Struggling with a hunched back or poor posture? Learn how to manage kyphosis naturally through the right brace and exercises.

Kyphosis, characterized by an excessive forward curvature of the spine, can lead to discomfort, aesthetic concerns, and in severe cases, respiratory or neurological issues. Early postural kyphosis treatment—including posture correction, targeted exercises, and non-surgical bracing—plays a key role in preventing progression and reducing the need for surgery. This article explores non-surgical treatment options, including the use of braces and targeted exercises, to manage and potentially correct kyphotic deformities.

What Causes Kyphosis and How to Recognize It Early

The mid (thoracic) spine naturally has some kyphosis or mild thoracic spine curvature, which helps maintain balance and posture. A kyphotic spinal deformity means there is excessive forward curve in the spine resulting in a rounded or hunched/humped back appearance. Symptoms of kyphosis can range from poor posture and back discomfort to severe problems of pressure on the lungs and abdomen. The pain occurs primarily in the area of the kyphosis. A severe curve can also begin to exert pressure on the spinal cord and spinal nerve roots, which may cause weakness in the lower extremities. Eventually there can be pressure on the lungs and abdomen, affecting breathing and appetite. People who suffer from kyphosis may feel ashamed or embarrassed about the effects of this condition on their appearance. Some may even become socially withdrawn or reluctant to take part in activities.

A normal spine maintains a gentle, natural curve that keeps the body upright and balanced. When the upper back develops an excessive forward curve, it results in a kyphotic posture, causing the shoulders and head to lean forward and the back to appear rounded.

What are the Risk Factors for Kyphosis?

Poor Posture (Postural Kyphosis) – prolonged slouching, leaning back in chairs and carrying heavy bags can lengthen supporting muscles and ligaments, which can increase thoracic spinal curvature.
Abnormally Shaped Vertebrae (Scheuermann's Kyphosis) - if the vertebrae don't develop properly, they can end up being out of position.
Age – as people get older, the spine naturally tends to round forward, increasing curvature.

Can Early Non-Surgical Treatment Prevent Kyphosis Progression?

Treatment for kyphosis will depend on its severity and underlying cause. In the past, it used to be very serious when it was discovered, so the most treatment of kyphosis was surgery. Ferreira-Alvcs A (1995) advocated that patients with kyphosis should pursue early surgical treatment. However, today, with the advancement of medical research and technology, the surgical treatment of kyphosis has become a matter of some controversy.
According to the NHS, kyphosis rarely requires surgical treatment. It is only needed in some severe cases to correct the curvature of the spine. With the development of medical research and technology, early postural kyphosis treatment—which may include spinal bracing and functional rehabilitation—has become a vital approach to managing curvature and supporting spinal alignment. Soo CL (2002) found the difference between nonsurgical treatment and surgical treatment is similar. Weiss (2003) found that the physical treatment of patients undergoing hospitalization can reduce the angle of kyphosis. Ghoussoub K and Pizzutillo PD (2004) suggest functional rehabilitation and braces may improve the symptoms and severity of kyphosis.
Therefore, if the relevant physical therapy is started in addition to the observation in the early stage of kyphosis, the deterioration of kyphosis and the correction of the kyphosis angle of the patient can be avoided, thereby reducing the chance of surgery.

How a Kyphosis Brace Works to Correct Posture and Relieve Pain

Kyphosis braces can be an effective part of conservative management for postural kyphosis or hyperkyphosis. Their benefits include:

Pain and muscle spasm reduction: By limiting excessive forward bending and supporting the upper back, kyphosis braces help decrease strain on overstretched spinal muscles. This reduction in mechanical stress can ease pain and reduce reactive muscle spasms commonly seen in kyphotic posture.
Support and stimulation for weak muscles: Braces provide external support to fatigued or weakened thoracic extensor muscles. Some designs also promote gentle activation of these muscles, encouraging improved posture awareness and supporting the spine during daily activities.
Spine alignment control: A kyphosis brace helps stabilize the thoracic spine and prevent progression of abnormal forward curvature. By guiding the body into a more upright position, the brace limits harmful postural patterns that may worsen stiffness, fatigue, or discomfort.
Correction of kyphotic curvature: Many braces apply corrective forces that help reduce excessive rounding of the upper back. Maintaining a more neutral spinal alignment can improve overall posture, reduce stress on the cervical and lumbar spine, and support more efficient movement patterns.

