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When we look at spinal curvatures, we know the spine's natural shape and healthy curves make it more flexible and better able to absorb and distribute mechanical stress, making it stronger. There are many spinal conditions that involve the loss or affect the spine's normal healthy curvatures.
Each main section of the spine has a characteristic or curve type associated with it. The cervical spine is in the neck. The thoracic spine is in the middle of the upper back, and then the lumbar spine is in the lower back.

There are two main curvatures of the spine: there's a kyphosis and a lordosis. A kyphosis is where the spine bends towards the back of the body, and a lordosis towards the front of the body. Lordotic curvatures are typically found in the cervical spine, and the lumbar spine, and a kyphosis is normally found in the thoracic spine.

There's a normal range for a thoracic kyphosis, and that range is between 20 and 40°. When a thoracic kyphosis becomes bigger than what it needs to be, it is a hyperkyphosis. Now, the opposite is also true; patients could have thoracic hypokyphosis with curves less than 20°, and their mid back actually becomes flat. When these curves become excessive, it affects the upper back and makes a patient seem like they're hunched, a kind of excessive forward bending of the thoracic spine.

Every case is very specific, and the symptoms are normally based on the patient's age, severity, and condition. Associated with kyphosis, the most common thing we tend to see in adults is back pain. It can be back pain in the mid back, stiffness in the back, stiffness in the shoulders, and lack of normal range of motion. They can have fatigue, changes to balance, and difficulty laying on hard surfaces on their back because the spine doesn't flex or extend as properly. In severe cases, they could have lung impairment and bowel and bladder issues.

Complete reversal of thoracic kyphosis isn't always possible, but the sooner we find it, the more likely curves can be improved. Treatment plans need to be crafted around the patient's age, symptoms, and severity, and the biggest thing associated with thoracic kyphosis is flexibility. If the spine isn't flexible in this area, it becomes very, very difficult to deal with the kyphosis.

The older the patient becomes, the more severe the kyphosis is, the less likely they are to respond to treatment. The younger the patient and the more flexible, the better response we have.

There are various types of kyphosis, such as Postural, structural, congenital, and Sherman kyphosis.

In all of these cases, dealing with the kyphosis on a structural level normally involves a very combined approach using chiropractic care, specific kyphosis exercises, physical therapy postural modeling, and even kyphosis bracing can be used to help impact the structural kyphosis to help make the spine better.

This is the way you have to deal with it to restore normal alignment and normal structure by inducing a more aligned or reduced kyphosis.

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00:00 What Are Spinal Curvatures
00:58 Kyphosis And Lordosis
02:20 Common Symptoms Associated With Hyperkyphosis
03:50 Correcting Thoracic Kyphosis
04:44 Types Of Kyphosis

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