between 30 to 35°. In excessive kyphosis would be greater than 35°.
Many times, however, it’s important to realize that the thoracic curvature is only greater than 35° when you’re slouching, and in many cases corrects into the normal range as you stand upright. So a quick test involves this: stand sideways in the mirror, and look at your curvature in your thoracic spine. Now, imagine that you have a look attached underneath your sternum and it is pulling up to the sky. As you perform this motion, notice what happens to your thoracic curve, when you look in the mirror.
A second test can be performed, which may determine whether there is a lack of mobility in the thoracic spine. In this test, you will perform the exact same movement, with the exception that you will lift your arms up and behind your head and as far as you can comfortably go, and notice what happens to your curve. Typically, the thoracic spine, should decrease in curvature by approximately 14°, or be straight. Oftentimes this is difficult to eyeball, that is when the clinic to use special calipers to measure this. However, since you don’t have these, eyeballing it will have to do.
If you are not able to reduce your curve enough, there may be some rigidity in your thoracic spine and may need mobilization work.
Pic of excessive thoracic kyphosis
What Causes Kyphosis?
Excessive thoracic kyphosis can be caused by some random things such as nutritional imbalance as a child, such as vitamin d deficiency, or problems with growth plates. The majority of excess kyphotic postural problems occur frankly from slouching! Bad postural alignment today is rampant, particularly since we spend so much more time on the computer.
Another cause for kyphosis involves a strong mental-emotional component. Emotional states such as depression, worry, anxiety, lethargy, and hopelessness lead to a slouching of posture. Many times, however, if the kyphosis can be completely corrected by standing upright, and these emotions are present, they may need to be addressed as the root cause.
Treatment for Kyphosis:
Excessive thoracic kyphosis can be treated in a number of ways naturally. Its important to realize, however, that correction of kyphotic posture takes time. It involves exercises, stretches, mobilizations, as well as continual postural correction. You’re looking at anywhere from 3 months to 1 year to make significant progress on reducing excessive postural kyphosis.
Kyphosis Exercises:
The Prone Extension: This is a drill that I include in the “End Your Back Pain Now!” DVD set. It is a lying down exercise that focuses on strengthening the muscles of the upper back, which over time, can reduce the excess kyphotic curve in the thoracic spine.
Brugger Relief Position: The Brugger relief position is essentially a combination of postural “cues” that can assist you in getting into good postural alignment, which can reduce strain on muscles, and give you temporary relief from pain. Here is how to do it:
1. Sit at the edge of a chair.
2. Move your knees apart a bit, and make sure your feet are under your knees.
3. Perform a slight anterior pelvic tilt.
4. Externally rotate your arms so that your palms face forward.
5. Separate your fingers and point your thumb backward.
6. Retract your head so that it is in alignment with the rest of your body.
7. Hold this position for as long as possible, while breathing naturally.
8. Do this throughout the day on a regular schedule, such as every hour on the hour.
Kyphosis Stretches:
While it is essential to strengthen the muscles that are causing the slouching of the thoracic spine to occur, it is also important to stretch the muscles that are holding the postural dysfunction in place. Two muscles that can significantly contribute to excess thoracic flexion include the abdominals, as well as the diaphragm.
Abdominal stretching: Stretching your abs can help tremendously in reducing thoracic kyphosis, because at the same time you stretch them, you are mobilizing your spine. One of the best ways to stretch your abs is by laying over a swiss ball. Its important to make sure you relax as you do this stretch, and breath naturally, as this will serve to improve the release you get.
Foam rolling the thoracic spine: This technique involves laying over a foam roll, like what you find in the gym, for the purpose of mobilizing your spine. Basically this means stretching it backwards over the roll. This technique can be quite tender on your spine at first, particularly at those spinal segments that are not moving very well, but can improve quickly over about 2 weeks with consistent work on the roller.
-
FREE Online Video on How to End Your Back Pain with Sam Visnic!
(You can NOT buy anything here, even if you tried! Real video, not a sales pitch.) 
We will NOT share your email address, we hate SPAM too. Click Here To Learn About My Back Pain Relief DVD System!
-
"Having someone like Sam to refer my patients to who is as comprehensive, brilliant and caring as he is makes my job so much easier!! I feel assured that my patients are in good hands and are going to get the results they so desperately want. I highly recommend Sam to anyone who is looking to resolve their back pain easily and effectively!”
-Dr. Holly Lucille N.D., R.N. -
“I've used Sam on more than one occasion to help me with back pain issues. As a full time web designer I often spent too many hours sitting behind the pc which led to chronic back pain. I started working with Sam a few years ago and his knowledge and insight helped me to alleviate my back pain issues and even improve my posture. Whenever I start to have back pain issues I just re-implement the tools and techniques he showed to me and in no time my back pain goes away. He really is the back pain specialist!”
-Jimmy Powell
Owner, Stellar Media Group -
“Sam is an excellent mind/body fitness coach & trainer. When it comes to eliminating complex back problems, Sam's your man. He is passionate about his work and dedicated to healing his clients. I highly recommend his services.”
-Michelle Armstrong
Author, "Manage Your Mind, Master Your Life" -
“In my experience it is rare to find a health practitioner who consistently cures the underlying issues, and successfully drives to total wellness. Sam has become our trusted family 'health support system' because he is one of those rare people. He has successfully helped my mother in law, sister, wife, daughter, and myself cure what western medicine has been unable to. We highly recommend Sam ... plus he's a cool guy !”
-Tim Parsey
Microsoft Partner, Dir UX -
“I was so impressed when working with Sam, from his detailed and thorough evaluation, to the great workouts and home exercises prescribed. I've referred a number of people to Sam and in the past we've used his DVD for gifts to patients for home care. I strongly recommend Sam's services and hope to be working with him personally at some time in the near future.
-Dr. Matt Costantino
HealthSource Chiropractic and Progressive Rehab