Who Can Benefit from a Kyphosis Brace? How It Helps Kids, Adults, and the Elderly

Kyphosis braces are used across all age groups, and each population may benefit in different ways depending on their posture needs, activity levels, and spinal health.

Kids and Adolescents: In kids—especially during growth spurts—a kyphosis brace is commonly prescribed to prevent worsening of spinal curvature. Conditions such as Scheuermann's kyphosis or posture-related rounding of the upper back can progress quickly while the spine is still developing. Wearing a brace consistently helps guide the spine into better alignment. Although some children or teens may feel self-conscious at first, bracing is a proven method for controlling curve progression and supporting long-term spine health.

Adults: Adults often experience kyphosis from prolonged poor posture, muscle fatigue, or job-related strain such as long hours at a computer or repetitive bending. A kyphosis brace can reduce upper-back tension, support weakened postural muscles, and encourage healthier alignment during daily activities. Many adults find that using a brace improves posture awareness and reduces discomfort during work and exercise.

Elderly: In the elderly population, kyphosis may be linked to osteoporosis, vertebral compression fractures, or age-related muscle weakness. Bracing can help stabilize the spine, reduce pain, and promote a more upright posture, which may improve balance and reduce fall risk. A brace can also make daily tasks—like walking, reaching, or standing—safer and more comfortable, helping older adults maintain mobility and independence.

Effective Exercises and Posture Correctors for Kyphosis

Exercise and physical therapy are important for adults with kyphosis. Research has found that consistent exercises to fix kyphosis naturally, including spine strengthening and posture training can bring results as early as 6 months into the routine, improving kyphosis symptoms like spinal curvature. The OPPO BAND can be used to do some home exercises to strengthen the muscles.

■Cervical extension

Grasp the ends of OPPO BAND and place it around the back of head.
Keep neck in a neutral position with chin slightly tucked.
Extend elbows to stretch OPPO BAND and slowly return, while keeping neck stable.

■Overhead pull down

Begin with arms over head and holding the band shoulder width apart (keep elbows straight).
Pull the band down to chest while keeping elbows straight.

■Core muscle strengthening

Place OPPO BAND over arch of foot. Slightly contract abdominal muscles while keeping trunk stable.
The opposite side of the hand and feet slowly extend forward and rearward.
Hold 10 seconds and then change to other side.

How to Choose the Right Brace for Kyphosis According to Your Condition

The 2075 Posture Aid / Clavicle Brace uses elastic straps to gently remind the wearer to maintain correct posture. It is best for rounded shoulders or mild postural kyphosis caused by long-term slouching. By supporting the upper back and stimulating mid-back muscles, it helps correct shoulder slump and prevents the curve from worsening.
The 2356 Posture Brace offers flexible spine stays that keep the back upright and properly aligned. Designed for mild kyphosis or early signs of a hunched back, it provides balanced support while maintaining mobility. Regular use helps correct mild spinal curvature, strengthen paraspinal muscles, and prevent further progression.
For moderate kyphosis, the 2953 Spinal Adjustor provides firm stabilization with a moldable spine plate. It is suitable for individuals—including the elderly with osteoporosis—who need stronger spinal correction. The brace enhances posture by realigning the thoracic curve, supporting paraspinal muscles, and applying gentle abdominal compression to relieve pressure and maintain balance.
These braces form part of a comprehensive postural kyphosis treatment plan, helping users improve alignment and comfort without surgery. When combined with targeted exercises and daily posture awareness, they support better spine health and serve as an effective approach in how to prevent kyphosis from getting worse over time.

Q: Can a kyphosis brace help straighten a hunched back?

Yes, the kyphosis brace is a well-established and highly effective conservative treatment for Scheuermann's Kyphosis, demonstrating significant corrective potential, particularly when applied before skeletal maturity and maintained with high patient compliance. Multiple studies support this efficacy, showing an average 40% kyphosis improvement (D. Bradford et al., 1974) and successfully reducing curve angles from 62 to 41 in specific cohorts (S. Montgomery et al., 1981). Overall, research indicates that 73% of treated patients experience nonprogression or actual improvement of the curve (E. Riddle et al., 2003), making bracing a robust method for managing adolescent hyperkyphosis, especially when the initial curve is less than 70.

Q: Is it safe to wear a kyphosis brace every day?

