Year: 2026 | Month: October-December | Volume: 11 | Issue: 4 | Pages: 101-104
DOI: https://doi.org/10.52403/gijhsr.20260411
Physiotherapy Management of Thoracic Hyperkyphosis with Chronic Neck Pain in A 50-Year-Old Male Carpenter: A Case Report
Dr. Pratima Sarwadikar1, Yash Kulkarni2, Dr. Tushar Palekar3, Dr. Suchita Golhar4
1Associate Professor, 2Student, 3Professor and Principal, Department of Community-Based Rehabilitation
Dr. D. Y. Patil College of Physiotherapy, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, India.
4Professor and Principal, Department of Musculoskeletal Science, PES’s Modern College of Physiotherapy, Pune, India.
Corresponding Author: Dr. Pratima Sarwadikar
ABSTRACT
Background: Thoracic hyperkyphosis may coexist with neck pain, shoulder-girdle muscle imbalance, and limitations in movement and daily activity. Physiotherapy may be used to address pain, mobility, muscle performance, and postural control.
Case description: A 50-year-old male carpenter presented with a three-year history of headache and neck pain, bilateral upper-trapezius pain greater on the right, and pain extending toward the right scapular and upper-chest regions. Pain was reported as 6/10 at presentation in the initial summary and 7/10 during activity in the clinical notes. Examination notes described exaggerated thoracic kyphosis, rounded/protracted shoulders, pectoral and upper-trapezius tightness, weakness of the lower trapezius and cervical flexors, and restricted cervical movement. The X-ray report was recorded as showing a Cobb angle greater than 45°. Intervention: The documented programme included breathing exercises, stretching, scapular and cervical postural exercises, spinal and abdominal extensor strengthening, thoracic mobilisation, and interferential therapy for pain relief. Outcomes: After one month, neck pain was recorded as 2/10; cervical flexor strength was graded 3/5 and extensor strength 4/5 on the Medical Research Council scale. The patient was reported to have resumed usual work and daily activities without pain-related difficulty.
Conclusion: This case describes improvement in reported pain and function following a multimodal physiotherapy programme. Because this is a single case with incomplete standardised outcome and treatment-dose information, the response cannot be attributed to any individual intervention and should be interpreted cautiously.
Keywords: thoracic hyperkyphosis; kyphosis; physiotherapy; neck pain; posture; case report