How to treat kyphosis and anterior pelvic tilt with physiotherapy?

Question

Hello doctor,

I suffer from kyphosis and anterior pelvic tilt, and I do physical therapy. Which is the disease that I should start treating first, and what muscles should be strengthened first? I did surgery on my neck and my lower back, as I was having C6-C7 disk and lumbar spinal stenosis.

Answer 1

Hello,

Welcome to icliniq.com.

First, I need you to understand that kyphosis and anterior pelvic tilt are not diseases but postural problems attained due to muscle imbalances. These are due to prolong postures adapted during our day-to-day activities. The kyphosis curve, to some extent, is normal and necessary, while anterior pelvic tilt, to some extent, is also normal. When both get beyond a point of normals and start loading over any segment, then it is a cause of concern. You need not worry about those too much. While addressing the correction, you need to address both together as one can influence the other things' existence. So start a good circuit training initially to balance the muscle tone so that weak muscles are being strengthened and tight structures are being stretched. Start a good stability program. Avoid faulty postures. You will get stabilized with everything and strengthen your muscles. You will not have any more postural issues.

I hope I have answered your question. Do get back to me if you wish to have any more clarification.