Poor Posture in Teens & Preteens

Parent Q&A

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  • My very tall son, 6 feet at age 13, has developed really poor posture during the pandemic. It probably wasn’t great to start with but between slumping while using his iPad for school or while holding his phone, it’s gotten much worse. His neck juts forward and his back is very rounded when bending over. I brought it up to his pediatrician but she didn’t really seem too concerned and I didn’t want to press the issue in front of him. Has anyone used a chiropractor or physical therapy to help address this problem? He’s going to be much taller and I don’t want this to get worse than it already is.

    Hello, 

    We have the same issue, tall and postural kyphosis. You can see an orthopedic doctor to discuss if xrays are needed as sometimes it's not just postural. My son goes to pacific pt in emeryville. It is something that can be worked on it PT but it does require doing daily exercises at home, which we find very challenging with our 14 year old son. I'm also hoping to have an occupational therapist work with him at home on desk ergonimics. 

    Your son might need physical therapy. My son is 27 and 6'7" and has been tall his whole life. Last year, threw his back out trying to correct his poor posture on his own, and the doctor said he needed more help than just learning to stand upright. His upper and mid back were locked up in a stooped posture. The PT has helped immensely. I wish I had taken my son to an orthopedist when he was younger, instead of just encouraging him to stand up straight or take screen breaks. Good luck!

  • My child has always had rounded shoulders despite my unfortunate nagging to stand up straight. After this past year of sitting at a too small desk for online schooling, her posture has worsened. Any recommendations for places that work with children or specific PT's you've worked with? Her pediatrician checked her spine and didn't dx scoliosis....

    UCSF Benioff Children's Hospital has a PT clinic. We went to the one in Walnut Creek for similar concerns. They gave us exercises to do. They were friendly and we found it helpful. To really resolve the issue takes some commitment to the exercises. We tried for awhile and then lost steam. I have to say though as they have grown it has improved a bit. Good luck. 

  • Hello,

    I've noticed that my 9 year old daughter may be developing poor posture (mine's not great, but I'm working on it).  She is involved in soccer and running and she takes a weekly yoga class through her school.  Other than nagging at her to sit up straight, I'm wondering whether anyone has any suggestions?

    Your daughter may have scoliosis. Suggest you ask her pediatrician to check. She may need to see pediatric orthopedic spine surgeon,not necessarily for surgery but for an opinion.

    Not a mother myself, but my parents taught me good posture by sending me to ballet training twice a week throughout childhood, which really helped. 

Archived Q&A and Reviews


Questions


14-year-old's slumped shoulders

June 2010

Our 14 yo. teen son has developed what most consider poor posture- slumped shoulders. While he's working on improving his self-esteem (due to Aspergers) issues with a great therapist, I'm wondering whether there is someone (craniosacral, acupuncturist?) or something out there that can improve the way he carries himself. Mom


We've been noticing our 12yo son having poor posture and figured out that a little bit of physical therapy probably would be helpful. He's athletic and hi energy. We're into all kinds of alternates yoga, feldenkriast, etc but figured that it probably would just take several sessions. He's on his third one now- PT Innovations in El Cerrito. Has been taught a few exercises to help build his trunk muscles- very simple. It's hard to get him to do it but everything has been hard to get him to do the past 6 mths- adolescence. Our son is less irritable when we remind about posture and is getting into general exercise and strengthening. Xray shows mild scoliosis- MD who made referral used back pain as diagnosis. Indeed, our son has been having pain occasionally. We use single cues or visual cues at home to remind about posture. Previous health practioner gave him idea to select a color and when he sees this color in the world it will be a reminder of being aware of his posture: BLUE. So, we can say blue, too and he gets it. We'll see how his posture actually changes but in the meantime it's very positive experience and empowering for him. Also, he is more aware of others' posture. Showing him a picture of himself before and after is helpful, too. Monica


Craniosacral or other hands-on therapies might correct his poor posture, if there are some structural issues (muscle tightnesses and/or joint restrictions). Otherwise, strengthening exercises would be great. Pilates would be my first choice since there's a trainer right there making sure you'll be using the right muscles, progressing to more independent work eg yoga class or gym. I highly recommened Center Strength on Solano (the Pilates trainers there will probably also tell you if they think he might need more hands- on manipulation type work like craniosacral, good manual physical therapy, etc). Besides that, what is very helpful is you gently (not naggingly) and often reminding him ''honey, please bring those shoulders back, it will put less tension on your muscles and nerves'' and complimenting him when you see him working at it. From a Physical Therapist with thirty years experience leia


I highly recommend ''8 Steps to a Pain-Free Back'' by Esther Gokhale, egwellness.com. It has helped me a lot with my back pain. Her explanations are very clear and make sense. Since I've read her book and taken the class, I'm much more aware of my own posture and notice other people's good and bad posture. cutis


We had a really good experience with a specialized kind of Physical therapy, designed for scoliosis and kyphosis. (My daughter was having pain and poor posture.) You can check them out at scoliosisrehab.com We went to the clinic in Arizona for a week, since nothing is offered locally - but is worth a try before confronting surgery. Short term results are great, and we'll see how the PT works for her long term. Karen