Ms Z was presented to the clinic with longstanding bilateral upper back pain. Pain was aggravated after sitting or standing for prolonged period of time. On observation, the patient demonstrated head forward posture, rounded shoulder and increased thoracic kyphosis. There was a diminished thoracic kyphosis during forward flexion and was improved after postural correction. Her pain in the upper back was associated with chest tightness and upper back weakness due to long-established poor posture. Exercises, soft tissue release and electrotherapy were used to reduce muscle tightness, improve muscle strength and reduce pain. The patient is demonstrating gradual improvement with physiotherapy interventions and proper postural correction. The following exercises were provided to improve posture in the long run:

Pectoralis major stretches
Resisted scapular retraction
Upper trapezius and levator scapulae stretches
Deep neck flexor activation