A rounded thoracic spine, shoulders rolled forward, head carried in front. Posture is a habit, not a shape — and habits can be relearned.
From behind you see the rounded outline of the thoracic spine; from the front a sunken chest and shoulders rolled inwards. The head is usually carried in front of the body's axis. Pain between the shoulder blades and quick fatigue when standing often go with it.
A simple check: stand with your back to a wall. If the back of your head only reaches the wall by tipping the head back, the thoracic spine is holding the body in a bend.
It comes from hours spent bent forward — at a desk, at a monitor, over a phone — and in children from a heavy school bag, especially one carried on a single shoulder. The chest muscles shorten, the muscles between the shoulder blades overstretch, and the body gradually fixes the new shape as its default.
That is why it worsens during growth spurts and why sedentary work keeps it going in adulthood.
A rounded back does not straighten because you tell yourself to stand up straight — that lasts a minute, because willpower does not replace muscle. Spiral stabilisation lengthens the shortened front while teaching the back chains to pull the shoulder blades down, so the upright position holds by itself.
What matters is that the spine lengthens upwards while it happens. The most common mistake when “straightening up” is to push the chest out and arch the lower back — that hides the rounded back and adds lower back pain to it.
If the curve is rigid and cannot be straightened voluntarily, if it worsens quickly during growth, or if the back hurts even at rest. In children and teenagers, a posture that changes fast always belongs in front of a doctor.
A guide in the Spiralista app takes you through the exercises for this condition day by day — from the first exercise to the full sequence.