Kyphosis, also known as roundback or hunchback, is a condition in which the spine in the upper back has an excessive curvature. The upper back, or thoracic region of the spine, is supposed to have a slight natural curve. The spine naturally curves in the neck, upper back, and lower back to help absorb shock and support the weight of the head. Kyphosis occurs when this natural arch is larger than normal.

If you have kyphosis, you may have a visible hump on your upper back. From the side, your upper back may be noticeably rounded or protruding. In addition, people with hunchback appear to be slouching and have noticeable rounding of the shoulders. Kyphosis can lead to excess pressure on the spine, causing pain. It may also cause breathing difficulties due to pressure put on the lungs.


  • poor posture or sitting all day
  • hunching over cellular devic/computers
  • pregnancy/ nursing mothers
  • weak back/neck muscles
  • sedentary lifestyle
  • tight pecs


  • forward head (lbs pressure per inch)
  • pain, headaches, migraines
  • breathing difficulties
  • common injuries


  • pain medications
  • surgery
  • oftentimes…nothing!

Getting an integrative assessment of the body and its movement patterns is a great way to understand postural dysfunctions because if one thing is out of whack, then everything is out of whack. It is impossible to have, for example, Kyphosis and then not have over rotation (or tilt) of the pelvis and/or cranial misalignments. Both of which cause serious risk for injury (slipped discs), pain (headaches, TMJ, low lumbar disc pressure, or swelling/inflammation of the leg joints) and health issues (digestive irregularity, infertility, pain with intimacy or inability to reach orgasm, incontenence, weight gain etc).

But how would you know to tie all of that together, or what came first, ie; the root cause? Most assessments cover posture and movement at best, but getting our PIRA done by an expert Level IV CHEK Practitioner will provide you with a full map of all 12 systems of the body and integrate it all together to show you the root cause.

This works the best because treating dysfunctions, injuries, pain or symptoms does not identify or treat the cause. Until you identify the cause, and heal that core issue, every injury, dysfunction, pain condition or health issue will just come back. And you will spend countless hours and dollars chasing the relief while increasing the odds for surgery, disease, dependency of pharmaceuticals, and a drawn out reduction in quality of life. 

To learn more about the PIRA assessment performed by Texas’ only Level IV CHEK Practitioner here in Austin, see below.

Performance & Injury Risk Assessment 

The PIRA is an advanced level orthopedic physical assessment for those who want to maximize their performance potential by establishing a high level understanding of weaknesses and imbalances within all systems of the body that could be limiting their physical achievements and, more importantly, putting them at risk for injury and impending pain challenges.

This also greatly benefits anyone who is experiencing chronic pain, injury, re-injury or post-operative challenges and would like to reverse and heal distress in the body or speed recovery.

  • infant movement pattern assessment and the application of infant development exercises as a foundation for Primal Pattern® movements.
  • a holistic, integrated model of Primal Pattern® movement assessments and application of the science of biomechanics and kinesiology
  • advanced postural assessments and functional training technique evaluations
  • goniometric assessments of posture and relevant joint range of motion.
  • effective patient screening, ruling out any red flags through careful examination of medical history, orthopedic assessment, and length/tension assessment
  • comprehensive, full-body assessments of your key biological systems.
  • evaluation of effective spinal and core stabilization.
  • orthopedic assessments of the cervical, temporomandibular, shoulder regions
  • comprehensive emotional and cognitive-behavioral interview of patient to map interrelations of immobility, pain and injury
  • use of the Chakra system to tie in all interrelations with meridians, glands, organs and the musculoskeletal systems
  • study and review of all HAQ risk scores, medical history, diet and lifestyle, current symptoms and injuries



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