Wearing a kyphosis brace daily is generally considered safe and is the standard recommendation for effective therapeutic intervention, particularly in adolescents. Research consistently supports high daily wear times, with protocols often suggesting 16–23 hours (P. Sharifi et al., 2019). Crucially, studies have shown that the use of a brace does not cause a significant reduction in patients’ daily physical activity (Carsten Müller et al., 2011). Furthermore, while optimal correction often requires longer wear, similar clinical results were achieved by patients wearing braces at least 16 hours daily compared to 23 hours (W. Gutowski et al., 1988). Patients must always consult their healthcare provider for personalized guidance on optimal wear time and individual considerations.

Q: How can I tell if my back curve is turning into kyphosis?

You can assess for potential kyphosis by observing key warning signs such as
1.  Increasing difficulty maintaining an upright posture
2.  Reduced ability to straighten your back
3.  Visible forward curvature of the upper spine.
A simple self-assessment is the Wall-Occiput Distance measurement: stand with your heels and buttocks against a wall and try to touch your head to the wall; the distance between your head and the wall indicates the spinal curvature (K. Siminoski et al., 2011). While 20-40% of older adults experience hyperkyphosis (D. Kado et al., 2007), persistent changes warrant professional medical assessment for precise angle measurement (D. Kado et al., 2007) and personalized guidance.

Q: Can kyphosis cause breathing or digestive problems?

kyphosis can cause significant breathing and digestive problems because the exaggerated curve of the spine reduces the space available for the internal organs. For respiratory impacts, severe kyphosis significantly reduces vital capacity (the maximum amount of air you can exhale after a maximal inhalation) and overall breathing function (Manabu Uchida et al., 2023). Respiratory impairment has been reported in over half of patients with congenital kyphosis, with the severity increasing as the kyphosis angle becomes more pronounced (M. Mcmaster et al., 2007). Regarding digestive function, kyphosis alters the volume of the abdominal cavity and shifts the position of internal organs, which can lead to measurable changes in both food intake and the frequency of bowel movements; surgical correction has been shown to improve these digestive issues (Chao Liu et al., 2015). The evidence across multiple studies consistently links more severe kyphosis to greater functional impairment in both systems.

Q: What daily habits support the effectiveness of a kyphosis brace?

To maximize the effectiveness of a kyphosis brace, your daily habits should focus on consistency of wear and psychological support. The most critical habit is maintaining the recommended wearing time, which most studies suggest should be 16 to 23 hours per day (A. Aulisa et al., 2023), though actual patient compliance often averages around 16 hours daily (P. Sharifi et al., 2019). Key supporting habits include ensuring the brace has a proper fit to minimize discomfort, and continuing normal physical activities as the brace should not significantly restrict daily movement (Carsten Müller et al., 2011). Because adolescents often struggle with body image and social interactions while wearing the brace, psychological preparation and strong emotional support from family and providers are also essential habits that directly influence consistent, prolonged use (P. Korovessis et al., 2007).

Last updated: 2025/12

About OPPO

Founded in Seattle, Washington in 1997, OPPO has grown into a trusted international medical brand serving over 3.5 million users across 60 countries. With a commitment to precision, safety, and innovation, OPPO designs and manufactures more than 550 products and holds over 30 patents recognized by global design awards such as Red Dot and iF. Guided by the belief that everyone deserves the opportunity to live without limitation, OPPO continues to empower people worldwide to move with confidence and comfort.

Reference

⦁ Pizzutillo PD. Nonsurgical treatment of kyphosis[J]. Instr Course Lect, 2004, 53: 485491

⦁ Katzman, W. B., E. Vittinghoff, F. Lin, A. Schafer, R. K. Long, S. Wong, A. Gladin et al. " Targeted spine strengthening exercise and posture training program to reduce hyperkyphosis in older adults: results from the study of hyperkyphosis, exercise, and function (SHEAF) randomized controlled trial. " Osteoporosis International28, no. 10 (2017) : 2831-2841.

⦁ Ferreira-Alvcs A, Resina J, Palma-Rodrigucs R. Scheuermann's kyphosis. The Portuguese technique of surgical treatment[J]. J Bone Joint Surg Br, 1995, 77 (6) : 943-950.

⦁ Weiss HR, Dieckmann J, Gemer HJ. Effect of intensive rehabilitation on pain in patients with Scheuermann's disease[J]. Stud Health Technel Inform, 2002, 88: 254-257.

