EPISODE · Mar 10, 2026 · 1H 29M
Does Kyphosis Cause Lower Back Pain
from The Back Pain Podcast by Core Balance · host Dr. Ryan Peebles DPT
Kyphosis is a natural forward curve in the upper spine, but when that curve becomes exaggerated, it can change the way the entire body moves. In this episode, Dr. Ryan Peebles, Doctor of Physical Therapy and founder of Core Balance Training, explains how hyper-kyphosis can contribute not only to neck tension and rounded shoulders, but also to chronic lower back pain by forcing extension and compensation into the wrong parts of the spine. He breaks down what kyphosis actually is, how common sitting and driving habits reinforce it, and how Core Balance Training uses front anchor awareness, glute engagement, and thoracic control to restore better alignment. Through live student questions, Dr. Ryan also covers shoulder pain during front anchor work, what to do during flare-ups and setbacks, how MRI findings often fail to explain pain, how scoliosis and asymmetry affect exercise sensations, strategies for tendon irritation, breathing mechanics, diastasis recti modifications, and how to adapt the program for spinal fusion, spondylolisthesis, and hip limitations. The episode is a practical guide to understanding how posture patterns affect the whole body and how to rebuild movement from the core outward. This episode covers: What thoracic kyphosis is and when it becomes a problem How hyper-kyphosis can contribute to lower back pain and neck pain Why sitting, driving, and reclined posture often reinforce rounded upper back posture How front anchor work can help reverse excessive thoracic rounding Why glute engagement helps control extension and protect the lower back How shoulder posture and side sleeping can affect rotator cuff pain Why MRI findings often do not correlate well with pain levels How scoliosis, flat back, and asymmetry change exercise sensations Modifications for diastasis recti, tendon irritation, hip restriction, spondylolisthesis, and lumbar fusion Watch the free Core Balance Masterclass and start your 7-day free trial to experience the Back Anchor lesson firsthand and begin retraining your movement patterns from the inside out: https://www.corebalancetraining.com/masterclass Disclaimer: All content is for educational purposes only. Consult a qualified healthcare professional before beginning any exercise or rehabilitation program. Episode Chapters 01:00 — Introduction: Can Kyphosis Cause Lower Back Pain? 03:58 — What Kyphosis Is: Natural vs Excessive Thoracic Curvature 07:12 — How Sitting, Driving, and Daily Habits Create Hyper-Kyphosis 10:24 — Why Hyper-Kyphosis Can Lead to Lower Back and Neck Pain 13:38 — Preventing and Reversing Hyper-Kyphosis in Everyday Life 16:12 — Using Front Anchors to Improve Thoracic Extension and Posture 19:34 — Featured CBT Student: Sherry’s Progress After Years of Being Bedridden 24:48 — Student Q&A: Shoulder Pain During Front Anchor Challenge and Rotator Cuff Considerations 36:22 — Student Q&A: Back Flare-Ups, MRI Anxiety, and Returning to the Basics 49:06 — Student Question: When Your Spine Tends Toward Extension Instead of Kyphosis 55:10 — Student Q&A: Knee Strain During Bridge and Scoliosis Compensation 59:38 — Student Q&A: Diastasis Recti Modifications for Back Anchor Challenge 1:08:12 — Student Q&A: Spondylolisthesis, Spina Bifida, and Protecting the Lower Back 1:17:26 — Student Q&A: Neck and Shoulder Tension During Anchor Triad Walking 1:24:32 — Final Questions: Breathing Mechanics, Cross-Legged Sitting, Lumbar Fusion
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Does Kyphosis Cause Lower Back Pain
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