Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with complaints of thoracic back discomfort and visible rounding of the upper back. Symptoms are exacerbated by prolonged sitting or static postures and are relieved by active correction or recumbency. Denies radicular symptoms, neurological deficits, bowel/bladder dysfunction, or constitutional symptoms. No history of trauma or prior spinal surgery.
Clinical Examination Findings
Physical examination reveals an exaggerated thoracic curvature that is flexible and correctable upon active extension. No fixed deformity or gibbus deformity noted. Spine is supple with full range of motion. Neurological examination is intact, with symmetric deep tendon reflexes and no focal motor or sensory deficits. Adam’s forward bend test is negative for structural scoliosis.
Treatment Protocol
Recommended treatment plan includes a structured physical therapy program focusing on strengthening the thoracic extensors, scapular stabilizers, and core musculature. Emphasis on postural re-education, ergonomic adjustments at the workplace, and daily stretching exercises for the pectoralis muscles. Follow-up in 3 months to assess compliance and symptomatic improvement.