⦁ Weiss HR, Dieckmann J , Gemer HJ. The practical use of surface topography: following up patients with Scheuermann's disease[J]. Pedi. air Rehabil, 2003. 6 (1) : 39-45.

⦁ Bradford, D. S., Moe, J. H., Montalvo, F. J., & Winter, R. B. (1974). Scheuermann's Kyphosis and Roundback Deformity: Results of Milwaukee Brace Treatment. The Journal of Bone & Joint Surgery, 56(4), 740–758.

⦁ Montgomery, S., & Erwin, W. E. (1981). Scheuermann’s Kyphosis—Long-Term Results of Milwaukee Brace Treatment. Spine, 6(1), 5–8.

⦁ Riddle, E., Bowen, J. R., Shah, S. A., Moran, E. F., & Lawall, H. (2003). The duPont kyphosis brace for the treatment of adolescent Scheuermann kyphosis. Journal of the Southern Orthopaedic Association, 12(4), 189–194.

⦁ Weiss, H., Turnbull, D., & Bohr, S. (2009). Brace treatment for patients with Scheuermann's disease - a review of the literature and first experiences with a new brace design. Scoliosis, 4, Article 22.

⦁ Müller, C., Fuchs, K., Winter, C. C., Rosenbaum, D., Schmidt, C., Bullmann, V., & Schulte, T. (2011). Prospective evaluation of physical activity in patients with idiopathic scoliosis or kyphosis receiving brace treatment. European Spine Journal, 20(10), 1729–1734.

⦁ Sharifi, P., Kamyab, M., Babaee, T., & Ganjavian, M. (2019). Objective Monitoring of Brace Wearing Time in Adolescents with Scheuermann’s Kyphosis. Asian Spine Journal, 13(4), 604–610.

⦁ Sánchez-Pinto-Pinto, B., Romero-Morales, C., López-López, D., de-Labra, C., & García-Pérez-de-Sevilla, G. (2022). Efficacy of Bracing on Thoracic Kyphotic Angle and Functionality in Women with Osteoporosis: A Systematic Review. Medicina, 58(6), 693.

⦁ Gutowski, W., & Renshaw, T. S. (1988). Orthotic Results in Adolescent Kyphosis. Spine, 13(5), 488–492.

⦁ Siminoski, K., Warshawski, R., Jen, H., & Lee, K.-C. (2011). The accuracy of clinical kyphosis examination for detection of thoracic vertebral fractures: comparison of direct and indirect kyphosis measures. Journal of Musculoskeletal & Neuronal Interactions, 11(3), 200–208.

⦁ Kado, D. M., Prenovost, K. M., & Crandall, C. (2007). Narrative Review: Hyperkyphosis in Older Persons. Annals of Internal Medicine, 147(5), 330–338.

⦁ Uchida, M., Yamaguchi, K., Tamai, T., Kobayashi, K., & Tohara, H. (2023). Effects of simulated kyphosis posture on swallowing and respiratory functions. Journal of Physical Therapy Science, 35(9), 593–597.

⦁ Mcmaster, M., Glasby, M., Singh, H., & Cunningham, S. (2007). Lung Function in Congenital Kyphosis and Kyphoscoliosis. Journal of Spinal Disorders & Techniques, 20(4), 302–305. https://doi.org/10.1097/01.bsd.0000211270.51368.43

⦁ Liu, C., Zheng, G., Zhang, Y. G., Tang, X., Song, K., Fu, J., Wang, Z., Cui, G., & Wang, Y. (2015). The radiologic, clinical results and digestive function improvement in patients with ankylosing spondylitis kyphosis after pedicle subtraction osteotomy. The Spine Journal, 15(8), 1845–1852.

⦁ Aulisa, A., Marsiolo, M., Calogero, V., Giordano, M., & Falciglia, F. (2023). Long-term outcome after brace treatment of Scheuermann’s kyphosis: an observational controlled cohort study. European Journal of Physical and Rehabilitation Medicine. https://doi.org/10.23736/S1973-9087.23.08070-X

⦁ Korovessis, P., Zacharatos, S., Koureas, G., & Megas, P. (2007). Comparative multifactorial analysis of the effects of idiopathic adolescent scoliosis and Scheuermann kyphosis on the self-perceived health status of adolescents treated with brace. European Spine Journal, 16(9), 1369–1376.

Can a Kyphosis Brace Really Help Straighten Your Spine?